What to do to the flux broke faster: can I pierce
What to do to the flux broke faster? And what is it? Flux is a phenomenon that occurs in odontogenic periostitis caused by the accumulation of pus underneath the cortical plate of the bone. Occurs when long-term treatment of the teeth, causing the infection penetrates and extends beyond the apex to be deeper in the hole of the bone of the alveoli. Manifested General malaise and swelling of the mucosa at the site of lesion. To understand how to try to prevent the development of this disease and alleviate the condition of the appearance of the flux, let’s look at this topic in more detail.
The appearance of flux happening in the context of infection. To do the microbial flora may be at different stages of medical intervention or without him. If the patient fails to comply with the oral hygiene by using basic and additional cleaning of the teeth, while eating easily digestible carbohydrates (sweets), sooner or later will start the destruction of the hard tissues of the tooth. This also can be added the diseases of periodontal tissues.
In the occurrence of dental caries microbial flora gradually deployed from the surface of the tooth depth. The infection enters through all the structures, leaving the result in the apical region, and moves further in the direction of the bone. The patient is the development of caries and its complications (pulpitis, periodontitis), denoted by specific symptoms. This situation is possible if the patient, sensing changes in the body, yet does not call for qualified help.
It also happens that in the development of diseases of the tooth recourse has occurred. However, the infection is either brought into the treatment process (preparation, endodontic treatment of channels), or the patient himself stopped coming for treatment. This is possible in the treatment channels. Doctor’s tactics in this case requires multiple visits and difficulty in implementing therapy may be due to the anatomical structure of the tooth, physical health, financial capabilities, availability of free time of the patient for treatment.
Thus, breaking, infection from the apical part of the root of the tooth starts its movement towards the bone tissue of the alveoli. And the first in her way stands a compact disc. The bone tissue presented the alveoli compact plate and spongy substance. Abscess (dental abscess) occurs when the penetration of infection under a compact disc.
The patient’s symptoms
Symptoms characteristic of flux satisfied. At the initial stage, when pressing there is a pain in the exactly defined place of the gums, indicated in the projection of the root tips. There is a swelling of the gum tissue and cheeks. Perhaps the appearance of the fistula. The fistula may be in the discovery phase, in which the pus is gradually secreted from the apical area or close. In the closing stage of the entrance of the fistula is filled with granulation tissue. The presence of fistula with purulent discharge makes the patient’s condition, however, the disease thus not be eliminated I can.
Gradually the production of pus in the infectious agents continues. Growing local General changes. From the touch only to the tooth the patient feels pain, aching and sharp in nature. There is a feeling that the gum is pierced with a needle. Feel like between the cheek and gum for something to grow. This is due to the increase in pressure under the periosteum of the increasing purulent content. And also be noticeable changes in the maxillofacial region. Marked asymmetry of the face on the skin can be changed in case of opening of the fistula on the face (typical for lesions of the canines), lymph nodes are enlarged, painful. Moreover, lymph node enlargement is possible as near (chin, submandibular), and regional (cervical and other clusters of lymphoid tissue). The patient may also note the limitation of the mouth opening. This is due to the localization of the process in the posterior group of teeth.
Of the common changes noted by the patient, observed:
- Temperature rise;
- Sleep disturbance;
- Loss of appetite.
The progression of symptoms of the flux occurs on the background of active activities of microbial flora and reduced immune abilities of the body. Reduced immunity is possible with the emergence of other diseases of the body, stress, physical exertion, lack of food.
The diagnosis of flux is carried out in sequence. To start collect complaints of the patient at the moment. Then record the progress in the development of the disease according to the patient or attendants. An important aspect is filling in data about the development in the course of life, the presence of abnormalities of other body systems at the moment. Then proceed directly to the examination of the oral cavity.
When imaging the oral cavity note the interdigitation, the presence of orthodontic pathology (anomalies of teeth, teeth, dental arches). Then look at the condition of the tissues of the tooth and periodontium. The flux is noted, as a rule, extensive carious cavity filled with necrotic remnants of food. The tooth may also be, for example, with a temporary filling with preserved or broken edge conformity. With moving of the tooth or tapping on it there is severe pain. In light of the fact that the pus compresses the tissue of the periosteum, even when deep probing, you may receive soreness. In the initial period of the disease the sensing may not be indicated for the patient. The temperature test was negative.
Basically, the most informative method of examination of the flux, is palpation. During the inspection of the mucosa will be swollen gums, often with vestibular side, the projection of the root apex of the affected tooth. The predominance of the location of the swelling of the vestibular sides due to the thinner structure of the compact lamina of alveoli. It also happens that the swelling is localized in the separation zone of the roots. It occurs in multirooted teeth (premolars, molars). The feeling of swelling gives pain response. Palpation also notes the thinning of bone tissue compared to the adjacent teeth.
