Figure 2-10. Periapical abscess.
Figure 2-11. Gumboil caused by a periapical
affected tooth, use an excavator and gently remove
the debris from the lesion. If this exposes the tooth
pulp, drainage will result, and the pain will
disappear. NOTE: Do not dig or gouge through the
caries to reach the pulp.
If drainage does not result when debris is
removed, have the patient rinse with warm saline
for 10 minutes every 2 hours. This may result in
forming a gumboil for drainage to pass through.
The method is also reliable if a gumboil is present
when the patient reports for treatment. NOTE:
Never apply heat to the face because it may cause
drainage through the face rather than the abscess.
As a last resort, if drainage does not result from
the two methods already mentioned, apply ice
packs to the affected area. They can be safely
applied to the external surfaces of the face and will
reduce the patients discomfort until proper
treatment can be given.
Gingivitis is an inflammation of the gingival
tissue as illustrated in figure 2-12. In marginal
gingivitis, the inflammation is relatively mild and is
sometimes localized, existing around one, two, or
several teeth. The most frequent cause of marginal
gingivitis is poor oral hygiene.
SYMPTOMS The patient most likely will
present with sore, swollen, bleeding gums.
SIGNS You may notice a painful reaction or
gingival bleeding when you apply finger pressure to
the affected area. You may also see a red, swollen
gingivae with a loss of stippling; cuts or abrasions
on the gingivae; and heavy plaque and calculous
deposits in the affected area.
TREATMENT Give the patient plaque control
instruction as explained in NAVEDTRA 10677, and
refer to a dental treatment facility for scaling and
Figure 2-12. Marginal gingivitis.