Management of occlusal trauma‑related periodontal abscess: A case report and mini‑review of the literature

The present study describes a case of a patient with periodontal abscess in a left mandibular permanent first molar (tooth no. 36). The tooth had a fractured cusp which was restored into class II composite restoration and responded normally to pulp vitality tests. There were no signs of peri‑ odontal disease or the presence of a deep pocket which, could be probed only by a thin metal instrument. Within a period of 2 months, the patient developed localized periodontal abscess with respect to the left mandibular first molar. The tooth was deemed non‑vital, grade II mobility, as it had a deep pocket measuring >5 mm in its distal aspect. Pulp space therapy was performed with periodontal intervention. The curettage of soft tissue was carried out. A 2‑year follow‑up period of healing was observed. The tooth remained functional and probing of the periodontal sulcus revealed a normal depth of 2 to 3 mm. On the whole, the present study emphasizes the importance of identifying such endodontic‑periodontic lesions that require an interdisciplinary approach in their management.