Apical periodontitis of the tooth: symptoms. How to treat acute and chronic periodontitis of the teeth - surgical methods and effective antibiotics What is tooth peritonitis

By localization

apical (associated with the apex of the root);
side;
marginal (marginal) - at the gingival margin.

Along the course, periodontitis can be acute and chronic.

Acute periodontitis develops in two stages:

serous;
purulent.

Chronic periodontitis is divided into forms:

fibrous periodontitis (with it, the tissue adjacent to the root of the tooth becomes denser);
granulating periodontitis - there is an increase in the surrounding connective tissue against the background of inflammation;
granulomatous periodontitis - a delimited focus of inflammation near the root turns into a closed cavity filled with pus - a granuloma, and then into a growing cystogranuloma, gradually destroying bone tissue.

Symptoms

With acute periodontitis

general malaise, fever, enlarged and painful nearby lymph nodes;
pain in the tooth when chewing, biting, pressing - in the stage of serous periodontitis it is unstable, with purulent periodontitis it is quite pronounced, growing, aggravated by touching the tooth, “gives” to neighboring teeth, jaw, ear, the patient feels relieved after the discharge of pus;
feeling that the diseased tooth began to protrude, as if becoming higher than the rest;
redness and swelling of adjacent tissues, a noticeable swelling of the face (cheeks, lips) is possible;
in acute purulent periodontitis, tooth mobility temporarily increases.

With chronic periodontitis

heaviness, discomfort in the projection of the root, tooth mobility;
the color of the diseased tooth changes compared to the neighboring ones;
the fibrous form gives almost no symptoms, except for a slight soreness of the tooth when tapping, and is often diagnosed only by x-ray signs, rarely worsens;
granulating periodontitis (the most common form) is characterized by constant pain, the gums swell, acquire a stagnant bluish tint;
granulomatous periodontitis without exacerbation is asymptomatic, sometimes bulging is felt;
exacerbation of chronic periodontitis occurs with symptoms characteristic of acute.

Possible Complications

a consequence of acute periodontitis may be the development of periostitis (flux), abscess, phlegmon, osteomyelitis;
gradual destruction of bone tissue in granulomatous periodontitis can lead to spontaneous tooth loss;
granulomas transform into cysts that can grow into the maxillary sinus, provoking sinusitis;
with the formation of a cyst, a chronic fistula can form, opening either into the oral cavity or onto the surface of the skin of the maxillary region;
a persistent focus of infection in chronic periodontitis can cause septic complications from other organs and systems (for example, septic endocarditis).

Diagnostics

The diagnosis of periodontitis is made on the basis of the patient's complaints, dental examination data (with probing and percussion), thermal tests (with periodontitis, unlike pulpitis, it is negative), determination of electrical excitability, mandatory X-ray examination.

Treatment of periodontitis

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With periodontitis great importance has a timely visit to the doctor. Treatment, especially of chronic forms, is a rather lengthy process consisting of several stages. All stages are controlled radiographically. The goal of treatment is to eliminate the focus of infection, relieve inflammation, create conditions for the restoration of normal tissues, and prevent relapses.

To do this, the dentist opens access to the root canals, from which necrotic tissues are removed, the outflow of exudate is provided, anti-inflammatory and antiseptic agents, antibiotics are used, electro- and phonophoresis, and laser therapy are used. Then the channels are sealed.

In case of obstruction of the canals and large apical granulomas, the apex of the tooth root is resected along with the granuloma, the opened defect is filled with special materials that promote bone tissue regeneration.

The decision to remove a diseased tooth is made as a last resort, when resection for various reasons is not possible due to obstruction of the canals, as well as with a general reduced resistance of the body with a high probability of a return of the inflammatory process. In the presence of a significant accumulation of pus, dissection and drainage of the formed cavities are carried out.

Prevention

regular visits to the dentist;
timely treatment and prevention of the development of caries, pulpitis;
professional oral hygiene, tartar removal, gum health monitoring;
rehabilitation of chronic foci of infection, strengthening of immunity.

The tissue surrounding the roots of the tooth and holding it in the alveolus has received the medical term - periodontium. Accordingly, its inflammation is classified as periodontitis. The localization of the focus of inflammation causes the division of periodontitis into apical and marginal.

In the first type of disease, the periodontal area located directly near the top of the tooth root is affected. The second type of the disease is characterized by the onset of the inflammatory process from the edge of the gums.

