What is dental flux, how does it develop and is it properly treated? What is dental flux: basic information about causes, signs and treatment What is the correct name for flux in medical diagnosis

What is dental flux and how to properly treat it? The scientific name of the disease is periostitis of the jaw. It is classified according to the cause of occurrence, the nature of development and the degree of damage. Treatment varies depending on these factors. It can be aimed at preserving the tooth, and if it cannot be saved, at removing and cleansing the wound from purulent exudate. Surgical intervention is always supplemented with antiseptic rinses, anti-inflammatory drugs and reparative agents.

Flux is a pathological condition in which the periosteum of the alveolar arch or body of the jaw becomes inflamed. Translated from the German fluss means "flow" or "flow". This is the common name for the disease. Doctors use the term .

Regardless of the causes, periostitis always develops due to the penetration of infection through the tooth cavity or periodontal pocket. Through the top of the root, it penetrates into the bone tissue. Pus, trying to get out, accumulates under the periosteum and forms a cavity on the gum filled with exudate.

The contents of the abscess are represented by aerobic and anaerobic pathogenic microorganisms: staphylococci, streptococci, putrefactive microbes, gram-negative and positive rods.

Flux is an inflammation of the periosteum.

Additional Information! Flux usually develops on the lower jaw. In 1.5 - 2 times less often it occurs on the upper jaw.

Causes and varieties

Periostitis is classified according to several parameters. They differ in the way the disease develops, its course and nature.

Varieties of flux due to the occurrence

Odontogenic periostitis of the jaw. Occurs due to dental diseases. It is called:

1. Chronic pulpitis and periodontitis– up to 73% of all clinical cases. If caries is not treated for a long time, it flows into pulpitis. From the root canals, the infection spreads beyond the apex - into the tissues surrounding the tooth. A cavity with pus is formed, which penetrates into the soft tissues and leads to damage to the periosteum. The second option for the development of periodontitis is incorrect endodontic treatment. When the channels have not been sufficiently sanitized or sealed to the top, over time, an inflammatory process will develop in them.
2. Alveolitis- in 18%. It occurs due to the loss of a blood clot from the hole after tooth extraction. As a result, purulent inflammation develops, which develops into a flux.
3. Recurrent pericoronitis observed in 5% of patients. Accompanied by . Especially often occurs with dystopic (incorrectly located) and semi- and completely impacted (not cut through) units.
4. Periodontitis- about 2%. Infectious gum disease characterized by the formation of deep gums. They accumulate food debris that rot and lead to infection.
5. Granulomas and root cysts– 2%. Cavities with fibrous walls filled with purulent exudate. When growing, they flow into periostitis.

Flux often occurs against the background of untreated dental diseases.

Additional Information! With any dental diseases, hypothermia, stress, and physical overstrain become a kind of "trigger" for the development of flux.

Hematogenous periostitis. It develops when the infection spreads through the bloodstream or lymph nodes. Acute viral diseases lead to it:

• tonsillitis;
• otitis;
• SARS;
• flu;
• measles;
• scarlet fever.

Important! Most often, hematogenous occurs in children.

Traumatic periostitis. Appears when teeth and gums are damaged:

• injuries and chipped crowns;
• jaw fractures;
• surgical intervention - after tooth-preserving operations or complex extraction;
• infection through wounds on the oral mucosa.

Periostitis can develop against the background of an injury.

Forms of periostitis depending on the nature of the course

• Sharp flux. It is characterized by a sudden appearance and a fleeting course. In just a few days, it reaches its peak of development and causes complications: phlegmon, osteomyelitis. The acute form is:
  1. Serous. It affects the periosteum, accompanied by a relatively small accumulation of exudate.
  2. Purulent. In this case, an abscess forms under the periosteum. It often breaks through fistulas on the gum.
• Chronic periostitis. With it, a sluggish course of the disease is noted with changing remissions and relapses. Divided by:
  1. Simple. Young bone tissue is formed, the growth of which can be reversed.
  2. Ossifying. The newly formed tissue quickly grows and ossifies.

Additional Information! In 95% of cases, periostitis occurs in an acute form. And only in 5% - in chronic.

Types of flux according to the degree of distribution

• Limited. Localized in the area of ​​1 - 3 teeth.
• diffuse. Spread over the entire jaw or most of it.

In 95% of cases, periostitis occurs in an acute form.

Symptoms and possible complications

Can be divided into 3 groups:

External. Manifested by swelling of the face:

• with the development of the disease in the region of the upper incisors, the upper lip swells;
• if the region of the upper premolars is affected, the cheeks, cheekbones, and lower eyelids swell;
• when periostitis occurs in the zone of the upper molars, swelling of the parotid-chewing part of the face appears;
• in case of damage to the mobile jaw, the lower lip and chin increase.

Oral. When examining the patient's oral cavity, it is found:

• causative tooth with large areas of destruction - if the periostitis of the jaw has developed as a result of dental diseases or injuries;
• hyperemia of soft tissues and mucous membranes;
• painful compaction on the gum with purulent contents - subperiosteal abscess;
• in some cases - a fistula.

The flux can provoke an increase in body temperature.

Systemic. They are characterized by general intoxication of the body. May appear:

• high temperature - from 38 ° C;
• weakness, fatigue;
• loss of appetite;
• sleep disturbance;
• chills;
• headache;
• inflammation of the lymph nodes.

Additional Information! With flux, pains of a local or diffuse nature are always noted. They can radiate to the ears, temples, back of the head, forehead, neck. It is also difficult for patients to chew food and talk.

