A purulent sac formed on the gum. An abscess on the gums: treatment at home, features and recommendations of specialists. Treatment in dentistry

FAQ

First of all, one that does not hurt the gums during use. At the same time, the quality of hygiene oral cavity depends more on whether the teeth are brushed correctly than on the shape or type of toothbrush. Concerning electric brushes, then for ignorant people they are a more preferable option; although you can brush your teeth with a simple (manual) brush. In addition, a toothbrush alone is often not enough - flosses (special dental floss) should be used to clean between the teeth.

Rinses are optional hygiene products which effectively clean the entire oral cavity from harmful bacteria. All these tools can be divided into two large groups– treatment-and-prophylactic and hygienic.

The latter include rinsing agents that eliminate bad smell and promote fresh breath.

As for therapeutic and prophylactic, these include rinses that have anti-plaque / anti-inflammatory / anti-carious effects and help reduce the sensitivity of hard dental tissues. This is achieved due to the presence of different kind biologically active components. Therefore, the rinse aid must be selected for each specific person on an individual basis, as well as toothpaste. And since the product is not washed off with water, it only fixes the effect. active components pastes.

Such cleaning is completely safe for dental tissues and less injures the soft tissues of the oral cavity. The point is that in dental clinics a special level of ultrasonic vibrations is selected, which affects the density of the stone, disrupts its structure and separates it from the enamel. In addition, in places where tissues are treated with an ultrasonic scaler (this is the name of the device for cleaning teeth), a special cavitation effect occurs (after all, oxygen molecules are released from water droplets, which enter the treatment zone and cool the tip of the instrument). Cell membranes pathogenic microorganisms are torn apart by these molecules, causing microbes to die.

It turns out that ultrasonic cleaning has a complex effect (provided that really high-quality equipment is used) both on the stone and on the microflora as a whole, cleaning it. Oh oh mechanical cleaning you won't say it. Furthermore, ultrasonic cleaning more pleasant for the patient and takes less time.

According to dentists, dental treatment should be carried out regardless of your position. Moreover, a pregnant woman is recommended to visit a dentist every one or two months, because, as you know, when carrying a baby, the teeth are significantly weakened, they suffer from a deficiency of phosphorus and calcium, and therefore the risk of caries or even tooth loss increases significantly. For the treatment of pregnant women, it is necessary to use harmless means anesthesia. The most suitable course of treatment should be selected exclusively by a qualified dentist, who will also prescribe the required preparations that strengthen tooth enamel.

Treating wisdom teeth is quite difficult due to their anatomical structure. Nonetheless, qualified specialists they are successfully treated. Wisdom teeth prosthetics are recommended when one (or more) neighboring tooth missing or it needs to be removed (if you also remove a wisdom tooth, then there will simply be nothing to chew on). In addition, the removal of a wisdom tooth is undesirable if it is located on the jaw in right place, has its own antagonist tooth and takes part in the chewing process. Also, one should take into account the fact that poor quality treatment can lead to serious complications.

Here, of course, much depends on the taste of the person. So, there are absolutely imperceptible systems attached to inside teeth (known as lingual), but there are also transparent ones. But the most popular are still metal braces having colored metal / elastic ligatures. It's really trendy!

Let's start with the fact that it's just unattractive. If this is not enough for you, we give the following argument - the stone and plaque on the teeth often provoke bad breath. And that's not enough for you? In this case, we move on: if the tartar “grows”, this will inevitably lead to irritation and inflammation of the gums, that is, it will create favorable conditions for periodontitis (a disease in which periodontal pockets form, pus constantly flows out of them, and the teeth themselves become mobile). ). And this is already a direct path to loss healthy teeth. Moreover, the number of harmful bacteria at the same time increases, due to which there is an increased cariousness of the teeth.

The service life of an accustomed implant will be tens of years. According to statistics, at least 90 percent of implants function perfectly 10 years after installation, while the service life is on average 40 years. Tellingly, this period will depend both on the design of the product and on how carefully the patient takes care of it. That is why when cleaning without fail you need to use an irrigator. In addition, it is necessary to visit the dentist at least once a year. All these measures will significantly reduce the risk of implant loss.