In the absence of treatment of periodontitis, the disease progresses and gradually resolves bone near the top of the root. The formed cavity is filled with granulations. As a result, either the purulent accumulation spontaneously exits to the outside with the formation of a fistula, or the granuloma grows in the formation of a cyst.

Causes

Periodontitis is of infectious origin. Infection - bacteria, less often fungi penetrates to the root of the tooth through the damage in it - cracks, chips or carious cavity and provokes an inflammatory process. Periodontal disease affects literally all age groups - from young to old.

Percentages, based on the calculation for 100 cases of visits to the dentist for pain in the teeth:

Age from 8 to 12 years - 35% of cases.
Age 12-14 years - 35-40% (loss of 3-4 teeth).
From 14 to 18 years old - 45% (with the loss of 1-2 teeth).
From 25 to 35 years - 42%.
Persons over 65 years old - 75% (loss of 2 to 5 teeth).

The cause of the development of the disease in most cases becomes and. With pulpitis, inflammation affects soft tissues tooth - pulp, then spreads to the periodontium. This process contributes to the formation of a cyst - a kind of sac filled with fluid. In this case, we are talking about serous periodontitis.

If periodontitis is not treated, chronic foci of infection in the oral cavity lead to pathologies internal organs among which are endocarditis. All periodontal diseases in general, one way or another, affect the state of human health and significantly reduce the quality of life.

Classification

Traumatic periodontitis. This type of inflammation owes its appearance to various mechanical damage - for example, as a result of a sharp bite on a hard object, cracking nuts, or the habit of tearing threads with your teeth. Thus, a tooth is driven in or dislocated, which is accompanied by severe pain.
Medical periodontitis- appears due to the entry into the dental canals of potent medicines used in the treatment of pulpitis and other diseases. If the inflammation is caused by medications containing arsenic, arsenic periodontitis is diagnosed. Also, the disease can be triggered by drugs with phenol, formalin and some other substances;
Marginal and apical (apical) periodontitis. Distinctive features of these two types of damage is that marginal, or marginal, periodontitis affects more periodontal tissues, and apical is formed in the area of the tops of the roots of the teeth).
Infectious periodontitis- develops as a result of infection in the periodontium due to pulpitis or untreated caries. Through the canal of the tooth, microbes penetrate the gums and provoke an inflammatory process.

Symptoms of periodontitis

Acute periodontitis is manifested by the following symptoms:

Feeling of a "growing" tooth. When biting, it seems that the diseased tooth is longer than the others.
Toothache. The pain is usually aching in nature. As a rule, the patient can always indicate which tooth hurts. When pressing on the tooth, the pain intensifies, for example, when chewing.
With purulent periodontitis, the pain becomes pulsating, the intervals between pain attacks are short. Pain in some cases gives to the ear, temple, infraorbital region.

Chronic periodontitis may be asymptomatic. Sometimes there is a slight pain when biting on a diseased tooth. Almost always, such a tooth has an altered, grayish tint; when tapped, the sound is duller than that of a healthy tooth. Perhaps the formation of a fistula - a hole through which pus from the focus of inflammation flows into the oral cavity. The fistula most often looks like a vial with white-gray contents in the projection of the top of the diseased tooth.

How is periodontitis different from dental pulpitis?

Pulpitis should not be confused with the disease in question. They have a significant difference in localization, despite often similar symptoms. The fact is that pulpitis is also inflammatory disease, however, all processes occur exclusively in the pulp of the tooth. The pulp is the soft tissue that is located inside the teeth.

With any form of pulpitis, there are absolutely no changes in the surrounding tissues, and the tooth is firmly held in the gum. Periodontitis can occur as a complication of pulpitis when the infection travels down to the root apex and through root canals comes out.

Periodontitis: photo

What does periodontitis look like, we offer detailed photos for viewing.

Chronic periodontitis

What it is? Chronic periodontitis can be the result of an acute process or it can start on its own. Usually the disease is asymptomatic. Symptoms appear only in case of exacerbation of periodontitis due to hypothermia or a decrease in immunity.

The danger of the chronic form is that the patient hesitates to see a doctor before the manifestation of pronounced symptoms of periodontitis and, as a result, risks losing a tooth, since in most cases the resulting processes, in particular cysts on the roots, are irreversible.