If you ignore the pathology, it will lead to:

• - purulent lesions of the facial bones;
• perimaxillary phlegmon - purulent inflammation of the subcutaneous tissue without clear boundaries;
• sepsis - blood poisoning.

The pain cannot be tolerated, you need to go to the clinic as soon as possible.

Diagnostics

The examination of the patient begins with the collection of anamnesis and clinical examination. Already by external signs alone, the doctor can conclude that such a condition is caused by a flux.

A complete diagnosis of periostitis of the jaw necessarily includes an x-ray examination. It is carried out by radiovisiograph, CT, orthopantomograph. The pictures show signs of periodontitis, root cysts, impacted or dystopic teeth. In the chronic form of the pathology, the formation of young bone tissue is noticeable.

Flux must be differentiated from abscess, phlegmon, sinusitis, lymphadenitis, osteomyelitis, periodontitis, sialadenitis.

It is important to differentiate periostitis with other pathologies.

Treatment

How the flux will be treated directly depends on whether it is possible to save the affected tooth. The decision is made after examination. The degree of destruction of the crown and root parts, the patency of the canals, structural changes are taken into account.

Important! The most favorable prognosis for acute serous pathology. The worst is if the patient has developed purulent inflammation.

There are two options for what to do with the flux. Conduct conservative or surgical treatment.

Conservative therapy

Therapeutic measures:

• with a drill, areas affected by caries are cleaned;
• the tooth is depulped or the root canals are unsealed and re-cleaned if endodontic treatment has been performed before;
• the channels are left open so that pus can drain through them;
• perform an incision in the gums, ensure the outflow of exudate through drainage and carry out antiseptic treatment of the wound;
• after a few days, sutures are applied, the canals are sealed and the crown part of the tooth is restored.

Dental manipulations. It is carried out if only the lower third of the root is affected, there is a crown on the unit or. First, an incision is made in the gum and a drain is placed. After the discharge of pus and the removal of acute inflammation (usually after 2-3 weeks), the root apex is resected.

Additional Information! When the disease has arisen due to periodontitis, therapy consists only in surgical and periodontal methods. Usually there is no need to treat the teeth.

Surgery

They decide to remove the tooth if it cannot perform its functions. Dairy or strongly destroyed permanent units are subjected to extraction.

Surgical treatment is carried out in several stages:

• anesthetize the operated area with infiltration or conduction anesthesia;
• the affected tooth is removed;
• immediately after extirpation, the gum is incised, the periosteal flap is peeled off;
• carry out periostotomy - dissection of the periosteum and exfoliation of the abscess;
• treat the cavity with antiseptics;
• install drainage - so the edges of the wound will not grow together, and the pus will be able to come out;
• after a few days, sutures are applied and the necessary medications are prescribed.

A drain is placed in the wound to drain the pus.

Recovery period

After the main treatment of the flux, you must do:

1. Mouth baths. Most often, a solution of soda and salt with two drops of iodine or chlorhexidine is recommended. Rinsing is carried out every 2 hours for 30 - 60 seconds.
2. Take antibiotics. Dentists prefer "Lincomycin", as it has many releasing forms (tablets, injections, suspensions) and it is able to accumulate in the periosteum. They can also prescribe "Amoxiclav", "Cifran", "Ampioks", "Doxycycline".
3. Lubricate the affected area with wound healing gels. Metrogil Denta, Levomekol, Levometil are best suited.
4. Drink anti-inflammatory drugs: Nimesil, Nise, Affida Fort, Ibuprofen, Ketonal.

Important! The exact dosage and course of treatment with medications is determined by the doctor. Self-medication can lead to relapses or complications.

The most critical are the first 3 days after the operation. Initially, the swelling may increase slightly. But it should start to subside in the first 12 hours. If this does not happen, or there is an increase in the flux, you should immediately contact the clinic.

After the operation, the patient is prescribed medication.

During the rehabilitation period it is forbidden:

• warm the affected area;
• eat hot, cold, hard, sour, spicy, spicy foods;
• start or stop taking medications, especially antibiotics, on their own;
• sleep on the affected side - it is best to rest half-sitting or resting your head on a high pillow;
• drinking aspirin - it provokes bleeding.

Prevention

There is no specific flux prevention. Preventive measures include:

• thorough oral hygiene - you need to brush your teeth at least twice a day with a brush and floss, then apply;
• timely treatment of diseases of the teeth and gums;
• preventive examinations and professional cleaning every six months;
• inclusion in the diet of solid vegetables, fruits - they "train" the teeth and gums, strengthen them.

Periostitis is a disease of the jaw in which an abscess forms in the subperiosteal zone. It is accompanied by pain, swelling of the face, hyperemia of the oral mucosa, general intoxication. The method of treatment depends on whether it is possible to save the tooth. Conduct conservative therapy or surgery followed by medication.

If a toothache constantly begins to bother and increases when chewing food, or when there is strong pressure on the tooth, and then the mucous membrane swells, the cheek swells from the side where the tooth hurts - this is the flux or in another way - odontogenic periostitis.

Dental flux is a complicated type of caries, which is the result of a person’s inattentive attitude to the state of dental health and not visiting a doctor. This is a rather serious disease, and it is very difficult to treat it at some stages.

At home, getting rid of the flux is difficult, can only shrink the tumor. If you self-medicate, then you can come to a severe complication of a purulent infection. Therefore, at the first signs of gum disease, you should immediately consult a dentist.

Spicy passes with high fever and severe soreness in the jaw. Painful sensations can be given to the neck, as it is most often pulsating. Also, a characteristic sign of a flux can be: the state of health will deteriorate sharply, a feverish condition, aching headache and swelling of the cheek will appear.

