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periodontitis


The disease tissues surrounding the root of the tooth. Usually it is preceded a pulpitis (cm.), With its inherent pain. Failure to treat it predetermines the penetration of bacteria on the tooth root canal beyond, calling in the new conditions of acute inflammation, called acute periodontitis.
Symptoms and over:
A characteristic feature is the emergence of self-pain, at first low, then increasing, acquiring pulsating character. It differs from pain with pulpitis is that it is strictly localized, becomes sharp when the mechanical load on the affected tooth, particularly in the form of tapping. Interdigitation is so painful that many refuse to accept even liquid food. Perhaps a moderate increase in body temperature (up to 37.5 ± C). When these symptoms need to help a dentist in the near future is extremely high. The use of home remedies, including pain relievers, warm rinse and dressing can be given only occasional relief. Delaying treatment time to a specialist is fraught with severe complications due to the development of purulent process first limited and then poured (see. Abscess, phlegmon, osteomyelitis, Ch. Dentistry and Ch. Surgical diseases).
Resolution of the rapidly flowing acute process possible with lighter consequences. If you find a way out of pus from the source of the inflammation in the mouth (through the molten mucosa covering the alveolar bone), or through the skin to the outside to form a fistulous, acute periodontitis becomes chronic. In this case, the threat of hazardous complications is reduced but not eliminated altogether.
Treatment:
A desirable it is possible to avoid the formation of fistulous. In the context of outpatient artificially create an outflow of pus from the source of inflammation through the tooth canal and pulp chamber, previously released from decaying particles of pulp tissue decay. Disinfection is then performed, followed by filling the chamber and the channel filling material. vynuzhdepno bad tooth removed under narrow root canals.