Periapical Abscess: Nature, Causes, Dangers, Chronic Disease Concerns, Symptoms, and Treatment

There is a widespread believe that unlike the other types of abscesses, the periapical abscess is actually sterile, which means that it presupposes no living bacteria inside of it. However, there are numerous documented cases that prove this statement to be a myth and call for both dental care provider and patient to treat the periapical abscess even more seriously than the common ones. But first, let's discover what features make the periapical abscess different from the tooth and gum ones.

What Is Periapical Abscess?

Similarly to a gum or tooth abscess, the periapical one is an inflamed painful pocket of the dental pus, but it is located at the closest to the gum line portion of the tooth inside the supportive bone.

What Causes Periapical Abscess?

Modern dental and general medicine experts agree that the acute dental infection is the agent that causes the dental pulp death, which in its turn, triggers the periapical abscess. The bacteria breeding byproducts accumulate in the form of the dental pus, slowly but surely, covering the affected pulp chamber and then, root canal.

Gradually, the pus mixes with the dental fluid and hardens. As the pressure grows stronger, the full of dental bacteria mixture accumulates at the tooth apex supportive bone area. The above-mentioned sequences of the pus hardening at the tooth apex bone form the periapical abscess.

This way, the agent that most commonly causes the disease is a not timely treated dead tooth. So, consider that your tooth professional monitoring is vitally important even after it actually dies.

Why Is Periapical Abscess Even More Dangerous?

Similarly to the tooth and gum abscesses, the periapical one causes the gradual infection of the entire organism, starting with the oral cavity, then, facial soft tissues and ending up with eating up the body bony structures and lungs plus heart soft tissues.

However, the tooth and gum abscesses have the immediate and easy to monitor negative impact on a human body. Whereas the periapical abscess imposes the remote danger on the patient's dental and general health, which develops after the actual abscess seems to be fully treated and can even cause the patient's death. The periapical abscess complications arrive due to the masked infection.

The additional danger is associated with that periapical abscess, which affects the upper teeth and thus, is located really closely to the brain. This contributes to the extremely rapid spread of the dental infection inhabiting the abscess pus into the brain by eating up the skull bone tissues. This way, the periapical abscess often causes the sudden uncontrolled brain swelling, when left untreated.

What Are the Chronic Periapical Abscess Concerns?

The chronic periapical abscess not only poisons the patient's body with the harmful bacteria and their blood sepsis causing breeding byproducts, but also has been proven to lead to the abnormal blood clotting. This often causes the heart attack or stroke. If a future mother suffers with the chronic periapical abscess, she is really likely to give a birth to a premature baby.

That is why it is so vital to start the timely and professional periapical abscess treatment, as soon as you notice even the slightest symptoms of the disease.

What Are the Periapical Abscess Symptoms?

Get highly concerned, if you experience the acute throbbing pain near the tooth base and / or its supportive gum and bone, especially, when the pain increases, as you chew on the affected tooth or simply lie down.

Keep the closest attention to your lymph nodes condition and immediately contact the medical care professional, if they become tender. The disease associated facial swelling may affect just the area nearby the affected tooth or the entire face.

The patient with the periapical abscess is also likely to develop a gumboil dental disorder and experience bad taste in his mouth. Some of those, who have already come through the disease torture, note that they have felt their affected tooth to be longer than the other ones. As the periapical abscess keeps progressing, the affected tooth gradually becomes loose and finally falls out, when the disease is left untreated.

Apart from that, the patient with this disease becomes highly anxious and experiences weakness in his entire body. The associated fever and nausea are the vivid body intoxication signs, which become apparent on the advanced periapical abscess stages.

What Are the Periapical Abscess Treatment Options?

This type of the abscess calls for really complex treatment. Generally, the infection that causes the periapical abscess can be easily eliminated by the proper antibiotics intake on the disease early stages. The pain killers get prescribed to alleviate the acute ache. However, if the abscess is advanced, its drainage procedure becomes inevitable to eliminate the possibility of the blood sepsis and uncontrolled body swelling.

Root canal scaling and planning are generally prescribed after the periapical abscess drainage procedure and / or antibiotics aided treatment is completed to ensure that there is no dental pus and infection residue in the patient's affected root canal.

If the tooth affected with the periapical abscess is actually dead or badly damaged, it is very likely to be removed.

Apart from that, every patient with the periapical abscess needs the healthy sleep and nutrition to boost up his immunity system. The proper oral hygiene is just vital to ensure yourself against the disease reoccurrences.

And finally, remember that the regular dental check-ups are vital not only to avoid the periapical abscess reoccurrences for the patients, who have already gone through this painful treatment, but also to reveal the disease on its very early stages to ensure yourself against the dangerous periapical abscess complications.