Third Principles in TMJ Surgery and hands-on fresh frozen cadaver dissection course for TMJ surgery TME Patolojilerinin Yönetiminde Karşılaşılan Zorluklar Toplantısı IAOMS-AÇBİD ortak kongresi 9-13 Mayıs 2018 tarihleri arasında Antalya' da GerçekleştirilecektirAÇBİD - IAOMS anlaşmasıACBID 2017 11. Uluslararası Kongresi 19-23 Nisan 2017 Tarihlerinde Gerçekleştirildi
Third Principles in TMJ Surgery and hands-on fresh frozen cadaver dissection course for TMJ surgery
We are proud to annonce our third hands-on fresh frozen cadaver dissection course for TMJ surgery for the first time in Turkey.
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TME Patolojilerinin Yönetiminde Karşılaşılan Zorluklar Toplantısı
TME Patolojilerinin Yönetiminde Karşılaşılan Zorluklar Toplantısı 24 Şubat 2018 tarihinde Ankara Plaza Otel’ de gerçekleştirilecek...
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IAOMS-AÇBİD ortak kongresi 9-13 Mayıs 2018 tarihleri arasında Antalya' da Gerçekleştirilecektir
IAOMS-AÇBİD ortak kongresi 9-13 Mayıs 2018 tarihleri arasında Antalya' da Gerçekleştirilecektir
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AÇBİD - IAOMS anlaşması
AÇBİD' in, "International Association of Oral and Maxillofacial Surgeons" tarafından Türkiye'yi temsil eden mesleki dernek olarak ...
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ACBID 2017 11. Uluslararası Kongresi 19-23 Nisan 2017 Tarihlerinde Gerçekleştirildi
ACBID 2017 11. Uluslararası Kongresi 19-23 Nisan 2017 Tarihlerinde Gerçekleştirildi
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What is a dental abscess, how should it be treated, what should be taken into consideration?

What is a Dental Abscess?
Some people do not see dental cavities as a serious form of health problem. However, in case cavities are not treated correctly and punctually, they may lead to more serious complications. Cavities let bacteria to infect the dental pulp. This infection spreads to the root and the surrounding bone regions. This case is referred to as an abscess. In the event of the infection reaching the bone, the tooth may be lost entirely. The infected dental roots and swollen tissue may cause pain. In case the root dies, the pain ceases but this does not mean that the complication is over since the adjacent bone structures would be damaged over time. The purulence that accumulates as a part of the infection may wear out a channel along the jaw, causing swelling over the dental gums or a skin lesion full of pus.

What are the symptoms?
• Constant or throbbing toothache;

• Extreme sensitivity towards hot or cold food;

• Pain while chewing;

• Swollen lymph nodes in the neck

• Fever and overall lethargy.

In case you suffer from a constant or throbbing toothache, you feel pain while you chew or your tooth is extremely sensitive towards hot or cold food, you may have a dental abscess condition. Slight fever, swollen lymph nodes around the neck may accompany, along with a general feeling of discomfort and lethargy.
The swollen dental gums around the aching tooth may rupture at a point, letting out thick pus into your oral cavity, causing bad taste and scent. Pain would most likely cease after this event. In case you go through any of these symptoms, consult your dentist immediately. He can diagnose your condition and decide what action to take.

How will the treatment be?
You may try to take painkillers in order to alleviate the pain prior to visiting your dentist. Washing your mouth at hourly intervals with warm salt water could also help but it is far from being a treatment.
In the past, the only treatment for a dental abscess condition was to pull the problematic tooth. In certain conditions, the tooth may still be pulled even today. However, modern dentistry generally tends to heal teeth with abscess conditions.
Your dentist would most likely take the initial step to start an antibiotic therapy to get rid of the infection. This would prevent the infection from spreading to other body parts. He may also prescribe painkillers in order to alleviate your pain.
In order to save the tooth, your dentist may drill a hole from the tooth surface into the dental pulp after anesthetising the region. This would serve to decrease the internal pressure. After this, the dental pulp is cleaned, disinfected and filled with matter to prevent movement. If the swelling continues even after the tooth causing the abscess is cleaned out, your dentist may choose to conduct a culture test in order to see whether or not a special disease condition named actinomycose is present. 
The next step involves the dentist placing a temporary filling into the tooth. After the cleaning of the infection, your dentist will most likely ask to see you again within the next few months. During the re-visit, he can take x-ray films in order to see whether bone and tissue grows back within the region left empty due to abscess. If the empty region seems healthy, the treatment ends normally. However, in case the infection continues, additional therapy may be necessary and the dentist should dispatch you to a specialist -namely, a maxillofacial surgeon- in order to remove the diseased tissue (and, from time to time, a small region that includes the tip of the root) through surgical procedures. 

Would it help to apply hot/cold compress?
This is an application that is exercised with great caution even by experts in this field since, a wrong treatment could cause the abscess to get much worse.  For this reason, people who are not experts in the field (people other than dentists or maxillofacial surgeons) should never try such an application.
Hot or cold compress applications depend on the stage of the abscess condition. An acute dental abscess should not be treated with a hot compress, since this would cause the viscosity of abscess matter to decrease and spread faster within tissue, hence leading to a worst condition. Acute abscess conditions could be treated with cold compress in order to relieve the patient and decrease the spread of the abscess fluid. The process of draining pus in chronic abscess cases could be supported with hot compress in order to decrease pus viscosity and help drain it completely.

May I be healed through antibiotic use?
As opposed to other cases of abscess, dental abscess cases may not be healed solely on antibiotic therapy. Antibiotics could cause temporary relief in dental abscess cases but since new infective materials shall continue to constantly be released into the oral cavity, the abscess shall relapse and the case will slowly become chronic. For this reason, antibiotics may be used in dental abscess treatment solely for the purposes of causing temporary relief to the patient and taking under control the spread of the infection. The real treatment however, involves the problematic tooth to either be pulled or filled after being cleaned out through endodontic treatment.

How is the chin abscess treatment carried out?
The abscess pus is drained out of the body at an operating theater, under general or local anesthesis. After this operation, a drainage channel is usually left open at the region. This channel serves to completely drain the pus from the region. Sometimes it may be necessary to apply intravenous antibiotics. During the 7-10 days following the surgery, antibiotics and painkillers prescribed by the maxillofacial surgeon should be used.

What should I do after the treatment?
In order to ensure complete healing, it is very important to keep your oral cavity well-cleaned starting from the first day of treatment. You can achieve this by brushing your teeth well. Remember to brush your teeth carefully after each meal and before you go to sleep. In addition, it is advised to use a Klorhexidine 0,2% mouthwash after brushing your teeth. You should begin this mouthwash treatment 24 hours after the surgical operation (black spots may arise around teeth and on the tongue as a side effect. These would automatically go away once you stop using the mouthwash). Things to consider after treatment of chin abscess: Do not take medicine along with alcohol drinks. Alcohol increases the chances of side effects in the wound and slows the healing process. Smoking cigarettes is also harmful during wound treatment. Be careful to avoid drinking hot drinks (such as tea) or food at the day of operation, since this may lead to continuous or repeated bleeding. If you have hardships in eating, try to eat soft and liquid food during the first days following your treatment. You can switch to your normal eating habit later when you are fully healed.

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