Inflammation of the periosteum of the tooth, which is manifested by swelling of the gums and severe pain, is called periostitis. In periostitis there is a popular name - flux.
Frequent cause of periosteum is a carious process. In the absence of treatment, the caries penetrates deeper into the tooth and ultimately reaches the pulp.
Soft tissue of the tooth is an excellent nutrient for many bacteria, therefore, in a rather short period of time, the infectious and inflammatory process can pass on the periosteum surrounding the tooth. In a similar way, inflammation of the periosteum may occur as a consequence of tooth extraction.
Among the more rarest reasons for the development of periostism it is necessary to name:
- Contact infection of the periosteum (in wounds, fractures);
- Infiltration of the infection through the circulatory or lymphatic system, which occurs in acute or chronic diseases.
Clinical picture of periostitis
Inflammation of the perinatal tooth begins with a gum lesion, which rapidly increases in size, there is a pronounced pain syndrome, which is sharply increased with superoxygenation. The inflammation passes to the surrounding tissue, as a result of which swelling of the cheeks, lips and chin appears, the pain spreads to the affected half of the face, the body temperature rises. These symptoms are accompanied by the formation of an oxidative abscess.
Characteristic are changes that occur when looking at the oral cavity: there is redness and swelling of the mucous membranes, white patches, imprints of the teeth on the tongue. Struck tooth slightly raised from the hole, mobile, gums around it red, strongly swollen and painful even with light touches.
If the inflammation of the pericarditis of the tooth is purulent in nature, then accumulated in the abscess pushes its path outward, and with a successful result abscess cavity is completely cleared. However, without treatment, the pathological process can be repeated repeatedly.
The complication of periostitis is the transition of the infectious-inflammatory process to the bone with the development of osteomyelitis or on soft facial tissues. In the absence of adequate treatment, the transition of the acute form of the disease to the chronic one may be possible.
Chronic periostitis is characterized by minimal symptoms, periodically manifested by pain and inflammation, similar to the picture of acute periosteum. Chronic form may be complicated by the formation of fistula, periarticular cysts and the cause of prolonged fever and allergic reactions.
Inflammation of the tooth germ: treatment
Treatment of inflammation of the tooth germ is to create and maintain conditions for the outflow of abscess content through the root canal. After cleansing the cavity, antiseptic treatment and sealing is performed.
Sometimes an additional treatment is given in the form of antibiotics or physiotherapy. In a chronic form, surgical treatment with the removal of the affected tooth may be required.