Journal of South Asian Association of Pediatric Dentistry

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VOLUME 1 , ISSUE 2 ( July-December, 2018 ) > List of Articles

CASE REPORT

Rashmdeep’s Abscess–A Combined Periodontal–Endodontic Lesion of Exfoliating Primary Teeth

Deepesh Prajapati, Prathibha A Nayak, Ullal A Nayak, Rashmi Nayak

Keywords : Dental abscess,Dentigerous cyst,Eruption cyst,Pre-shedding mobility,Primary teeth

Citation Information : Prajapati D, Nayak P A, Nayak UA, Nayak R. Rashmdeep’s Abscess–A Combined Periodontal–Endodontic Lesion of Exfoliating Primary Teeth. J South Asian Assoc Pediatr Dent 2018; 1 (2):61-64.

DOI: 10.5005/jp-journals-10077-3015

License: CC BY-NC 4.0

Published Online: 01-06-2019

Copyright Statement:  Copyright © 2019; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Purpose: This article describes the possible pathogenesis of the often ‘misdiagnosed’ dental abscess seen in young patients who are going through the transitional mixed dentition phase.

Methods: Patient records were collected from a private dental clinic’s outpatient department.

Result: The lesions were resolved once the tooth in question was exfoliated or was extracted. Such lesions could be attributed to the seepage of bacteria and their products through the gingival sulcus of the teeth, which were likely to shed out soon. Pre-shedding mobility and enlarged gubernacular canals might facilitate the spread of infection to periapex of the exfoliating primary tooth.

Conclusion: Clinically, such lesions are similar to a commonly seen periapical abscess. But an absence of an obvious etiology (dental caries or trauma), tooth nearing its exfoliation, poor oral hygiene should hint towards the diagnosis of proposed Rashmdeep’s abscess.


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