For chronic flux acute pain subsides and becomes aching. The temperature can rise no higher than 38.5 degrees. Swelling of the cheek can increase up to the temple, or, conversely, descend, capturing the neck area. Very often, a sick person may experience discomfort when swallowing or when talking.

Symptoms

Suppuration usually occurs in case of any infection, which can develop in such situations:

1. Advanced form of tooth root caries (pulpitis).
2. With inflammation of the gum pocket - this is a depression between the gum and the tooth.
3. During treatment, an infection was introduced.
4. The root canals were not completely sealed.
5. The presence of infectious diseases in the body - tonsillitis, furunculosis and others.

For any injury or injury.

What to treat?

Odontogenic periostitis is a serious disease and requires timely diagnosis and treatment, otherwise the consequences can be disastrous. If action is not taken in time, then you can get blood poisoning, which will lead to death.

Treatment also depends on the form of inflammation, the location of the tooth and the localization of the flux.

antibiotics, including antibacterial drugs with anti-inflammatory action. Taking antibiotics, according to doctors with flux, is mandatory. It is they who will stop the purulent process in the body and will not allow the infection to spread further.

Apply treatment with ointments, rinses, lotions and compresses. To rinse your mouth, the doctor prescribes a medicine - chlorhexidine, which destroys almost all types of bacteria and has anti-inflammatory properties. You need to rinse three to four times a day, you can use it for adults and children. You can get rid of the abscess with Stomatofit ointment, and with a mixture of streptocid and ichthyol ointment - from the tumor that has formed near the tooth.

There are also surgical methods to get rid of this ailment. Many doctors advise using some of them, but only after visiting the dentist. If you have made an incision, then you should not drink aspirin, as this can cause bleeding.

If pus penetrates through the muscles of the face to the neck, and then goes down to the internal organs, then phlegmon may develop- diffuse purulent inflammation. This can be a serious illness and deadly.

1. At the initial stage of the disease, when there is no suppuration.
2. When the inflammatory process subsides.
3. When antibacterial drugs are taken together.
4. With a decrease in pain, when the disease passes without complications.
5. When the chronic form of tooth flux.

How to avoid illness

The most important prevention of this disease is treat teeth on time. And first of all, it is necessary to treat diseased teeth to the end. In order not to start caries, you need to visit the dentist twice a year to conduct a preventive examination. It is also necessary to avoid hypothermia of the whole organism so that no inflammatory processes occur. Strengthen the immune system and daily monitor the cleanliness of the oral cavity.

A few examples of dental flux

Flux is a common dental disease that causes a lot of trouble. Often, odontogenic periostitis, as doctors also call the disease, leads to serious complications, so it cannot be ignored. Read more about the symptoms of flux will be discussed in this article.

Flux - symptoms

As practice shows, the flux appears in those people who do not devote enough time to caring for the oral cavity. But there are also other causal factors:

• mechanical damage to the gums, teeth or jaw of the patient. May occur as a result of bruises or injuries;
• consequences of surgery. For example, odontogenic periostitis may appear after a recent tooth extraction;
• flux often appears as a complication of some other disease;
• infection in the body the patient through small wounds or ulcers formed on the oral mucosa;
• untreated pulpitis or caries. If the patient ignores these pathologies, then over time they can turn into a more serious disease, such as flux.

Often, an infection can occur inside the soft tissues of the patient's gums, with which his immune system is unable to cope. This leads to the development of flux. The human body begins to fight the infection by sending leukocytes to the lesions in the blood. As a result, leukocytes die, and pus begins to accumulate in this place.

On a note! The resulting swelling can go away on its own over time, so the patient is in no hurry to see a doctor. Because of the relief of the symptoms, he thinks that the disease has passed, but it is not. In the affected area, pus multiplies, which causes the periosteum to become infected.

If the flux appeared in a child, then the doctor prescribes medication to avoid surgical intervention. Often, pathology affects milk teeth. In such cases, they must be removed. Flux is a very dangerous disease that often leads to various complications, therefore, at the slightest suspicion of a disease, you should consult a doctor in a timely manner.

The main features of the flux

When patients go to the dentist with symptoms of flux, they do not understand where this disease could come from, because, in their opinion, there were no prerequisites. But, as everyone knows, there is no smoke without fire, and therefore a flux cannot appear without characteristic symptoms.

The clinical picture of periostitis looks something like this:

• pain while eating. As a rule, the pain is initially insignificant, but increases over time;
• the affected area is red and swollen. Untimely treatment can lead to the fact that a minor tumor on the patient's gum turns into an abscess;
• the patient's cheek is very swollen. Also, this phenomenon can affect the chin and even lips;
• temperature rise;
• throbbing pain, which can be given in the ears or temples.

Ignoring these symptoms will not lead to anything good. As a rule, the lack of treatment can provoke the development of an inflammatory process in the oral cavity, which will lead to the appearance of phlegmon. To avoid unpleasant consequences, such as blockage of the airways or problems with swallowing food, you should consult a dentist at the first signs of symptoms.

Diagnostics

As noted earlier, the dentist should deal with the diagnosis of periostitis. Only he is able to prescribe the optimal treatment by conducting a series of medical studies. In rare cases, the doctor directs the patient for an X-ray examination. To make a correct diagnosis, it is necessary to determine the stage of development of the inflammatory process in the patient's gum tissue. This may require special laboratory tests.