Sometimes your doctor may also be noted during examination of the oral cavity the presence of a fistula on the mucosa, or even on the face. As noted earlier, the fistula may be opened and closed. The presence of a fistula tells about the way the independent struggle of an organism with microbial flora. After carrying out the basic methods of examination proceed to an additional.
Incremental diagnostic methods
The conduct of electrogoniometry will not give any results because the flux in the tooth, as a rule, is not alive. The main is radioviziografichesky examination. When conducting x-rays and the assessment of observed changes of tooth tissues and bones. The tooth will mark the destruction of different degree of expressiveness which is manifested by darkening of the x-ray. The area of the bone around the tooth on x-ray also has the destruction of different degrees of severity. It can be an extension of the periodontal gap, rounded education or «flames». Common to these changes is that, starting from the apical part of the tooth, they extend in the direction of the periosteum. Destructive processes of bone are also identified by shading in the picture.
In the assessment of cortical plate alveoli the flux are the following changes:
- Thinning of plates: marked in a reduction of the thickness of the plate compared with other teeth (the area of enlightenment is reduced);
- The presence of swelling between the plate and the bone: characteristic for purulent inflammation of dimming;
- Possible extensions of the bone cells of the alveoli on the background of inflammation is indicated by the blurred figure of the bone.
Your doctor may perform to diagnose to the fence purulent discharge from the fistula, by scraping, imprint, and reprint with further microbiological examination. This survey is performed to determine the composition of the microbial flora. You can also sowing microflora in a nutrient medium and test for sensitivity to antibiotics. This will help you choose the best pharmacological preparation of antibacterial action.
Performed and General methods of examination: urinalysis, blood. In celebration of patient somatic pathology other body systems, or identifying them on receipt in order to send a patient for consultation to a specialist appropriate profile.
During the initial emergence of flux, many are asking, is it possible to cure the disease? When the first symptoms of the disease should immediately contact the dentist’s place of residence or any public or private clinic. Flux belongs to the diseases surgical.
The danger of this disease is that it can break through the periosteum, penetrate cancellous bone and then soft tissue. Or passing from the soft tissue of the face. It may be complicated by cellulitis, which if untreated leads to sepsis (widespread infection) and subsequently to death. Because the disease is acute, the help of doctor-stomatologist-the surgeon will provide on an emergency basis.
Is to perform a series of actions:
- To anesthetize;
- To pierce the abscess. It is desirable to pierce the center of education;
- To made the incision to put the drainage in your gums;
- In case of impossibility of preservation of the tooth to make the extraction(removal);
- Pharmacological therapy: broad-spectrum antibiotics (Tsiprolet), antihistamines (Diazolin), analgesics (Ketorol).
After the operation it is necessary to come to the re-appointment to the dentist every 3 days to perform a surgical treatment and curation status. It is important to implement all the recommendations prescribed by your doctor for speedy recovery.
What you can do at home for relief of the condition
However, it is not always possible immediately to come to the doctor. And what to do then? There are several ways to alleviate the condition of the body with the appearance of the flux.
You first need to apply something cold to the affected side of the face. Compression fit ice in dampened tissue paper, frozen chicken or something. If the cold eases the condition, the severity of the disease, the average or lesser extent. However, it is not a panacea. To reduce the pain is recommended to drink painkillers: Nurofen. If the gums clearly visualized the fistula, before going to sleep is recommended to put cabbage leaves in between the gum and cheek. Per night due to the cabbage leaf will pull a large part of pus.
Most effective at home work when the flux rinse decoction of herbs or salt. Before the implementation of the methodology need to clean the oral cavity from food debris.
Used for rinsing the following broth for 10 minutes:
- Sage tea;
- St. John’s wort and chamomile flowers;
- Green tea with herb sage, add after infusions ½ teaspoon of salt.
Some also note the effect in the treatment of flux at home from using aloe. The aloe leaf clean, and the pulp is placed on the area of pripuhanie. After 6 hours it is necessary to change the dressing. However, the most effective rinse is a classic recipe for rinse: a few drops of iodine, sea salt, soda.
Contraindicated to do at home the following:
- Warm compresses and rubbing the affected area;
- Antibiotics and antihistamines;
- Pierce area pripuhanie even when treated with antiseptic.
You need to understand that all activities performed at home can only temporarily relieve the condition and performance of the autopsy flux must be performed by a specialist.