Periapical abscess without sinus
Common Questions and Answers about Periapical abscess without sinus
abscess
Hello,
This persistent abscess that does not get cleared with antibiotics is called Parulis as this elevated nodule is actually an opening of fistulous tract from some chronic abscess either in association with tooth (periapical abscess) or gum abscess or could be sinus in your case.
As I can not do physical exam hence can not say for sure about the origin of the abscess. It needs x-ray and second opinion of a dentist who can examine.
Hi there,
Periapical abscess results from a chronic localized infection at the tip or apex of the root of a tooth. It usually originates from a bacterial infection which has accumulated in the soft dead pulp of the tooth. It can be caused by tooth decay, broken teeth or any extensive periodontal disease. There is no definite time it takes for this abscess to form. It depends on the severity of the organisms and their virulence.
I gave a RCT treatment to my patient who has chronic periapical abscess at lower right 6 but no sinus and swelling was present in her mouth.But I saw that abscess in intra-oral periapical view.While I was treating her tooth, everything was alright.And then,2days after treating RCT, she suffered a slight pain and swelling at submandibular region.I forgot something to explain that I saw a root fracture line in X-ray but that tooth was not mobile.
itappears that your descriptions suggest that the tooth had gone through root canal treatment and periapical surgery, which probably included apicoectomy and retrograde filling. If these procedures had been performed properly and you still develop[ed abscess and periapical lesion, extraction of the tooth may be the treatment of choice.
The abscess can occur at different regions of the tooth for different reasons. A periapical (per-e-AP-ih-kul) abscess occurs at the tip of the root, whereas a periodontal (per-e-o-DON-tul) abscess occurs in the gums next to a tooth root. The information here refers specifically to periapical abscesses.
My dentist took an x-ray of my mouth and found no sign of a tooth abscess, even though when she drilled the infected tooth (which had a filling), there was a foul smell, indicating an abscessed tooth.
There is also a swelling below my left jaw, and it is difficult to swallow and open my mouth.
The dentist didn't explain much regarding why the x-Ray didn't reflect the tooth abscess.
How long does it take for a cavity to develop a periapical abscess? When is the tooth too far gone to save it?
Hope to hear from an expert.
If the source of abscess is associated with dental pulp, root canal treatment can help clear up infection. Further delay of treatment is detrimental.
I had a root canal over 20 years ago in #19. 2 months ago I developed a periapical abscess and then a gum boil. I was treated with antibiotics and then 2 days ago had root canal re-treatment. How long before I know that the re-treatment is effective? Currently I have only minor discomfort and swelling, but the gum boil remains. Should the gum boil have resolved by now?
Your descriptions srongly suggest periapical infection of upper anterior teeth. Periapical x-ray and electric pulp test can generally establish a diagnosis. Seeing an endodontist is advised.
Complication after dental anesthetic injection is extremely rare. The descrbed blister may be periodontal or periapical abscess. Seeing a dentist is advised.
When was that tooth filled and how big was the cavity? Ask your doctor to take a PA (periapical) x-ray. That shows the tip of the root and would probably show an abscess if it's been going on for a while. Usually dull throbbing is indicative of a periodontal (gum) issue. If the nerve is involved, you would have pretty intense sensitivity to cold and hot (especially hot). Sometimes if a tooth has been worked on a lot, the nerve can die just from the overall trauma it has gone through.
The tooth still hurts when touched. I had a 3D scan today and was told I have an abscess. I have attached the image. Any advice?
Do you think this is a definite sign of a tooth abscess due to the trauma of the crown? When I called about the appointment, they were already talking about the possibility of being referred to an endodontist for a potential root canal. Is this my only option? Can I not just kill off the infection with antibiotics? I broke the bank on the crown (no dental insurance), and I simply cannot afford another expensive procedure.
Your descriptions suggest periapical abscess associated with pulpal necrosis of discolored tooth. Seeing a pediatric dentist is advised.
It could have been aggravated by a dental infection . Since sometimes the roots of teeth are very close or inside the sinus , periapical infection of the tooth may cause pus formation in the sinus . If the pus doesn’t come out through the tooth canals , it is likely that discharge will be through the nose . Please consult your dentist and ENT surgeon for examination and diagnosis. Hope this helps you . Take care and regards !
I had an tiny abscess so deep in the root of my tooth (1st molar at the top closest to the front) that after trying to get to it via the normal rout i.e. through the part of the tooth that shows, they had to split my gum and go into it directly through the root and fill it that way after cleaning out the infection. It required four stitches - the split in my gum was around three inches long which I found a little severe for one tooth root.
If the fistula( sinus tract is the correct term) persists after completion of root canal obturation, it indicates that there is periapical infection present. treatment options are, redo root canal, periapical surgery with retrograde filling, extraction. Seeing an endodontist is advised.
I got the diagnosis periapical absess this Wednesday, 8th July. I went to the dentist after a sleepless night in pain and with a slightly swollen lower part of my left cheek. The strange thing is that this happened just a week after visiting another dentist and going through a regular check that was finished with the conclusion that everything was ok, and that I could probably just get renewed some old fillings that I had from 9th grade at school *I am 28 now*.
I had same thing, & had root canal yesterday. The infection is out of too t h, but still in sinus & upper inside of cheek, very painful. How will infection get out of my system without drainage? I've read, they can be very dangerous. Please help!
Dear expertise:
The rationale I approach is : periapical lesion develops after root canal treatment, (which is rare), redo rct. If periapical lesion does'nt resolve after redo rct, periapical surgery( apicoectomy and retrograde filling), if periapical lesion persists after periapical surgery, root amputation is performed. This approach assumes only one root is involved. If mutiple roots are involved, extraction is indicated.
a sinus tact is like a "tunnel" through the bone and through or around the gum tissue from the abcess to the outside (in the mouth somewhere like the palate for upper teeth or the soft tissue vestibule by the roots of the teeth). it's basically a tract through which the abcess can drain. teeth with tracts usually have been abcessed for quite some time.
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