Abscess, Dental: From 1 Different Sources
A pus-filled sac in the tissue around the root of a tooth. An abscess may occur when bacteria invade the pulp (the tissues in the central cavity of a tooth) as a result of dental caries, which destroys the tooth’s enamel and dentine, allowing bacteria to reach the pulp. Bacteria can also gain access to the pulp when a tooth is injured. The infection in the pulp then spreads into the surrounding tissue to form an abscess. Abscesses can also result from periodontal disease, in which bacteria accumulate in pockets that form between the teeth and gums.
The affected tooth aches or throbs, and biting or chewing is usually extremely painful. The gum around the tooth is tender and may be red and swollen. An untreated abscess eventually erodes a sinus (channel) through the jawbone to the gum surface, where it forms a swelling known as a gumboil. As the abscess spreads, the glands in the neck and the side of the face may become swollen, and fever may develop. Treatment may consist of draining the abscess, followed by root-canal treatment of the affected tooth, but in some cases extraction of the tooth is necessary. Antibiotics are prescribed if the infection has spread beyond the tooth.
An abscess in a periodontal pocket can usually be treated by the dentist scraping away infected material.
A localised collection of pus caused by suppuration in a tissue... abscess
The term applied to a collection of pus or an ABSCESS which occurs complicating an attack of TONSILLITIS. The collection of pus forms between the tonsil and the superior constrictor muscle of the pharynx. This condition is also known as quinsy; treatment drainage of the abscess and the administration of appropriate antibiotics.... peritonsillar abscess
An ABSCESS that develops under the DIAPHRAGM, usually on the right side of the abdomen between the liver and the diaphragm. The cause may be an organ that has perforated – for instance, a peptic ulcer in the stomach or intestine. An abscess may also occur after an abdominal operation, usually when the bowel or stomach has been operated on. Antibiotics and sometimes surgery are the method of treatment.... subphrenic abscess
See TEETH, DISORDERS OF – Caries of the teeth.... decay, dental
Decay of teeth... dental caries
See TEETH, DISORDERS OF.... dental emergencies
A statutory body set up by the Dentists Act which maintains a register of dentists (see DENTAL SURGEON), promotes high standards of dental education, and oversees the professional conduct of dentists. Membership comprises elected and appointed dentists and appointed lay members. Like other councils responsible for registering health professionals, the General Dental Council now comes under the umbrella of the new Council for Regulatory Excellence, a statutory body. (See APPENDIX 7: STATUTORY ORGANISATIONS.)... general dental council
See DENTAL SURGEON.... general dental services
An ABSCESS arising in the space between the RECTUM and ischial bone (see ISCHIUM) and often resulting in a FISTULA. It may occur spontaneously or be secondary to an anal ?ssure, thrombosed HAEMORRHOIDS or other anal disease. The disorder is painful and usually accompanied by fever. Treatment is by a combination of antibiotics and surgery.... ischiorectal abscess
See: ABSCESS. ... breast, abscess
Abscess of the liver caused by Entamoeba histolytica and often containing socalled “anchovy sauce” fluid.... amoebic liver abscess (ala)
See APPENDIX 8: PROFESSIONAL ORGANISATIONS.... british dental association
A person quali?ed to carry out the scaling (removal of calculus [deposits]) from the teeth and to advise patients on how to keep their teeth and gums healthy. Hygienists usually work in a quali?ed dentist’s surgery.... dental hygienist
A dental surgeon, or dentist, is an individual trained to diagnose and treat disorders of the teeth and gums, as well as to advise on preventive measures to ensure that these areas remain healthy. Dentists qualify after a four-year course at dental school and then register with the GENERAL DENTAL COUNCIL, which is responsible for maintaining educational and professional standards. Around 25,000 dentists practise in the NHS and private sector.
Over the past four decades the ?nancial outlay on NHS dental services has been around 5 per cent of total NHS funding. This contrasts with 10 per cent during the service’s early years, when the NHS was coping with decades of ‘dental neglect’. The population’s dental health has, however, been steadily improving: in 1968 more than one-third of people had no natural teeth; by the late 1990s the proportion had fallen to 13 per cent.
