Which of the following treatment options is NOT appropriate for a periodontal abscess?

The local delivery of antibiotics is not considered an appropriate treatment option for a periodontal abscess. While antibiotics can play a role in the management of periodontal infections, the primary treatment for a periodontal abscess focuses on addressing the immediate source of the infection.

Incision and drainage are crucial steps in managing an abscess, as they relieve pressure and allow for the evacuation of pus, which is critical to alleviate pain and promote healing. Scaling and root planing is effective in removing plaque and calculus from the tooth surface and surrounding tissues, thus addressing the underlying periodontal issues contributing to the abscess. Systemic antibiotics might be indicated in cases of severe infection or when systemic involvement is noted, assisting in managing the infection more broadly.

Local delivery of antibiotics, on the other hand, is generally targeted toward the overall management of chronic periodontal disease rather than acute conditions like abscesses. It may not adequately address the urgent need for drainage and debridement of the infected area. Therefore, this treatment does not align with the immediate priorities for resolving a periodontal abscess effectively.