Do you have a toothache again? It seems that the nerve has already been removed, but it continues to remind itself of periodic pain. But this can not be. It turns out that it can. All of the above symptoms point to periodontitis. What to do and where to run in this case will be described in this article.
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How to treat periodontitis?
Periodontitis means the disease surrounding the root of the shell and other tissues nearest to this place. It can happen as a result of caries or infection into the root canal of the diseased root. Even if the nerve is removed, but the infection still got, sooner or later it will make itself felt by inflammation of the infected place and acute pain in the place of removal.
There is a chronic and acute periodontitis. The acute form is expressed by inflammation, swelling and acute pain.
The chronic form proceeds without symptoms: sometimes a little pain can occur. During immunosuppression may be stronger.
Symptoms of this disease are constant acute pain. The pain may increase, then subside, be pulsating. When chewing food, for example, the pain becomes even stronger. Not everyone can move this. Besides the sore spot begins to burn and the temperature may rise. It happens that this type of disease is chronic.
Treatment is best done by a dentist. In this case, even chronic periodontitis can be cured. And the acute pain that has disturbed the patient for a long time will pass without any complications and consequences.
Definition of the disease and its causes
Periodontitis does not appear by chance. The result of the occurrence of the inflammatory process are harmful microorganisms that have penetrated the root canal during pulpitis. Even a variant of the disease is possible. as a result of injuries and even under the influence of arsenic, which has long been in the drilled tooth. Begins the outflow of fluid circulating in the roots. If it goes through the root canal, then for the patient it is not so noticeable. But for the course of the disease there comes a period of overflowing it into chronic periodontitis. Another case of leakage periodontitis is development of serous and purulent type of disease.
Is it possible to determine the presence of periodontitis? Doctors say that determining its presence is not so difficult:
- sharp sharp pain that does not allow to touch the tooth;
- the tooth begins to stagger;
- the gum swells up and as if burning;
- it happens that along with the gum swollen cheek;
- body temperature may rise.
It all started with pulpitis, and it started a long time ago. The moment of pulpitis escalating into periodontitis occurred when it was possible to endure the pain. And until recently, no problems have arisen. Now it's the other way around - the surrounding tissues are affected by acute illness.
Late treatment will lead to very serious complications. They are worth mentioning as inflammatory process can affect facial and neck tissuesacute sepsis will occur. In no case do not delay with treatment.
If the chronic form of periodontitis has already appeared, the symptoms are not so pronounced. The condition in chronic form is also not pleasant.Bacteria continue to multiply, secreting active substances that affect diseases of other human organs, such as the heart, kidneys, and many others. No wonder the dentists say that many diseases from bad teeth.
Highly qualified specialist help to save the tooth. Treatment begins with the removal of pus, which will help remove the tumor. Then cleans the root of the inflamed pulpIt is treated with antiseptics and a filling is put on for a while. After a week, you can install a permanent seal. It happens that save a tooth does not work.
Differences between acute and chronic periodontitis
Acute periodontitis is a problem of running teeth. Characterized by symptoms:
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the presence of sharp acute pain at one point; - the development of pain in the pulsation;
- biting increases pain;
- there is an unpleasant smell from the mouth;
- the tooth moves from its place and begins to loosen;
- with suppuration, the temperature rises and headaches occur;
- lymph nodes increase on the neck, which become visible even to an outsider;
- inflammation lasts about two weeks.
With all this, an x-ray does not see anything. At the beginning of treatment, during the initial examination, the doctor can determine the presence of periodontitis. It can be seen on the swelling around the patient's tooth, pain when pressing on the gums or the upper part of the tooth. The movement of the tooth is also palpable with this.
The chronic form of periodontitis is when the teeth are no longer just running, but also partially destroyed. The patient fairly calmly tolerates this form of the disease. To determine the symptoms should be allocated subspecies of chronic periodontitis.
Chronic Fibrous periodontitis is characterized by:
- lack of patient complaints;
- tooth color may change;
- tapping and sounding of the tooth does not cause discomfort;
- X-ray shows a widened periodontal gap;
- opening the dental cavity will show the affected pulp.
Granulating periodontitis has a slight pain when biting. Pathology is:
- in the occurrence of a purulent process;
- the gum of the patient's tooth, when pressed on it with a dental instrument, remains with a dent;
- the nearest lymph nodes are inflamed;
- X-ray shows damage to the root and focus of the affected bone tissue.
Granulomatous periodontitis is associated with the following symptoms:
- biting sometimes causes trouble;
- teeth often change color;
- if treatment has already been applied to the tooth, and little attention has been paid to the channels;
- where the aching tooth swells up the gum;
- X-rays show the boundaries of the bone thinning site.
Treatment of acute periodontitis
Treatment should begin immediately. The treatment process may be delayed due to the neglect of the disease, and since it must be carried out in several stages.
When you first visit the doctor you need to remove the pus, and remove the tumor. X-ray based the doctor makes a conclusion about the extent of the disease. After determining the extent, you can begin treatment.
