My experience of debilitating dental infections

It was 2011, our little boy was 5 years old, and our life was the stuff of dreams.

I was a stay-at-home mom, and I filled my days playing with our son, growing vegetables in our immense garden, and spending time with my husband and family on the weekends. Our days were filled with song and happy times. Then, it happened.

Share on PinterestI was disabled for 8 years until I had treatment for hidden dental infections, making a complete recovery after surgery.
Image credit: Gavin Wild, 2020.

My son was in his last weeks of preschool when I hurt my neck, or so it seemed at the time. It felt sore around the voice box, as though I had somehow pulled the muscles there.

Being a registered nurse and a massage therapist, I know how to address these kinds of problems, so I treated it with rest and ice, but it did not respond.

Every day, the pain got worse, and within 2 weeks, I was completely disabled.

I was unable to talk, chew food, use my arms, turn my head, or stand upright without debilitating pain.

I sought the help of doctors, but they were baffled. They thought that the voice box might have torn the muscles, and they carried out tests, only to find nothing. I tried a course of steroids to take down the inflammation, but it only got worse. That was the first clue, but I wouldn’t figure that out for years.

Years went by, and I spent 8 years in one room, for the most part. I had a microwave and a little fridge in my bedroom. We had a lot of help from my family, but it still wasn’t enough, so we had to hire help for our son after school.

About 4 years into my illness, my husband took a job 90 minutes from our house, but we couldn’t move because I was too sick. So for years, he drove a total of 3 hours a day for work, every day.

Being confined like this, I missed a lot. I missed every school event, every sports game, and every concert that my boy was involved in. I tried to get other people to talk to my son about his activities and take pictures and videos, but it was very difficult. And of course, I couldn’t speak.

Sometimes I thought, “to hell with it!,” and I would try to talk to my son because he was experiencing the usual difficulties of childhood and would need to speak with me. But then, I would be unbelievably sore for weeks afterward, as this only aggravated the condition.

I did everything I could to keep my son’s life normal. He had sleepovers and parties, and we found ways of communicating so that we could remain very close.

I got a voice amplifier for when I had to make phone calls, as it hurt too much to speak loud enough on the phone without one.

I ordered things on the internet when I could, as I was unable to go shopping, but even using my phone that way was painful. I would prop the phone on a pillow on my chest, which helped a little, but my mobile use was limited to a couple of minutes a day due to the pain.

Life was like this for about 4 years, until it got worse. I developed gallbladder pain and subacute pancreatitis.

I worked with a traditional Chinese medicine (TCM) doctor, and he helped improve the condition of my pancreas and gallbladder by prescribing natural remedies and teas. I have always been interested in natural healing methods, and I have had great success using them my whole life.

It was very difficult to get to the TCM doctor, and someone would have to drive me while I was lying down in the passenger seat. I could barely walk, and I was very weak and nauseous.

During this period, in addition to the neck pain, my pancreas and gallbladder were so sore that it would take me 5 minutes to walk the short distance to his office from the parking lot.

There was a bench outside where I would have to lie down to rest before I went in for my appointment. However, as I could see that the treatment was working, we continued to go.

Around this time, my weight started to plummet. I realized that if I didn’t soon figure out the root cause of my problems, I would die.

I spent all my spare time on my phone researching possibilities, and I am very grateful for my education at Case Western Reserve University. As a nursing student at an evidence-based research institution, I had to learn how to read research data discriminately.

That education would be one of the many, many things that contributed to saving my life. I was in excruciating pain all of the time, but I would research as much as possible, usually all day.

I learned everything that I could about the gallbladder, pancreas, and biliary system. I underwent testing for food sensitivities and found that I had many, as well as a few food allergies. Following this discovery, my diet became extremely limited.

Over the next 2 years, I was very sick, and my family feared for my life. My weight went down to 89 pounds, but I could see small improvements from the dietary changes and from using the Chinese herbs.

I continued researching and trying new treatments. It seemed from my research that I was suffering from too many toxins and leaky gut syndrome, so I began to implement a few natural treatments for those conditions as well.

I noticed small improvements with these changes, but I still struggled. Then, I began to develop heart palpitations, and my heart rate became elevated.

