Pus in the tooth root

One of the most common dental diseases is a tooth granuloma. Its main danger lies in the fact that it doesn’t remind of itself for a long time, but then it is immediately manifested by severe pain. It is difficult to detect a granuloma, and it can lead to serious consequences.

Pus in the tooth root


What is it ↑

A granuloma is a cyst-shaped cavity with dead cells, including bacterial cells, which is located in the periodontium and is soldered to the root of the tooth.

The granuloma consists of a specific granulation tissue surrounded by a connective capsule. Most often, granuloma is formed on the top of the tooth root, which is why it is the source of the spread of infection, and contributes to the destruction of healthy tooth tissue.

The size of the granuloma on the tooth root is 5–8 mm in diameter.

There are two main factors provoking the appearance of granulomas: untreated caries or pulpitis, or poorly cured pulpitis. Thus, it can be said that a granuloma is a complication of caries or pulpitis.

The mechanism of its formation is as follows:

  1. First stage. Due to neglected dental diseases, microbes penetrate the tooth pulp, which becomes inflamed and eventually dies.
  2. Second phase. Microbes continue to multiply, infecting bone tissue.
  3. The third stage. As a result, the bone seems to recede and in its place connective tissue is formed, which fights microbes, isolating them within itself, turning into a capsule.

The resulting formation is called granuloma.

Pus in the tooth root

Photo: The development of granuloma from the pulpitis

If a failure occurs in the body’s immune system, the granuloma capsule may break, causing the gums to become inflamed, the roots of the teeth become bare and the tooth loses fixation.

With a granuloma for a long time there are no signs of the disease, but at one point there is unbearable pain, accompanied by swelling of the gums.

But there are still some symptoms that appear only in the late stages of the granuloma, which you should pay attention to and consult a doctor.

  • Pain sensations of varying degrees of intensity, disturbing when chewing food.
  • Darkening of tooth enamel.
  • Small swelling of the gums.
  • Increased patient body temperature.

The first stage of development may manifest as swelling and acute pain in the gum area, which appeared suddenly and, as a rule, in the morning hours, and sometimes accompanied by darkening of the tooth and pus secretion.

The second stage is already characterized by transient fever,

Diagnostics ↑

Usually, early-stage granuloma is randomly recognized by a dentist during the treatment of another dental problem, based on the results of X-ray. The picture will show a clearly defined bone thinning zone, which has a round shape.

The dentist can also recognize this disease during a normal examination of the patient, drawing attention to signs such as the presence of painful swelling on the gum opposite the granuloma or a protrusion of the bone opposite the apex of the tooth roots.

Photo: Swelling and redness of the gums may indicate granuloma.

The dentist should pay special attention to patients with a pulpless teeth or established crowns, as they are at risk of having a granuloma.

It is necessary to start the treatment of granulomas as early as possible, at the first detection, then there is a chance to save the tooth from removal. After a thorough examination of the patient and the performed radiography, the dentist makes a decision on the treatment method for each specific case.

In modern medicine, there are two main ways of treating granulomas at the root of the tooth – therapeutic (conservative) and surgical. In turn, traditional medicine also offers its own funds, the effectiveness of which is not proven by official dentistry.

Folk remedies

The most common "grandmother’s" recipes for treatment are the following options:

Pus in the tooth root

  • Infusion of calamus from 30 gr. its dry root per
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