Tooth granuloma

Granuloma of the tooth is a dental disease that can appear in both adults and children. As a rule, it appears due to an inflammatory process and is a complication of periodontitis. Let's consider what granuloma is and how to treat it correctly.

A dental granuloma is a cyst or, in other words, a tumor; a complication that occurs due to periodontitis or other dental diseases. That is why prevention and treatment are similar to the treatment of periodontitis. A granuloma looks like a small sac of granulation tissue around the top of a tooth. The formation is a capsule, and the granulation tissue grows very quickly and replaces damaged tissue in inflamed and affected areas.

The granuloma begins to form after the tissue has completely healed the wound. Inflammatory fluid accumulates in the tissue sac. That is, the granuloma turns into a kind of chamber that is filled with inflammatory fluid and consists of exudate and the cyst membrane. The fluid contains toxins and microbes. A cyst is a tumor that can develop for a long time without symptoms and gradually destroy the jaw tissue.

Granulomas have different locations relative to the tooth, but most often there are apical ones, that is, those that grow on the top. But limited periodontal inflammation can occur anywhere: on the upper or lower jaw, both on the front teeth and chewing teeth. Very often it appears during the growth of wisdom teeth or after removal. Granuloma can occur both in adult patients and in children on baby teeth.

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Reasons

The causes of dental granuloma are not fully understood. Thus, in some patients it appears without symptoms and without any apparent reason, and in others after tooth extraction or advanced disease. But dentists distinguish two main causes of dental granuloma, let's consider them:

• Untreated diseases of the oral cavity (caries, pulpitis, periodontitis).
• Advanced pulpitis or its improper treatment.

Both the first and the second causes of dental granuloma are associated with dental diseases or their complications. Its appearance can be provoked by advanced caries. In this case, due to lesions on the teeth, microbes easily penetrate the pulp and begin to actively multiply. Because of this, inflammatory processes begin. After a while, microbes begin to affect bone tissue and cause inflammatory processes throughout the oral cavity. Because of this, bone tissue retreats a little and connective tissue appears in its place, which protects teeth from final destruction, accumulating microbes inside itself. This is a tooth granuloma.

Limited periodontal inflammation may also appear due to an incorrectly filled tooth, pulpitis or caries. The appearance of this pathology largely depends on the quality and professionalism of dental treatment.

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Granuloma after tooth extraction

Granuloma after tooth extraction appears due to inflammatory processes in the body and due to lack of prevention. After tooth extraction, the wound begins to tighten with new tissue, into which microbes penetrate, causing limited inflammation of the periodontium. If prevention is not carried out at this stage, then very soon the granuloma will grow and fester.

Please note that if you refuse to treat this pathology, the pus can move along the entire gum or cause the development of infective endocarditis, which can be fatal. Granuloma after tooth extraction can also appear due to advanced periodontitis. A purulent sac forms in the gum area near the extracted tooth or in the root cavity of the extracted tooth. Granuloma also appears in children after the extraction of baby teeth. To prevent this from happening, special attention should be paid to the prevention of the oral cavity after tooth extraction.

Symptoms

The symptoms of a dental granuloma are very difficult to recognize, since in most cases the occurrence of limited periodontal inflammation is asymptomatic. A dental granuloma is an inflammatory formation with thin walls. A purulent fluid forms in the cyst itself. That is, the first symptom of a dental granuloma is the body's reaction to inflammatory processes and advanced diseases of the oral cavity, which have made themselves known again.

The granuloma of the tooth gradually begins to grow, affecting healthy areas of tissue. Therefore, the second symptom of the appearance of a granuloma is the sensation of a foreign body in the mouth, which is easily felt with the tongue. Most limited periodontal inflammations are asymptomatic, so to determine them, it is recommended to conduct an X-ray or orthopantomogram.

The following symptoms of dental granuloma are distinguished:

• Swollen gums.
• Pain in the gum.
• Inflammation in the oral cavity and elevated body temperature.
• When suppuration occurs, acute toothache occurs.
• Redness of the gums.
• Darkening of the enamel.
• Discharge of purulent fluid between the gum and the tooth.
• The appearance of flux.
• Headache, malaise.

If the symptoms of the disease are ignored, the granuloma can become chronic and develop into a jaw cyst. In this case, a dense capsule forms in the mouth, which contains dead tissue, dead bacteria and actively multiplying microbes.