I was still focusing on finding the root cause of my problem when I embarked on a detoxifying diet. I used the Gerson Therapy cancer treatment diet, but I saw little improvement.

This diet was very difficult for me to follow because I was stuck in bed, and it requires fresh juices and special recipes. As I was unable to cook, my mother bought freshly squeezed organic juice from the health store, and I paid someone to make the food.

At the same time, I found that a high dose of liposomal glutathione, one of the most powerful antioxidants, would minimize my painful symptoms for about an hour. After taking this, I could talk a little, but the painful symptoms would quickly return.

Unfortunately, my digestion would not tolerate the high doses of liposomal glutathione, so I discontinued its use after a couple of doses. However, it had taught me that a toxin was causing my symptoms.

So, now I had to figure out: What was the toxin causing my painful symptoms, and where was it coming from?

After further research, I suspected that I had infections in my root canal teeth. Infections trapped in the teeth give off all sorts of toxins, and there are many documented cases of people getting better from trigeminal neuralgia and other medical conditions after removing their root canal teeth and the attached periodontal ligament.

I had four such teeth, and I was very encouraged, as it appeared that I had found the source of the toxins.

I contacted Dr. Stuart Nunnally, a dentist in Marble Falls, Texas. He agreed that it was likely that I was suffering from infections, and he requested a panoramic X-ray. I had the X-ray in Ohio and sent it to him digitally. He also suspected that my wisdom teeth extraction sites were infected, believing that I had at least four sites of infection, perhaps even more.

He did a cone CT scan at his office and found that I had nine infection sites: four root canal teeth, one crowned tooth, and all four previous wisdom teeth extraction sites. When the pathology report came back after surgery, I had more than 15 serious infections!

His associate, Dr. Lane Freeman, performed my surgery, and she was great. She carefully removed each infected tooth, cleaned each wisdom tooth site, and I was barely even swollen the next day.

I received intravenous vitamin C, as well as platelet-rich fibrin plugs (made from my blood), which studies show are very important for a speedy recovery. I never even took an antibiotic.

It was very difficult for me to get to Texas for the surgery as I was too sick to fly. My sister flew into town to drive me and my mom, and we had to pack all my food, with me lying down the entire trip. It took us 3 days, and we had to drive through storms and flooding.

But it was worth it. Just hours after surgery, my heart rate was no longer elevated, and I no longer had heart palpitations. They have never returned.

Within a week, I was starting to cook for myself, and I noticed an improvement in my voice immediately. It continued to improve steadily for weeks until it was completely normal all of the time.

I used intravenous vitamin C as part of my recovery protocol in the first year after surgery, as it would really help me when the bacterial toxins were starting to accumulate in the tissues again.

Clearing the body of bacterial toxins following surgery seems to be very important. I would go for a treatment and feel like a million bucks immediately.

It has been almost 2 years since my surgery, and my life is so much better than before! I can talk, chew food, sing, dance, drive a car, play with my son, and do housework. I have also eliminated all of my food allergies and sensitivities. I can eat lots of different foods now, but I still watch ingredients, fat and protein content, and portion size for my pancreatic health.

I have tons of energy, and I realize that I was weak from the toxins for years before my illness. I used to drink loads of tea for the caffeine and energy lift before I got sick, but I don’t need that now.

Even though I lost a lot of muscle lying in bed for all those years, I’m doing physical therapy and getting stronger. I’m also doing cardiac rehab, and that’s going well, too.

I feel very blessed, and I’m so happy that I found the cause of my illness.

There are plenty of studies linking all sorts of medical conditions to root canal teeth, but dentists still carry out millions of root canal procedures each year. I encourage anyone who suspects that they have a health problem because of their teeth to see a biological dentist to determine whether treatment may be beneficial.

I hope that there will continue to be more research in this field, and it’s important always to move forward in hope. Miracles happen every day.

You can follow Pam on Instagram @pamlwild

The Crucial Facts and Deadly Consequences of Tooth Abscesses

Written by: Carefree Dental |
Published On: March 28, 2016

How do you protect your teeth from dental abscesses? What are the symptoms? How is it treated? Read on to find out the answers and more about tooth abscesses.

