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Okolochelyustna abscess


Abscess okolochelyustny is a limited center of a purulent inflammation of fabrics of a maxillofacial zone. In the absence of treatment of abscesses purulent disintegration and purulent fusion of the next fabrics begins.

Reasons of okolochelyustny abscess:

Abscess is caused by streptococcal and staphylococcal microflora, diseases of teeth and inflammatory processes in a maxillofacial zone are the most frequent reason. The furunculosis, quinsy, tonsillitis at a chronic current are complicated by okolochelyustny abscesses. Injuries of skin and mucous in a mouth, an infection drift during the dental procedures can provoke abscess of an okolochelyustny zone.
The general infectious diseases proceeding as sepsis as a result of distribution of microorganisms blood and a lymph, cause multiple abscesses in various bodies and fabrics including abscesses of an okolochelyustny zone.
Abscess of an okolochelyustny zone can arise because of injuries of the person. During military operations and natural disasters due to the lack of first aid, dislocations and fractures of jaws often are complicated by abscesses.
The Okoloverkhushechny and perikoronarny centers of an inflammation and parodontalny pockets at aggravations can provoke jaw abscess because of a resorption of a bone tissue.

Symptoms of okolochelyustny abscess:

Formation of abscess is preceded by a dentagra as at periodontitis. Nadkusyvaniye in the struck zone strengthens pain. Further dense hypostasis with formation of painful consolidation joins. The bright hyperemia and protrusion of the struck center is characteristic of the abscess developing under a mucous membrane. Asymmetry of the person is sometimes noted.
In the absence of therapy the general condition of the patient worsens: body temperature increases, the refusal of food is observed. After spontaneous opening of abscess pain abates, face contours accept normal outlines, overall health is stabilized. But because of favorable conditions for microorganisms in oral cavities, process it hronizirutsya therefore its spontaneous opening does not speak about treatment. At short-term weakening of immune system okolochelyustny abscesses become aggravated. Perhaps chronic suppuration from the fistular courses, it is followed by an unpleasant smell from a mouth and swallowing purulent masses. There is an organism sensitization decomposition products, allergic diseases become aggravated.
The hyperemia in a hypoglossal zone with bystry formation of infiltrate is characteristic of abscesses of a mouth floor. The conversation and meal become sharply painful, hypersalivation is noted. Mobility of language decreases, he slightly rises up not to adjoin to the forming abscess. In process of increase in a swelling, the general state worsens. At spontaneous opening pus spreads to the peripharyngeal area and a neck that leads to emergence of secondary suppurative focuses.
Sky abscess arises as a complication of periodontitis of an upper second cutter, a canine and the second premolar tooth more often. In a heating-up period of abscess the hyperemia and morbidity of a hard palate is observed, after protrusion pain becomes more intensively, meal is at a loss. At spontaneous opening purulent contents extend to all area of a hard palate with development of osteomyelitis of a palatal plate.
If there is cheek abscess, then depending on localization and depth, the swelling and reddening can be more expressed from the outer side or from a mucous oral cavity. Morbidity of the center moderate, during the work of mimic muscles pain amplifies. The general state practically does not suffer, but abscess of a cheek is dangerous by distribution on the next departments of the person even before opening of an abscess.
Abscess of language begins with morbidity in the thickness of language, language increases in volume, becomes slow-moving. The speech, chewing and swallowing of food are sharply complicated and painful. At abscess there can sometimes be a feeling of a suffocation.

Treatment of okolochelyustny abscess:

Prior to a visit to the doctor it is recommended to accept analgetics, to rinse an oral cavity antiseptic solutions, independent reception of antibiotics is inadmissible.
Ultimate goal of treatment is complete elimination of infectious process and recovery of the broken functions as soon as possible.
The scheme of treatment depends on a disease stage, on virulence of a microorganism and on features of response from a macroorganism. Localization of abscesses of an okolochelyustny zone, age of the patient and existence of associated diseases significantly influence the principles of treatment. The more the complicating factors, the more intensively there has to be a therapy.
During treatment of abscesses of an okolochelyustny zone it is recommended to keep to a diet with dominance of the wiped soups and puree. If the permanent refusal of food is observed resort to intravenous administration of proteinaceous solutions.
In the presence of the created abscess its opening with the subsequent drainage of a cavity is shown. In other cases resort to an antibioticotherapia, and only at its inexpediency the question of surgical treatment is raised.
Antibiotics are appointed in the form of injections or in the tableted forms, in addition conduct a vitamin therapy course. Immunostimulators and disintoxication therapy are shown. Rinsing of an oral cavity warm solutions of Furacilin and soda removes puffiness and prevents spread of an infection. In the presence of a pronounced pain syndrome apply analgetics.
At in time the begun complex therapy the forecast usually favorable, recovery occurs within 6-14 days.

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