The phenomenon of tooth growth is generally caused by tooth inflammation, especially inflammation at the root apex, which often forms an abscess or fistula. This phenomenon is quite serious and you should go to a dental hospital for examination and root canal treatment in time. The dental nerve should be cleaned, then filled with medicine, and finally the tooth should be supplemented to avoid greater impact. Causes 1. When the purulent inflammation of the inner wall of the deep periodontal pocket spreads to the deep connective tissue and the pus cannot be discharged into the pocket, an abscess may form in the soft tissue of the pocket wall; 2. In deep periodontal pockets that are tortuous and involve multiple tooth surfaces, purulent exudate cannot be drained smoothly, especially when the root bifurcation area is involved. 3. Rough movements during cleaning or scraping may push tartar fragments and bacteria into the deep tissue of the periodontal pocket or damage the gum tissue. 4. The scaling of deep periodontal pockets is not thorough, resulting in the pocket opening being tightened, but the inflammation at the bottom of the pocket still exists and is not drained. 5. Lateral perforation of the root canal or pulp chamber floor, longitudinal root fractures, etc. during endodontic treatment can sometimes cause periodontal abscesses. 6. People with reduced body resistance or serious systemic diseases, such as diabetes, are more likely to develop periodontal abscesses. Patients with multiple or recurrent periodontal abscesses should be careful to exclude the possibility of diabetes. 7. Some highly virulent periodontal pathogens colonize and proliferate in the periodontal pockets, aggravating and spreading the infection. Treatment recommendations for periodontal abscesses: 1. The treatment principles of acute periodontal abscess are to reduce inflammation and relieve pain, prevent the spread of infection, and drain the pus. 2. In the early stage of abscess, before pus is formed, large pieces of tartar can be removed, the periodontal pocket can be rinsed, antiseptics and antibacterial drugs can be introduced into the pocket, and antibiotics or supportive therapy can be given systemically if necessary. 3. When pus is formed and localized and fluctuates, drainage can be chosen from the periodontal pocket or the gingival surface depending on the location of the abscess and the thickness of the surface mucosa. The former can use a sharp probe to pierce the abscess cavity from the inner wall of the bag, and the latter can use a sharp blade to cut the abscess deep under surface anesthesia to allow the pus to be fully drained. After incision, the abscess cavity should be thoroughly rinsed and then antiseptic and antibacterial drugs should be applied. Premature incision and drainage will cause excessive bleeding and pain in the wound. Patients should be advised to gargle with saline or chlorhexidine for a few days after incision and drainage. 4. For those whose teeth are protruding and whose occlusal contact is painful, the obvious early contact points can be adjusted and ground to give the teeth a chance to recover quickly. 5. Chronic periodontal abscess can be treated directly with periodontal surgery based on cleaning. Depending on the situation, abscess resection or flap surgery is performed. |
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