The primary therapeutic modality is surgical drainage of any pus collection. Pulpectomy or I&D is the recommended management of a localized acute apical abscess in the permanent dentition. I&D or spontaneous rupture of the abscess quickly accelerates resolution of the infection. The addition of antibiotics is not recommended for a localized dental abscess.
Emergent surgery is indicated in the operating room if the airway is threatened or if the patient's condition is rapidly deteriorating. Third molar removal is a common surgical procedure.
For more on the treatment of dental abscesses, read here.
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Cite this: Jeff Burgess. Fast Five Quiz: What Do You Know About Dental Health? - Medscape - Oct 16, 2017.