ACUTE INFECTIONS OF THE JAWS
Periapical Abscess
Objective
To drain periapical abscess (acute alveolar abscess).
Position
Supine or sitting.
Anesthesia
General or local.
Procedure
1. The skin is prepared in an aseptic manner.
2. The prepared area is draped with sterile towels.
3. If a local anesthetic is used, a ring block of peripheral skin wheals is made for skin anesthesia. No attempt is made to make a deep injection.
4. The knife is introduced into the most inferior portion of the fluctuant area.
5. A small hemostat is introduced into the wound in closed position and then opened in several directions when introduced into the abscess cavity.
6. A rubber drain is placed in the deepest portion of the wound so that 1 cm remains above the skin surface. It is then sutured in place.
7. A large dressing is applied.
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