{"id":895,"date":"2025-04-03T12:06:05","date_gmt":"2025-04-03T09:06:05","guid":{"rendered":"https:\/\/wiki.voka.io\/diseases\/uncategorized\/apikalnyi-abscess\/"},"modified":"2026-10-22T12:19:20","modified_gmt":"2026-10-22T09:19:20","slug":"abscesso-apical","status":"publish","type":"diseases_post","link":"https:\/\/wiki.voka.io\/pt\/doencas\/dentarias\/abscesso-apical\/","title":{"rendered":"Abcesso apical: \u0421ausas e tratamento"},"content":{"rendered":"<p><?xml encoding=\"UTF-8\" ?><\/p>\n<p class=\"wp-block-paragraph\">O abscesso apical (tamb\u00e9m conhecido como abscesso periapical) \u00e9 uma inflama\u00e7\u00e3o purulenta dos tecidos periapicais em resposta \u00e0 liberta\u00e7\u00e3o maci\u00e7a de bact\u00e9rias virulentas do sistema de canais radiculares do dente. <\/p>\n<h2 id=\"etiologia\" class=\"wp-block-heading\">Etiologia<\/h2>\n<p class=\"wp-block-paragraph\">Um abcesso apical agudo pode desenvolver-se primariamente como resultado de uma periodontite apical aguda ou como resultado da exacerba\u00e7\u00e3o de uma inflama\u00e7\u00e3o cr\u00f3nica na \u00e1rea periapical.<\/p>\n<p class=\"wp-block-paragraph\">O fator etiol\u00f3gico \u00e9 a invas\u00e3o da microflora piog\u00e9nica dos canais radiculares do dente para os tecidos periapicais inflamados (infe\u00e7\u00e3o extra-radicular). A flora microbiana dos abscessos apicais \u00e9 mista, dominada por bacilos anaer\u00f3bios Gram-negativos e peptostreptococcus. <\/p>\n<p class=\"wp-block-paragraph\">As c\u00e9lulas efetoras que predominam nos abscessos apicais agudos s\u00e3o os leuc\u00f3citos neutr\u00f3filos polimorfonucleares. Ap\u00f3s a atividade fagocit\u00e1ria destas c\u00e9lulas e a sua morte, surge um grande n\u00famero de elementos destruidores de tecidos (hidrolases e radicais de oxig\u00e9nio), os macr\u00f3fagos j\u00e1 n\u00e3o conseguem lidar com a limpeza e repara\u00e7\u00e3o das c\u00e9lulas. de tecidos (hidrolases e radicais de oxig\u00e9nio), <\/p>\n<p class=\"wp-block-paragraph\">A perda \u00f3ssea \u00e9 causada por osteoclastos activados e a reabsor\u00e7\u00e3o \u00e9 acompanhada pela invas\u00e3o de c\u00e9lulas imunit\u00e1rias. Tamb\u00e9m pode ocorrer a invas\u00e3o direta de microrganismos a partir dos canais radiculares, o que provoca gradualmente a destrui\u00e7\u00e3o dos tecidos.<\/p>\n<p class=\"wp-block-paragraph\">O abcesso apical cr\u00f3nico caracteriza-se por um processo inflamat\u00f3rio purulento de longa dura\u00e7\u00e3o que drena atrav\u00e9s de uma passagem fistulosa. Pode tamb\u00e9m ocorrer a invas\u00e3o direta de microrganismos a partir dos canais radiculares, que causa gradualmente a destrui\u00e7\u00e3o dos tecidos. <\/p>\n<h3 id=\"resultado-do-processo\" class=\"wp-block-heading\">Resultado do processo:<\/h3>\n<ol class=\"wp-block-list\">\n<li>Cura com elimina\u00e7\u00e3o da infe\u00e7\u00e3o no sistema de canais radiculares (remo\u00e7\u00e3o da polpa invi\u00e1vel e drenagem do abcesso).<\/li>\n<li>Cronifica\u00e7\u00e3o do processo e forma\u00e7\u00e3o de uma passagem fistulosa drenante.<\/li>\n<li>Destrui\u00e7\u00e3o da placa cortical sobre o abcesso, penetra\u00e7\u00e3o do exsudado purulento sob o peri\u00f3steo do maxilar e forma\u00e7\u00e3o de periostite odontog\u00e9nica purulenta do maxilar.<\/li>\n<li>Propaga\u00e7\u00e3o da inflama\u00e7\u00e3o purulenta para os espa\u00e7os fasciais da cabe\u00e7a e do pesco\u00e7o. <\/li>\n<\/ol>\n<h2 id=\"classificacao\" class=\"wp-block-heading\">Classifica\u00e7\u00e3o <\/h2>\n<ul class=\"wp-block-list\">\n<li>Abcesso apical agudo.<\/li>\n<li>Abcesso apical cr\u00f3nico com comunica\u00e7\u00e3o (f\u00edstula) com a cavidade oral.<\/li>\n<li>Abcesso apical cr\u00f3nico com comunica\u00e7\u00e3o com a cavidade nasal.<\/li>\n<li>Abcesso apical cr\u00f3nico com comunica\u00e7\u00e3o com o seio maxilar.