Chronic periodontitis has three forms:

Granulating form. It is manifested by soreness when eating or tapping, on contact with hot or pressure. The mucosa around the tooth is slightly swollen, red, the fistulous course from the granuloma of the tooth can open on the skin of the face.
fibrous form. There is a gradual replacement of the fibers of the ligamentous apparatus of the tooth with connective fibrous tissue. Symptoms of periodontitis of this form are practically absent, pain is very rare. The diagnosis can be made on the basis of an x-ray.
Granulomatous form. Usually asymptomatic, has a fistula for the outflow of contents. On the X-ray, it looks like a focus of bone destruction at the top of the tooth with a diameter of up to 5 mm.

With an exacerbation of the chronic process, the symptoms of the disease become similar to the acute form, however, after a fistula appears and the release of pus begins, the process will again decline, taking on a chronic form.

Granular periodontitis

What it is? Granulating periodontitis - chronic inflammation in the periodontium, proceeding with the formation of granulation tissue. The clinic of granulating periodontitis is characterized by pain when biting, chewing, thermal exposure; mobility of the affected tooth, hyperemia and swelling of the gums, the formation of fistulas with purulent discharge.

Granulating periodontitis is diagnosed using a clinical examination (examination, probing, percussion, palpation), radiography of the tooth, electroodontodiagnostics. Treatment of granulating periodontitis can be therapeutic (endodontic) or surgical (hemisection, amputation or resection of the apex of the tooth root, tooth extraction).

Consequences

If left untreated, acute periodontitis can lead to unpleasant complications - (flux), and then to abscesses and phlegmon maxillofacial area. Perhaps the development of acute osteomyelitis or.

With the progression of chronic periodontitis, cysts are most often formed, capable of covering the roots of adjacent teeth during the growth process. Germination of cysts in the maxillary sinus is also possible. Suppuration of cysts is possible with the formation of a chronic fistula (both in the oral cavity and through the skin of the maxillary region).

How to treat periodontitis?

The principles of treatment of all forms of periodontitis are reduced to the elimination of inflammation in the apex of the tooth root. This is achieved different ways. The complexity of treatment is determined by the degree of development of the process, its prevalence, the anatomy of the tooth and roots, and the age of the patient.

Treatment of any form of periodontitis involves the treatment of root canals. If the tooth has been treated earlier and the root filling cannot be removed, apply surgical methods treatment (resection of the apical part of the root).

Chronic periodontitis with extensive destructive changes is treated with drugs based on calcium oxide hydrate, injected through the root canal into the lesion. An important point in the treatment of a tooth is a correctly performed canal filling, which is desirable to be carried out as soon as possible after endodontic treatment. Naturally, if there is no bleeding and exudation from the canal. As additional measures for periodontitis, physiotherapy is used, which has an anti-inflammatory and analgesic effect. If the tooth can still be saved, then the doctor will do everything possible for this.

The main goals of the treatment of acute apical periodontitis is to relieve pain syndrome, elimination of the focus of inflammation and prevention of further spread of the inflammatory process to other parts of the maxillofacial zone.

The modern level of development of dentistry allows you to save a person's natural teeth with timely access to a doctor. One of the diseases that can be cured without resorting to extraction is periodontitis of the tooth. For this reason, it is important to be able to recognize the symptoms of pathology, to know what the periodontal dentition looks like and to seek help without waiting for an exacerbation.

What does the term "periodontitis" mean?

The term "periodontitis" in medicine sounds like "periodontitis". What it is? The word is of Greek origin and consists of two significant parts: "peri" ("around") and "odontos" ("tooth"). If we turn to the literal interpretation, then we are talking about the inflammatory process "around the tooth" or infection of periodontal tissues.

Methods for classifying periodontitis

In dentistry, the classification of periodontitis can be carried out on the basis of the location of the pathology (marginal or apical), based on the characteristic symptoms (chronic or acute). The classification of periodontal diseases is based on the causes that provoked the development of the disease. In the latter case, we will talk about a traumatic, infectious or drug-induced form of periodontitis.

By location

When classifying according to the place of localization, apical (apical periodontitis) and marginal (marginal) type of pathology are distinguished:

when apical periodontitis develops, the inflammatory process is concentrated in the apical part of the affected tooth;
if marginal periodontitis occurs, inflammation is localized in the ligamentous apparatus of the tooth, in its cervical zone.

With apical periodontitis, there is often a feeling of a "grown" incisor or canine.

According to the form of flow

The disease occurs in acute or chronic form:

At the initial stage of periodontitis, the patient feels intense acute pain - many eliminate the symptom by taking painkillers, but ignore the cause. The disease can become chronic, it proceeds almost imperceptibly (with the exception of exacerbations of periodontitis).
The chronic form is divided into fibrous type, granulating form of periodontitis and granulomatous.