Methods of treatment

Without the help of a qualified specialist, it is almost impossible to cure the flux quickly. The doctor must prescribe the appropriate method of therapy, after which the patient can continue the treatment at home. With flux, an integrated approach is most effective, including taking antibiotics and anti-inflammatory drugs. In parallel with this, some doctors may recommend folk remedies in the form of rinses. Let's consider each of these methods separately.

Pharmacy funds

An excellent antiseptic used in flux is chlorophyllin solution. Regular rinsing of the mouth with this solution, diluted with water, will help eliminate pain and relieve the inflammatory process. For this purpose, you can also use Hepilor and Vinilin, but before use, be sure to read the instructions. Often, doctors with a flux prescribe drugs such as Hexoral or Furacilin.

Important! You can also treat flux at home, but in this case, all the recommendations of the attending physician should be taken into account. Only a dentist can soberly assess the patient's condition and prescribe appropriate treatment. Due to the possible complications of flux, self-medication is not the best option.

ethnoscience

Traditional medicine is excellent for flux as first aid or additional therapy. There are many traditional medicine recipes with which you can alleviate the symptoms of periostitis and completely cure it. Below are the most effective traditional medicine.

Table. The use of folk remedies for flux.

Possible Complications

Incorrect or untimely treatment of the flux can lead to serious complications, the most common of which doctors include abscess and osteomyelitis. These pathologies result from the spread of infection to hard and soft tissues. General blood poisoning or sepsis is perhaps the most dangerous complication of flux, which can be fatal.

To avoid all these phenomena, you need to take care of your health, so at the first suspicion of a flux, be sure to visit the dentist's office. Pathology detected at an early stage of development is easier to treat.

Prevention measures

A feature of the prevention of periostitis is the observance of the rules of oral hygiene. Since the disease most often develops in the presence of advanced caries, all efforts must be made to prevent it. To do this, brush your teeth at least twice a day, allocating 2-3 minutes for each procedure. You also need to periodically change your toothpaste and brush. Do not be afraid to use dental floss - this is the only way to clean the interdental spaces from food debris.

In order to prevent flux and other dental diseases, it is necessary to visit the dentist's office periodically. Do this even when you have no problems with your teeth or mouth. Such visits will allow you to identify possible diseases at an early stage of development, so that the risk of serious complications will be significantly reduced. Eating enough fresh vegetables and fruits will also help avoid many health problems. The same applies to quitting smoking, which negatively affects the condition of the teeth and gums. read on our website.

Video - What is a flux and why is it terrible

Content

If a person's cheek swells, a tumor appears in the area of ​​\u200b\u200bthe mucous membrane, this may indicate a flux. It is accompanied by severe pain, can be complicated by purulent contents, grow and affect the nerves. Find out how to treat flux, what is included in first aid when it occurs, what medications are useful in treating the disease.

What is flux

Periostitis, known to the general population under the name flux, is an inflammatory process in the periosteum of the jawbone. The disease develops as a result of infection from the periapical region and the root canal. Because of this, there is an increase in the thickness of the jaw in the area of ​​the problem tooth and swelling of the cheek develops with damage to the cavity of the tooth.

The cause of the disease is advanced caries. Pathogenic carious microflora gradually penetrates into the pulp chamber and affects the tissues around the root. Periostitis of odontogenic etiology is mainly caused by streptococci, pyogenic bacilli, staphylococci and pathogenic rod species. If the infectious focus of the wound develops in the periodontal tissues, then the pathogens begin to seep into the periosteal zone through the intraosseous channels and provoke an abscess (destruction and inflammation).

Flux treatment

Since the process is associated with intramaxillary inflammation, it is impossible to rely only on folk remedies: this can lead to serious complications. At an early stage, after contacting a doctor, a course of antibiotics is enough. To treat the advanced purulent form of the flux, professional medical intervention is necessary, which will neutralize the cause of the purulent-inflammatory process. It consists in the surgical opening of the abscess and the release of the contents to the outside. Next, you need to combine medication with oral hygiene procedures.

Treatment at home

You should know that it is impossible to heat such a formation, as this will provoke a spill of pus. Tight bandaging in self-treatment is prohibited, because it can aggravate the purulent process. In cases where it has not come to the formation of a purulent form of flux, it is permissible to treat the disease with folk methods that will alleviate suffering and help prevent the development of negative symptoms:

1. To reduce swelling and hyperthermia from the flux, you must use an ice compress. To do this, wrap a piece of ice in a towel and apply a compress to the swelling. Lotions with onion juice help to treat a tumor well. Onions need to be chopped with a meat grinder or grater, squeeze out the pulp. Soak a cotton swab with the resulting juice, apply to the affected area for 15 minutes.
2. Effective in the fight against flux black radish juice. It will help eliminate the pain and will pull the pus out. It is necessary to grind the radish fruit and squeeze out the juice, in which to moisten cotton wool or a piece of gauze, and then apply the lotion to the cheek. Repeat the procedure several times with a frequency of 15 minutes. For the third or fourth time, the swelling decreases, and pus sometimes begins to come out.
3. To get rid of swelling, pain and inflammation, you need to use the following recipe. In a small bowl, mix a pinch of salt and peppers, add a teaspoon of sugar and 6 drops of vinegar. Dilute the resulting mixture with one tablespoon of water. Next, pour the contents into a tin bowl, heat and cook until foam forms. The resulting liquid is used for lotions and perfectly eliminates the symptoms of flux.

These folk recipes are effective only in two cases. The first - if the process has just begun and the inflammation is insignificant, it can be treated. The second case - if the operation to remove the purulent formation has passed, home compresses and lotions will help to significantly speed up recovery. But getting rid of a serious flux with rinses or compresses is unlikely to succeed.

