This section is from the book "Dental Medicine. A Manual Of Dental Materia Medica And Therapeutics", by Ferdinand J. S. Gorgas. Also available from Amazon: Dental Medicine.
Maxillary Abscess may be due to caries or the diseases of the teeth, or to pathological changes occurring in the structure of the bone itself.
The treatment of maxillary abscess consists either in puncture or incision, and the extraction of one or more of the teeth if they are found to be connected with the origin of the disease. If free drainage be established by an early incision, the arrest of the disease is practically secured: it is sometimes necessary to remove a portion of the alveolar process. The presence of dead bone should be determined, and such removed, with other offending matter. Free drainage should be maintained until complete recovery is brought about. The abscess may be opened under cocaine anaesthesia, a soft rubber drainage tube be inserted, and the cavity thoroughly irrigated and disinfected with a I to 2,000 bichloride of mercury solution. A safety pin may be placed at the external end of the tube, and a strip of iodoform gauze put between it and the skin; over this the ordinary bichloride gauze dressing may be secured by a roller bandage.