Removal of a tooth cyst can be performed therapeutically either surgical method. In the second case we are talking about tooth extraction with further cleaning of the gums. In addition, there are those modern methods to save the tooth. This is, first of all, a cystectomy - quite complicated operation, which consists in removing the cyst and the affected root tip. Another method is hemisection, in which the root and a fragment of the tooth above it are removed, after which it (part) is restored with a crown.

As for therapeutic treatment, it consists in cleaning out the cyst by root canal. It is also a difficult option, especially not always effective. Which method to choose? This will be decided by the doctor together with the patient.

In the first case, teeth are used to change the color professional systems, which are based on carbamide peroxide or hydrogen peroxide. Obviously, it is better to give preference to professional bleaching.

— frequent illness caused by bacterial infection. An abscess on the gum should be treated immediately so that the infection does not spread to the entire oral cavity. Abscesses appear near the lesions of the tooth - either in the root zone or in the pulp. Also, the appearance of abscesses can be due to periodontitis. Treatment of abscesses is carried out after establishing the cause of the infectious lesion.

What does an abscess look like on the gum? A small convex sac with purulent fluid appears on the mucosa,. AT severe cases body temperature may rise, swelling of the soft tissues of the face () may appear. Often, a fistula appears in the area of ​​​​suppuration, from which the contents of the abscess flow.

A sign of an abscess that forms can be:

• feeling of pressure;
• pain when chewing food;
• bleeding when brushing teeth.

An abscess (or abscess) often occurs in patients with dental crowns and dentures, but can also occur in small child. The source of infection can be located both inside the tooth and in periodontal pockets. An intradental infection is formed when the dentist fills the teeth with poor quality, when the dental canals are poorly cleaned and sanitized. Bacteria inside the tooth begin to multiply and form a purulent-inflammatory process.

Poor oral hygiene can cause gingivitis, an inflammation of the soft tissues of the gums. Gingivitis is characterized by bleeding gums and reddening of tissues - this is the beginning of all inflammatory processes in the gums. In the inflammatory process in the gums (periodontitis), the infection enters the gum tissue from the periodontal pockets, in which bacteria multiply.

Periodontitis is formed in the root zone of the tooth due to pulpitis or caries, as well as a poorly cleaned dental canal. Patients feel aching pain in the gums, there is a slight redness and swelling of the soft tissues. Often an abscess causes a cyst or benign neoplasms oral cavity.

Also, the reasons for the development of an abscess can be:

• improper oral hygiene;
• the presence of tartar;
• diseases of the gastrointestinal tract;
• malnutrition.

In periodontitis, a periodontal canal is formed between the gum and the tooth. With poor oral hygiene, food pieces accumulate in these tubules (pockets), which are a breeding ground for bacteria. Over time, the vital activity of bacteria manifests itself in the form of suppuration. With periodontitis, foci of inflammation are located on the surface of the gums and are immediately noticeable. The inflammatory process is accompanied by pain and swelling.

Risk factors:

• mechanical damage to the oral mucosa - a hard toothbrush, dentures, crowns;
• hypothermia of the body;
• bad habits;
• infectious diseases.

An abscess without pain

If the abscess does not hurt, this may indicate cystic formation or malignant/benign neoplasm. These tumors do not hurt.

However, even with an abscess, the abscess may also not hurt. It is possible to distinguish a neoplasm from an abscess by the presence of pus in the latter: when pressing on the sac, a purulent exudate will appear.

Important! It is absolutely impossible to squeeze out purulent exudate from the gums: this will cause severe complications.

The fistula at the root of the tooth also does not hurt, but it must be treated immediately. An untreated fistula can lead to severe gum disease.

Small pustules in the oral cavity do not hurt either, but they are not related to the abscess of the gums: this is stomatitis or another disease of an infectious nature.

Most dangerous complication may become inflammation of the bones of the skull and the formation of phlegmon. Therefore, when a purulent sac appears on the gum, you should immediately take the child to the dentist - do not risk the baby's health.

Important! With a purulent abscess, you can not apply a warming compress to the sore spot and rinse your mouth with a hot herbal decoction.

It is forbidden to open the abscess on your own, as this is fraught with infection in the blood. AT dental office the child will have qualified assistance, all manipulations to open and sanitize the cavity of the purulent focus are carried out under local anesthesia The child will not feel pain.

If an abscess has developed milk tooth It could be periodontitis. Dentists always remove the affected tooth from the root to prevent the spread of infection. The child is then given antibacterial drugs to prevent the possible spread of infection in the oral cavity.