How to rinse your mouth

An important part of the treatment of the flux is the correct mode of rinsing the mouth, which allows you to wash out the pathogenic microflora, helps regeneration processes. For rinsing, it is recommended to use herbs such as mustard, St. John's wort, angelica, peppermint, lilac and periwinkle. To treat the flux, it is also recommended to use the following remedies:

1. Soda: has an anti-inflammatory effect and accelerates the breakthrough of the abscess. A teaspoon of soda dissolves in a glass of warm water. Rinsing is applied 4-5 times/day.
2. Miramistin: a pharmaceutical product that does not require additional preparation. Rinsing occurs with a means in a volume of 15 ml. Repeat 2-3 times/day.
3. Propolis: pharmaceutical alcohol infusion. Diluted with water 1 to 10. Rinse 2-3 times / day after meals.
4. St. John's wort, sage, oak bark: relieve inflammation, suppress pathogenic microflora. Dried plants are poured into a thermos, filled with boiling water, after which the contents are infused for one hour. Next, the mass is filtered, placed on the tooth.
5. Birch buds, calendula, chamomile, burdock: mix in equal proportions with a total weight of 50 g and pour a liter of water. Boil and leave for half an hour, then rinse with a strong decoction three times / day.

soda treatment

Baking soda is great for reducing inflammation with flux. It can treat diseases only at the initial stage or after the operation:

1. Dissolve half a teaspoon of salt and soda in a glass of warm water, rinse your mouth every half hour.
2. Add a drop of iodine to the previous solution of soda and salt and rinse 2-3 times a day, this will relieve the inflammatory process.

Compresses

Lotions and compresses have an analgesic effect, do not allow the chronic inflammatory process to spread, and kill pathogens in the bump. Popular recipes:

1. With dimexide - for 20 ml of the drug, take 80 ml of warm water. Moisten a sterile napkin with liquid, apply on the cheek, hold for 1-2 hours. Repeat twice a day.
2. With sea salt - dissolve 2-3 teaspoons of salt in half a glass of warm water, moisten a cotton swab, put it between the sore gum and cheek. Change every 2 hours to a new salt compress.

Medications

First aid for flux at home is to use mouth rinses. They can also be used to get rid of postoperative edema and accelerate the process of exiting purulent exudate. If the cheek is swollen strongly, then you need to visit a dentist as soon as possible in order to prevent the development of complications and the spread of a purulent infection. Methods to help remove the tumor:

• apply cold lotions to the tumor;
• you can not warm the problem area, apply a bandage;
• give up excessive physical activity.

Drug therapy consists in the use of antibiotics, special ointments and antiseptics for rinsing the mouth. Antibacterial therapy is aimed at destroying pathogenic microbes, drugs do not allow pus to form, and prevent the infection from penetrating deeper. At an early stage of flux development, antimicrobial agents suppress the inflammatory process, do not bring it to the intervention of a surgeon:

1. After surgery, antibiotics will help reduce inflammation and prevent recurrence. Medicines are selected taking into account the individual characteristics of the patient. Ideally, the patient takes a smear for microflora analysis, doctors determine the sensitivity of bacteria and prescribe treatment. If there is no time for this, broad-spectrum antibiotics are used - Ceftriaxone, Amoxiclav, Tsifran, Ampiox, Lincomycin.
2. To prevent antibiotic therapy from harming the liver, it is worth taking a course of probiotics at the same time to restore healthy intestinal microflora. Solutions of Chlorophyllipt, Vinylin, Hexoral and Hepilor are suitable as antiseptic rinses. In the absence of such, crushed Furacilin tablets can be dissolved (half in a glass of water). External treatment consists in applying Vishnevsky or Levomekol ointment to the gum. These funds disinfect the mucous membrane and prevent inflammation in the mouth and throat.
3. Additionally, it is good to use sprays for sore throats or inflammatory diseases of the upper respiratory tract. Tantum Verde, Ingalipt, Geksoral will help with pain. With severe pain, it is better to use Metrogyl Denta and Kalgel ointments. They are also suitable for use by children. In parallel, creams reduce the sensitivity of the mucosa. Ichthyol ointment is used for purulent abscess, softens tissues and has antiseptic properties, helping to speed up the release of exudate.
4. If the disease is accompanied by fever, it can be treated with non-steroidal anti-inflammatory drugs, for example, Nimesil with flux reduces the temperature and relieves pain. With severe pain, you can use painkillers - Analgin, Ketonal, antihistamines - Suprastin, Zirtek to relieve swelling. All medications are effective in the first stages of the disease, then only surgery is required.

Flux treatment at home with antibiotics

To treat flux, you need an integrated approach. Popular means of therapy are broad-spectrum antibiotics:

1. Amoxicillin - capsules, tablets and granules for the preparation of a solution. They contain amoxicillin, which is part of the group of semi-synthetic penicillins. Contraindications for use are infectious mononucleosis and hypersensitivity to the components. Dosage: 500 mg three times a day with intervals of 8 hours between doses. The course lasts 5-12 days.
2. Lincomycin - capsules and injection solution based on the component of the same name. They have an antibacterial effect, in high doses - a bactericidal effect. Contraindications: hypersensitivity, pregnancy, lactation, age up to 3 years, liver or kidney failure. Directions for use: 1-2 hours before or within 2-3 hours after meals 2-3 times a day. Adult dose - 500 mg, children - 30-60 mg / kg of body weight. The course lasts 7-14 days.
3. Ciprofloxacin - an antimicrobial agent from the group of fluoroquinolones, contains ciprofloxacin. Contraindications of tablets: hypersensitivity, renal or hepatic insufficiency, past tendonitis, age up to 12 years, pregnancy, breastfeeding. Reception rules: 200-500 mg twice a day for a course of 7-14 days.
4. Ampiox is a combination drug containing ampicillin and oxacillin. Admission rules: dosage 500-1000 mg for adults in 4-6 doses. The course of treatment lasts 5-14 days. Contraindications: toxic-allergic reactions to penicillin preparations in history.
5. Amoxiclav - tablets contain two components: amoxicillin and clavulanic acid. It belongs to the group of penicillins. Treatment: 1 tablet every 8 hours for a course of 5-14 days. Contraindications: cholestatic jaundice, infectious mononucleosis, lymphocytic leukemia, hypersensitivity to components.
6. Doxycycline - capsules based on the substance of the same name. Method of application: 200 mg on the first day, 2 doses, then 100 mg / day. The course of treatment lasts 5 days. Contraindications: lactase deficiency, intolerance to lactose or its components, porphyria, leukopenia, age up to 12 years, weight up to 45 kg.
7. Biseptol is a sulfanilamide drug. Capsules are taken at 960 g twice a day for a course of 5-14 days. The longer the treatment lasts, the lower the dose. Contraindications: impaired function of the kidneys, liver, hematopoiesis, pregnancy, deficiency of glucose-6-phosphate dehydrogenase, age up to 1.5 months.

Ointment

Creams, ointments and liniments are used to relieve swelling, swelling of soft tissues, improve the excretion of pus. To treat periostitis and reduce signs of inflammation of the periosteum can:

1. Levomekol with flux - contains chloramphenicol and methyluracil, which have antimicrobial properties. Apply to the problem area with sterile wipes several times a day. Contraindications: hypersensitivity to components.
2. Ointment Vishnevsky - contains castor oil, tar and xeroform. It is applied to a sterile cotton or gauze swab, applied to the affected area for 20-30 minutes. Contraindications: hypersensitivity.
3. Metrogyl Denta with flux is a specialized dental gel containing metronidazole benzoate and chlorhexidine digluconate. Apply after meals twice a day with a cotton swab. After you can not eat and drink for half an hour, does not require rinsing. The course of treatment is 7-10 days. Contraindications: age up to 6 years, hypersensitivity to the components.
4. A mixture of ichthyol with streptocid ointment - helps relieve swelling and redness of the gums. Repeat the procedure several times / day until recovery.

Flux opening

If the flux starts, it will have to be treated by opening the gums. The operation is performed by a doctor under local anesthesia. Before going to the doctor, you should not take painkillers, because they can complicate the diagnostic process. Stages of the operation to open the tumor:

1. Examination, diagnosis, local anesthesia with Lidocaine or Novocaine.
2. Antiseptic treatment (Miramistin).
3. An incision next to the flux, releasing pus. If necessary, incision of the bone tissue.
4. Antiseptic treatment.
5. Drainage to accelerate the outflow of pus if necessary.
6. Antiseptic treatment.
7. With a large incision, sutures are applied. With small - the gum heals itself, tightens in a few days.
8. With a large flux and extensive damage to the bone tissue, a tooth is extracted.
9. Prescription of antibiotics and antiseptic rinses.
10. The healing period lasts several days, they may be accompanied by mild inflammation and soreness.

Folk remedies

If the tumor is small, there is no pus on it, then it is possible to treat the flux on the gum with folk remedies. They include the use of medicinal plants and their combinations. Most methods are suitable for use by young children and pregnant women - for whom many medications are contraindicated. Rinses, lotions, decoctions and herbal infusions are popular. Helpful Recipes:

1. Similarly, decoctions of mustard plaster, St. John's wort, oak bark, elderberry, chamomile, lemon balm, rue are used as rinses. Take a tablespoon of vegetable raw materials per glass of water, rinse your mouth up to 10 times a day.
2. Prepared infusions can be used in the form of compresses. To do this, fold gauze in several layers, soak in liquid and apply to the edema site for 10-15 minutes. Repeat every 2 hours.
3. Boil a clean dense leaf of white cabbage in water for 2-3 minutes until soft. Cool, apply to cheek for 10 minutes.
4. Squeeze the juice from one onion, moisten a piece of bandage, apply a compress for 0.5–1 hour.
5. Mix one chicken egg with a spoonful of sugar, vegetable oil, moisten a gauze swab with the mixture, keep it on the flux for up to 20 minutes.
6. Antibacterial ointment - heat a piece of iron wire or a rusty nail over a fire, place it in fresh honey on a saucer. You will get a black mass that has antiseptic properties. Apply it to the site of inflammation several times / day, do not swallow.

Sage

The flowers and leaves of the sage herb have anti-inflammatory properties. A few recipes for using the plant:

1. Brew 2 tablespoons of sage herb and a tablespoon of mustard herb with 1.5 cups of boiling water, cool, strain. Rinse your mouth with the resulting infusion every 2 hours.
2. Combine 50 g of sage herb, oak bark, St. John's wort, pour a liter of boiling water, cool, strain. Use the rinse mixture every 1.5 hours.
3. Mix 60 g of sage herb with an equal amount of leaf green tea, brew with a liter of boiling water. Wait until the mixture becomes warm, use for rinsing.

Garlic

Garlic is also famous for its antibacterial properties. Fresh spice helps treat the flux. Use recipes:

1. Grind a few cloves of garlic, squeeze out the juice, mix in equal proportions with honey. Soak a cotton swab in the resulting substance, apply to the sore spot for 10 minutes.
2. Crush a clove of garlic, wrap in gauze, apply a compress to the tumor for 20 minutes.