Photo by Wonderlane via flickr.

Odds are, you’ll never have to deal with the pain, infection, and inconvenience of an abscessed tooth. But are you doing everything you can to prevent it? Here, you’ll find everything you need to know about preventing and treating a tooth abscess.

What is a Abscessed Tooth?

An abscessed tooth is an infection at the root of the tooth or between the gum and a tooth. It creates a sore pocket of tissue that is filled with pus inside the mouth or throat.

The pus is caused by a bacterial infection. Bacteria tends to find its way into the cracks and chips in teeth that are usually a result of tooth decay and erosion. They can also be caused by untreated cavities and poor dental hygiene in general.

Abscesses can form as quickly as 1 or 2 days after the start of an infection. There are two types of dental abscesses:

• Periodontal abscess
  A periodontal abscess (also called a gum abscess) is a result of an infection in the space between the tooth and gum. Food and debris get caught between the gum and tooth, causing the infection. Severe periodontal disease occurs when bacteria builds up in the bone under the gums.

• Periapical abscess
  A periapical abscess (also called a tooth-related abscess) happens inside the tooth. This infection occurs when tooth’s nerve is dead or dying, and it shows at the tip of the tooth’s root. It then spreads to the surrounding bone.

Dental abscesses do not go away on their own. Without proper dental treatment, they can grow and last for months or even years. In some instances an abscess will cause little to no pain. Still, most dental abscesses are very painful, which causes people to seek treatment immediately.

Symptoms of Dental Abscesses

Because of the pain associated with dental abscesses, you’ll definitely know when you’re dealing with one. WebMD says that a severe and continuous toothache is a common symptom, along with throbbing and sharp shooting pains in the infected area. Some other symptoms include:

• Fever

• Swollen neck glands

• Pain when chewing

• Redness and swelling of the gums

• Bitter taste in the mouth

• Tenderness in gums

• Foul breath

• Sensitivity of the teeth to cold or hot

• General discomfort and uneasiness

• An open, draining sore on the side of the gum

• Swollen area of the upper or lower jaw

Sometimes the toothache will stop because the infection destroys the pulp of your tooth. However, this doesn’t mean that the infection is gone. It will continue to spread if left untreated. If you have any of the symptoms listed above, it’s important that you seek dental help as soon as possible.

Consequences of Dental Abscesses

Fistula

When left untreated, the dental abscess can cause damage to the surrounding teeth and bone. This can lead to the development of a fistula or “sinus tract,” which is a hollow tunnel formed through the bone and skin. It looks like a pimple and allows for pus to drain, which can leave a strange taste in your mouth.

Most of the pain from an abscess comes from the buildup of pressure at the site of the infection. Although a fistula can drain the pus of the abscess and reduce pressure and pain, it still may not be healed. An infected will remain and need dental treatment.

Cysts
Cysts can also form as a result of an untreated dental abscess. It’s a fluid filled bubble in the jaw bone. A cyst will sometimes form after a severely damaged tooth is extracted. If a tooth can be saved, getting a root canal is necessary for saving the infected nerve. In the worst case scenario, surgery may be needed to remove the cyst.

Sepsis

Even if an abscess drains without intervention, the bacteria may continue to spread and infect other parts of your mouth and body. When the infection spreads through the head, chest, neck, and/or the entire body, this can lead to a potentially life-threatening complication called sepsis.

Treatment for Tooth Abscess

Diagnosis
To diagnose your problem, a dentist will probe your infected tooth with a dental instrument. This will feel painful if you have an abscessed tooth. Your dentist will also inquire if you feel more pain when you close your mouth or bite down. He or she will also check the state of your gums to see if they are swollen and red from infection. Your dentist may also take an x-ray to check for erosion and decay of the bone around the abscess.

Dental Procedure
In order to properly treat an abscessed tooth, your dentist will try to preserve the tooth, destroy the infection, and prevent complications.

The abscess may need draining to get rid of the infection. Root canal therapy is a common procedure used to achieve draining. If there is any diseased root tissue after the infection is eliminated, your dentist may recommend root surgery to remove it. Once the infection is gone and your tooth is treated, a crown is placed over the tooth.