An abscess on the gum near a molar tooth is treated by the same methods as in adult patients - opening the abscess, sanitation, antibiotic therapy.

Teething

In this case, swelling of the gums is also observed at the site of the appearance of a new tooth. However this process does not wear infectious nature, and is a consequence of tissue irritation. If an abscess appeared in baby when a tooth erupts, this indicates the formation of a cyst. If the chest profuse salivation, you need to check the condition of the gums - is there a cystic formation there?

How is a cyst formed? About a month before the appearance of a tooth, a bump forms at the site of pecking of blue color or transparent. Sometimes the bump can turn black if the integrity of the vessel is broken. This bump does not hurt and does not disturb the baby. In most cases, the cyst disappears after teething on its own, without requiring treatment. If the bump causes discomfort to the child, it can be opened in the dental office.

Remember that it is absolutely impossible to open a cyst on your own - you can bring an infection. Entrust this procedure to the dentist.

Complications

An untreated abscess on the gums can lead to big troubles:

• development of pulpitis;
• development of lymphadenitis;
• destruction of the germ of a permanent molar;
• malocclusion;
• development of chronic tonsillitis;
• weakening of the immune system.

Help at home

So that the child does not experience pain before visiting the dentist, you can temporarily eliminate pain:

• antipyretic to reduce body temperature;
• rinsing the mouth with decoctions of sage and chamomile, chlorhexidine;
• the use of ointments - Miramistin and others;
• do not feed hot and hard food;
• give more warm drinks.

Important! Do not allow the child to touch the place of suppuration.

Is it possible to treat an abscess on the gums of a child folk remedies? It should be remembered that folk ways treatments are used as an adjunct to medications. With the help of decoctions and lotions, you can reduce pain and alleviate the condition of the child. Many herbal remedies have the ability to draw pus from the tissues, but they are not able to eliminate the infection.

A good anti-inflammatory effect is given by decoctions of chamomile, calendula and sage - you can take a mixture of herbs, you can use one of the remedies. A pinch of herbs is brewed in a glass of boiling water and insisted until warm state, then filter the broth and rinse your mouth.

If the child tolerates honey rinses well (no allergies), make a solution with propolis tincture - 25 drops per half cup warm water. For small children, you can not use alcohol tincture, only water infusion. Children after 12 years of age can rinse their mouths with a diluted alcohol tincture.

Well anesthetize and disinfect the affected tissue freshly squeezed juices of carrots, aloe or beets. To do this, a piece of gauze is moistened in juice and applied for 8-10 minutes to the abscess.

Abscess Prevention

To prevent suppuration of the gums, you must carefully observe the following rules:

• after the eruption of the first milk teeth, it is necessary to accustom the child to oral hygiene;
• after each snack and meal, you need to rinse your mouth with warm water;
• twice a year the child should be shown to the dentist;
• do not buy lollipops for the baby;
• protect gums from mechanical injury.

If the child has a habit of chewing on some objects or pencils, try to wean him from this activity as soon as possible. hard surface pencils can easily injure the soft tissues of the oral cavity and cause suppuration. However, this disease is not as dangerous as root inflammation of the tissues of the tooth.

Not to be bought for a child toothbrush with hard bristles - only with soft ones. Sanitation of the oral cavity in infants is carried out using gauze or a tip worn on a finger. You can treat the gums with antiseptic solutions or infusions of herbs (chamomile).

Outcome

An abscess on the gum in a child or adult may appear from the development of caries or mechanical damage soft tissues. This ailment can strike at any age with favorable conditions. An abscess is dangerous because of the presence of infection in purulent exudate so medical attention is needed. Pain can be relieved with safe analgesics and rinsing before dental appointments herbal decoctions or antiseptics.

A purulent sac on the gums is formed for many reasons, but the main one is the presence of pathogenic bacteria in the periodontal pocket. Therefore, for prevention, it is necessary to pay increased attention oral hygiene. Teeth should be brushed twice a day and rinsed after each meal.

If it is not possible to rinse your mouth, use at least chewing gum sugarless. Gum should not be chewed for longer than 15 minutes, as long-term chewing causes the destruction of tooth enamel and provokes the development of caries. With behavior hygiene procedures Do not forget to use dental floss, so you remove the remnants of writing from the interdental spaces. By doing this, you will significantly reduce the risk of developing the disease.

