Gingival fistula treatment

An inflammatory purulent disease in the area of ​​the root of the tooth that occurs for various reasons is a fistula on the gum, the treatment of this pathology depends entirely on the causes of its formation.

Fistula problem

Causes of pathology

There are several causes of the fistula:

Caries - the cause of the fistula

  1. Caries. It often happens that many people at the first symptoms of caries do not go to the doctor, but try to treat this disease on their own. As a result, the disease is not treated, but begins to progress rapidly, and decay begins in the hard tissue of the tooth.
  2. Unfairly placed seal. Sometimes it happens that the dentist when filling poorly closes the root canal with a filling, as a result of which a purulent abscess may form in the root.
  3. Pulpitis is a disease that is a complication after caries if it was not completely cured. With this disease, inflammation reaches not only the tooth core, but there is also a high probability that nerve endings can be affected.
  4. Periodontitis is a purulent inflammation of the soft tissues that surround a tooth. The disease can be caused by an infection resulting from caries or sinusitis. Periodontitis can also occur due to a tooth injury or due to improper treatment of pulpitis.
  5. A cyst or capsule with pus formed at the very top of the tooth root. It can appear due to poorly treated pulpitis or a poorly filled tooth. A fistula on the gum appears if the capsule is full, and the pus begins to look for a way out for itself, as a result – an opening forms in the gum.
  6. Perforation – a hole formed as a result of a mistake made by a dentist during ongoing work related to the tooth root.
  7. The cause of the fistula can also be wisdom teeth, which are long and difficult to erupt.

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Symptoms of pathology

The most important sign that a patient has a tooth fistula is a small hole in the gum, from which pus constantly flows. The patient may periodically experience elevated body temperature.

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Gingival fistula treatment

Scheme of the fistula on the gumFistula on the gum, the treatment of which the doctor should prescribe is an unpleasant phenomenon, should be treated accordingly. The course of treatment is prescribed depending on the causes:

  1. Fistula due to caries or pulpitis. In this situation, the cause of the disease is an infection that affects the roots of the teeth. In order to eliminate the focus of infection, you need to remove the inflamed tissue from the tooth, clean and disinfect the canals, and fill the tooth.
  2. Treatment of a fistula resulting from a poorly placed seal. To eliminate this defect, you must first fill the tooth, then anti-inflammatory and antibacterial agents are placed in the root canals for a while. After the inflammation is completely eliminated, you can re-fill the tooth.
  3. Filling a tooth is a rather complicated procedure. It can be complicated if a crown is installed on the tooth and a pin is placed in the root of the tooth, which is already risky. The risk is that the pin is very difficult to remove, and sometimes even impossible. All this can lead to the most unforeseen consequences. After all root canals have been cured, the crown on the tooth will need to be re-placed. In order to avoid any dangerous consequences, dentists offer an operable method of solving the problem. It consists in resection of the upper part of the root. This can only be done if only the top of the root is left unsealed and decayed.
  4. Fistula caused by the formation of perforation in the root of the tooth. In order for the treatment to be most successful, it is necessary to begin therapy to eliminate the defect as soon as possible (immediately after detection). Therapy consists in the fact that you need to fill in the entire affected area with a special tool. In severe cases, surgical intervention may be required if the site of perforation is not deeper at the root apex.

The complexity of the treatment lies in the fact that very often dentists are simply silent about their mistakes. As a result, the patient may not even suspect about his illness, the disease is delayed to such an extent that the only possible solution to the problem is tooth extraction.

It often happens that the patient after the procedures for the treatment of fistula may require additional therapy. This includes the effect of ultrasound on those parts of the tissue that were affected, and laser treatment of tissues can also be used. These methods are quite effective and have good results, so they can be used not only after the main treatment, but also in combination with it.

After processing and cleaning the root canals of the tooth, the doctor should prescribe medications, mainly antibacterial and anti-inflammatory pastes and gels, which must be applied and used without fail. Only the doctor knows which drug is needed in this situation.

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Folk remedies

You cannot cure fistula only with folk remedies. They are used to alleviate the patient’s condition while he is being treated for inflammation.

Onion in the treatment of fistula on the gumAlternative therapy helps to strengthen the general condition of the oral cavity:

  1. Saline solution. Add 1 tablespoon of salt to a glass of warm boiled water. Rinse your mouth with this solution several times a day. Salt relieves puffiness and strengthens the gums.
  2. Herbs. Take the same number of calendula flowers, oxalic root, tansy flowers, dandelion root, flowers or yarrow root. Finely chop and mix. In the resulting herbal slurry, add ichthyol ointment and calendula oil. The mixture is applied to the affected area of ​​the gums 5-6 times a day.
  3. Onions, mummies, olive oil. Grate one small onion on a fine grater, add 10 tablets of mummy, previously crushed and 1-2 tablespoons of oil. Mix everything thoroughly and apply to the fistula with a tampon moistened in this mixture for 5-7 minutes. This should be done at least 4-5 times a day.
  4. Chamomile infusion. 2 tablespoons of chamomile pharmacy flowers pour a glass of boiling water. Insist 2-3 hours and strain. A cotton swab to lubricate the wound all day. You can put the infusion in your mouth and hold it there for a while. It is necessary to try so that the infusion falls just on the affected area. The procedure can be performed several times a day.
  5. Infusion of calendula. This infusion must be prepared and used in exactly the same way as the previous one. You can alternate their use among themselves.
  6. Strawberry leaves and calendula. Take 10-15 g of leaves, pour a glass of boiling water, let it brew for 2 hours, strain. Moisten cotton wool in this infusion and apply for half an hour or an hour to the affected area on the gum. Such compresses can be put several times a day.
  7. St. John's wort 15-20 g of St. John's wort herb pour half a glass of boiling water, leave for 1 hour, then strain and cool to room temperature. This infusion should be rinsed several times a day. You can add honey to make the taste more enjoyable.

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Preventive actions

To prevent such a serious disease as a fistula, you need to carefully monitor oral hygiene, try to prevent the occurrence of caries and other diseases following it.

Good prevention can be the use of foods high in calcium. Those who have already had a fistula once require regular visits to the dentist, as this disease has a tendency to recur.


Ivan Ivanov

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