In more serious cases, the tooth may need to be extracted altogether. This allows for drainage through the socket.

Another way to drain the abscess would be through incision. The dentists would make an incision around the swollen gum tissue, allowing for drainage.

To help fight off the infection, your dentist may prescribe antibiotics. This will help the infection from recurring and spreading through your mouth.

Dental Abscess Prevention

Even if you’ve never had a dental abscess or think you’re not at risk for one, it’s still important to know how to prevent this type of infection. After all, it doesn’t hurt to know how to keep your teeth safe from potentially life-threatening issues.

Brush and Floss Regularly
Flossing can seem like another annoying thing to add onto your to-do list. But sticking to a good oral regimen is extremely helpful for preventing dental abscesses, This requires brushing your teeth and flossing on a daily basis.

Professional Dental Cleanings
Don’t miss your dental appointments if you can help it. Having regular professional cleanings and dental checkups will give your teeth the preventative care they need.

Well-balanced diet
Eating healthy has a plethora of benefits to your body, including your oral health. Limiting your intake of sugary and acidic food will lower your risk of tooth decay.

Pain relief

It’s common to experience pain before and after treatment for your dental abscess. One way to reduce pressure and relieve pain is to take an over-the-counter medication like ibuprofen. You dentists may also prescribe you strong pain relief medication as well. Rinsing your mouth with warm water and salt can also help to keep your mouth clean and bring relief to sensitive areas in your mouth.

The best way to prevent a dental abscess is to simply maintain your oral hygiene and get continual dental checkups and cleaning. For information on how to take better care of your teeth and get affordable dental care, you can find more helpful tips on our blog.

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Hidden Tooth Infections Making You Sick

We traditionally think of poor diet, lack of exercise, smoking, and obesity as risk factors for chronic illness, but research suggests that hidden tooth infections should be added to this list for a number of conditions, from heart disease, endocarditis, and pneumonia, autoimmune disorders, and dementia.

Mouth infections tucked away beneath crowns, implants, root canals, tooth sockets, or jaw recesses are often difficult to detect due to lack of symptoms. In fact, up to 1 in 4 people could possess a hidden tooth infection and not even know it! Getting regular examinations from a qualified dental practitioner is crucial to making sure hidden infections don’t worsen over time and increase your risk of chronic disease.

Below are some serious health issues that the latest research has correlated with tooth infections.

Heart Disease

University of Helsinki scientists discovered that patients with undiagnosed root tip infections were 2.7 times more likely to have acute coronary syndrome than patients with healthy teeth. It is believed the low-grade inflammation and bacteria involved affect other parts of the body. Further, antibodies reactive to periodontal organisms have been discovered in heart plaques and can trigger heart disease.

Endocarditis

Endocarditis is a rare, life-threatening inflammation of the heart muscle and valves. Researchers studying infective endocarditis found that bacteria in tooth plaque multiplies and causes gum disease, leading to bleeding and widespread bacterial infection. For this reason, they began recommending antibiotics prior to dental procedures for patients at a high risk of endocarditis.

Pneumonia

Yale University School of Medicine scientists found changes in the mouth often preceded the development of pneumonia, a lung infection that affects roughly one million Americans. Bleeding gums, loose teeth, bad breath, and swelling are all signs to watch out for, say experts. Since pneumonia can be fatal for 50,000 (or five percent) of the people who get it, early detection of risk factors is crucial.

Autoimmune Disorders

A 30-year analysis of Swedish patients found a correlation between oral health and autoimmune disorders. Subjects with a higher plaque index were more likely to develop an autoimmune disorder over a 30-year period. Autoimmune issues included diabetes, rheumatic disease, Henoch- Schönlein purpura, and ulcerative colitis. Of those studied, 46% of the people with autoimmune disease were missing anywhere from one to six teeth.

Dementia

A study published in the Journal of the American Geriatric Society found that those who brushed their teeth less than once a day were up to 65 percent more likely to develop dementia than those who brushed daily. Researchers speculated that gum disease bacteria was able to get into the brain, where it could cause inflammation and a gradual loss of cognitive function.

At Innovative Implant and Oral Surgery in Bucks County, our highly trained dentists perform full oral health examinations at every visit, so you are never left in the dark with regard to your health. Contact us to schedule your next visit.