Tincture of calendula

Marigold or calendula have anti-inflammatory properties. Traditional medicine suggests using an alcohol tincture of plant flowers:

1. Dilute a teaspoon of alcohol tincture in a glass of water, use as a mouth rinse every 2 hours or as a compress applied for 10-15 minutes to the tumor.
2. An ointment based on dried flowers of the plant will help cure purulent flux. Mix the flower powder with fresh unsalted butter in a ratio of 1:5, soak a cotton swab with the mixture. Put it on the sore spot, leave it overnight. Rinse your mouth in the morning.

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Periostitis is considered one of the most common dental pathologies, characterized by severe pain and swelling - a photo of the flux can be seen in our article. The disease requires immediate treatment, since the purulent-infectious process can spread to other tissues, which is fraught with dangerous complications.

Flux is characterized by severe pain

What causes flux

Flux (periostitis)- an inflammatory process in the periosteum, the disease develops due to an inattentive attitude to the health of the teeth. With the penetration of pathogenic microorganisms into the carious cavity, pulpitis develops - the disease is accompanied by severe pain, but gradually the pulp dies off, discomfort disappears. But the inflammatory process takes on a chronic form, microbes penetrate deeper, pus begins to accumulate around the root, which causes the formation of a bump.

Causes of pathology:

• caries, gingivitis;
• injuries of the oral mucosa;
• inflammation of the gum canal;
• tonsillitis, furunculosis, other chronic or extensive infectious diseases;
• inadequate secretion of saliva.

Caries can cause flux

Pathogenic microorganisms can penetrate tissues during injection of anesthesia during tooth extraction, filling installation, after canal filling.

Sometimes an acute inflammatory process develops during severe eruption of wisdom teeth in people after 30 years of age.

Symptoms and first signs of flux

The main symptom of periostitis is toothache, which intensifies during meals, can cover the entire jaw, give to various parts of the head and face. What an inflamed gum looks like with periostitis can be seen in the photo.

swollen cheek from flux

Lump on the gum

Inflamed gum from flux

How dental flux manifests itself:

• if the inflammation covers the upper jaw, there is a strong swelling of the cheeks, lips, eyelids;
• if the diseased tooth is in the lower jaw - the tumor is observed in the chin area, the lymph nodes increase in size, become painful;
• a bump appears on the gum near the focus of inflammation;
• an increase in temperature to 38 or more degrees;
• it is painful and difficult for a person to open his mouth;
• weakness, general deterioration of well-being.

In the chronic form of the pathology, pain may be absent, but the inflammatory process continues to progress, there is a thickening of the bone under the damaged tooth.

In middle-aged people, the symptoms of flux are more pronounced than in children and the elderly.

Which doctor should I contact?

With the appearance of signs of periosteum, inflammation of the gums, it is necessary, with advanced forms of pathology, it will be required.

Diagnostics

The flux has a vivid clinical picture, so the doctor can make an initial diagnosis after an external examination. But in order to establish the severity of the pathology, a general blood test, x-rays are prescribed.

X-ray of the teeth helps to determine the extent of the disease

What to do with periostitis at home?

The treatment regimen for pathology depends on the severity of the disease, the general condition of the person. At home, you can provide first aid, traditional medicine helps to eliminate the manifestations of inflammation, but only a dentist can conduct a full-fledged therapy.

First aid

The best thing to do when manifestations of flux appear is to consult a doctor, but for some reason it is impossible to do this, some simple manipulations will help relieve pain.

How to deal with pain with flux:

1. To remove the swelling, it is necessary to apply ice or a cold compress to the outer area of ​​the swollen cheek, a cabbage leaf helps well.
2. Analgin, Ketanov, lubricate the inflamed gum with Vishnevsky ointment, attach a fresh aloe leaf to the gum.
3. To wash out the pus, you need to rinse your mouth with a solution of soda and salt, decoctions of medicinal herbs.
4. Pour soda between two layers of gauze, apply to the affected tooth, you can keep such a compress all night.

A solution of soda and salt will help flush out the pus

Drug treatment

To cope with pain, eliminate pain, other signs of inflammation with flux will help medications in the form of tablets and external agents.

How to treat periostitis:

• anti-inflammatory drugs - Nimesil, Ibuprofen, help reduce the intensity of pain, eliminate fever;
• antibiotics - Ampioks, Tsifran, Amoxiclav;
• antihistamines - Diazolin, eliminate puffiness;
• external agents - Metrogil denta gel, Cholisal, Levomekol, have anti-inflammatory, antimicrobial, analgesic effects.

You can take antibacterial drugs only after consulting a dentist.

Rinsing with a solution of calendula tincture and water helps to get rid of the flux.

Surgical methods

To remove pus, it is necessary to open the abscess - the contents come out, but drainage is used for better outflow. All manipulations are carried out under local anesthesia, at the same time the doctor can eliminate the affected roots or teeth.

Stages of the operation:

1. The introduction of anesthesia.
2. Near the diseased tooth, the doctor cuts the gum, if necessary, and bone tissue.
3. Pus is removed, treated with antiseptics.
4. Drainage is installed in the form of a rubber tube - this is done so that the tissues do not overgrow prematurely.
5. Prescribe medication.
6. When the pus completely disappears, the drainage is removed.
7. If the gum does not heal on its own, the wound is sutured.
8. A damaged tooth is treated or removed.