Granuloma of the tooth root

Granuloma of the tooth root is an inflammatory disease that affects the roots of the teeth. With this disease, a purulent capsule is formed in the root of the tooth, which contains purulent fluid from dead cells and bacteria. The main danger of this pathology is that there are no pronounced symptoms. This makes it difficult to identify the disease in the early stages and leads to serious consequences in the future.

A tooth root granuloma is a protective reaction of the body to irritants, i.e. inflammatory diseases, bacteria or viruses. When a granuloma first appears, it must be treated, as it can very quickly take a complicated form. Many dentists agree that a tooth root granuloma is the last stage of an inflammatory disease, so it is very difficult to treat. A granuloma can cause tooth loss and deformation of the jaw bones. Granuloma should only be treated by a qualified dentist.

Diagnostics

Diagnosis of dental granuloma is a complex process that is best performed in specialized dental offices. Most often, granuloma cannot be detected during a preventive examination. Therefore, dentists rely on the patient's symptoms, which would indicate the growth and suppuration of the tumor.

An X-ray image allows for an accurate diagnosis of a tooth granuloma. The image will show a rounded, limited, darkened area. In addition to an X-ray image, the patient undergoes radiovisiorgaphy, which also allows for the granuloma to be identified.

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Treatment

Treatment of dental granuloma is carried out by surgical and therapeutic methods. The therapeutic method of treatment involves taking antibiotics and sulfanilamide drugs that affect the infectious lesion. Such treatment prevents the progression of granuloma and allows you to keep your teeth intact. If the tooth has begun to deteriorate, then therapeutic treatment will allow you to restore it using modern prosthetic methods.

Surgical treatment of dental granuloma involves the installation of a special drainage system that facilitates the outflow of pus. Drainage will help remove pus and leave healthy tissue intact. If the cause of the granuloma is periodontitis, cracks have appeared on the tooth, and a pocket has formed on the gum, then treatment is carried out by dissecting the cyst and removing the contents. Moreover, the prognosis for the tooth with such treatment is extremely unfavorable.

The technology for treating dental granuloma is chosen by the dentist after examining the patient and conducting the necessary diagnostic methods. Granuloma is difficult to treat, so self-treatment of this disease is out of the question. Self-medication can lead to many irreversible consequences and complications. Thus, it is strictly forbidden to make hot compresses and rinses, as they can provoke a rupture of the granuloma and the distribution of pus beyond the capsule.

Is it possible to cure dental granuloma?

Is it possible to cure dental granulomas? This is a question that interests everyone who has encountered this disease. We will answer right away – it can be cured, but the treatment depends on the degree of development or neglect of the disease. As a result, treatment may involve tooth extraction or gum surgery.

When the pathology is neglected, the patient develops a purulent gumboil. A purulent gumboil is a purulent swelling that causes painful sensations. In medical terms, gumboil is odontogenic periostitis. If you do not start treating the gumboil, then very soon the pus will go to the maxillofacial bone. As soon as a patient with such problems presses on a tooth or eats hard food, severe pain often occurs, which is often accompanied by swelling and elevated body temperature.

In case of tooth granuloma, dentists recommend to seek immediate medical help. The doctor will cut the gum with the cyst and install drainage to drain the pus. It is necessary to walk with drainage and take antibiotics for 3-4 days. If the tooth granuloma is not treated, it will develop into a cyst. In the worst case, the pus can spread under the muscles of the neck and face, causing infective endocarditis, which is often fatal. If you have limited periodontal inflammation, seek immediate medical help, and remember that hot compresses and rinses will only worsen the disease.

Therapeutic treatment

Therapeutic treatment of dental granuloma involves taking antibacterial, nonsteroidal anti-inflammatory and sulfanilamide drugs. Antibiotics are highly effective. Therapeutic treatment is necessary only if the cyst is at an early stage of development. In this case, treatment will allow you to save the tooth or completely reconstruct it without significant problems.

After the completion of therapeutic treatment of dental granuloma, surgical treatment may be prescribed, which will restore the shape of the destroyed tooth. Do not forget about preventive methods of treating dental granuloma, which can prevent the occurrence of the disease in the future.

Treatment of tooth root granuloma

Treatment of tooth root granuloma begins with therapeutic methods. But this type of treatment is effective if the disease is at an early stage of development. Very often, treatment of tooth root granuloma ends with tooth extraction. This happens because the cyst completely destroys the root system and nerve canals. But do not be upset, since in modern dentistry there are many methods that will allow you to quickly restore a lost tooth.