<\/li>\n<li>Abscesso apical cr\u00f3nico com comunica\u00e7\u00e3o com a pele.<\/li>\n<\/ul>\n<h2 id=\"anatomia\" class=\"wp-block-heading\">Anatomia<\/h2>\n<p class=\"wp-block-paragraph\">Dependendo do fator etiol\u00f3gico, o dente afetado pode apresentar:<\/p>\n<ul class=\"wp-block-list\">\n<li>Uma cavidade cariosa profunda que penetra na polpa do dente.<\/li>\n<li>As restaura\u00e7\u00f5es dent\u00e1rias adjacentes ao tecido pulpar podem apresentar sinais de comprometimento do selamento (defeitos, fissuras na restaura\u00e7\u00e3o, pigmenta\u00e7\u00e3o na margem, c\u00e1ries secund\u00e1rias).<\/li>\n<li>Sinais de traumatismo (fissuras, dentina lascada, parte da polpa exposta). <\/li>\n<\/ul>\n<p class=\"wp-block-paragraph\">A polpa do dente est\u00e1 necrosada, de cor cinzento-amarelada ou cinzento-escura. <\/p>\n<p class=\"wp-block-paragraph\">No abscesso apical agudo, na regi\u00e3o do \u00e1pice radicular, \u00e9 poss\u00edvel observar uma \u00e1rea de destrui\u00e7\u00e3o do ligamento periodontal e do osso alveolar, preenchida com exsudato purulento e rodeada por tecido de granula\u00e7\u00e3o fibrovascular. <\/p>\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/en\/dentistry\/apical-abscess\/acute-apical-abscess-anatomy.webp\" alt=\"Anatomia da periodontite apical aguda\"><figcaption class=\"wp-element-caption\">Anatomia da periodontite apical aguda \u2013<a href=\"https:\/\/catalog.voka.io\/models\/3ed27118-f048-4865-b4ec-042c2caa7e2f\/127b9074-8c2d-4943-87a6-2ea48774cc23\/e2ce914f-32e4-4b75-b7bd-ea3c568e0e57\/783ec5be-c1a1-44f6-ad02-a7b59dfe48e4\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">modelo 3D<\/a><\/figcaption><\/figure>\n<p class=\"wp-block-paragraph\">Nos abcessos apicais cr\u00f3nicos, o processo penetra no osso esponjoso, na l\u00e2mina compacta, na mucosa ou na pele e forma-se uma passagem fistulosa. A abertura da passagem fistulosa \u00e9 uma massa de tecido mole arredondada e convexa com um orif\u00edcio no centro, a partir do qual \u00e9 libertado exsudado purulento. A passagem fistulosa pode abrir-se tanto perto do foco de infe\u00e7\u00e3o como \u00e0 dist\u00e2ncia deste: vestibular ou lingualmente na mucosa do processo alveolar, na gengiva anexa. Por vezes, a f\u00edstula forma-se ao longo da raiz do dente e abre-se no sulco gengival ou na furca. <\/p>\n<p class=\"wp-block-paragraph\">Neste caso, desenvolve-se uma bolsa falsa profunda e estreita, disfar\u00e7ada de bolsa periodontal ou sintoma de uma fratura vertical da raiz. Tamb\u00e9m a abertura da passagem fistulosa pode abrir-se na cavidade nasal, no seio maxilar, na pele do rosto, no pesco\u00e7o.<\/p>\n<p class=\"wp-block-paragraph\">Internamente, a passagem fistulosa pode ser total ou parcialmente revestida por epit\u00e9lio rodeado por tecido conjuntivo inflamado.<\/p>\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/en\/dentistry\/apical-abscess\/chronic-apical-abscess-anatomy-with-sinus-tract.webp\" alt=\"Anatomia de um abscesso apical cr\u00f3nico com comunica\u00e7\u00e3o (f\u00edstula) com a cavidade oral\"><figcaption class=\"wp-element-caption\">Anatomia de um abscesso apical cr\u00f3nico com comunica\u00e7\u00e3o (f\u00edstula) com a cavidade oral \u2013<a href=\"https:\/\/catalog.voka.io\/models\/3ed27118-f048-4865-b4ec-042c2caa7e2f\/127b9074-8c2d-4943-87a6-2ea48774cc23\/9446fdbc-a518-4de9-ae16-42d9f7721d0b\/c7dec70d-bc50-446e-930a-d1ed9bd002ad\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">modelo 3D<\/a><\/figcaption><\/figure>\n<h2 id=\"diagnostico\" class=\"wp-block-heading\">Diagn\u00f3stico<\/h2>\n<ul class=\"wp-block-list\">\n<li>Coleta de queixas e hist\u00f3rico.<\/li>\n<li>M\u00e9todos cl\u00ednicos: exame visual, percuss\u00e3o, palpa\u00e7\u00e3o ao longo da prega de transi\u00e7\u00e3o, sondagem periodontal, determina\u00e7\u00e3o da mobilidade dent\u00e1ria.