Fibrous type of periodontitis

Fibrous type of periodontitis does not have bright symptoms. This type of disease is characterized by gradual replacement of the periodontium with fibrous (connective) tissues.

Granulomatous type of periodontitis

Granulomatous form of periodontitis is a collection of pus near the root apex. Treatment of periodontitis of the granulomatous type depends on the volume of the abscess and is more often surgical. Depending on the size of the purulent "bag", this formation is called:

granuloma - up to 0 (we recommend reading: tooth granuloma: what is it and how is this disease treated?). 5 cm in diameter;
cystogranuloma - from 0.5 to 1 cm;
cyst - the size of a purulent formation exceeds 10 mm in diameter.

Granulating type of periodontitis

The granulating form of periodontitis is characterized by the appearance of granulation tissue at the tops of the roots of the tooth, which has a porous structure. It grows rapidly and gradually replaces the bone. Granulating periodontitis in the picture looks like a darkening at the roots of the tooth.

For the reasons that caused the disease

Depending on what causes provoked the disease, experts distinguish between infectious, traumatic and drug-induced periodontitis. The latter can be found under the name "arsenic". In the adult population, the causes of periodontitis are:

Toxic drugs (medicated periodontitis) - during the treatment of pulpitis, medicines based on formalin or arsenic (arsenic periodontitis) can enter the periodontium, sometimes the development of the disease provokes exposure to phosphate cements. With drug-induced periodontitis, exclusion of the influence of the toxin is required.
Injury - this can be a long-term traumatic effect (biting threads with teeth, oversized fillings) or an acute one-time injury (during a blow or fall).
Infection - caries or pulpitis often leads to the development of periodontitis, if the diseases were treated poorly or not in full, then an iatrogenic form occurs. Requires infection therapy.

Symptoms of the disease with a photo

Symptoms may vary. What periodontitis looks like can be seen in the photo to the article.

With granulomatous periodontitis, discoloration of the teeth is often noted.
Granulating periodontitis is characterized by swelling of the gums. Pronounced signs are present only during the period of exacerbation of periodontitis. With granulating periodontitis, there may be slight discomfort when eating, sometimes purulent discharge or swelling of the gums appears.

Acute periodontitis is accompanied by the following symptoms.

feeling of a grown tooth;
acute intense pain;
soreness of the tooth;
fever, weakness, headaches;
enlargement of the cervical lymph nodes;
swelling of soft tissues, tooth mobility;
granulating periodontitis is often accompanied by a fistula;
the appearance of symptoms of vasoparesis.

The first symptom is characteristic of apical periodontitis. The course of acute periodontitis differs from pulpitis in its reaction to temperature changes. In the first case, the cold has a calming effect, and with pulpitis, on the contrary, it causes severe pain. The patient may confuse such symptoms of pulpitis with signs of one of the chronic forms of periodontitis. Typical symptoms are shown in the photo to the article.

Methods of differential diagnosis

The dentist can diagnose the development of granulating periodontitis (or another form) based on a comprehensive clinical examination of the patient. Methods differential diagnosis periodontitis include interviewing the patient, visual examination oral cavity patient, after the doctor determines the degree of tooth mobility and probes the entrance to its cavity. Differential Diagnosis easier to put in a period of exacerbation.

Inspection

Diagnosis of granulating periodontitis (another form) begins with an examination. Signs include tooth mobility, swelling of soft tissues. If periodontitis has become chronic (for example, fibrous), then the doctor will notice that the tooth has changed color. Can detect swelling of the gums in the place of accumulation of pus. If you press on the gum near the tooth, then the recess is not immediately leveled - this is a symptom of vasoparesis.

x-ray

With periodontitis, X-rays should not be taken by pregnant women. In the acute form of periodontitis of the tooth, this type of study is ineffective, since changes in the periodontium are not visible in the picture. As part of the differential diagnosis of periodontitis, X-ray examination allows you to determine the form of its course:

granulomatous periodontitis - the granuloma is clearly visible on the x-ray (on the x-ray, a rounded darkening with clear and even boundaries);
granulating periodontitis - the picture shows deformations of the periodontal gap, you can see that the bone density has decreased, the granulations have fuzzy boundaries;
fibrous periodontitis - in the picture, the lumen of the periodontal gap is unevenly changed.

