Question 55 · LDEK · Treatment of periodontal diseases

Indicate the correct approach in the case of a periodontal abscess in the tooth 26 in an immunocompetent patient that previously has received systemic clindamycin for periodontal reasons:

  1. A. empirical administration of another antibiotic - amoxicillin with clavulanic acid 625 mg 3 times a day for 5 days.
  2. B. collection of subgingival plaque from the pocket for the molecular test of periopathogens and their drug sensitivity.
  3. C. SRP performance in the 2nd quadrant.
  4. D. abscess draining through the pocket or through a vertical incision done at least 2 mm below gingival margin.
  5. E. tooth extraction.
Hint

Think about what a collection of pus needs first, and whether another antibiotic makes sense in a healthy patient.

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