Ulcer on the gums treatment

The appearance of purulent lesions on the gums to form granulomas do not occur in a vacuum. Such formations appear next to the tooth affected by deep caries. Often the tooth can be saved and prevent the occurrence of massive sepsis, because when the spontaneous opening of granulomas pus may get into the stomach with saliva and spread throughout the body by the bloodstream. If treatment is not rendered in time, the root of the tooth is completely destroyed and is deleted. So, what to do if you have infected gums? What can be done?

The main causes of

The formation of a purulent focus is a long process, which is often latent nature of the flow. For a long time the focus of inflammation does not manifest itself, but over time, the gums you can see a granuloma (lump), in a cavity which is a fluid. The gums around the causative tooth can fester as children and adults. Moreover, in children the disease process may occur in any bite (milk). Ulcer on the gums can occur for two main reasons:

  • the inflammatory process in the apical area of the tooth;
  • periodontitis.

On the gums abscess at the apex of the root portion of the tooth is called periodontitis. Purulent lesion in the gums of this nature occurs for a number of reasons (running caries, pulpitis, equipment violation canal filling). The treatment is done by opening the cavity of the tooth, cleaning of purulent exudate and final sealing. Ulcer on the gums due to periodontitis occurs with increase in periodontal pocket because of the accumulation of purulent exudate. The formation of pus is always accompanied by redness of the gums, swelling, and soreness.

Symptoms and signs

Ulcer on the gums at the beginning of its development, rarely accompanied by any symptoms. Basically, the worrying pain in carious teeth with pulpitis. Previously the tooth was cleaned the channels and removed the nerve endings, pain may be absent altogether. Of the main signs of the formation of pus is isolated:

  • increased reaction to cold or hot;
  • local blue gums:
  • lump formation in the gums with purulent content;
  • the tumor in the area of causal tooth;
  • the increase in body temperature;
  • the Department of purulent content;
  • bad breath.

Many patients make a lot of mistakes in the detection of the ulcer, ranging from the warm up, ending with perforation. If there is pus, then the only correct action would be to rinse the mouth with antiseptics. Adequate treatment is the only medical method. Other methods of treatment without risk to health exists.

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Features of development in children

Pus in the gums in children and adults is not considered to be rare situations. The teeth in milk bite even more susceptible to carious lesions. The main danger of a pathological condition in children is considered to be the defeat of the rudiments of permanent teeth. Another complication of purulent inflammation of the gums is the rapid spread of infection throughout the body. The child’s body is imperfect immune system, so any infection can cause an abscess in almost all tissues and organs. Abscess on the gums the child may appear on the background of ordinary caries or trauma to the gums that requires immediate treatment to the doctor. This will allow to avoid such unpleasant consequences, such as extensive tooth decay or the development of generalized ulcerative stomatitis. Treatment of periodontal abscess occurs in children much the same way as adults, especially when the pus leaks out.


Where to go with the appearance of pus in the gums? What to do and how to treat? If you have an abscess on the gums near the causative tooth, the treatment will be chosen based on the preceding factors. The primary goal of treatment of an inflammatory hearth any nature is to eliminate the source of infection. If festering gums because of developing periodontitis, therapy is aimed at elimination of inflammation, stability of moving teeth. With the progression of periodontitis cut open the body cavity and remove pathogenic lesion at the apex of the tooth root. In both cases, the doctor tries all possible means to preserve the natural tooth.

Treatment of an abscess in periodontitis

Elimination of the pathological focus occurs medical and surgical method. Purulent pouch on the gums near the tooth does not always require an external excision of mucosal tissues. The radical method is used when conservative treatment does not bring results. If you have infected gums, then you should immediately seek medical help.

Surgical treatment

For a successful surgical treatment, it is necessary to observe several conditions: poor seal at the apex, a quality filling the rest of cavity. The apicoectomy procedure is performed without opening the normal fillings and made in a single step. The operation is to cut off the root tips with the help of a drill, as well as, for purification of wounds from an existing cyst or a granuloma. Thus, the doctor manages to pull the pus out of the gum without incisions, to remove the inflammatory element. After surgery, we recommend taking antibiotics, rinsing with antiseptic solutions.