Dentistry is divided into several groupings.
General dental practitioners Concerned with primary dental care, the prevention, diagnosis and treatment of diseases of the gums and teeth – for example, caries (see TEETH, DISORDERS OF). They also deal with diffculties in biting and the effects of trauma, and are aware that oral disorders may re?ect disease elsewhere in the body. They will refer to the hospital dental services, patients who require treatment that cannot be satisfactorily carried out in a primary-care setting.
Most routine dental prevention and treatment is carried out in general dental practitioners’ surgeries, where the dentists also supervise the work of hygienists and dental auxiliaries. Appliances, such as dentures, crowns, bridges and orthodontic appliances are constructed by dental technicians working in dental laboratories.
There are around 18,800 dentists providing general dental services in the UK. These practitioners are free to accept or reject any potential patient and to practise where they wish. Those dentists treating patients under an NHS contract (a mixture of capitation fees and items of service payments) can also treat patients privately (for an appropriate fee). Some dentists opt for full-time private practice, and their numbers are increasing in the wake of changes in 1990 in the contracts of NHS general dental practitioners.
Community dental practitioner Part of the public-health team and largely concerned with monitoring dental health and treating the young and the handicapped.
In the hospitals and dental schools are those who are involved in only one of the specialities.
Around 2,800 dentists work in NHS hospitals and 1,900 in the NHS’s community services. In some parts of the UK, people wanting NHS treatment are having diffculties ?nding dentists willing to provide such care.
Restorative dentist Concerned with the repair of teeth damaged by trauma and caries, and the replacement of missing teeth.
Orthodontist Correction of jaws and teeth which are misaligned or irregular. This is done with appliances which may be removable or ?xed to the teeth which are then moved with springs or elastics.... dental surgeon
An abscess or pus pocket around the apex of the root of a tooth...sometimes called a gumboil... periapical abscess
An ABSCESS occurring in the cellular tissue behind the throat (PHARYNX). It is the result in general of disease in the upper part of the SPINAL COLUMN.... retropharyngeal abscess
Usually contracted in a tropical country during foreign travel. Likely to be associated with amoebic dysentery by the organism Entamoeba histolytica from contaminated drinking water or decaying foods (uncooked vegetables), foods exposed to flies. Onset of the disease may not be apparent until years after original infection. It presents with tenderness over the liver. On palpation, liver area is tender and the diaphragm elevated.
Symptoms. Fever, sweating, constitutional upset.
Differential diagnosis: diverticulitis, Crohn’s disease, salmonella, carcinoma, bacillary dysentery.
Alte rnative s:– Blue Flag, Boneset, Burdock, Chaparral, Echinacea, Elecampane, Elder flowers, Eucalyptus, Fringe Tree, Milk Thistle, Marshmallow, Queen’s Delight, Thyme (garden), Wild Indigo, Wild Yam, Yarrow, Yellow Dock.
Tea. Combine: equal parts, Yarrow, Burdock leaves, Marshmallow leaves. 2 teaspoons to each cup boiling water: infuse 10-15 minutes; 1 cup freely.
Decoction. Echinacea 2; Fringe Tree bark 1; Yellow Dock root 1. 2 teaspoons to 2 cups water gently simmered 20 minutes. Half a cup freely.
Formula: Combine: Echinacea 2; Fringe Tree bark 1; Boneset 1; Goldenseal quarter. Dose: Liquid Extracts: 2-4ml. Tinctures: 4-8ml. Powders: 500mg (two 00 capsules, or one-third teaspoon). In water, honey, or cup of Fenugreek tea.
