Periapical abscess

Case contributed by Mohammad Taghi Niknejad
Diagnosis almost certain

Presentation

Mild tenderness on left upper molar tooth. Longstanding dental decay.

Patient Data

Age: 35 years
Gender: Female
x-ray

A small lucent lesion with a sclerotic margin is noted around the root of the left upper molar tooth that regarding patient presentation inferring a periapical abscess formation.

Case Discussion

A periapical abscess is an acute infection of the periapical tissue around the root of the tooth. On imaging, it shows a small well-defined lucency at or distal to the root apex usually with surrounding sclerosis. The tooth or teeth involved often show signs of caries.

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