The process of cutting the gums and collecting pus

2 hours before visiting the doctor, you need to refrain from taking painkillers. After tooth extraction, you should not drink medicines based on acetylsalicylic acid, as they thin the blood.

Flux in a child

Flux most often occurs in children aged 5–6 years, the main reason is weakened immunity, improper care of the oral cavity. The abuse of sweets, carbonated drinks, a hereditary factor can provoke the development of the disease.

The inflammatory process is accompanied by acute toothache, swelling of soft tissues, pain that radiates to the temporal region, bad breath, the child becomes capricious, eats badly and drinks. Unlike adults, the temperature in children rarely rises, but if a fever appears, this is a sign that the infection has entered the blood, immediate medical attention is required.

It is strictly forbidden to treat the flux in a child with folk remedies, if an attack occurs in the evening, it is necessary to prepare a rinse solution from 200 ml of boiling water and 5 g of chamomile, sage.

It is strictly forbidden to open the abscess on your own, give the child antibiotics and analgesics to reduce pain, you can lubricate the inflamed gums with Metrogyl Dent, treat the oral cavity with Chlorhexidine, Furacilin, Betadine.

The treatment of flux in children and adults is the same, only dentists do their best to save milk teeth, because they believe that after their removal, problems may arise in the development of permanent teeth. In chronic periostitis, children are often prescribed physiotherapeutic procedures - electrophoresis, ultrasound, laser treatment, these methods help to remove edema, speed up the process of outflow of pus, and restore bone tissue.

Flux during pregnancy

Flux often develops in pregnant women against the background of weakened immunity, even a minor infectious disease can cause a purulent process, so doctors recommend that you definitely visit a dentist at the conception planning stage.

The clinical picture in pregnant women has a pronounced character - the temperature rises to 39 degrees, there are signs of severe intoxication, the lymph nodes become inflamed, the pain is sharp, constant.

Flux during pregnancy causes a strong increase in temperature

During the diagnosis, X-ray is contraindicated only in the first trimester; in the later stages, the procedure can be carried out, only the stomach should be covered with a protective apron. A safer, but less informative method of examination is visiography.

Flux treatment in pregnant women can only be carried out by a doctor, since expectant mothers cannot take antibiotics and many other drugs. Most often, to eliminate signs of inflammation, the dentist prescribes vitamins, physiotherapy. The opening of the abscess, the extraction of the tooth is carried out under anesthesia, so the woman should definitely inform the dentist about her situation so that he can choose a safe remedy, all these procedures can be carried out only at a later date.

Flux during pregnancy is considered a dangerous disease, because it has a teratogenic effect on the fetus.

Why is flux dangerous?

If the bag of pus opens on its own, the infection can penetrate into the maxillary sinuses, the membrane of the brain, the heart muscle, which is fraught with severe, sometimes fatal complications.

Flux effects:

• abscess;
• jaw osteomyelitis - the infection spreads to the bone tissue, the disease often affects the lower jaw;
• phlegmon - gets into the muscles of the face, descends into the tissues of the neck, sticks into the internal organs, the pathology poses a threat to human life;
• blood poisoning.

Flux is fraught with the development of jaw osteomyelitis

To avoid complications, it is necessary to take timely measures to eliminate the flux. During treatment, follow all the recommendations of the doctor, do not interrupt therapy on your own, even if the signs of the disease have disappeared.

How to prevent flux

Flux prevention is to prevent, timely treatment of caries - the main cause of periostitis.

How to avoid tooth flux:

• brush your teeth in the morning and evening;
• after each meal, rinse your mouth with special solutions or warm water;
• choose a toothbrush of medium hardness;
• regularly use pastes that contain fluorine, extracts of medicinal plants;
• get rid of tartar in a timely manner;
• eat more fresh vegetables and fruits, limit the intake of sweets.

Brush your teeth in the morning and evening

Question answer

Can flux pass on its own?

Periostitis is a serious infectious disease, it cannot pass on its own, pus needs a way out. Often after taking analgesics, anti-inflammatory drugs, pain, swelling disappears, but this is only a sign that the pathology has passed into the chronic stage.

Flux - how many days pass?

The duration of therapy depends on the severity of the pathology, on average it is 1-4 weeks.

Can flux be heated?

Warming up, warming compresses with flux is absolutely impossible to do - under the influence of heat, pathogenic microorganisms will begin to actively multiply, which will only aggravate the course of the disease.

Do not heat up with flux

Can you pierce flux with a needle?

No, you cannot open the flux yourself. Even if the pus leaks out, you still need to thoroughly clean the gums, examine the roots, cure or remove the damaged tooth. When piercing a bump at home, there is a high probability of infection in the wound, which can cause serious complications.

Can you brush your teeth with flux?

Hygienic procedures for periostitis are not contraindicated, only you need to use a brush with soft bristles, carefully clean the area around the diseased tooth so as not to injure the tissues. If the pain is very severe, instead of brushing your teeth, you can rinse your mouth with special cleaning solutions.

When fluxing, choose a toothbrush with soft bristles

Flux alcohol

During the treatment of the flux, drinking alcohol, using alcohol tinctures for compresses is contraindicated - ethanol accelerates the blood circulation process, which can provoke the rapid development of infection. Alcoholic drinks cannot be combined with antibiotics - such a combination is extremely dangerous for the liver, the state of the whole organism as a whole.

Don't Drink Alcohol While Fluxing

Flux is a dangerous purulent-infectious disease that occurs due to neglect of one's own health. Medicinal and folk remedies will help to cope with pain in the initial stage of the development of pathology, but without the intervention of a dentist, it will not be possible to get rid of the disease.