In case of tooth root granuloma, treatment can also be done surgically. In this case, the dentist cuts the gum and cleans the cyst cavity from purulent formations. After this, the patient is given drainage and a course of antibiotics. Antibiotics will kill microbes and relieve inflammation, and drainage will allow all the pus to be removed before the wound heals. Patients with tooth root granuloma experience severe pain, as the pus irritates the nerve endings, which can cause a sharp headache or a sharp tingling in the temples.

Antibiotic treatment

Antibiotic treatment of dental granuloma is a therapeutic treatment. Antibiotics are prescribed by a dentist after examining the patient and conducting basic diagnostic methods. Antibiotics are prescribed to relieve inflammation, speed up the healing process and remove pus.

So, "Lincomycin" is perfect for preventing the inflammatory process. It is not expensive, but quite an effective drug, which is available in several forms, which allows you to choose the best and most convenient treatment option. If limited periodontal inflammation causes severe pain, it is recommended to take non-steroidal anti-inflammatory drugs. Such drugs include "Ketonol", "Nise", "Nemisil" and others. For fast and most importantly effective treatment of tooth granuloma with antibiotics, baths and rinses with dental antiseptics are prescribed. For example, soda baths or with "Chlorhexidine". But do not forget that taking antibiotics on your own is very risky, so entrust this matter to a professional dentist.

Treatment with folk remedies

Treatment of granuloma of the tooth with folk remedies - these are recipes of folk medicine, which have developed over many centuries. Today, there are many methods of treating granuloma of the tooth, but treatment with folk remedies allows you to safely, using natural medicinal plants, cure the disease. Let's look at a couple of recipes for treating granuloma with folk remedies.

1. To prepare this medicine, you need to make an alcohol tincture. For the tincture, take 30 grams of dry propolis and the same amount of dry calamus roots. Pour vodka over the plants and leave for two weeks. After the plants have been infused, the solution must be filtered. Add a spoonful of calamus root tincture to a spoonful of propolis tincture and use as a mouthwash. It is not recommended to rinse your mouth for longer than 3-5 minutes.
2. The second method of treatment with folk remedies is quite extreme, but as those who have encountered a cyst claim, it is very effective. Take a rusty nail and thoroughly prick it over a fire. The heated nail must be dipped into a glass of linden honey. After a couple of minutes, a very specific plaque will form on the nail. Remove the plaque from the nail with a knife. Apply the resulting mass to the inflamed gum with limited inflammation of the periodontium. This recipe effectively relieves swelling that occurs with a tooth granuloma.

Reviews of treatment

Numerous positive reviews of dental granuloma treatment indicate that the disease can be completely treated. It is easiest to treat a cyst in the early stages of development, when it has not yet taken on a pathological character and has not developed into a cyst. Patients who have encountered a granuloma on the root of a tooth say that after treatment they have to seek help from aesthetic dentistry to restore teeth. But everyone agrees that it is easier to prevent a cyst than to cure it. Regular dental check-ups and adherence to basic oral hygiene rules will protect you from dental granuloma.

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Prevention

Prevention of dental granuloma is a set of measures aimed at preventing the disease and maintaining oral health. The first rule of effective prevention of dental granuloma is maintaining oral hygiene. Regular cleaning, rinsing and examination by a dentist will help prevent the occurrence of granuloma.

At the first pain in the teeth, it is necessary to contact the dentist. Since even a filling that is not put in time can cause the development of inflammation, which will ultimately lead to a granuloma of the tooth. Do not forget about the treatment of such dental problems as: caries, periodontitis and pulpitis, since they most often cause the development of granuloma.

Forecast

The prognosis of a tooth granuloma depends on the complexity of the disease, the stage of its development and the treatment used. If the cyst has just appeared, the prognosis is positive. Since it can be cured by therapeutic methods and taking antibiotics. This applies to the appearance of granuloma in young children, whose baby teeth are replaced by permanent ones.

If the granuloma is neglected and has managed to become purulent, the prognosis depends on where the limited periodontal inflammation is located. If the granuloma has developed on the root of the tooth, the prognosis is unfavorable, since the tooth will have to be removed. In some cases, with severe suppuration, the gum is cut, the contents are cleaned out, drainage is installed and a course of antibiotics is prescribed. If the granuloma is not treated, the prognosis is extremely unfavorable and a fatal outcome is possible. The purulent masses contained in the cyst will penetrate under the muscles of the neck and head and can reach the heart, because of this the patient will develop sepsis and die.

Granuloma of the tooth is a very unpleasant disease that can occur in both adults and children. It is treatable and, as a rule, has a positive prognosis. The lack of necessary treatment and chronic dental diseases can cause various pathologies and even death.

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