Current Oral Health Reports

, Volume 4, Issue 4, pp 294–300 | Cite as

Periodontal Abscess: a Review and the Role of Antimicrobial Therapy

  • Sachiyo Tomita
  • Atsushi SaitoEmail author
Epidemiology (M Laine, Section Editor)
Part of the following topical collections:
  1. Topical Collection on Epidemiology


Purpose of Review

The aim was to summarize current knowledge about periodontal abscesses and describe recent research on antimicrobial treatment.

Recent Findings

For periodontal abscess treatment, antimicrobial therapy is implemented as an adjunct modality to subgingival debridement and/or abscess drainage. Among available systemic antimicrobial agents, amoxicillin (plus clavulanate), metronidazole, and azithromycin are often used with good clinical results. In our studies of patients with acute periodontal lesions, systemic administration of a new fluoroquinolone, sitafloxacin, yielded a significant improvement in clinical parameters, and was effective against subgingival bacteria, with no significant impact on the antimicrobial susceptibility of periodontal bacteria.


Plaque control during initial periodontal therapy or maintenance care is critical for the prevention and treatment of periodontal abscesses. In the case of acute periodontal abscesses, drainage is considered first. When drainage is not possible or insufficient, antimicrobial therapy should then be considered. Microbiological testing can contribute to the successful treatment.


Periodontal abscess Acute periodontal lesion Periodontitis Periodontal disease Antimicrobial therapy Antimicrobial susceptibility 


Compliance with Ethical Standards

Conflict of Interest

The two studies on antimicrobial susceptibility (Tomita et al. 2014, 2015) were supported in part by Daiichi Sankyo, Co., Ltd., Tokyo, Japan. Sachiyo Tomita and Atsushi Saito declare that they have no other conflicts of interest to report.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.


Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Copyright information

© Springer International Publishing AG 2017

Authors and Affiliations

  1. 1.Department of PeriodontologyTokyo Dental CollegeTokyoJapan
  2. 2.Oral Health Science CenterTokyo Dental CollegeTokyoJapan

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