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Granuloma of the tooth is a small rounded inflammatory formation with clear boundaries. It is located in the root of the tooth, mainly in its apex. It is quite a dangerous disease, as it can lead to dangerous complications.
Causes of Dental Granuloma
The cause of granuloma in tooth root can be:
- periodontitis or inflammation of the tissues around the tooth;
- a complication of pulpitis;
- fracture of the tooth;
- other injuries that may lead to infection;
- failure to comply with the rules of antiseptics in the treatment of other diseases of the tooth.
The increased probability of development of more acute manifestations occurs when:
- stressful situation;
- sudden climate change;
- past cold;
- physical strain and etc.
Symptoms of Dental Granuloma
Up to a certain point, the presence of granuloma in tooth root can be invisible for both the dentist and the patient. In the early stages of the disease can be detected only through x-ray or orthopantomogram. Then the granuloma area begins to grow. This is due to the fact that granular tissue replaces the cells killed by the inflammatory process. The growth is quite fast and brings pain and swelling of the gums. At the next stage, the suppuration of the dental granuloma may develop. This causes acute pain, redness and swelling of the gums. The tooth darkens. There are purulent discharge between the tooth and gum. All this can develop into odontogenic periostitis (flux) and will be accompanied by headache, high fever, malaise, etc. The disease can also be asymptomatic and develop into a jaw cyst.
Complications of Dental Granuloma
An unpleasant, but not the worst consequence of the complication is the loss of the tooth due to the destruction of its root. Further growth of the granuloma in tooth root canal can spread to the surrounding soft tissues with the development of purulent lesions there. Further spread of pus can cause osteomyelitis of the jaw, sinusitis, pyelonephritis, infectious myocarditis, as well as many other diseases and even death.
Diagnosis of Dental Granuloma
Granuloma in tooth root canal may be recognized when there are symptoms of its growth and suppuration, as in the early stages of the disease the infected tooth looks the same as the healthy one. The final diagnosis is made after radiography. A limited rounded dark area at the top of the tooth could be seen in the picture. This is the only way to distinguish it from periodontitis and other diseases. Radiovisiography can also help to identify dental granuloma. Dental granuloma could hardly be identified at an early stage, without the appearance of symptoms.
Treatment of Dental Granuloma
At the first signs of the disease, you should consult a doctor. Neglect often causes serious complications. The treatment itself is to remove the infection and prevent the possibility of recurrence. Consider two options of treatment of granuloma on the tooth root: surgical and therapeutic.
Therapeutic treatment of dental granulomas is carried out at the early stage of the disease with the help of sulfanilamide preparations and antibiotics. It helps to stop the development of the disease and to get rid of the infection, as well as to preserve the tooth or part of the tooth for its further prosthetics and restoration. In particularly severe cases, the dentist will perform surgical intervention. Previously, it was limited to tooth extraction. Today, the doctor dissects the gums for the outflow of pus. Pus, if it is not removed in time, can get into the blood and reach the heart through the soft tissues of the muscles of the face and neck, which in the worst case leads to the death of the patient. To prevent the wound from early closing drainage is set for about three days. At this time drug therapy is carried out to relieve inflammation,. In surgical treatment, there is also a chance of preserving the tooth or part of it, except when:
- the disease initially arose from a crack in the tooth;
- tooth in the course of the disease was destroyed so that it is impossible to restore it;
- the source of the disease was periodontal pocket;
- impaired patency of the root canals;
- the disease is caused by any other pronounced lesions of the tooth.
Do not apply hot compresses to the area of inflammation. The pus will spread faster. Any attempt of self-treatment will only lead to deterioration of the patient’s condition. Treatment of dental granuloma with folk remedies can also lead to terrible consequences.
Prevention of Dental Granuloma
To prevent granuloma, as well as other diseases of the teeth, you should clean them at least 2 times a day and visit a dentist every six months. In this case, granuloma of the tooth will not occur. In case of any symptoms of diseases of gums and teeth, you should immediately contact a dentist. Do not forget that pulpitis and periodontitis can develop into dental granuloma.