[Perimaxillary suppurations in the stomatological practice]

Perimaxillary suppurations hold an important place in the field of buccomaxillo-facial pathology, by their frequency (which is almost 12%), and by severity. Antibiotic therapy, which has modified for a period of time the evolution and the frequency of these affections, appears to be less successful of late, and, by contrast, we have noted the development of new types of suppuration much more severe, and more difficult to control from the therapeutical viewpoint. The main etiology is represented by dento-parodontal lesions, and the complex treatment of the initial forms of peri-radicular septic processes, and of the parodontal ones is recommended strongly. Evaluations are made concerning the antibiotic therapy, even in those conditions when there is no available facility for making antibiograms. With regard to the severe forms of suppuration various problems are discussed, with the aim to define diagnostic, surgical and general therapy aspects.