Treatment of periodontitis in adults

Can one of the types of periodontal inflammation go away on its own? Periodontal disease is characterized severe course and complications. It is impossible to do without the use of conservative surgical methods. The doctor determines the form and type of the disease. Then the specialist proceeds to the choice of methods for the treatment of periodontitis - for acute and chronic it will be different. With exacerbation of periodontitis, treatment depends on its form. Stages of the treatment process:

	The form of the disease
	Acute	Chronic(fibrous, granulomatous or granulating form of periodontitis).
1	Anesthesia of the problem area.
2	Removal of dead pulp and tissues affected by caries.	Removal of dead pulp and tissues affected by caries, cleaning of roots from filling material (if necessary.
3	Expansion of root canals, disinfection and treatment with antiseptics.
4	Medication (may include antibiotics).	Installing a temporary filling. With fibrous periodontitis, filling is carried out during 2-3 visits to the dentist. With granulomatous periodontitis or granulating periodontitis, therapy takes 8 to 16 weeks.
5	After 3 days - washing the roots, treatment with antiseptic compounds, installation of a temporary filling.	If the patient feels unwell, they are treated with anti-inflammatory drugs and antibiotics.
6	Removal of a temporary filling and repeated antiseptic washing of the canals, after which the root canals are sealed.	Removal of temporary filling. Root washing. Installing a temporary filling.
7	If the canal filling is done with high quality, the dentist puts a permanent filling.	Antiseptic treatment of root canals and their filling.
8		A permanent filling is placed on the crown of the tooth.

With arsenic periodontitis, treatment has its own characteristics. The list of steps will be the same. The first step is to remove the source of the toxin. Physiotherapy treatments are also effective. In the treatment of apical periodontitis, it is necessary to proceed from what factors provoked it.

Antibiotics and other drugs

With periodontitis within conservative treatment antibiotics are often prescribed, for example, they are treated with Amoxiclav. When taking Amoxiclav with granulating periodontitis, attention should be paid to contraindications (including age-related ones).

As part of conservative therapy, the following antibiotics are indicated: Ofloxacin, Amoxicillin Sandoz, Amoxiclav. If periodontitis is diagnosed, it is strictly forbidden to exceed the dosage during antibiotic treatment:

Amoxiclav. 1 tablet 3 times a day
Ofloxacin. 1 tablet 2-3 times a day.
Amoxicillin Sandoz. 500 mg 3 times a day.

Anti-inflammatory, antipyretic and antihistamine drugs can also be used, the dosage is selected by the doctor.

Surgery

With periodontitis, the dentist makes every effort to save the tooth. If the case is neglected and the use of conservative methods of treatment does not give an effect, the doctor will decide on the need for surgical intervention. With periodontitis, tooth extraction is a common operation. Of the methods of treatment, they often resort to an incision in the gums. Surgery is required for patients diagnosed with granulomatous periodontitis. The following types of surgical treatment can be performed:

Fighting illness at home

It is possible to fight the disease on your own, at home. However, such therapy shows high efficiency when used in combination with drug therapy prescribed by a doctor. With the development of granulating periodontitis, treatment folk remedies gives a temporary effect. You can rinse your mouth or apply something to the gums after consulting a specialist. Below are the most popular folk methods and means:

cranberry drinks (juices);
an aqueous solution of potassium permanganate;
tea applications;
honey ointments;
lemon salt paste;
baking soda paste.

Possible Complications

After the end of treatment, intense pain or a feeling of "twitching" may occur. If the discomfort continues for 5 or more days, then we are talking about a relapse of the disease. You should contact your dentist immediately.

In addition to recurrent periodontitis, the patient is faced with a number of complications, the causes of which are most often poor-quality or untimely treatment:

the spread of pathology to the periodontium of neighboring teeth;
sepsis;
the transition of pathology into a chronic and / or purulent form;
phlegmon;
osteomyelitis;
periostitis.

Preventive measures

It is possible to cure the disease - although it is difficult, long, expensive and painful. If a pathology is detected at the initial stage, several unpleasant procedures will be required.

Fibrous periodontitis requires treatment for several weeks. The therapy of the chronic form (if granulating or granulomatous periodontitis is diagnosed) can take months, sometimes years.

How to prevent the development of periodontitis - prevention is necessary:

visit the dentist regularly;
rinse your mouth with special means - you can use folk recipes;
carry out sanitation of the oral cavity;
lead a healthy lifestyle, eat a balanced diet;
avoid excessive loads on the dentition;
do not neglect the full and timely treatment of dental diseases.