The main reasons for the formation of an abscess:

1. Prolonged traumatization with uncomfortable crowns, prostheses or incorrectly placed fillings.
2. Periodontitis. Mechanism of occurrence of the disease: pathogenic bacteria, which begin to actively multiply, while releasing toxins. Over time, an abscess or abscess forms at the site of infection, which rapidly increases in size if it is not treated. In no case should you self-medicate!
3. A neglected abscess can cause the development of phlegmon, which in difficult cases leads to lethal outcome. Therefore, at the first signs of the formation of an abscess, consult a specialist.

Treatment

Treatment includes surgical intervention and antibiotic therapy.

1. The dentist must first open the abscess and drain the cavity well, removing all the pus. In parallel, antibiotics are necessarily prescribed to help stop the development inflammatory process and promote faster recovery.
2. In particularly complex and advanced cases tooth extraction may be necessaryif it is the tooth that is the source of infection as a result of caries. The dentist makes a decision on treatment tactics only after a thorough examination of the patient's oral cavity.
3. Before visiting the dentist, in no case do warm compresses and rinse the mouth with warm and hot decoctions! Heat will only aggravate the inflammatory process and accelerate the growth of the abscess. On the contrary, apply to the sore spot cold, and the oral cavity must be rinsed with ready-made antiseptic solutions - a solution potassium permanganate or chlorhexidine.
4. With the formation of an abscess, in no case should you stop carrying out hygiene procedures!
5. It is very important to start treatment in a timely manner if pus appears. You should not try to relieve pain with painkillers, as they will not stop the inflammatory process and will not remove pus, but will only delay the healing process and put you at undue risk.

Almost everyone had to deal with abscesses on the gums next to the aching tooth. People who do not pay enough attention to oral hygiene and the condition of their teeth are most susceptible to this. An abscess on the gum can become a source severe pain and most unpleasant consequences. Therefore, it is important to know why it appears and how to treat it.

In any disease, it is very important to pay attention to the cause in the first place. Having found out it, it will be possible to eliminate the main factor in order to avoid relapse in the future and prevent the transition of the disease to chronic form. If your gum abscesses, then the following reasons can be considered.

• Mechanical damage to the gums with solid food, a rough toothbrush, orthodontic design or a prosthesis. Even with the appearance of a small wound, bacteria can penetrate into it, provoking the onset of an inflammatory process. The cause of the injury may be inaccurate actions of the dentist.
• Suppuration of the gums is often the result of neglected caries, other diseases of the teeth and gums.
• Neglect of oral hygiene.
• The appearance of a purulent sac on the gums simultaneously with the general infectious disease can be considered as a complication resulting from the spread of infection.

If your gums fester, then try rinsing your mouth with an antiseptic solution, but try to contact your dentist as soon as possible. Treatment at home is strongly not recommended.

What symptoms can be seen?

An abscess on the gum is otherwise called a flux, abscess, periostitis. Like any inflammatory disease, it gives a number unpleasant symptoms that you can't help but notice.

• Acute, constantly increasing pain in the area of ​​the affected tooth and gums. Sometimes the pain becomes pulsating and becomes almost unbearable.
• As the disease progresses, pus accumulates in the gums. Until he finds a way out on his own or is opened surgically, the pain will not subside.
• Abscess of the gums in most cases is accompanied by an increase in temperature. It can be subfebrile or high, depending on the severity of the disease.
• Edema appears on the cheek in the area of ​​\u200b\u200bthe diseased tooth. It may spread to surrounding tissues.

The formation of bumps with pus on the gums is accompanied by extremely unpleasant and very painful sensations. The pain is often not localized in a specific area, but spreads throughout the jaw, so it is sometimes difficult to determine which of the teeth caused this problem.

Any adult will first of all have a desire to take an analgesic pill. This is not contraindicated, but do not forget that the pain will recede for a short time, and then return with a vengeance. So instead of trying to draw out the pus from the gums with folk remedies and try to calm the pain, go to the dentist's office as soon as possible.

How dangerous is the development of the disease?