Cold puree. Pass Garlic corm through food blender. Eat with a spoon as much as tolerated. Blend with adjutants: carrots, raisins, apple. ... amoebic liver abscess
See: TEETH DECAY, TEETH EXTRACTION, ALOE VERA. DEOBSTRUENT. That which clears obstruction by dilating natural passages of the body. Usually of the intestines (Ispaghula seeds) or colon (Buckbean). ... dental problems
The wearing away of tooth enamel, often accompanied by the erosion of dentine (the layer beneath the enamel) and cementum (the bonelike tissue that covers the tooth root), usually through too-vigorous brushing. Abraded areas are often sensitive to cold or hot food or drink, and a desensitizing toothpaste and/or protection with a bonding (see bonding, dental) agent or filling may be needed.... abrasion, dental
The movement of teeth by using either fixed or removable orthodontic appliances (braces) to correct malocclusion (incorrect bite).... alignment, dental
The bony cavity or socket supporting each tooth in the jaw.... alveolus, dental
A material, consisting of an alloy of mercury with other metals, that is used as fillings for teeth (see filling, dental).... amalgam, dental
A localized collection of pus in a bone (see osteomyelitis).... bone abscess
See orthodontic appliances.... brace, dental
False teeth that are attached to natural teeth on either side of a gap left by a missing tooth or teeth. (See also denture.)... bridge, dental
The deposition of calcium salts in developing teeth. Primary teeth begin to calcify in a fetus at between 3 and 6 months gestation; calcification of permanent teeth (other than the wisdom teeth) begins between birth and 4 years. Abnormal calcification occurs in amelogenesis imperfecta, an inherited disorder of the enamel (see hypoplasia, enamel), and can also result from the absorption of high levels of fluoride (see fluorosis).... calcification, dental
A hard, crust-like deposit (also known as tartar) found on the crowns and roots of the teeth. Calculus forms when mineral salts in saliva are deposited in existing plaque. Supragingival calculus is a yellowish or white deposit that forms above the gum margin, on the crowns of teeth near the openings of salivary gland ducts. Subgingival calculus forms below the gum margin and is brown or black. Toxins in calculus cause gum inflammation (see gingivitis), which may progress to destruction of the supporting tissues (see periodontitis). Calculus is removed by professional scaling. Attention to oral hygiene reduces recurrence.... calculus, dental
See crown, dental.... capping, dental
A hole in a tooth, commonly caused by dental caries (see caries, dental).... cavity, dental
See overcrowding, dental.... crowding, dental
A protrusion on the grinding surface of a tooth.... cusp, dental
The hard outer layer of a tooth that covers and protects the inner structures.... enamel, dental
The process of replacing a chipped or decayed area of tooth with an inactive material. Dental filling is also used to describe the restorative material itself. Amalgam, a hard-wearing mixture of silver, mercury, and other metals is generally used for back teeth. If a front tooth is chipped, a bonding technique (see bonding, dental) may be used, in which plastic or porcelain tooth-coloured material is attached to the surface of the tooth.... filling, dental
A post, surgically embedded in the jaw for the attachment of a dental prosthesis (an artificial tooth). Titanium or synthetic materials may be used. A dental implant is fitted under local anaesthesia. A hole is drilled in the jaw and a post inserted. Several months later, an attachment that protrudes from the gum is screwed into the post; a few weeks after that, the prosthesis is fitted.... implant, dental
The deposition of calcium crystals and other mineral salts in developing teeth. (See calcification, dental.)... mineralization, dental
The soft tissue containing blood vessels and nerves in the middle of each tooth (see teeth).... pulp, dental
Replacement of a tooth in its socket after an accident so that it can become reattached to supporting tissues. The front teeth are most commonly involved. The tooth needs to be reimplanted soon after the accident and is maintained with a splint (see splinting, dental) while it heals. Healing may take several weeks.... reimplantation, dental
The reconstruction of part of a damaged tooth. Restoration also refers to the material or substitute part used to rebuild the tooth. Small repairs are usually made by filling the tooth. For extensive repairs, a dental inlay or a crown may be used. Chipped front teeth may be repaired by bonding (see bonding, dental).... restoration, dental
Removal of dental calculi (see calcuus, dental) from the teeth to prevent or treat periodontal disease.... scaling, dental
