Periodontālie abscesi: literatūras apskats
No Thumbnail Available
Date
2021
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Rīgas Stradiņa universitāte
Rīga Stradiņš University
Rīga Stradiņš University
Abstract
Periodontāls abscess (PA) ir viens no akūtiem periodontoloģijas gadījumiem, kura izraisīto sāpju dēļ pacients ierodas zobārstniecības praksē. Galvenokārt PA ir tieši neārstēta periodontīta pacientiem slimības akūtas eksacerbācijas laikā. Straujas periodontālo audu destrukcijas dēļ, ievērojami pasliktinās iesaistītā zoba prognoze, ja akūtais stāvoklis netiek atrisināts.
Pētnieciskā darba mērķis bija noskaidrot PA diagnozes, diferenciāldiagnozes uzstādīšanas un ārstēšanas soļus, pamatojoties uz jauno periodonta slimību klasifikāciju (2017), kā arī citu aktuālo zinātnisko literatūru.
Pētnieciskā darba metode bija zinātniskās literatūras meklēšana par atbilstošo tēmu Rīgas Stradiņa universitātes bibliotēkā, kā arī PubMed datubāzē, sākot no 2010. līdz 2021.gadam. Pētnieciskajā darbā izmantotas 8 grāmatas un 13 zinātniskās publikācijas, kā arī RSU SI periodontologu tulkotās vadlīnijas.
Pētnieciskajā darbā tika secināts, ka šobrīd PA klasifikācija balstās uz etioloģisko faktoru, un no tā izriet ārstēšana. Nozīmīga ir diferenciāldiagnostika, jo dažkārt pulpas, perikoronālie vai jauktas izcelsmes abscesi var imitēt PA klīniskās pazīmes. Kā pirmā ārstēšanas izvēle ir strutu drenēšana, mehāniska periodontālās kabatas tīrīšana un skalošana, kas galvenokārt ātri atvieglo akūtos simptomus.
Periodontal abscess (PA) is one of the acute lesions in periodontology, due to which the patient comes to the dental practice. PA is predominantly in patients with untreated periodontitis during acute exacerbation. Because of the rapid periodontal tissue destruction, the prognosis of the involved tooth deteriorates significantly, if the acute condition is not resolved. The aim of the scientific research work was to find out the steps of PA diagnosis, differential diagnosis and treatment based on the new classification of periodontal diseases (2017), as well as other current scientific literature. The research method was to search the scientific literature on the relevant topic in the library of Riga Stradins University and in the PubMed database, starting from 2010 to 2021. 8 books, 13 scientific publications and guidelines translated by RSU SI periodontists have been used in the research work. The research concluded that currently the classification of PA is based on etiological factors and the resulting treatment follows after that. Differential diagnosis is important because pulp, pericoronal or abscesses of mixed origin can sometimes mimic the clinical signs of PA. The first treatment options are pus drainage, mechanical cleaning and rinsing of the periodontal pocket, which mainly relieves acute symptoms quickly.
Periodontal abscess (PA) is one of the acute lesions in periodontology, due to which the patient comes to the dental practice. PA is predominantly in patients with untreated periodontitis during acute exacerbation. Because of the rapid periodontal tissue destruction, the prognosis of the involved tooth deteriorates significantly, if the acute condition is not resolved. The aim of the scientific research work was to find out the steps of PA diagnosis, differential diagnosis and treatment based on the new classification of periodontal diseases (2017), as well as other current scientific literature. The research method was to search the scientific literature on the relevant topic in the library of Riga Stradins University and in the PubMed database, starting from 2010 to 2021. 8 books, 13 scientific publications and guidelines translated by RSU SI periodontists have been used in the research work. The research concluded that currently the classification of PA is based on etiological factors and the resulting treatment follows after that. Differential diagnosis is important because pulp, pericoronal or abscesses of mixed origin can sometimes mimic the clinical signs of PA. The first treatment options are pus drainage, mechanical cleaning and rinsing of the periodontal pocket, which mainly relieves acute symptoms quickly.
Description
Zobārstniecība
Dentistry
Veselības aprūpe
Health Care
Dentistry
Veselības aprūpe
Health Care
Keywords
Periodontāls abscess, akūtie stāvokļi periodontoloģijā, periodontālu abscesu diagnostika, periodontālu abscesu diferenciāldiagnostika, periodontālu abscesu ārstēšana, odontogēna infekcija., Periodontal abscess, acute periodontal lesions, diagnosis of periodontal abscesses, differential diagnosis of periodontal abscesses, treatment of periodontal abscesses, odontogenic infection.