牙周脓肿与牙槽脓肿怎样鉴别 韩燕 中国中医科学院西苑医院

牙周脓肿与牙槽脓肿怎样鉴别 韩燕 中国中医科学院西苑医院
牙周脓肿的病变部位主要是在于靠近龈缘的位置，而牙槽脓肿是偏根尖的位置，因此牙槽脓肿表现的更加弥漫，再有在冠部牙周炎一般都是没有龋齿的冠部是没有破损的。而牙槽脓肿往往是因为龋齿引起来的，根尖周炎发生的根尖周炎的急性的并发症，再有牙周脓肿的牙髓活力一般还是可以的，也就是说他一般是活髓牙，引起来的牙周病变，而牙槽脓肿是龋齿引起来的根尖周炎，因此牙髓多半都是坏死的，在我们临床检查中可以通过牙髓的症状来判断根尖周的问题，还是牙周来源的牙周脓肿，另外通过拍片也可以发现是根尖周的病变还是牙周的病变，还有一点至关重要的一点就是牙周脓肿的牙是有深牙周袋的，而牙槽脓肿的牙周袋深度没有那么深，叩诊的时候牙槽脓肿的叩诊的疼痛药，往往要强于牙周脓肿的叩诊疼痛。

How to distinguish periodontal abscess from alveolar abscess
The lesions of periodontal abscess are mainly located near the gingival margin, The alveolar abscess is located on the apical side, So alveolar abscesses are more diffuse, In addition, periodontitis in the crown is generally without caries in the crown is not damaged. And alveolar abscess is often caused by caries, Acute complications of periapical periodontitis, The pulp vitality of periodontal abscess is generally OK, That is to say, he usually has vital teeth, Induced periodontal disease, And alveolar abscess is periapical periodontitis caused by caries, So the pulp is mostly necrotic, In our clinical examination, we can judge the periapical problems by the pulp symptoms, It's also a periodontal abscess, In addition, it can also be found whether the lesions are periapical or periodontal, It's also important that the teeth with periodontal abscess have deep periodontal pockets, The depth of periodontal pocket in alveolar abscess is not so deep, A painful drug for percussion of a alveolar abscess, It is often better than percussion pain of periodontal abscess.