Additional resources:

Abscessed Tooth Treatment Near You

Abscessed Tooth

An abscessed tooth is an infection in the root of the tooth, often caused by untreated tooth decay. Infection caused by an abscess produces a small pus-filled sore on the gums, as well as tooth pain and a range of symptoms.

An abscess is not treatable at home and should be diagnosed and treated by a dentist. If left without treatment, an abscess can turn into a much worse infection that can spread to other parts of the face and body, puts you at risk for tooth loss, and in rare cases the infection can be fatal.

What are the symptoms and causes of an abscessed tooth?

One of the most apparent signs of a dental abscess is a pocket of pus (looks like a pimple) on the gums; however other signs include pain in the tooth or gums, bad breath, fever and swollen lymph nodes.

Throbbing or shooting pain emanating from a tooth can be the beginning of an abscess. Other symptoms include swelling of the gums or glands, redness of the mouth and/or face, pain while chewing, sensitivity to hot and cold, bad breath, drainage and/or difficulty swallowing.

Causes of an abscess vary from poor dental hygiene to neglected oral conditions such as gum disease, or as the result of direct trauma to the mouth. It’s also not uncommon for an abscess to develop as part of an underlying medical condition, such as an autoimmune disorder or a generally weakened immune system usually due to radiation and chemotherapy treatments.

What are serious complications from a dental abscess?

As the infection from an abscess tooth worsens it’s not uncommon for a patient to suffer from complications such as nausea, vomiting, fever, chills and diarrhea. Sometimes, an abscess can progress to dangerous levels, causing breathing difficulties as swelling begins to obstruct airways.

An infection from an abscessed tooth can spread to the brain, heart, face and jaw. When the infection spreads to the heart, a condition called endocarditis, bacteria from the infection enters the blood stream and produces pockets of bacteria in the inner lining and valves of the heart. Brain abscess occurs when bacteria from the dental abscess infect the brain tissue.

In rare and severe cases, the infection can lead to death. While several pronounced deaths from abscess tooth and other oral infections have come to light in the news throughout the years, there is little data on how many people die from abscess every year.

Keep an eye on these symptoms of an abscess tooth:

• Pocket of pus on the gums
• Pain in the tooth or gums
• Bad breath
• Fever or chills
• Swelling in the face or lymph nodes

Can you treat an abscess tooth at home?

A dental abscess is a serious infection and should be treated as such. DO NOT attempt to treat an abscess tooth at home or with over-the-counter remedies.

While, pain can be temporarily alleviated with over-the-counter painkillers such as ibuprofen or aspirin, these drugs will not treat the root of the infection. It is important to see your dentist immediately for an abscess tooth. We provide same-day emergency and walk-in dental appointments with our emergency dentists who can quickly relieve tooth pain.

What are serious complications from a dental abscess?

As the infection from an abscess tooth worsens it’s not uncommon for a patient to suffer from complications such as nausea, vomiting, fever, chills and diarrhea. Sometimes, an abscess can progress to dangerous levels, causing breathing difficulties as swelling begins to obstruct airways.

An infection from an abscessed tooth can spread to the brain, heart, face and jaw. When the infection spreads to the heart, a condition called endocarditis, bacteria from the infection enters the blood stream and produces pockets of bacteria in the inner lining and valves of the heart. Brain abscess occurs when bacteria from the dental abscess infect the brain tissue.

In rare and severe cases, the infection can lead to death. While several pronounced deaths from abscess tooth and other oral infections have come to light in the news throughout the years, there is little data on how many people die from abscess every year.

Dental abscess treatment

It’s very important to see your dentist immediately for an abscess tooth. Waiting can cause the infection to worsen or spread. Plus the longer you wait, the more at-risk you become.

An abscess must be professionally drained and the infection treated with antibiotics. Many times an infection will be so severe that the dentist cannot perform treatment on the affected tooth without first treating the infection. Should the abscess rupture on its own, a warm salt water rinse can keep the infection stable and help encourage the wound to drain, but should always be seen by a professional. Often an abscess requires a root canal or a tooth extraction to fully treat the tooth.

