Abscess Perimandibular

Abscess of the maxillary

A paramaxillary abscess is a purulent inflammation with the formation of a limited focus of melting of the tissues of the maxillofacial area.

Etiology. The causative agents are mixed flora, mainly streptococci and staphylococci. The source of infection is periapical and pericoronal foci of inflammation and periodontal pockets.

Pathogenesis is associated with the spread of infectious agents into adjacent soft tissues through the lymphatic and venous channels or through bone tissue resorption.

Symptoms Limited swelling and fluctuation under hyperemic and tense skin or mucous membrane. The severity of general phenomena (headache, chills, leukocytosis) is determined by the size and location of the abscess. Subgingival abscesses may rupture spontaneously.

Treatment. Abscesses of the tongue, parapharyngeal space, maxillofacial philtrum and other localizations must be opened. The abscess cavity is drained. Antibiotics are prescribed for fever and intoxication.

The prognosis is favorable.

Prevention: timely atraumatic endodontic treatment and elimination of periodontal pockets.