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Fistula on the gums - how to treat

Fistula on the gums, or as it is sometimes called fistula, is a channel that connects a source of inflammation and the surface of the gums. Such a fistula forms, the so-called fistulous passage that connects an abscess in the thickness of the jaw or periodontal with oral cavity.

Classification

On the nature of their origin, everything fistulas are divided into the following 2 categories:

  • Purchased.
  • Innate.

Also this pathology klassificeret location. So, fistula are divided into 2 following types:

  • Internal.
  • Outer.

Causes

There are several main reasons for the formation of a fistula. These include:

  • Not fully cured tooth decay. Remaining under the seal of pathogenic bacteria continue their activities, which ultimately can lead not only to formation of a fistula, but to the loss of the tooth. It is therefore important to carefully seal the channels.
  • Chronic periodontitis.
  • Chronic periostitis. As is clear from this list, the reason may be any infection of the oral cavity that occurs in a latent or chronic form.
  • Delay the eruption of wisdom teeth.
  • Cyst. Its inflammation can lead to the formation of a fistula on the gums.
  • But in the vast majority of cases, the fistula is called a granulating form of periodontitis. When this disease is proliferation of granulation tissue. And this, in turn, leads to the destruction of tissue, defects of the mucous membrane of the mouth, and as a result, the formation of a fistula.

Symptoms

When formed fistulous course, the patient begins to disturb the following symptoms:

  • Of fistulous begins to stand out pus.
  • Appears tooth pain that tends to worsen when you touch the aching tooth.
  • The gums around the affected tooth becomes swollen and becomes red.
  • The tooth may begin to move when you touch it.

Important! With the appearance of at least one of these symptoms you must immediately consult a doctor for timely help. Otherwise, you may need a tooth extraction.

Diagnosis

If the patient asked for help immediately, you might need surgery, which will be the removal of granulation. In many dental clinics this procedure is carried out with a laser. This method can be the most correct procedure in which there is no trauma to the surrounding tissue.

If this doesn't work, you have to remove the tooth, as in the cyst. Also have to scrape myself fistulous course, to prevent the spread of infection in the oral cavity. The operation is performed underlocal anesthesia.

Prevention

Like any other disease, fistula of the gums it is much easier to prevent than to treat. It is important to note that the formation of fistulous is the final stage in the disease of the tooth.

If it was, then before that, most likely, was the place to be untreated, or poorly cured tooth decay, followed by pulpitis, periodontitis after him, and only then fistula. Timely access to a dentist will allow you to avoid this unpleasant disease. The main measures of prevention are:

  • Compliance with the rules of oral hygiene (daily brushing at least 2 times a day for 3-5 minutes).
  • Visiting the dentist at least every six months, even if there are no symptoms.
  • Avoiding harmful habits, especially Smoking. Smoking has a very negative impact on teeth and the entire oral cavity.
  • Good nutrition and a healthy lifestyle.
  • If there is at least one minor symptom, you should immediately contact your dentist.

Forecast

With timely treatment to the doctor, the prognosis for recovery is extremely favorable. If the patient presents late, it may lead to the loss of a tooth, but complete recovery is also virtually guaranteed.