The Journal of Contemporary Dental Practice

Register      Login



Volume / Issue

Online First

Related articles

VOLUME 9 , ISSUE 6 ( September, 2008 ) > List of Articles


Periodontal Abscess during Supportive Periodontal Therapy: A Review of the Literature

Geraldo L. M. Silva, Rodrigo V. Soares, Elton G. Zenóbio

Citation Information : Silva GL, Soares RV, Zenóbio EG. Periodontal Abscess during Supportive Periodontal Therapy: A Review of the Literature. J Contemp Dent Pract 2008; 9 (6):82-91.

DOI: 10.5005/jcdp-9-6-82

License: CC BY-NC 3.0

Published Online: 01-05-2010

Copyright Statement:  Copyright © 2008; The Author(s).



The aim of this review is to present the current status of the occurrence and management of a periodontal abscess during supportive periodontal therapy (SPT).


A periodontal abscess depicts typical features and has been described in patients under SPT in clinical trials. Common periodontal pathogens have been observed in this lesion and some etiologic factors may be responsible for its recurrence. This condition can be isolated or associated with factors that can change the prognosis of affected teeth.

Review Results

Although it has been frequently noticed in untreated periodontitis, the periodontal abscess can also occur in patients under SPT and has been regarded as one of the possible complications of SPT. Patients with a high susceptibility to periodontal disease lost more teeth than those with a healthy periodontium.


Early diagnosis and appropriate intervention for periodontal abscesses in patients under SPT are extremely important for the management of the periodontal abscess since this condition can lead to loss of the involved tooth. A single case of a tooth diagnosed with periodontal abscess that responds favorably to adequate treatment does not seem to affect its longevity.

Clinical Significance

An accurate diagnosis and adequate treatment can preserve the longevity of affected teeth.


Silva GLM, Soares RV, Zenóbio EG. Periodontal Abscess during Supportive Periodontal Therapy: A Review of the Literature. J Contemp Dent Pract 2008 September; (9)6:082-091.

PDF Share
  1. The periodontal abscess: a review. J Clin Periodontol 2000; 27:377-386.
  2. Five-year maintenance follow-up of early-onset periodontitis. J Clin Periodontol 2003;30:562–572.
  3. Supportive periodontal therapy. Periodontology 2000 2004; 36:179-195.
  4. Periodontal abscess. Ann Periodontol 1999; 4:79-83.
  5. Survival characteristics of periodontally-involved teeth: A 40-year study*. J Periodontol 1993; 64:701-705.
  6. Long term evaluation of periodontal therapy: I. Response to 4 therapeutic modalities. J Periodontol 1996; 67:93-102.
  7. Tooth loss due to periodontal abscess: A retrospective study. J Periodontol 1997; 68:963-966.
  8. The periodontal abscess (I). Clinical and microbiological findings. J Clin Periodontol 2000; 27:387-394.
  9. Longitudinal periodontal tissue alterations during supportive therapy. Findings from subjects with normal and high susceptibility to periodontal diseases. J Clin Periodontol 2001; 28:241-249.
  10. Effect of treatment on some periodontopathogens and their antibody levels in periodontal abscesses. J Periodontol 1994; 65:1022-1028.
  11. In: Wilson TG, Kornman KS. Fundamentals of Periodontics, Quintessence Publishing Co, Carol Stream; 1996:423-451.
  12. Microbiology and treatment of dental abscesses and periodontal-endodontic lesions. Periodontology 2000 2002:28:206-239.
  13. The periodontal abscess (II). Short- term clinical and microbiological efficacy of 2 systemic antibiotics regimes*. J Clin Periodontol 2000; 27:395-404.
  14. Clinical and microbiological characterization of periodontal abscess. J Clin Periodontol 2005; 32:1213-1218.
  15. Multiple periodontal abscesses after systemic antibiotics therapy. J Clin Periodontol 1990; 17:268-272.
  16. Preventive strategies and supportive treatment. Periodontology 2000 2002; 25:59-76.
  17. J Periodontol 2000; 71:863-866.
  18. Diagnosis of acute periodontal lesions. Periodontology 2000 2004; 34:204-216.
  19. Vertical root fractures. Clinical and radiographic diagnosis. JADA 2003; 134:434-441.
  20. Systemic antibiotics in periodontics. J Peridontol 2004;75:1553-1565.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.