What typical treatment is indicated for a chronic apical abscess?

• A. Immediate extraction
• B. Pulp capping
• C. Endodontic treatment
• D. Antibiotic monitoring only

Answer: (C)

In the case of a chronic apical abscess, the primary goal of treatment is to address the underlying infection associated with the tooth's pulp. Endodontic treatment, commonly known as root canal therapy, is indicated in these situations because it targets the infected pulp and surrounding periapical tissues. This procedure involves removing the necrotic pulp, cleaning and disinfecting the root canal system, and sealing it to prevent further infection.

Over time, endodontic treatment can facilitate the healing of the periapical tissues, resolving symptoms associated with the chronic abscess. This is crucial because leaving the infection untreated may lead to complications such as systemic infection or the formation of a larger abscess.

While options like immediate extraction or pulp capping can be considered in specific contexts, they do not directly address the chronic nature of an apical abscess. Extraction may remove the problematic tooth but does nothing to treat the underlying infection. Pulp capping is generally more suitable for cases of pulp exposure or irreversible pulpitis rather than established chronic infections. Antibiotic monitoring alone is insufficient, as it does not resolve the infection and is typically only part of a more comprehensive treatment plan that may include endodontic intervention.