Dental abscess

Case contributed by Dr Bruno Di Muzio

Presentation

Right-sided facial swelling over mandible; previous teeth abscesses in the past. Very poor dentition and pain over the right back mandibular molar.

Patient Data

Age: 28 years
Gender: Male
CT

CT Neck

There is a fluid collection eroding the alveolus of the first right inferior molar tooth and opening into the adjacent soft tissues at the external cortical face of the mandible and showing marginal enhancement. Enlarged right level II lymph node is likely reactive. There is poor dentition with multiple decays. 

Case Discussion

This case spots how well-defined a dental abscess margins are. This diagnosis could be achieved with a panoramic radiographic (OPG), but the referring doctor was concerned for extensive soft tissue extension based on the clinical presentation. The abscess bulges the gum soft tissues and was estimated with a volume of ~2 ml. 

PlayAdd to Share

Case information

rID: 54820
Case created: 30th Jul 2017
Last edited: 8th Aug 2017
System: Head & Neck
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.