At the very beginning, purulent inflammation of the gums manifests itself only with moderate painful sensations. But gradually they grow and become very strong. Before the abscess becomes large, the gums may bleed. It is also possible to release a small amount of purulent masses. Then the festering area will become more painful, the bump will increase in size, turning into a bag. Over time, a small abscess on the gum will grow, leading to damage to adjacent tissues and teeth. As a result, completely healthy teeth can fall out.

Among possible complications called chronic periodontal disease. We repeat once again: if you find an abscess on the gum, then immediately contact for medical assistance rather than think about how to treat it yourself.

What can you do?

If from the gum there is pus, then you should not be afraid of this. It's even good that the purulent masses found a way out on their own. Just rinse your mouth soda solution and do not delay visiting the dentist. If a white area appears on the gum, then this means that the abscess is just about to break through. At a time when pus comes out of the gums, you will feel some relief. But do not rush to rejoice - without full treatment the inflammatory process will spread further.

An abscess on the gum should never be heated. This will only make it worse - the inflammation will spread faster. If the gum hurts very much, and you want to alleviate the condition, then do the opposite - briefly apply a piece of ice wrapped in a cloth to your cheek.

Only experienced doctor be able to appoint proper treatment, gently remove pus from the gums, write out the right antibiotic, recommend effective antiseptic solutions. Complex therapy will help to quickly cure an abscess on the gum without complications and any consequences.

What will the doctor do?

A gum abscess is not a cold that goes away on its own. Only competent actions of the doctor will help you bring the gums around the tooth back to normal and avoid complications. A sick tooth timely treatment in most cases it is possible to save, if, of course, its condition allows.

Many are terribly afraid of dentists, so we will try to convince you that nothing terrible awaits you - it is much worse to suffer from pain. What will the doctor do if the purulent lump on the gum is already large?

1. After examining the abscess on the gum, the doctor will decide on its opening. You just need to slightly incise it and install drainage so that the purulent contents freely exit from the resulting cavity. The incision is made under local anesthesia so you won't feel anything. Let it calm you and the fact that relief will come almost instantly.
2. If you start taking antibiotics, then the gum will not fester for long. The abscesses will disappear, the inflammation will subside. It is not worth prescribing antibiotics for yourself - only the doctor will be able to determine which group medicinal product will work best.
3. To prevent the abscess on the gum from reappearing, supportive therapy is needed. You will be advised to use mouth rinses to use after each meal. You can compress with medicinal herbs, but only as an addition to the main treatment. Physiotherapy treatments may also be recommended.

As you can see, nothing terrible awaits you in the dentist's office. Therefore, instead of thinking about what to do if your gums are inflamed and festering, just make an appointment with a doctor. Why? Yes, because it's the only the right decision Problems.

Prevention measures

After the swelling on the gum has passed, the treatment will be completed. But that doesn't mean she can't fester again. It is very important to strictly follow the preventive measures in order not to face similar problems again.

• While brushing your teeth, remove plaque on the gums as well. This will help maintain their health and eliminate the likelihood of developing inflammatory processes. And do not forget to consult with a specialist regarding the selection of the right toothpaste and brush.
• See your dentist twice a year for preventive examination and do professional cleaning teeth. Timely removal of tartar will help you avoid many problems in the future.
• Review your diet. It must contain solid foods - cheese, fruits and vegetables. Try not to overindulge in sweets, as they create favorable environment for the development of bacteria.

The main conclusion that can be drawn is: monitor the health of your teeth and contact your dentist in a timely manner. If the gum incision seems something terrible to you, then we suggest watching a short video that will make you change your mind.

A prerequisite for the appearance of suppuration of the gums is the presence of a source of infection. The source of infection can be located inside the tooth, or on the surface of the root of the tooth. Before you start self-treatment, you need to understand: why pus appears in the gums, and based on this - to select the appropriate treatment.

Suppuration of the gums can look completely different. This may be a limited swelling on the gums, in place of which a fistula with cloudy or purulent discharge may eventually appear. Depending on the severity and localization of inflammation, edema and swelling of the soft tissues of the face - lips, cheeks - can also join the swelling of the gums.

The main reason for the appearance of an abscess on the gums is neglected dental caries and insufficient endodontic treatment, as a result of which chronic granulating periodontitis develops.

