Diagnosing and managing periodontal emergencies is a common part of general dental practice. This article summarises the presentation, aetiology and management of the key periodontal emergencies, including gingival abscess, periodontal abscess, peri-coronitis/peri-coronal abscess, perio-endo lesion/abscess, necrotising gingivitis and periodontitis, acute herpetic gingivostomatitis, acute physical/chemical/thermal injury and subgingival root fracture.
American Academy of Periodontology.Parameter on acute periodontal diseases, parameters of care (supplement). Periodontal2000;71:863–866.
2.
AhlDR, HilgemanJL, SnyderJD.Periodontal emergencies.Dent Clin North Am1986;30:459–472.
3.
SousaD, PintoD, AraujoR. Gingival abscess due to an unusual nail-biting habit: a case report. J Contemp Dent Pract2010;11:85.
4.
GilletteWB, Van HouseRL.Ill effects of improper oral hygeine procedure.J Am Dent Assoc1980;101:476.
5.
International Workshop for a Classification of Periodontal Diseases and Conditions. Papers. Oak Brook, Illinois, 30 October-2 November 1999. Ann Periodontol 1999;4:1–112.
6.
LewisMA, MeechanC, MacFarlaneTW. Presentation and antimicrobial treatment of acute orofacial infections in general dental practice. Br Dent J1989;166:41–45.
7.
HerreraD, RoldanS, GonzalezI. The periodontal abscess (I). Clinical and microbiological findings. J Clin Periodontol2000;27:387–394.
8.
HerreraD, AlonsoB, De ArribaL. Acute periodontal lesions. Periodontol 20002014;65:149–177.
9.
DelloRusso NM.The post-prophylaxis periodontal abscess: etiology and treatment.Int J Perio Res Dent1985;5:28–37.
10.
GarrettS, PoisonAM, StollerNH. Comparison of a bioabsorbable GTR barrier to a non-absorbable barrier in treating human class II furcation defects. A multi-center parallel design randomised single-blind trial. J Periodontol1997;68:667–675.
11.
FineDH.Microbial identification and antibiotic sensitivity testing, an aid for patients refractory to periodontal therapy.A report of 3 cases. J Clin Periodontol1994;21:98–106.
12.
HelovuoH, HakkarainenK, PaunioK.Changes in the prevalence of subgingival enteric rods, staphylococci and yeasts after treatment with penicillin and erythromycin.Oral Microbiol Immunol1993;8:75–79.
13.
DouglassAB, DouglassJM.Common dental emergencies.American family physician2003;67(3):511–6.
HolmstrupP, WestergaardJ.Periodontal diseases in HIV-infected patients.J Clin Periodontol1994;21:270–80.
16.
HolmstrupP, WestergaardJ.Necrotising Periodontal Disease. In LindheJ, LangNP, KarringT eds. Clinical Periodontology and Implant Dentistry. 5th ed. Oxford: Wiley Blackwell, 2008:459–74.
17.
HorningGM, CohenME.Necrotising ulcerative gingivitis, periodontitis, and stomatitis: clinical staging and predisposing factors.J Periodontol1995;66:990–8.
18.
HeylingsRT.Electron microscopy of acute ulcerative gingivitis (Vincent's type).Demonstration of the fusospirochaetal complex of bacteria within pre-necrotic gingival epithelium. Br Dent J1967;122:51–6.
19.
ListgartenMA.Electron Microscopic Observations on the Bacterial Flora of Acute Necrotizing Ulcerative Gingivitis.The J Periodontol1965;36:328–39.
20.
WennstromJ, LindheJ.Effect of hydrogen peroxide on developing plaque and gingivitis in man.J Clin Periodontol1979;6:115–30.
21.
LoescheWJ, SyedSA, LaughonBE. The bacteriology of acute necrotizing ulcerative gingivitis. J Periodontol1982;53:223–30.
LitonjuaLA, AndreanaS, BushPJ, BushPJ, CohenRE.Toothbrushing and gingival recession.Int Dent J2003;53:67–72.
25.
SmuklerH, LandsbergJ.The toothbrush and gingival traumatic injury.J Periodontol1984;55:713–719.
26.
PassiS, SharmaN.Unusual foreign bodies in the orofacial region. Case Rep Dent2012;2012:191873.
27.
CreathCJ, SteinmetzS, RoebuckR.A case report.Gingival swelling due to a fingernail-biting habit. J Am Dent Assoc1995;126:1019–1021.
28.
KrejciCB.Self-inflicted gingival injury due to habitual fingernail biting.J Periodontol2000;71:1029–1031.
29.
ChambroneL, ChambroneLA.Gingival recessions caused by lip piercing: case report.Dent Assist2004;73:14,6–7, 9.
30.
JacobsenN, Hensten-PettersenA.Changes in occupational health problems and adverse patient reactions in orthodontics from 1987 to 2000.Eur J Orthod2003;25:591–598.
31.
Necrosis of gingiva and alveolar bone caused by acid etching and its treatment with subepithelial connective tissue graft.J Can Dent Assoc2005;71:477–479.
32.
SapirS, BimsteinE.Cholinsalicylate gel induced oral lesion: report of case.J Clin Pediatr Dent2000;24:103–106.
33.
De BruyneMA, De MoorRJ, RaesFM.Necrosis of the gingiva caused by calcium hydroxide: a case report.Int Endod J2000;33:67–71.
34.
ReinhardtRA, KrejciRF, PaoYC. Dentien stresses in posts-reconstructed with diminishing bone support. J Dent Res1983;62:1002–8.
