Inflammation around the tip of the tooth

Inflammation around the tip of the tooth (dental stalk) is an inflammation that occurs in the organization around the tip of the tooth after the marrow has died. Inflammatory organization consists of ligaments around the teeth and alveolar bones.

Because ligaments and alveolar bones are two components of periodontal (around the teeth), many pathologists think that this is periodontitis, to distinguish it from periodontal disease starting from the alveolar crest, Inflammatory disease around the tip of the tooth is also called perineal periodontitis.

Reason

Bacteria that pass through cavities or tooth cracks may be the root cause of the disease around the tip of the tooth. First, bacteria enter through the enamel and then into the dentin and into the pulp, causing the pulp to become inflamed and then die. After the marrow dies, the bacteria continue to go deeper and through the hole of the tooth tip to penetrate the organization around the tip of the tooth.

The response of the organism around the tip of the tooth to the bacteria is called inflammation around the tip of the tooth. However, there are also cases where the teeth were severely traumatized, causing damage to blood vessels, leading to marrow death and inflammation around the stem. This case is the reaction of the organization around the teeth with the products of the dead pulp.

Expression

The disease may be acute or chronic with clinical symptoms and X-rays. When acute disease, the patient feels toothache, especially when touched, there is a feeling of tooth buds and loose teeth, swollen gums around the teeth. Examination in the mouth of the patient can see deep holes, teeth can change gray color due to the marrow, vertical tapping and horizontal typing in turn the teeth see pain teeth (note that typing action can make patients hurt to hug face if it is acute perineal inflammation, little pain if it is inflammation around the half-peak level).

Patients present with systemic symptoms: Fever above 37 degrees, neighboring lymph nodes, systemic symptoms more or less depending on the level or level. On X-ray film, the area of ​​the ligament around the teeth is dilated, in rare cases abscesses may occur.

In chronic disease, there is usually no symptom in the clinical setting, the patient may have a fistula in the gingiva corresponding to the area of ​​the root of the root of the root, the teeth are often grayed out, the film shows bright areas (penetrating optical) close to the tip of the tooth. There may be episodes of acute illness on an inflamed tooth around the fullness.

How to handle

Inflammatory teeth around the tip need to be treated with bone marrow or spit, curing or spitting depending on the degree of hard organ damage and tooth damage. If you have an acute illness, you need to take antibiotics and pain relief medications. Broad-spectrum antibiotics should be used in combination with Metronidazole because the tip of the tooth may have anaerobic bacteria, like VIDORIGYL. In each VIDORIGYL tablet, there is 100 mg of acetyl spiramycine and 125 mg of metronidazole. Adults take 2 capsules / time, 2 to 3 times daily after meals.

MSc. LE LONG NGHIA