With this form chronic periodontitis appears at the apex of the tooth root a large number of granulation tissue, gradually increasing and spreading to the adjacent parts of the periodontium and the wall of the alveolus. An increase in such a focus is accompanied by resorption bone tissue in a circle inflammatory focus. Often in central departments periapical focus, especially during exacerbation, there are separate foci of purulent fusion of granulation tissue. The outflow of pus and the germination of granulations contribute to the occurrence of a fistulous tract. Sometimes the granulating focus spreads into the adjacent soft tissues, forming a subperiosteal, submucosal ("abscess on the gums") sometimes subcutaneous granuloma.

Complaints with granulating periodontitis are different. More often, patients complain of soreness when taking solid and hot food sometimes the pain gets worse with pressure. With granulating periodontitis, there are often exacerbations different intensity. The activity of the inflammatory process is manifested by periodic pain in the tooth when pressing on it or biting.

The mucous membrane covering the alveolar process in the region of the apex of the tooth root with a granulating focus in the periodontium is usually slightly edematous and hyperemic; when pressed with tweezers or a probe on the gum, an instrument imprint remains. When involved in pathological process adjacent soft tissues on the mucous membrane, a fistulous tract occurs, which is located more often at the level of the apex of the affected tooth in the form of a pinhole or a small area of ​​protruding granulations. Sometimes the fistulous tract closes for a while. However, with the next exacerbation, swelling and hyperemia of the mucous membrane appear at the site of the former fistula, a small accumulation of pus is formed, which then flows into the oral cavity. After the treatment of chronic granulating periodontitis, a small scar is visible at the site of the healed fistula. With the germination of a chronic granulating focus from the periodontium under the periosteum and into the soft tissues surrounding the jaws - submucosal and subcutaneous tissue, an odontogenic granuloma occurs.

There are 3 types of odontogenic granuloma: subperiosteal, submucosal and subcutaneous. Clinical course process with granulating periodontitis, complicated by odontogenic granuloma, is calmer. Complaints of pain in the tooth or focus in soft tissues often doesn't happen.

With subperiosteal granuloma, bulging of the bone is observed alveolar process, round shape corresponding to the affected tooth. The mucous membrane over this area is often not changed, sometimes there may be small inflammatory phenomena, which increase with exacerbation of the inflammatory process.

A submucosal granuloma is defined as a localized, firm lesion located in the submucosal tissue of the transitional fold or cheek in close proximity to the tooth that was the source of infection and associated with it with a cord. The mucous membrane over the focus is not soldered. Often there is an exacerbation of the process and suppuration of the submucosal granuloma. In this case, pain appears in the lesion. The mucous membrane is soldered to the underlying tissues, acquires a bright red color. Abscessing of the submucosal focus and the release of the contents to the outside through the formed fistula sometimes lead to the reverse development of the aggravated process. Most often, the fistulous tract is scarred and clinical picture submucosal granuloma again takes a calm course. Subcutaneous granuloma is characterized by a rounded infiltrate in subcutaneous tissue, dense, painless or slightly painful. From the dental alveoli to the focus in the soft tissues there is a connecting cord.

Why does the gum fester

There are two main reasons: the first is associated with the occurrence of a focus of infection at the top of the tooth root, the second - with inflammation of the gums in periodontitis. Below we will look at each of them.

There is a hearth purulent inflammation at the root of the tooth-
a disease in which a focus of purulent inflammation forms at the top of the tooth root is called periodontitis. The reason for its development is:

• or untreated caries and pulpitis
• poor quality filling root canal dentist

It is worth noting that according to official statistics dentists seal root canals poorly in 60-70% of cases.

Thus, in the projection of the abscess on the gum there will always be a causative tooth, which may have a carious defect, filling or crown. At the top of the root of the causative tooth there will be a focus of purulent inflammation, which is usually called a granuloma or cyst.

Inflammation at the apex of the root long time may occur without symptoms or with minor symptoms(slight pain when biting on a tooth), and only with an exacerbation of the process can appear sharp pains and swelling of the gums in the projection of the focus of inflammation, which is caused by active pus formation at the apex of the tooth root and a breakthrough of pus under the gum mucosa.

Pus in the gums with inflammation of the gums (periodontitis) -
if, with inflammation at the apex of the tooth root, suppuration of the gums develops in the region of 1-2 teeth and may be accompanied by significant pain and swelling, then with inflammation of the gums, the symptoms are very weak.