How a dental abscess is treated:

• Professional drainage
• Antibiotics
• Root canal
• Tooth extraction

While waiting for your dental appointment, pain from an abscess may be temporarily alleviated with over-the-counter painkillers such as ibuprofen or motrin. However, even if you notice that the pain subsides, the infection associated with a dental abscess will not get better on its own. It must be treated by a dentist to properly drain the pus via root canal. Any subsequent diseased tissue or teeth may also need to be removed or treated before the infected area will fully heal. Should the abscess rupture on its own, a warm salt water rinse can keep the infection stable and help encourage the wound to drain, but an abscess should always be treated by a professional.

Can you treat an abscess tooth at home?

A dental abscess is a serious infection and should be treated as such. DO NOT attempt to treat an abscess tooth at home or with over-the-counter remedies.  While, pain can be temporarily alleviated with over-the-counter painkillers such as ibuprofen or aspirin, these drugs will not treat the root of the infection. It is important to see your dentist immediately for an abscess tooth.

How Do You Know a Tooth Infection Has Spread?

Without proper treatment, a tooth infection can spread and cause severe complications down the road. As soon as you notice signs of a tooth infection, it’s important to see your dentist quickly before your condition worsens. This is especially true if you have severe pain which can indicate the presence of a tooth abscess.

A tooth abscess can be located inside your tooth, your tooth root, or between your tooth and its gum. Once an abscess ruptures, bacteria from a tooth infection can spread and damage surrounding bone, teeth, and move to other parts of the body including your bloodstream.

If a tooth abscess has ruptured, you may feel relief from your tooth pain. Many times, patients don’t think they need to see a dentist to treat their infection since their pain is gone, but this is actually the most crucial time to seek emergency dental treatment. A ruptured tooth abscess can cause an infection to move rapidly throughout the body and sometimes lead to a life-threatening infection called sepsis.

If you notice any of these early signs of a tooth infection or abscess, contact your dentist right away for treatment: 

• A severe, sharp, shooting, or throbbing toothache that won’t go away
• Extreme sensitivity to hot and cold temperatures and chewing
• Swelling in your face
• Swollen glands under your neck or jaw
• A “pimple” on the gum line next to your painful tooth
• A sudden foul-smelling and foul-tasting fluid in your mouth along with pain relief

If you notice any of the following symptoms of a tooth infection spreading, it’s important to seek emergency medical care:

• Fever or low body temperature
• Swelling around the face and neck
• Malaise and feeling “unwell”
• Headache
• Dizziness
• Hot and cold flushes
• Chills and shivering
• Rapid heartbeat
• Fast breathing
• Agitation or change in mental status
• Abdominal pain
• Diarrhea or vomiting
• Decreased urine output

Tooth Infection Treatment Options

A tooth abscess can be treated before it ruptures if you see your dentist for routine teeth cleanings and exams. During your appointment, your dentist will examine your teeth and analyze dental x-rays to identify dental decay, fractures, and any signs of an abscess or infection. If you have a tooth infection, your dentist will put you on a treatment plan that may include any of the following:

• Root canal treatment to eliminate the tooth infection and save your natural tooth
• Tooth abscess draining to stop a rupture and rid your tooth from pain
• Antibiotics to help stop the infection from spreading
• Tooth extraction if your tooth has a serious infection and can’t be saved

It’s important to note that if you take proper care of your teeth, see your dentist regularly and keep up with recommended dental treatments like tooth fillings and root canal therapy, you will be less likely to develop a severe tooth infection. While there are exceptions, it is usually common for patients to develop tooth abscesses if they don’t adhere to good dental hygiene practices or don’t keep up with routine dental exams and treatment.

Remember: The above information points are to be used as general guidelines and you SHOULD NOT use this information to diagnose or determine anything yourself. If you think you may have a tooth infection, contact our Columbus, Ohio dentists right away.

Tooth Infection Treatment in Columbus Ohio

If you have a tooth infection, rest assured that our skilled and caring dentists at Capstone Dental in Clintonville are well-equipped to provide effective treatments for your condition. We use only the best, most modern dental technologies to identify your issue and provide you much needed relief from tooth pain and infection symptoms. Contact us today to schedule your appointment.

