Periodontium is a layer of tissues located around roots of a tooth. With the help of these tissues teeth are fixed in jaws. Inflammation of these tissues around teeth roots is called periodontitis.
This is a frequent dental disease that patients usually know as “cysts” or “root granuloma”. This disease is easy to diagnose: nagging or pulsating pains in teeth that grows stronger with pressure or hot food or drinks. Quite often patients can feel their sore tooth as if it has grown longer or it can seem that something under the tooth pushes it out from the jaw. Gums and even a part of cheek beside this tooth can get swollen, lymphoid glands become sore, patients can develop fever. The tooth can be shaky; pressure onto it can cause secretion of pus. There can also be a fistula in gums beside the affected roots of the tooth: such a fistula withdraws pus from roots of the tooth. Gradually, as pus is withdrawn, pains become less intensive. However, it does not mean that the disease should not be treated at all: complications of periodontitis can be very serious, up to abscess or jaw osteomyelitis.
Causes of the Disease
Periodontitis can be provoked by a range of factors: poorly sanitized root canals when a filling was installed; allergic reactions to medications or toxins; heavy mechanic load of a filled tooth; gum inflammation with bacterial microflora; neglected caries or any other infection that can get to root canals and affect periodontium. There can be cases of chronic periodontitis that passes on without symptoms until something happens that weakens the immune system. In this case, symptoms of the issue show up as acute forms. Outbreaks of periodontitis can be prevented: it is only necessary to keep proper hygiene of teeth and regularly visit high-quality dental facilities like www.millerdowntowndentistry.com for example.
How This Issue Can Be Treated
Treatment of this disease can be performed in several ways. The most radical treatment involves extraction of a tooth with the granuloma (or even several ones, such situations can happen, too). However, dentists usually procrastinate with extraction until they see results of x-ray or computer diagnostics. These ones allow to see how big the cyst is, how grave the destruction has become and how long it will take to try to save the tooth with the help of conservative treatment. It is necessary to remove all infected tissues, clear root canals, fill them with sanitizing means, improve the immune system and refill the tooth 2 to 3 months later.