When pressing on the gums, pus can be released from periodontal pockets with periodontitis

With periodontitis, deep periodontal pockets are formed between the gum and the surface of the tooth root, in which there are subgingival dental deposits, which cause inflammation and suppuration of the gums. The gum usually does not swell much, but its marginal part (adjacent to the necks of the teeth) is edematous, bleeds easily when brushing the teeth, and pus can be released from the dentogingival sulcus, both spontaneously and with pressure on the gum.

In cases where the periodontal pocket is very deep, the outflow of pus from it may be disturbed. This can lead to the formation of periodontal purulent abscess. In this case, a swelling will appear in the projection of the periodontal pocket on the gum, resembling an abscess on the gum during periodontitis (this is when a granuloma or cyst develops at the top of the root of the causative tooth).

Pus in the gums: treatment

If you have pus coming from your gums, then the treatment should first of all be to remove the source of the infection. With periodontitis, this will consist in treating the inflammation at the root apex and high-quality filling (refilling) of the root canals.

With periodontitis, the most important thing is to remove dental deposits. If it is easy to apply symptomatic therapy(rinses, applications, antibiotics), then this can only slightly reduce inflammation by short term. In this case, the inflammation will proceed more imperceptibly, which will lead to an imperceptible deterioration - an increase in the destruction of the bone around the teeth, an increase in the depth of periodontal pockets.

Proper treatment will be as follows:

Treatment of an abscess on the gums in the presence of a focus of infection at the apex of the root, two treatment options are possible - conservative and surgical.

1) Conservative treatment -
on the 1st visit, an x-ray is taken, and if the x-ray confirms the diagnosis of periodontitis, then an x-ray is taken traditional treatment periodontitis. If there is a filling or crown on the tooth, they are removed, after which, if the root canals were sealed, they are unsealed. If there is a carious defect on the tooth, then the tissues affected by caries are drilled and the nerve is removed from the tooth, and the root canals are expanded.

After the root canals are instrumentally processed and through them an outflow of pus is created from the focus of inflammation at the top of the root, the root canals and the focus of inflammation are treated with antiseptics, and antibiotics are prescribed inside. If necessary, the patient is referred to a dental surgeon for an incision along the gum.

Opening an abscess on the gum

On one of the following visits, the doctor can fill the canals on permanent basis- if the x-ray shows that the focus of inflammation is small. If, on the x-ray, it will be seen that a granuloma or cyst has formed at the root apex, then the root canals are first sealed for about 3 months with a special temporary medicinal material based on calcium hydroxide. After 3 months, he takes a control picture, and if the focus of inflammation decreases, the canals can be sealed permanently. After filling the canals, a filling / crown is placed on the tooth.

2) Surgery
this method is much simpler and cheaper than the previous one, and it is used with already sealed root canals. However, it can be used only in the case when the doctor poorly sealed the canals only at the very top of the root, and the rest of the canals were sealed normally.

In this case, it is possible to resect the apex of the tooth root. The meaning of this operation is that the dental surgeon will cut off the top of the root with the unfilled part of the root canal with a drill, and at the same time scrape out the granuloma or cyst from the wound at the top of the root.

Resection of the apex of the tooth root

The resection operation has many advantages, because there are no need for numerous visits to the dentist (as with conservative therapeutic treatment), in addition, there is no need to remove fillings, crowns, spend money on new prosthetics, filling the tooth and root canals. The operation is performed after the reduction of inflammation, i.e. on the first visit, they will only open the abscess on the gum, prescribe antibiotics and rinses. And after reducing inflammation, they will be prescribed for an operation that will take only 40-60 minutes.

Treatment of suppuration of the gums with inflammation of the gums (periodontitis)

You need to start with a visit to the periodontist and a panoramic x-ray, which will show: the amount of inflammation, the depth of periodontal pockets, the need for depulpation of the tooth / teeth ...

If pus comes from the gums, while the teeth are healthy, not previously treated
Treatment should include removing dental deposits, washing the periodontal pocket with antiseptics, treating the gums with an anti-inflammatory gel, as well as possible depulpation of the tooth (with a periodontal pocket depth of more than 1/2 of the length of the tooth root or the presence of mobility). Oral antibiotics are also prescribed. All this is the first emergency care, but after the inflammation subsides, the question of further surgical treatment- curettage of the periodontal pocket.