It is a localized collection of purulent

inflammatory tissue caused by suppuration

buried in a tissue ,an organ,or a confined space
and is always consist of mass of necrotic white
cell in the centre surrounded by a zone of
neutrophils which is furthur walled of by
vascular dilation & parenchymal & fibroblastic
proliferation.
Palatal Abscess
Alveolar Abscess
It is a defined as a painful swelling
of the soft tissue of the mouth &
face resulting from a diffuse
spreading of purulent exudate along
the facial planes that seprate the
muscle bundles.
 PATHOPHYSIOLOGY
OF
ABSCESS AND
CELLULITIS
STAGES OF SPREAD
OF INFECTION
Micro-organisms
Micro-organisms enter
enter the
the adjoining
adjoining
tissue
tissue space
space

Multiplication of organisms without

inlammatory tissue reactions

(Few Hrs To few days)

Micro-organisms liberate Toxins
(Fibrinolysin,Hyaluronidase,collagenase) &
Metabolic By-products

Spread of infection takes Place

Spread of infection taking place along
the path of least resisitance
& along the facial planes

Formation of diffuse,large,non-fluctuant,
indurated & tender Swelling

Formation of CELLULITIS
Digestion of dead bacteria & necrosed tissues
by PHAGOCYTIC Cells

Accumalation of purulent material

(Formation of PUS)

Formation of FLUCTUANT Swelling

ABSCESS FORMATION
 PULPITIS
Acute Chronic

APICAL PERIODONTITIS

Acute Chronic

PERIAPICAL ABSCESS PERIAPICAL GRANULOMA

Acute Chronic PERIODONTAL CYST

OSTEOMYELITIS
Acute Chronic
Focal Diffuse

PERIOSTITIS

CELLULITIS ABSCESS
Maxillary Sinus

Palatal Abscess

Maxillary space infection

Surface of gingiva

Floor of mouth(Ludwig Angina)

Buccal Space Infection(cellulitis)

CHARACTERSTICS CELLULITIS ABSCESS
DURATION Acute Chronic
SIZE Large Small
PAIN Severe & Localized
Generalized
LACALIZATION Diffuse Border Well Circumscribed
PALPATION Doughly to indurated Fluctuant

PUS No Yes
SERIOUSNESS Greater Less
BACTERIA Aerobic Anerobic