Plastic coatings that are applied to the chewing surfaces of the back teeth to help prevent decay.... sealants, dental
The mechanical joining of several teeth to hold them firmly in place while an injury heals or while periodontal disease is treated.... splinting, dental
See implants, dental.... titanium dental implants
See abscess, dental.... tooth abscess
See dental X-rays.... x-rays, dental
an infection in the bone around the apex of a tooth. An acute abscess is extremely painful and if left untreated may cause swelling of the jaw and sometimes the face. A chronic abscess may be completely asymptomatic. An abscess invariably results from damage to and infection of the pulp of the tooth. Treatment is drainage and *root canal treatment or extraction of the tooth; antibiotics may give temporary relief. If left untreated, the infection may spread, resulting in severe complications and even mortality.... apical abscess
a chronic abscess of bone that develops from acute bacterial *osteomyelitis. The classic appearance on X-ray is a small walled-off cavity in the bone with little or no periosteal reaction. Treatment is by surgical drainage and antibiotics. [Sir B. C. Brodie (1783–1862), British surgeon]... brodie’s abscess
see abscess.... cerebral abscess
a reclinable chair on which a patient lies for dental treatment. Electric switches change the position of the patient, and the chair is frequently attached to the *dental unit.... dental chair
a fine thread, usually of nylon, used to clean the surfaces between teeth. A thicker version is known as dental tape. It may be waxed to help the user slide it past the tooth contacts.... dental floss
a piece of dental equipment (high-speed or low-speed) for holding a dental *bur or *file. It is made of corrosion-resistant materials to allow sterilization. See drill.... dental handpiece
see implant.... dental implant
either of two nerves that supply the teeth; they are branches of the trigeminal nerve. The inferior dental nerve supplies the lower teeth and for most of its length exists as a single large bundle; thus anaesthesia of it has a widespread effect (see inferior dental block). The superior dental nerve, which supplies the upper teeth, breaks into separate branches at some distance from the teeth and it is possible to anaesthetize these individually with less widespread effect for the patient.... dental nerve
any of several professionals supporting a dentist, formerly referred to as dental auxiliaries and professionals complementary to dentistry. A dental hygienist performs scaling and instruction in oral hygiene. A dental nurse helps the dentist at the chairside by preparing materials, passing instruments, and aspirating fluids from the patient’s mouth. A dental technician constructs dentures, crowns, and orthodontic appliances in the laboratory for the dentist. A clinical dental technician provides dentures directly to patients. A dental therapist performs non-complex treatment under the prescription of a dentist. In the UK dental care professionals are required to be statutorily registered with the General Dental Council (GDC).... dental care professional
see dental care professional.... dental nurse
(DPT) a special form of tomogram (see tomography) that provides a picture of all the teeth of both jaws on one film. Newer equipment can produce three-dimensional images of part of the jaw.... dental pantomogram
a major fixed piece of dental equipment to which are attached the dental drills, aspirator, compressed air syringe, and ultrasonic scaler. It is frequently integral with the *dental chair.... dental unit
(inferior alveolar nerve block) a type of injection to anaesthetize the inferior *dental nerve. Inferior dental block is routinely performed to allow dental procedures to be carried out on the lower teeth on one side of the mouth.... inferior dental block
a bony canal in the *mandible on each side. It carries the inferior *dental nerve and vessels and for part of its length its outline is visible on a radiograph.... inferior dental canal
a collection of pus around the kidney, usually secondary to *pyonephrosis but also resulting from spread of infection from other sites. It is more likely to occur in individuals who are immunosuppressed or have diabetes mellitus. Percutaneous or open surgical drainage are usually necessary but occasionally nephrectomy may be needed if the kidney is severely infected.... perinephric abscess
a localized abscess that arises in the periodontal tissues and is usually an acute manifestation of periodontal disease. It appears as a pocket of pus in the tissues of the gum but not around the apex of the tooth.... periodontal abscess
(amoebic abscess) an abscess of the liver caused by infection with *Entamoeba histolytica. See dysentery.... tropical abscess
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