<\/li>\n<li>Termoprobe, electroodontodiagn\u00f3stico.<\/li>\n<li>Radiografia (radiografia de contacto intra-oral, radiovisiografia, ortopantomografia, tomografia computorizada de feixe c\u00f3nico): cavidade cariosa, restaura\u00e7\u00e3o ou defeito traum\u00e1tico penetrando na c\u00e2mara pulpar, identifica-se um centro de destrui\u00e7\u00e3o \u00f3ssea de forma redonda ou irregular no \u00e1pice da raiz. As radiografias bidimensionais (2D) mostram por vezes apenas um alargamento do espa\u00e7o do ligamento periodontal sem radioluc\u00eancia \u00e0 volta do \u00e1pice, se o processo afetar apenas o osso esponjoso sem envolver a camada cortical.<\/li>\n<li>Tra\u00e7ar o trajeto da f\u00edstula: coloca-se um pino de guta-percha no orif\u00edcio da f\u00edstula at\u00e9 se sentir resist\u00eancia e, em seguida, realiza-se uma radiografia de contacto intra-oral. Ao tra\u00e7ar o percurso do pino de guta-percha, pode ser identificada a origem da passagem fistulosa.<\/li>\n<\/ul>\n<h2 id=\"manifestacoes-clinicas\" class=\"wp-block-heading\">Manifesta\u00e7\u00f5es cl\u00ednicas<\/h2>\n<h3 id=\"abcesso-apical-agudo\" class=\"wp-block-heading\">Abcesso apical agudo<\/h3>\n<p class=\"wp-block-paragraph\">O doente queixa-se de dor localizada na regi\u00e3o de um dos dentes, de intensidade moderada ou forte, que aumenta ao morder o dente causador, sensa\u00e7\u00e3o de distens\u00e3o ou sensa\u00e7\u00e3o de dente crescido. Visualmente, detecta-se no dente uma cavidade cariosa profunda, uma restaura\u00e7\u00e3o ou um defeito traum\u00e1tico que penetra na c\u00e2mara pulpar. A percuss\u00e3o do dente \u00e9 fortemente dolorosa, a palpa\u00e7\u00e3o da prega transicional tamb\u00e9m pode ser dolorosa, com o envolvimento da placa cortical pode haver incha\u00e7o e hiperemia da mucosa na proje\u00e7\u00e3o do \u00e1pice da raiz. A profundidade da sondagem periodontal est\u00e1 dentro dos limites normais (1-3 mm). A mobilidade do dente pode ser determinada. N\u00e3o h\u00e1 rea\u00e7\u00e3o \u00e0 temperatura e a est\u00edmulos el\u00e9ctricos. Al\u00e9m disso, podem ocorrer manifesta\u00e7\u00f5es sist\u00e9micas do processo infecioso: aumento da temperatura corporal, aumento dos g\u00e2nglios linf\u00e1ticos da zona submandibular e do queixo, leucocitose.<\/p>\n<figure class=\"wp-block-video\" id=\"animacao-3d-abscesso-apical-agudo\"><video controls><source data-src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/en\/dentistry\/apical-abscess\/acute-apical-abscess.webm\" type=\"video\/webm\"><\/source><\/video><figcaption class=\"wp-element-caption\">Anima\u00e7\u00e3o 3D \u2013 abscesso apical agudo<\/figcaption><\/figure>\n<h3 id=\"abcesso-apical-cronico\" class=\"wp-block-heading\">Abcesso apical cr\u00f3nico<\/h3>\n<p class=\"wp-block-paragraph\">Nos abcessos apicais cr\u00f3nicos, o doente pode n\u00e3o referir quaisquer queixas ou pode indicar a presen\u00e7a de uma massa ou incha\u00e7o localizado na gengiva.<\/p>\n<p class=\"wp-block-paragraph\">Um dente com uma cavidade cariosa profunda, restaura\u00e7\u00e3o ou defeito traum\u00e1tico que penetra na c\u00e2mara pulpar. A percuss\u00e3o do dente \u00e9 normalmente indolor ou ligeiramente dolorosa. A palpa\u00e7\u00e3o da prega transicional \u00e9 indolor. Na membrana mucosa ou na pele \u00e9 determinada pela abertura da passagem fistulosa, da qual \u00e9 libertado exsudado purulento. Se esta abertura estiver bloqueada, pode desenvolver-se um edema local dos tecidos moles. <\/p>\n<figure class=\"wp-block-video\" id=\"animacao-3d-abscesso-apical-cronico\"><video controls><source data-src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/en\/dentistry\/apical-abscess\/chronic-apical-abscess.webm\" type=\"video\/webm\"><\/source><\/video><figcaption class=\"wp-element-caption\">Anima\u00e7\u00e3o 