Clinical features of periodontal abscesses

1. Severe pain in the affected area
2. Swelling and redness of the gums
3. Pus discharge from the affected area
4. Bad taste in the mouth
5. Difficulty chewing or biting
6. Sensitivity to hot or cold temperatures
7. Loose teeth
8. Fever and general malaise in severe cases.

Clinical Features of Periodontal Abscesses

History:

- Sudden onset of pain
- Throbbing or pulsating pain
- Pain exacerbated by chewing or contact with the involved tooth
- Pain may radiate to the ear, jaw, or neck

Examination:

Soft Tissue Findings:

- Localized swelling and redness of the gingiva
- Sinus tract draining purulent material
- Tenderness to palpation
- Perforation of the periodontal ligament and alveolar bone (in advanced cases)

Hard Tissue Findings:

- Tenderness to percussion of the involved tooth
- Mobility of the involved tooth
- Radiographic evidence of periodontal bone loss

Additional Features:

- Regional lymphadenopathy
- Fever
- Malaise
- Difficulty chewing or swallowing

Classification:

- Acute: Sudden onset, severe pain, pus present
- Subacute: More gradual onset, less severe pain, pus may not be present
- Chronic: Persistent sinus tract, intermittent pain and swelling

Complications:

- Periodontal tissue destruction
- Alveolar bone loss
- Osteomyelitis
- Ludwig's angina (rare)