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Year : 2016  |  Volume : 19  |  Issue : 1  |  Page : 24-28

Periodontal abscess among patients attending a Nigerian specialist periodontology clinic

Department of Periodontics, University of Benin, Benin City, Edo State, Nigeria

Correspondence Address:
Clement Chinedu Azodo
Room 21, 2nd Floor, Prof. AO Ejide Dental Complex, University of Benin Teaching Hospital, PMB - 1111 Ugbowo, Benin City - 300001, Edo State
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DOI: 10.4103/1119-0388.172071

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Background: The objective of the study was to determine the prevalence and characteristics of patients attending a Nigerian specialist periodontology clinic with periodontal abscess. Materials and Methods: This retrospective study was conducted among patients attending the Specialist Periodontology Clinic of University of Benin Teaching Hospital, Benin City, Edo State, Nigeria, with periodontal abscess between January 2008 and April 2014. Results: Out of the 10,110 patients seen, 43 had periodontal abscess; the prevalence of periodontal abscess in this study was 0.43%. Subsequent analysis was done on only 25 out of the 43 cases whose case notes could be retrieved. The major descriptor of pain of periodontal abscess was severe, spontaneous, throbbing, radiating, or nonradiating pain associated with sleep disturbance, aggravated by mastication and drinks of extreme temperature but temporarily relieved by analgesics. The majority visited the dentist within 1 week of the onset of symptoms. The affected patients who were majorly nonalcoholics and nontobacco users cleaned their teeth once daily, had visited the dentist, and received treatment. Hypertension and diabetes mellitus (DM) were the main systemic diseases in the patients. Less than half of the patients had partial edentulism and the abscess occurred mostly in relation to posterior teeth. Curettage or incision and drainage with drugs resolved a significant proportion of the periodontal abscess and a few were subjected to tooth extraction. Conclusion: The overall prevalence of periodontal abscess that predominantly affected older males of the lower social class with systemic diseases and complete dentition in a Nigerian specialist periodontology clinic was low. Curettage or incision and drainage with drugs adequately resolved majority of cases.

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