What it is – a tight nodule with a diameter of 5-8 mm with the presence of a productive inflammatory process (periodontal inflammation) at the root of the tooth is called granuloma.
In the cyst cavity there are dead cells, including bacterial ones. The specific granulation tissue of the granuloma is surrounded by a connective capsule, most often with the tip of the tooth. This leads to the spread of infection and destroys the healthy tooth tissue.
Causes of dental granulomas
Granuloma is a complication of pulpitis or caries, and therefore occurs due to:
- untreated pulpitis, which arose during an infectious process of the inflamed nerve in the tooth root.
- untreated caries and inflammation in the tissues surrounding the tooth – periodontitis.
- a tooth fracture with an infection that has arisen in it.
- infection due to poor antisepsis and asepsis during the removal of dental pulp or treatment of canals of the teeth.
The granuloma capsule erupts in any failure of the immune system. This leads to exposure of the roots of the teeth, loss of tooth fixation and inflammation of the gums.
The provoking factors to the development of acute dental granuloma and its manifestations are associated with stressful situations, hypothermia and colds, abrupt climate change and physical overstrain.
Symptoms of granulomas on the tooth root and photos
For a long time, a tooth granuloma proceeds covertly without specific symptoms, which is dangerous for the human body and makes it difficult to diagnose. Small granuloma in the neglected form often becomes a source of extremely serious complications.
Granulation tissue grows rapidly and replaces dead cells as a result of inflammation. Therefore, the granuloma is constantly increasing in size.
A large granuloma on the tooth root becomes visible to the patient and the dentist. More often it is noticed only on the roentgenogram and rotopantomogram when a patient turns to a doctor because of:
- the appearance of swelling gums;
- severe toothache;
- darkening of the teeth;
- the appearance of flux or phlegmon (one-gene periostitis);
- discharge of pus from the space between the gum and the tooth, accompanied by high fever, indisposition and headache;
- spreading pus from phlegmon to the muscles of the face and neck. In advanced cases, it spreads to the region of the heart, which is fatal;
- formation of maxillary cyst and its separation from the tissues that surround it. A dense capsule is formed with necrotic masses and dead bacteria.
What will happen if not treated?
Treatment of tooth granuloma
The suspicion of granuloma occurs only when pain, fluxes and swelling of the gums and purulent discharge. Clarify the diagnosis using radiography and radiovisiography.
To save a tooth is possible only with the early treatment of granulomas, which is very rare. The granuloma on the tooth root is treated by therapeutic and surgical methods in conjunction with the use of medicinal herbs, which are firmly established in official dentistry.
The size of the dental granuloma, the state of the tooth tissue, the complications present depends on the method of treatment. The existing plan for implantation or prosthetics in the oral cavity of the patient is taken into account.
Surgical treatment of granuloma
During surgical treatment:
- remove the tooth;
- perform resection of the root apex;
- perform hemisection of the tooth;
- with single-genic periostitis or perimaxillary abscess, an autopsy and drainage is performed.
In difficult cases, the doctor has to open the gums and release pus through drainage for 1-2 days. At the same time take antibiotics, antiseptics, drugs for anesthesia and rinsing the oral cavity with medicinal herbs, for example, pharmaceutical Romazulan diluted in water (