42-year-old man, had pain in oral sinus for one month.

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Clear Case of Periodontal/Palatal Abscess. Rx-The initial management of a periodontal/palatal abscess involves pain relief and control of the infection. The pus needs to be drained,Otherwise, if pus is already discharging from the periodontal pocket, this can be encouraged by gentle irrigation and scaling of the pocket whilst massaging the soft tissues. Antibiotics are of secondary importance to drainage, which if satisfactory renders antibiotics unnecessary. Antibiotics are generally reserved for severe infections, in which there is facial swelling, systemic upset and elevated temperature. Since periodontal abscesses frequently involve anaerobic bacteria, oral antibiotics such as amoxicillin, clindamycin (in penicillin allergy or pregnancy) and/or metronidazole are given. Ideally, the choice of antibiotic is dictated by the results of microbiological culture and sensitivity testing of a sample of the pus aspirated at the start of any treatment, but this rarely occurs outside the hospital setting. Other measures that are taken during management of the acute phase might include reducing the height of the tooth with a dental drill, so it no longer contacts the opposing tooth when biting down; and regular use of hot salt water mouth washes (antiseptic) that encourages further drainage of the infection. The management following the acute phase involves removing any residual infection, and correcting the factors that lead to the formation of the periodontal abscess.
Periodental abscess hard palate Needs evacuation and RCT
Thanx dr Ashok Leel
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Periodontal Abscess. Adv-IV Augmentin 1.2gm ,metrogyl 100ml twice daily futher treatment protocol depends on OPG, Periodontal and gingival status. Rule out h/o systemic disease or medication.
It's a clear case of periodontal abscess of hard palate Provide opg for a faster diagnosis & treatment plans...since it's related to the sinus
ADVISABLE.. 1. ALL. ROUTINE. INVESTIGATION ,2. HPE... FNAC ,3. CULTURE. AND. SENSITIVITY
* Periodontal abscess Needs further investigation and evaluation to conclude and treatment plan.
Thanks Dr Kute Ankush
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IT'S A..CASE OF.. ? DENTAL PATHOLOGY.. ? PERIODENTAL ABSCESS..
Tnx Dr Saloni Arora
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Dental abscess.. Periodontal abscess..
Periodeental abscess Ref to Dentist
Case of Periodontal abscess. Advice .1. Incision and drainage of abscess under LA. Treatment,1.Cap.Phexin -500 mg .BD for 5 days. 2.Tab.Ketorol -DT .BD for 5 days. 3.Gel-Metrogyl-DG forte. Apply thrice daily. 4.Tab. A to Z .OD for 7 days.
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