It happens that the dentist doesn’t have enough skills to provide the patient with appropriate service. One of the complications after visiting a non-professional is the hole in gums. According to statistics, this happens to many people who have undergone tooth extraction. A man feels pain if the procedure was carried out improperly. This suggests that there is still a nerve in the gums, which must be removed as soon as possible otherwise the situation can develop into a serious problem.
What Is a Hole in the Gum?
It is an inflammatory purulent disease, which is one of the most common forms of chronic periodontitis. The presence of a kind of hole indicates inflammation. The pus is removed from the core of the inflammation via this hole. The inflammatory process is mainly concentrated in the upper part of the root of the removed tooth. After the doctor diagnoses the cause of the fistula, you can start treatment. It should be noted that the therapy takes quite a long time.
The hole is the result of the formation of pyogenic processes in the soft tissues of the oral cavity. In some cases, the inflammatory process occurs in the bone of the abscess. Microorganisms that caused the hole are almost always easy to detect if the bacteriological examination of pus is carried out in time. As a rule, the pathogens of inflammation are bacteria such as staphylococci and gonococci. The cause of their emergence in the oral cavity can be various infections.
Causes of the Disease
The causes of fistula include:
- Improperly cured caries. In this case, the inflammatory disease develops into pulpitis. At the same time, a purulent process begins in the hard tissue of the tooth, which becomes the cause of the cavity inside the tooth. The nerve of the tooth dies, which leads to the spreading of infection from the canal throughout the top of the root part of the tooth. Untreated pulpitis turns into periodontitis.
- Inflammation of the cyst. Most often, the formation of the cyst has no visible symptoms, and therefore is ignored. The disease can appear as a result of pulpitis, which was not cured in time. In some cases, there is improper sealing of the channels. In fact, the cyst is a capsule that is filled with pus. Often its contents are searching for ways out, so a hole is formed, usually the hole in gum appears at the back of mouth. The formation of the inflammatory process is accompanied by swelling and increasing in size.
- Incorrect filling of the tooth canals. This is another common cause of fistula formation. Most often, the need for root canal filling appears during the treatment of pulpitis or periodontitis. In some cases, this procedure may be required before installing the crown. According to statistics, in more than 50% of cases, dentists do not seal the channels well enough. As a result, the voids remain in poorly treated part of the channels, which leads to the formation of an inflammatory process. The infection eventually begins to spread until it reaches the very top of the tooth.
- Wisdom tooth eruption. Often this process is accompanied by severe pain and inflammation. If the growth of the wisdom tooth is complicated, the gums begin to swell. Increased in size, it begins to cause harm to the adjacent teeth. As a result of the inflammatory process, a purulent process is formed, which leads to the emergence of the fistula channel.
- Perforation of the tooth root. The so-called perforations are non-physiological holes made by a doctor by mistake during intervention in the root canals. This mistake leads to serious consequences such as hole in gum below tooth. The patient begins to develop purulent inflammation which becomes the cause of the fistula.
How to Treat a Hole in the Gum?
The aim of treatment is to eliminate the infection, prevent its recurrence, and then comes the competent filling of the root canals. In case if the outflow of pus has not started and there is a strong pain, the doctor must perform the procedure on opening of the fistula. Before you start this, you should make an x-ray picture to be able to determine the exact nature of inflammation.
A hole in gum between teeth is another widespread variant of fistulas. If the reason of the formation of the hole was an incorrectly sealed tooth, the treatment process is slightly complicated, because the first thing you need is to break it. After that, the dentist should take a number of measures to relieve inflammation. In addition, it is required to provide an outflow of exudates in the case of granulomas, and if necessary, to eliminate the cyst. Only after that, refilling of the tooth is allowed. In some cases, the tooth cannot be saved and requires immediate removal, however, it is always an extreme measure. A long course of rehabilitation is often required to finally relieve the patient from such an unpleasant problem as fistula. The doctor can perform ultrasound irradiation of the gums or treat it with a laser. In other cases, antibacterial pastes and gels are used. Along with this, the dentist prescribes some antiviral and anti-inflammatory drugs.