With timely treatment of periodontitis rarely has any complications. In severe cases periodontitis with abscess can result in tooth extraction.

Conservative therapy

Of the main methods of diagnostics of periodontitis emit the most effective — x-ray. After accurate diagnosis, the dentist starts the treatment. In the presence of crowns or fillings intact open cavity of the tooth, eliminate carious destruction, and remove the nerves, expand the root canals. After instrumental treatment of root canal antiseptic and antibacterial drugs. If the gums are very inflamed, there are clear signs of the emergence of purulent abscess then the dentist sends the patient to the surgeon for opening the abscess. Usually the treatment takes place in several visits.

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In the first visit to open the tooth cavity, nerve canals are cleaned, a temporary filling is set. If x-ray examination revealed a pathologic tumor size is small then a repeat visit to the doctor can completely seal the channels. If x-ray shows a formed formation at the root apex of the tooth in the form of a granuloma or cystic cavity, then the final sealing of the channels is only possible in a few months after the first visit. Time for the final seal was necessary to eliminate risks of re-infection of the root paths. If suppuration of the gums stopped and the inflammation goes away, the risk of recurrence is minimized. At a favorable outcome for the seal set the bit. The formation of the purulent SAC at the root of the tooth can appear in all sizes, so any discomfort on the mucous membrane of the gums is necessary to consult a specialist.

Treatment of abscess in the periodontium

Diagnosis of the disease involves x-ray examination and evaluation by the periodontist in the objective status of the oral cavity. In the study a snapshot, pay attention to the depth of the periodontal cavity, the necessity of removing the pulp, the overall magnitude of the inflammatory process. A purulent exudate may be just out of the gum, which is derived pathological periodontal structure. If purulent inflammation of the gums is distributed on several teeth, then we can talk about generalized periodontitis. For local periodontitis pus is allocated only around one tooth.


Primary treatment involves the removal of dental deposits (plaque, Tartar), removal of pus from the gums, the holding of antibiotic therapy. Periodontal cavity copiously washed with antiseptic solutions, and the gums treated with a gel against the development of inflammation. The root of a tooth may remain completely healthy. Special cases festered gums require the appointment of a course of antibiotics. After separation of the pus and inflammation, the doctor performs a procedure of curettage of periodontal cavities. The primary goal of treatment is the removal of inflammatory granulomas of the gums. If necessary, build up the bone structure to reduce the size of periodontal pockets.

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You cannot rely on the treatment of purulent hotbed of traditional methods. Homemade recipes appeared upon internal inflammation are rarely effective methods. Treatment with infusions and rinse is important at the completion of drug therapy in relapse prevention, accelerating the healing of the mucosa. Correctly chosen treatment you can quickly get rid of the pathological process and to preserve the natural tooth intact.

Major complications

Modern dentistry virtually eliminates the development of various complications, when a festering tooth. Despite this, the presence in the body of the inflammatory process with purulent exudate can always provoke an unpredictable course. The main complications include:

  • the infection spread through the blood stream;
  • loosening and loss of teeth;
  • the formation of phlegmon (an extensive inflammatory process);
  • bleeding;
  • the likelihood of recurrence of the abscess.

A small purulent sack can cause flux. In some cases, may require hospitalization of the patient. Inflammation in the body is spreading rapidly from the bloodstream, settling in vital organs. Autopsy pus formation can be hampered by huge processes in the inflammatory focus, the need for the installation of drain tube (allows you to gradually withdraw pus out), the unstable health status of the patient. Patients with a complicated clinical history (diabetes mellitus, chronic diseases of organs and systems, bad habits, the need of serious medications, etc) are more likely to cause complications after treatment.

Preventive actions are reduced to the observance of hygiene of an oral cavity, to the exclusion of the trauma of the gums, regular dental checkups, prompt treatment of cavities. Pus in the gum, generally has a favorable prognosis with prompt patient response and right therapeutic tactics.