Research Information System
28th congress of the Balkan Stomatological Society, Budva, Montenegro, 25 - 27 April 2024, pp.41-42, (Summary Text)
Objective: This case series describes the diagnostic and treatment approaches for dental abscesses manifesting in various clinical presentations, including acute and chronic apical abscesses.
Case-1: A 58-year-old male patient presented with pain and swelling in the upper jaw. Clinical and radiographic examinations revealed significant swelling of the left cheek, percussion pain, and a radiolucency associated with tooth number 23. Management involved abscess incision, root canal treatment (RCT), and antibiotic therapy.
Case-2: A 25-year-old female patient presented with pain and swelling in the right infraorbital region. Clinical and radiographic examinations revealed swelling of tooth number 11, an intraoral sinus tract associated with tooth number 22, and radiolucencies involving both teeth and tooth number 21. Management consisted of abscess incision and drainage via the root canal, followed by RCT and antibiotic therapy.
Case-3: A 16-year-old girl patient presented with a 3-month history of an extraoral sinus tract in the lower right cheek. The patient was referred by a dermatologist for further evaluation. Clinical and radiographic examinations localized the source of infection to tooth number 46. A diagnosis of chronic apical abscess was established, and RCT was performed. At the 2-month follow-up, complete resolution of the cutaneous lesion was observed.
Results: At follow-up appointments, the teeth were found to be completely asymptomatic and functional.
Conclusions: Accurate diagnosis and implementation of effective treatment interventions, including both pharmacological and surgical modalities when indicated, are paramount for optimal prognosis in patients presenting with apical abscesses.