3D \u2013 abscesso apical cr\u00f3nico<\/figcaption><\/figure>\n<div class=\"social-banner-block\">\n<div class=\"social-banner-content\">\n<p class=\"h5-title text-black\">Encontra mais conte\u00fados cientificamente exactos nas nossas redes sociais<\/p>\n<p><span class=\"social-banner-text text-grey\">Subscreve e n\u00e3o percas os recursos mais recentes<\/span><\/p>\n<div class=\"banner-icons-wrapper\"><a class=\"social-icon-link\" href=\"\" data-link=\"https:\/\/www.facebook.com\/VOKA3DAnatomyAndPathology\/\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/facebook.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"\" data-link=\"https:\/\/www.instagram.com\/voka.io\/\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/insta.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"\" data-link=\"https:\/\/www.linkedin.com\/company\/voka-io\/posts\/?feedView=all\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/linkedin.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"\" data-link=\"https:\/\/www.youtube.com\/@vokaio\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/youtube.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"\" data-link=\"https:\/\/www.pinterest.com\/voka3danatomyandpathology\/\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/pinterest.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"\" data-link=\"https:\/\/www.tiktok.com\/@voka.io\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/tiktok.svg\" alt=\"social link\"><\/a><\/div>\n<\/div>\n<p><img decoding=\"async\" class=\"social-banner-image\" loading=\"lazy\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/social-media-banner-mobile-image.webp\" alt=\"Banner background\"><\/div>\n<h2 id=\"tratamento-de-um-abcesso-apical\" class=\"wp-block-heading\">Tratamento de um abcesso apical<\/h2>\n<p class=\"wp-block-paragraph\">O tratamento endod\u00f4ntico do dente \u00e9 efectuado: extirpa\u00e7\u00e3o da polpa n\u00e3o vi\u00e1vel ou remo\u00e7\u00e3o do material de obtura\u00e7\u00e3o antigo dos canais radiculares, tratamento mec\u00e2nico e irriga\u00e7\u00e3o dos canais radiculares. Na presen\u00e7a de exsudado nos canais radiculares, passagem fistulosa, recomenda-se a utiliza\u00e7\u00e3o de acess\u00f3rios intracanais tempor\u00e1rios. A drenagem do exsudado purulento \u00e9 efectuada atrav\u00e9s dos canais radiculares ou atrav\u00e9s da placa cortical da mand\u00edbula na proje\u00e7\u00e3o da les\u00e3o. Posteriormente, \u00e9 efectuada uma obtura\u00e7\u00e3o herm\u00e9tica dos canais radiculares com a subsequente restaura\u00e7\u00e3o do dente.<\/p>\n<figure class=\"wp-block-video\" id=\"animacao-3d-tratamento-endodontico-do-dente\"><video controls><source data-src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/en\/dentistry\/apical-abscess\/endodontic-tooth-treatment.webm\" type=\"video\/webm\"><\/source><\/video><figcaption class=\"wp-element-caption\">Anima\u00e7\u00e3o 3D \u2013 tratamento endod\u00f4ntico do dente<\/figcaption><\/figure>\n<p class=\"wp-block-paragraph\">Se o acesso \u00e0 fonte de infe\u00e7\u00e3o for dif\u00edcil, o tratamento endod\u00f4ntico conservador pode ser complementado por m\u00e9todos microcir\u00fargicos (curetagem perirradicular, ressec\u00e7\u00e3o da por\u00e7\u00e3o apical da raiz com obtura\u00e7\u00e3o retr\u00f3grada, amputa\u00e7\u00e3o da raiz do dente) e reimplanta\u00e7\u00e3o intencional.<\/p>\n<p class=\"wp-block-paragraph\">Se o progn\u00f3stico do tratamento endod\u00f4ntico for insatisfat\u00f3rio, o dente deve ser extra\u00eddo.<\/p>\n<p class=\"wp-block-paragraph\">A profilaxia antibi\u00f3tica para o tratamento endod\u00f4ntico n\u00e3o cir\u00fargico e cir\u00fargico \u00e9 efectuada nos seguintes grupos de pacientes:<\/p>\n<ul class=\"wp-block-list\">\n<li>Pacientes submetidos a tratamento com bifosfonatos intravenosos (cirurgia periapical).