A tooth granuloma is a cyst resulting from periodontitis or other dental diseases. Such a tumor looks like a small bag, located at the top of the tooth or near its root.
It must be remembered that granulation tissue grows very quickly, replacing damaged tissue in the affected areas. As soon as it completely tightens the wound, the formation of a granuloma begins, in which inflammatory fluid accumulates, including toxins and microbes. This disease is observed in patients of any age, so it is necessary to start treatment as soon as possible.
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Granuloma on the tooth root
This disease directly affects the roots. There appears a purulent capsule with bacteria and dead cells. The disease has no pronounced symptoms, which makes diagnosis much more complicated, and the probability of complications increases.
This kind of granuloma is considered body defense on various stimuli, including inflammatory processes and viruses.
Immediately after the formation of granulomas need to start treatmentotherwise there may be serious complications. So, bone deformation or tooth loss is possible.
Causes of granuloma
At the moment, it is difficult to accurately identify the causes of the formation of tooth granuloma. The most common factors are:
- caries;
- untreated periodontitis;
- neglected pulpitis or its incorrect treatment.
Experts say that the disease is most often caused by neglected caries. Thus, due to the presence of a lesion, microbes enter the pulp and begin to multiply, which contributes to the development of inflammation of the granuloma, treatment can not be put off for “later”. Over time, microbes damage the bone tissue, which retreats a little, which is why the development of connective tissue begins.
The appearance of a cyst after tooth extraction
In some cases, the formation of granulomas is observed after the removal of one or more teeth. The reason for this is inflammatory process. So, when the wound begins to tighten, microbes can get into the tissue. If you do not begin treatment, it is possible the formation of pus and even the development of endocarditis.
In some cases, the cause of the formation of granulomas after tooth extraction is advanced periodontitis.
In children cysts may occur after the removal procedure milk teeth.
Symptoms of the disease
It must be remembered that the disease is most often asymptomatic. The capsule gradually grows and infects healthy tissue, so a common symptom is a feeling the presence of a foreign body, which can be probed language.
In some cases, these symptoms are noted:
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swelling and gum pain; - acute toothache;
- inflammation in the mouth;
- redness of the gums;
- fever;
- flux formation;
- general weakness;
- enamel darkening;
- discharge of pus in gap between tooth and gum.
If you ignore these symptoms, the granuloma will go chronic and develop into a maxillary cyst. In other words, a dense capsule will form with dead tissues and propagating microbes.
To diagnose a tooth granuloma is quite difficult, so if there are any symptoms you need urgently apply to the dental office to determine the presence of a cyst and the further treatment of granulomas. So, you need to take a radiographic image, which will be noticeable darkened area of a round shape. In addition to x-rays, radiovisiography is prescribed.
Granulomas and treatment
Surgical intervention and therapeutic methods are used to treat tooth granuloma. So, assigned antibiotics and sulfa drugs. Thanks to them, the progression of the granuloma stops, which increases the possibility of preserving the teeth. With surgical treatment, drainage is established to drain pus.
If the cause of cyst formation is periodontitis, the cyst is dissected and then its contents are removed. However, in this case, to save the tooth is almost impossible.
The specific method is chosen by the dentist after attentive inspection and diagnosis. Since the granuloma is difficult to treat, it is necessary to consult a doctor when the first signs appear, because it is impossible to prescribe yourself various rinses and compresses. This can lead to rupture of the granuloma and subsequent disastrous consequences.
Therapeutic treatment
We are talking about taking antibiotics, sulfa drugs and NSAIDs. The use of such medicines considered effective at an early stage of the disease, because in this case it is often possible to save a tooth.
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Antibiotics are prescribed after a thorough examination in case of damage to the root or apex of the tooth. These drugs help reduce inflammation and speed healing. Most often, lincomycin is prescribed, which is available in different forms. - If, due to inflammation, the patient feels severe pain, then he is prescribed Ketanov or Nimesil.
- To speed recovery, rinses and baths with antiseptics are recommended. Most often it is chlorhexidine.
Folk remedies
Exists many popular recipes for the treatment of granulomas, which in some cases prove to be really effective. This is especially true for alcohol tinctures. For its preparation will require 30 g of dry propolis and the same amount of calamus root.
The mixture is poured with vodka and insisted for 14 days, then the liquid is filtered and used for rinsing. The duration of the procedure should not exceed 5 minutes.
Treatment of granuloma of the tooth root
If there is a granuloma of the tooth root is assigned therapeutic treatment. It is effective only at an early stage. If the destruction of the root canal system has begun, then there is no point in curing. Naturally, folk remedies also will not help. Tolerance is shown at this stage.
So, the dentist cuts the gum, and then cleans its cavity from pus and other contents. After this, drainage is established and antibiotics are prescribed. Due to this, the inflammatory process is eliminated.
Prevention
To avoid granulomas, it is necessary to perform preventive actions. First of all, it concerns the observance of hygiene, namely rinsing, proper tooth brushing and regular check-ups at the dentist. If pain occurs, you should immediately consult a doctor.
This is very important, because if it is not timely to begin to treat caries, inflammation may begin, which will lead to the formation of granulomas. It is also necessary to correctly treat pulpitis, periodontitis and periodontitis.
Forecast
To determine the success of treatment, it is necessary to take into account the stage of development of the granuloma, the complexity of the disease and the medications used. At an early stage, the prognosis is always positive. So, for the treatment is enough use antibiotics and rinses. This is especially true of children who have a cyst appeared in the process of changing milk teeth to permanent ones.
If decay has begun, the success of treatment depends on the location of the granuloma. When it forms at the root, the tooth must be removed. Moreover, it is important to timely cut the cyst and clean out the pus, otherwise the prognosis will be unfavorable. Thus, the contents of the granuloma can fall under the muscles of the neck, and then reach the heart. As a result, sepsis will begin, which in most cases is fatal.
This serious disease occurs in people of any age. With timely treatment the forecast is always positive. The main thing is to find a good doctor and follow all his recommendations.
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