The treatment procedure is painful, therefore, anesthesia is applied. When the anesthesia begins, the doctor proceeds to remove the caries-damaged tissue. If the previous filling is to blame, then should remove the seal, clean and widen channels. Constantly carried out treatment with antiseptics.
At this, the first stage of treatment ends and the doctor finally recommends putting a tampon in the hole so that parts of the food do not get caught. Antibiotics may be prescribed to improve overall body performance.
After a couple of days, the second visit to the doctor follows. The treatment during this visit consists in thorough flushing of channels antiseptic solution. Each channel is individually filled with a medicinal (antiseptic) drug and a temporary filling is put.
Treatment in the third stage is possible on condition of the final disappearance of pain and the absence of pus. Everything is washed and cleaned again, the canals are sealed. Finally, an x-ray can be taken to check the quality of the fillings.
A permanent filling is placed in the upper part of the tooth. This treatment is over.
Treatment of chronic periodontitis
The treatment of the chronic form of periodontitis depends on the subtype of the disease:
- Fibrous is treated in two steps - a seal is placed on the second;
- granulating and granulomatous are treated in the process of four visits to the doctor. The entire duration of treatment may last for months.
Consider the treatment procedure of the last two subspecies.
The very first step is an x-ray, after examining which pain relief is done. As soon as the "freeze" began to act, the doctor removes the affected tissue. If the pulpit is to blame, the pulp is removed; if it is improperly sealed, a seal is drilled. The channels are cleaned from the remnants of the filling and treated with an antiseptic. After processing channels are filled with medicine swabs until the next visit. So that food remains do not penetrate into the channels, and with them microorganisms, a seal is put. A further period of treatment may be accompanied by the use of antibiotics.
After a few days you can continue the treatment. Delivered the doctor removes the seal, washes away its remnants and medicines. The channels, after washing, are temporarily filled with a filling with the presence of calcium hydroxide. The seal is installed in tooth crown and treatment for two to three months is terminated.
The third appointment with the doctor begins with an x-ray. If the bone destruction has decreased and the pain has passed, the treatment continues. The temporary filling is removed, the channels are cleaned and processed with special solutions. The stage of permanent canal filling begins. With the help of X-rays, the quality of the sealing is checked. The treatment ends installing permanent fillings at the last fourth doctor's appointment.
Home Treatment for Periodontitis
At home, to cure the disease of periodontitis is impossible. The infection itself is hidden in the channels that are not affected by antibiotics. Antibiotics can only help with complex treatment with nerve removal and canal filling. At home you can only soothe the pain and then for a while.
Toothache calms down if you warm the sore spot with your hand or tie a warming bandage. Only here it is absolutely impossible to do this - it will lead to more serious exacerbations of periodontitis and will turn into a chronic disease. Any heating is contraindicated. You can not even sleep on the sore side, because it is heated. If you decide to do the warm-up, the solutions for rinsing will help best.
Mouthwash Using soda can help get rid of pus. A teaspoon of soda is dissolved in a glass of warm water. This solution must be held for some time on the cheek and then spit. And so, until it becomes easier. Through a hole in the tooth, if there is one, the accumulated pus gradually begins to come out. In other cases, the procedure will simply bring relief.
Traditional medicine has absorbed other ways to treat periodontitis. But it does not distinguish between the chronic and the acute form of the disease. Here are some recipes for home treatment.
- Make a solution of potassium permanganate and rinse your mouth four times a day.
- Sea salt is also a sedative for self-treatment. Small amount of salt dissolve in warm water and you can rinse at least twice a day for thirty seconds.
- An interesting way is using a tea bag. Cool the brewed bag and keep it in a sore spot for about five minutes.
- Everyone knows about the healing properties of honey. Honey is used to lubricate the gums. This way you can remove the tumor, reduce the acute jerking pain, and sometimes you can gradually get rid of pus.
- Cranberry is a berry useful for teeth.By drinking two glasses of fruit drink every day, you can prevent further development of harmful microorganisms.
- Alternatively, a way to mix the juice of half a lemon with two tablespoons of sea salt will do. In the resulting slurry moistened cotton swab and applied to the sore gum for a couple of minutes. Then you need to rinse your mouth with warm water.
- Since soda neutralizes acid in the mouth, it can brush your teeth as a paste to relieve inflammation.
- Medications are best for treating the home. For example, amoxicillin, the most common antibiotic in the fight against periodontitis. Paracetamol and ibuprofen relieve pain and fever. Hydrogen peroxide rinse will help kill the bacteria in your mouth.
Danger of treating periodontitis at home
The conclusion suggests itself with itself - the disease is safe at the initial stage of its development. As soon as the first symptoms appeared, need to bring down the pain and immediately run to the doctor. The sooner it is done the better.
You can make it a rule to regularly visit the dentist. This should be done 1-2 times a year for easy inspection and brushing. Moreover, knowing that everything is normal, you can save well on further unplanned visits to the doctor in the future.
Home treatment is not just inappropriate, but can even be dangerous. Various complications after healing the disease will affect the overall health of the victim.
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