Research Information System
29th Congress of the Balkan Stomatological Society (BaSS), Belgrade, Serbia, 24 - 26 April 2025, pp.85, (Summary Text)
Objectives: Acute and chronic apical abscesses arise in periradicular tissues due to pulp infection
and necrosis. Intracanal bacteria often exist as biofilms, enabling the infection to spread beyond the
root canal system.
Case Report: Case report-1: A 25-year-old male patient presented with swelling and pain. Clinical
and radiographic examinations revealed swelling in the left infraorbital region, a deep carious lesion,
and radiolucency associated with 23. Root canal treatment and abscess drainage were performed
on tooth 23, followed by the administration of antibiotics.
Case Report-2: A 45-year-old female patient presented with swelling and pain. Clinical and
radiographic examinations revealed swelling in the right infraorbital region, pain on palpation and
percussion, and apical radiolucency associated with tooth 13. Following root canal treatment,
surgical drainage was performed, and antibiotics were prescribed.
Case Report-3: A 48-year-old female had a persistent intraoral sinus tract associated with tooth 14.
Clinical examination revealed tenderness to percussion and palpation, and radiographs indicated
external root resorption. Calcium hydroxide was applied for 14 days, and root canal treatment was
completed once symptoms subsided.
Case Report-4: A 37-year-old patient presented with spontaneous pain related to an intraoral sinus
tract and tooth 36. Clinical examination revealed mobility of the affected tooth. Radiographs showed
a lesion at the distal root. Root canal treatment was completed after calcium hydroxide was applied
for 14 days and the patient's symptoms subsided.
Conclusion: In patients with apical abscesses and sinus tracts, accurate diagnosis and appropriate
treatment, encompassing both pharmacological and surgical methods, are crucial for effective
management.
Keywords: Abscess, Antibiotics, Endodontic Lesion, Sinus Tract