In periodontal abscesses, unlike endodontic abscesses, the major cause is periodontitis and the presence of untreated deep periodontal pockets, uncleaned tartar and incorrectly made fillings or crowns. All these lead to gum inflammation, destruction of the bone and loosening of the teeth.
Food residues and bacteria can build up in the deep periodontal pockets and lead to the development of a periodontal abscess. In a periodontal, unlike an endodontic abscess, the tooth around which the abscess develops, is alive and is very loose.
In periodontal abscesses, incision (surgical cut) is also applied to eliminate the pus collection, and the tartar and the dental plaque in the periodontal pocket should be carefully cleaned. An antibiotic is prescribed for more severe periodontal abscesses. There is a high degree of melting of the bone, therefore after the acute inflammation has been managed, it is recommended to do curettage and bone grafting in order to heal the periodontal pocket and to eliminate future periodontal abscesses at the same location.