A periodontal abscess is extremely destructive, and if not treated promptly, can quickly result in irreversible damage to the surrounding ligaments and bone, ultimately causing you to lose the tooth.

• The primary goal of treatment is to drain the infection; we usually accomplish this by carefully scraping the pocket lining.

• We then remove the plaque and calculus adhering to the root surface with scaling and root planing; this hopefully prevents a recurrence of the infection.

• Antibiotics may be helpful in eradicating the infection.

• We usually prescribe pain medications to alleviate the discomfort associated with the abscess.

• Once the abscess has healed, we recommend guided tissue regeneration and/or osseous surgery; without this definitive treatment, you are inviting future recurrence of the abscess.

Symptoms of Periodontal Disease

• Bad breath
• Bleeding tender gums
• Receding gums
• Periodontal pockets
• Loose teeth
• Spaces btw teeth
• Periodontal abscess
• Bone loss
• Tooth loss

To check for signs and symptoms of periodontal disease, we perform a thorough periodontal examination (also called consultation) using x-rays and a periodontal probe to measure bone levels around the teeth.

Dental professionals diagnose periodontal disease by:

• probe readings greater than three millimeters
• bleeding upon probing of the gums
• swollen and red gums, especially between the teeth
• bone loss or tartar on your x-rays

Healthy gums fit tightly against the teeth, and the space between the teeth and gums (called a sulcus) is one to two millimeters deep. When the sulcus deepens and exceeds three millimeters, it’s then called a pocket. In general, the deeper the pockets, the greater the advancement of periodontal disease.
To measure the sulcus or pocket depths around your teeth, we use a special instrument with millimeter markings (called a periodontal probe). The measurement is from the bottom of the pocket, where the gum is attached to the tooth, to the top of the gums.

We note any bleeding. Healthy gums don’t bleed. Gums that bleed when probed (or when you brush and floss) are another sign of periodontal disease; We note the color and texture of your gums.

Healthy gums are pink and stippled in appearance, similar to the skin of an orange. Swollen gums lose this stippled appearance.

Finally, we evaluate x-rays to establish whether there has been tartar and bone loss around your teeth. Tartar shows up on x-ray as white spikes on the sides of the teeth. Toxins producing bacteria thrive there, and it’s these toxins, combined with your body’s reaction to them, that destroy bone around your teeth.

In a healthy mouth, the bone comes up high around the necks of the teeth. With periodontal disease, bone is lost. When much bony tooth support is lost, the teeth get loose and have to be removed.