ARSENICAL periodontitis: symptoms and treatment
ARSENICAL periodontitis is not as common as the classic. Last develops due to infection in periodontal tissues using tooth nerve. As for the arsenic, then the name speaks for itself. It occurs when somehow the arsenic gets into the periodontium, stimulating its tissue. Let it not such a common disease, but still requires to pay attention to it, because a lot of inconvenience, which can lead to tooth loss.
The etiology of ARSENICAL periodontitis
As mentioned just above, it develops as a result of contact with aggressive substances over the root tip. There are several factors contributing to the development of this form periodontitis inflammation. But in all cases there is a blunder of a specialist, due to his ignorance or neglect of their work.
The most common cause is an overdose of arsenious paste in the treatment of pulpitis by devital method, that is, the devitalization of the dental pulp and its subsequent removal. Some varieties of pasta have a longer duration, which may be brought up to a week. Therefore, doctors to speed up the process of devitalization put more than required. Roughly speaking, sometimes it works without any complications. But this action is not accelerated. Because of the large number, some through the root canal beyond the apex, stimulating the periodontium. The doctor not knowing about it it is sealed and releases. And the patient’s pain, instead of disappearing, on the contrary, increase.
The following frequently cause is prolonged exposure of the arsenic in the tooth. In this case, it may be the fault of the patient. Because it so happens that he put the arsenic, the tooth stopped hurting and you can postpone the visit to the doctor. Accordingly, there is a risk of developing drug-induced periodontitis. The mechanism is the same as in the previous year. The only difference is that because of the long presence of arsenic nerve, after he died, begins to disintegrate. And, when not removed, can develop infection. And with it the remains of ARSENICAL paste can get into the periodontal tissue. Again, the specialist may not immediately determine what develops medical periodontitis.
A more serious error is the insufficient cleaning of the root canal treatment. If they do not extend to the end of the length and not thoroughly clean, it can stay there again as the remains of ARSENICAL paste with disintegrated pulp.
Therefore, in order to avoid unpleasant situations should completely remove the nerve, to expand channels and to carry out the processing of their antiseptic solutions. For this purpose it is better to use a special endodontic syringe. And be sure to hold the x-ray control. sealing. If it is not satisfactory to spend again.
Complaints it will be similar to the acute form of infectious periodontitis. The patient would be bothered by a strong throbbing pain in the cured tooth. It will hurt when biting on it. The feeling is that this tooth out of the tooth row and higher than the rest. It is easy for these complaints to be confused with postprobationary pains that sometimes occur after sealing the channel . To carry out differential diagnostics it is necessary to consider all the circumstances. Consider possible causes.
The patient will complain that the pain increased after carrying out the sealing and closing of the tooth filling. It is the most reliable sign. Still can appear slight mobility of the tooth. Therefore, you should immediately contact your doctor and talk about everything. Better yet, go to the reception. Otherwise there is a possibility that it will not be possible to save the tooth.
What activities will help treat medical inflammation of the periodontium
ARSENICAL periodontitis requires treatment similar to that of infectious. Here’s how it will happen in stages:
- Disclosure of the tooth cavity;
- Removal of the nerve and its residues from crowns and roots;
- Length determination of root canals in order to properly carry out the following activities;
- The expansion of the walls of the channels to the files and their alignment with n-files;
- Drug lavage with antiseptics or enzymes.
At this stage all the conditions to allow for further necessary treatment. To cure ARSENICAL periodontitis you need to apply the antidote of arsenic. For this cleared the root canals and put on a cotton turundas with a five percent solution of unitiol or one percent solution of Iodinol. Left alone for two days under a temporary filling. After a couple of days if no complaints of pain, the canals of the tooth sealed to the apical hole closed and a permanent filling material. If the pain does not subside, becomes more intense, it is necessary to use other methods.
There are times when it manages to form pus. In such situations, in any case, should not close the tooth cavity. Because of this the pus may further be formed, despite the fact that during the visit, the root canals were washed well enough. Better to wait a few days, during which the patient will have to follow some rules:
- Do a rinse after each meal and in addition to this a few more times. For this ideal a glass of warm water with a teaspoon salt and half baking soda, you can also add three drops of iodine;
- To close the tooth before eating. That is not to allow any remnants of food caught in a tooth, and especially in the channels, or the treatment drags on for a long period. You can put a piece of sterile gauze in the hole of the tooth;
- After finishing the meal be sure to remove the cotton ball and remove all food residues;
- Not to heat the side where the aching tooth is located.
For the treatment of ARSENICAL periodontitis very efficient use of physiotherapy. For this purpose, electrophoresis of potassium iodide for a few days. In this case, the channels are introduced electrodes with the iodine.
In addition to his very extended application of UHF-therapy. Duration is also a few days. Usually no more than five. Also suggest doing mouth warm baths anti-inflammation solutions. It all together will accelerate the treatment process if the patient will faithfully comply with all recommendations.
How to prevent the occurrence of ARSENICAL inflammation
The physician should observe the necessary framework for the treatment of pulpitis. Do not exceed the dose of arsenic to speed up the process. Arsenic is superimposed on the exposed pulp horn and it should not be larger than the head of spherical boron the smallest size. May he have a long term it is better to wait, despite the requests of the patient to finish treatment faster than exacerbate the situation and leave the patient indignant that the doctor is incompetent. In the case when the patient comes on time for the appointment, it turns out he is guilty. But it at first glance.
The dentist should explain the seriousness of the consequences if he misses a visit. If for any reason the patient will have to do this, the doctor should explain and show how to remove the temporary bandage with arsenic. And even in such a situation it is not necessary to walk long and far as possible to go to the doctor.