<\/li>\n<li>Doentes com risco de endocardite infecciosa (doen\u00e7a card\u00edaca cong\u00e9nita complexa, substitui\u00e7\u00e3o de v\u00e1lvula card\u00edaca prot\u00e9sica, hist\u00f3ria de endocardite infecciosa).<\/li>\n<li>Doentes com imunodefici\u00eancia (leucemia, HIV\/SIDA, insufici\u00eancia renal terminal, di\u00e1lise, defeitos gen\u00e9ticos heredit\u00e1rios do sistema imunit\u00e1rio, diabetes mellitus n\u00e3o controlada, quimioterapia, utiliza\u00e7\u00e3o de imunossupressores ou esteroides ap\u00f3s transplante).<\/li>\n<li>Pacientes ap\u00f3s endopr\u00f3tese articular durante os primeiros 3 meses ap\u00f3s a cirurgia.<\/li>\n<li>Pacientes submetidos a radioterapia craniana.<\/li>\n<\/ul>\n<div>\n<h2 class=\"faq-title h2-article\" id=\"faq\">FAQ<\/h2>\n<div class=\"faq-section\">\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">1. O que \u00e9 um abscesso apical?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">O abscesso apical \u00e9 uma inflama\u00e7\u00e3o purulenta dos tecidos ao redor do \u00e1pice da raiz do dente, resultante de uma infe\u00e7\u00e3o nos canais radiculares do dente.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">2. Que sintomas s\u00e3o caracter\u00edsticos de um abscesso apical?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">Dor localizada na regi\u00e3o de um dos dentes, de intensidade moderada ou forte, que se intensifica ao morder o dente causador, sensa\u00e7\u00e3o de incha\u00e7o ou de dente crescido. Tamb\u00e9m pode ocorrer incha\u00e7o e hiperemia da mucosa na proje\u00e7\u00e3o do \u00e1pice da raiz do dente, aumento da temperatura corporal, mal-estar geral, forma\u00e7\u00e3o de f\u00edstula com descarga purulenta.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">3. Como se trata a periodontite apical aguda?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">O tratamento inclui o tratamento mec\u00e2nico e antiss\u00e9ptico dos canais radiculares, drenagem do abscesso, obtura\u00e7\u00e3o tempor\u00e1ria dos canais radiculares at\u00e9 que a exsuda\u00e7\u00e3o cesse, seguida de obtura\u00e7\u00e3o dos canais radiculares. Em caso de progn\u00f3stico insatisfat\u00f3rio do tratamento endod\u00f4ntico ou da restaura\u00e7\u00e3o, pode ser necess\u00e1ria a extra\u00e7\u00e3o do dente.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">4. Que complica\u00e7\u00f5es podem surgir se n\u00e3o for tratado?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">A infec\u00e7\u00e3o pode propagar-se para os tecidos vizinhos, causando periostite, osteomielite, abscesso, flegm\u00e3o, mediastinite e s\u00e9psis, o que requer interven\u00e7\u00e3o m\u00e9dica urgente.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"sources-list-block sources-list-hidden\" id=\"referencias\">\n<div class=\"sources-list-content\">\n<div class=\"sources-list-title\">\n<p class=\"small-text-bold text-black sources-list-title-text\">Refer\u00eancias<\/p>\n<div class=\"sources-expand-button-wrapper-mobile\">\n<div class=\"sources-expand-button\"><svg width=\"32\" height=\"32\" viewbox=\"0 0 32 32\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M8 12L16 20L24 12\" stroke=\"#8C9AAB\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg><\/div>\n<\/div>\n<\/div>\n<div class=\"sources-list-items\">\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">1.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>VOKA 3D Anatomy & Pathology \u2013 Complete Anatomy and Pathology 3D Atlas [Internet]. VOKA 3D Anatomy & Pathology [VOKA 3D Anatomia & Patologia]. <\/cite><\/p>\n<p><span class=\"small-text-medium text-grey\">Available from: https:\/\/catalog.voka.io\/<\/span><\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">2.