Violation of the environment, poor quality of drinking water, certain diseases, unhealthy lifestyle and genetic predisposition lead to dental problems, one of which is periodontitis. Periodontitis of the tooth - what it is, what are the causes, symptoms of the disease and how the disease looks in the photo, it is important to know for timely detection and subsequent treatment.

What is periodontitis

The disease takes different forms, not always the patient can independently diagnose its appearance. It occurs on milk, single-rooted, multi-rooted and wisdom teeth. The disease spares neither the child nor the adult. The disease is an inflammation of the apical part of the tooth root and tissues that are adjacent to it. The course of the process is associated with such violations:

destruction of the cortical plate, which covers the teeth and bones, performing a protective function;
the integrity of the ligaments that hold the tooth in the jaw recess is damaged;
bone resorption followed by cyst formation.

Causes

Having learned what periodontitis of the tooth is, you need to understand what reasons influenced its appearance. The disease can cause:

infection in the root system of the tooth;
injury;
Apical periodontitis arises from the negative effects of medications.

The infected form in children and adults develops against the background of advanced caries or unskilled actions of the attending physician. In case of illness, microbes can be transferred deep into the tooth, reaching the roots, pulp. The infection begins to develop there, which leads to damage to the periodontium and the onset of the disease. When a filling is placed, it is important to follow the technology, because if you fill an untreated tooth or advanced pulpitis (pulpoperiodontitis), then the existing foci of inflammation can grow, causing periodontitis.

Trauma is associated with single injuries, such as sports injuries. It also occurs due to incorrect installation of a crown or an overestimated filling. In this case, constant pressure will be exerted on the tooth. Pharmaceutical form associated with allergic reactions to materials used in fillings. Negative effects are caused by the effect of painkillers.

Symptoms

Timely diagnosis helps to reduce the time of treatment, even save the tooth. To identify the disease, you need to know the symptoms of periodontitis, which are directly related to the form of the disease. The acute form is characterized by:

aching or sharp pain, which increases with pressure, when neglected, it develops into a pulsating focus;
sensation of protrusion of the tooth from the jaw;
sleep disturbance, temperature, swollen lymph nodes;
visually, a carious lesion can be detected on the affected area, the gum will have swelling and redness;
in some cases, only small expansions in the root fissures can be seen on the x-ray. This is due to the fact that the acute form, due to pronounced symptoms, is detected at an early stage.

Chronic illness has the following symptoms:

proceeds with minimal manifestations, the pain manifests itself when biting or tapping, but it is moderate and tolerable, in contrast to the acute form;
visually, carious lesions of a filling or crown can be detected. A fistulous opening of small diameter may periodically form on the gum, from which pus flows;
it is easy to identify chronic periodontitis in the picture. An x-ray will be able to detect violations of the integrity of the roots.

Periodontitis - photo

Classification of periodontitis

According to the location, apical and marginal periodontitis are distinguished. The focus of the first is located at the base of the root and is often associated with an infectious course. Marginal is formed in the gum area, it is caused by trauma or untreated pulpitis. Depending on the manifestation, acute and chronic forms are classified. The acute course is expressed in the following stages:

serous - undulating strength of pain, sharp exacerbations, the tooth is motionless;
purulent - increasing pain, the release of pus, loosening of the tooth.

The stages of the chronic form are manifested as follows:

fibrous - there is a proliferation of fibrous tissue;
granulating - bone tissue is destroyed near the top of the root;
granulomatous - bags are formed on the gums that are filled with pus.

How to treat periodontitis of the tooth

Treatment at home is possible only on initial stages. It is necessary to take a photo using an x-ray to determine the degree and form of periodontitis. Treatment can include both rinsing with special means, and surgical intervention, tooth extraction. The success of therapy depends on following factors:

at what stage the disease was detected;
degree of neglect;
channel patency.

Chronic

For treatment fibrous form you need to open access to the focus of the disease, remove the crown or remove the seal. Then rinse the cavity with special preparations 2 times a week, the course consists of 3-5 procedures. With a granulating or granulomatous disease, a medical temporary filling is placed for 3-6 months. During this period, they regularly visit the dentist for examinations and x-rays.

If periodontitis is in an advanced stage or the granules exceed 1.5 mm, then resection of the root of the upper or lower tooth is applied. At the same time, it is removed along with the granule that has formed on it. After healing, a decision is made on prosthetics.