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Siqueira JF Jr, R\u00f4\u00e7as IN, editors. Treatment of endodontic infections. 2a ed. Berlin: Quintessenz Verlags-GmbH; 2022.<\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">3.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Berman LH, Hargreaves KM, editors. Cohen\u2019s pathways of the pulp expert consult. 12th ed. St. Louis (MO): Elsevier; 2020.<\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">4.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>American Association of Endodontists (Associa\u00e7\u00e3o Americana de Endodontistas). Guide to clinical endodontics [Internet]. Chicago: American Association of Endodontists; 2019 Jun 3.  <\/cite><\/p>\n<p><span class=\"small-text-medium text-grey\">Dispon\u00edvel em: https:\/\/www.aae.org\/specialty\/clinical-resources\/guide-clinical-endodontics\/ <\/span><\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">5.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Torabinejad M, Fouad A, Shabahang S, editors. Endodontics: principles and practice. 6\u00aa ed. St. Louis (MO): Elsevier; 2020.<\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">6.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Ghom AG, Ghom AS. Textbook of oral medicine: with free book on basic oral radiology. New Delhi: Jaypee Brothers Medical Publishers; 2019.<\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">7.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Ricucci D, Siqueira JF. Endodontology: an integrated biological and clinical view. Hanover Park (IL): Quintessence Publishing; 2013.<\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">8.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Bergenholtz G, H\u00f8rsted-Bindslev P, Reit C, editors. Textbook of endodontology. 2a ed. Chichester (UK): Wiley-Blackwell; 2013. <\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">9.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>H\u00fclsmann M, Sch\u00e4fer E, Bargholz C, Barthel C. Problems in endodontics: etiology, diagnosis and treatment. Hanover Park (IL): Quintessence Publishing; 2009.<\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">10.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Beer R, Baumann MA, Kielbassa AM. Taschenatlas der Endodontie [Pocket atlas of endodontics]. Stuttgart: Georg Thieme Verlag; 2004. Alem\u00e3o.<\/cite><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"sources-expand-button-wrapper\">\n<div class=\"sources-expand-button\"><svg width=\"32\" height=\"32\" viewbox=\"0 0 32 32\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M8 12L16 20L24 12\" stroke=\"#8C9AAB\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg><\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>O abscesso apical (tamb\u00e9m conhecido como abscesso periapical) \u00e9 uma inflama\u00e7\u00e3o purulenta dos tecidos periapicais em resposta \u00e0 liberta\u00e7\u00e3o maci\u00e7a de bact\u00e9rias virulentas do sistema de canais radiculares do dente. Etiologia Um abcesso apical agudo pode desenvolver-se primariamente como resultado de uma periodontite apical aguda ou como resultado da exacerba\u00e7\u00e3o de uma inflama\u00e7\u00e3o cr\u00f3nica na [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":0,"template":"","diseases_category":[294],"class_list":["post-895","diseases_post","type-diseases_post","status-publish","hentry","diseases_category-dentarias"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v25.0 (Yoast SEO v27.8) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Abscesso apical: causas, sintomas e m\u00e9todos de tratamento<\/title>\n<meta name=\"description\" content=\"Abscesso apical: inflama\u00e7\u00e3o purulenta na regi\u00e3o do \u00e1pice da raiz do dente, causada por uma infec\u00e7\u00e3o. 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