Need an emergency dentist to treat a severe tooth infection? Don’t put off treatment! Contact us now for emergency dental care.

Brain Abscess Secondary to a Dental Infection

The risk of a brain abscess is a complication of odontogenic infection that is rarely considered by physicians and little spoken of, yet treating dental infections may avoid a potentially life-threatening condition. We report a case of 7-year-old boy with a brain abscess secondary to a dental infection. He was immediately taken to the operating theatre for drainage and cleaning of the abscess. A dental examination revealed root abscesses on temporary molars, which were extracted under general anaesthetic. Two months after his admission, the child was switched to oral antibiotherapy and could return home. A brain abscess represents a life-threatening disease. Childhood brain abscess is uncommon but may be encountered by all physicians and students as a clinical emergency. It is indispensable that physicians finding symptoms similar to those in this case study refer the patient for emergency care and that possible dental foci of infection be assessed, whether or not the patient is being followed for dental care.

1. Introduction

A brain abscess (BA) is a clinical emergency because of the significant risk of long-term morbidity and mortality associated with it, despite medical advances [1, 2]. Whatever the patient’s age, a brain abscess requires medical and surgical treatment [3]. Such abscesses correspond to a focal infection in the brain parenchyma, characterized by localized oedema and inflammation causing a well circumscribed accumulation of pus [4]. Although childhood brain abscess is uncommon, all physicians and students may encounter it.

The most widespread primary sources of brain infection are infectious endocarditis, osteomyelitis, bacteraemia, and lung, abdominal, pelvic, skin, or ENT diseases [1–4]. The risk of a brain abscess is a complication of odontogenic infection that is rarely considered, yet treating dental infections may avoid a potentially life-threatening condition.

2. Case Report

A previously healthy boy aged 7 years and 11 months was brought to the hospital emergency department suffering from persistent headache and vomiting. He had had a temperature of 38°C for a week and presented a motor deficit of the right arm associated with paresthesiae. A brain CT scan revealed a left fronto-parietal abscess (Figure 1(a)). Neither his medical history nor the clinical examination provided evidence of ENT (Ear, Nose, and Throat) infection. His mother reported that he had had dental treatment for decay in the left temporal molars three weeks earlier. A brain MRI scan showed a left fronto-parietal lesion of approximately 45 × 52 mm with a right lateral deviation of the median line (Figure 1(b)). He was immediately taken to the operating theatre for drainage and cleaning of the abscess. Intraoperative bacteriological specimens were taken, and broad spectrum antibiotherapy was set up using cefotaxime and metronidazole. Corticotherapy (Solumedrol®) was started the following day and continued for six days. Targeted antibiotherapy was set up when the bacteriological analysis results were available. Direct examination of the bacteriological culture found Gram + cocci in chains, and aerobic and anaerobic culture revealed the presence of Streptococcus intermedius. Two days after surgery, the child was apyretic, with normal heart rate and blood pressure but persistence of a motor deficit of the right arm. A dental examination revealed root abscesses on temporary molars 64 and 65, which were extracted under general anaesthetic thirteen days after the child’s arrival at the emergency department (Figure 2). Initial dental treatment was insufficient to manage a potential infection that later became acute.

Twenty-three days after the initial drainage, a control MRI performed because of headaches and vomiting imaged an increase in the volume of the abscess, justifying a second drainage (Figure 1(c)). Bacteriological culture showed the specimen to be sterile. Two months after the first operation, the neurological situation had evolved favourably, the deficit affecting only fine motor skills of the right hand. The brain MRI scan showed a marked decrease in the abscess relative to the previous image (Figure 1(d)). Two months after his admission, the child was switched to oral antibiotherapy and could return home. Follow-up with control brain MRI was planned at the Children’s Hospital at 3 weeks, with a view to stopping the antibiotic treatment.

3. Discussion

The multiplicity of possible sources of infection and the diversity of oral bacteria mean that the implication of dental infection in brain abscesses is indicated by the failure to find any other infection source, the presence of oral microflora in the abscess microbiological spectrum, and clinical and radiographic signs of dental infection [5]. Frequently associated with brain abscess in adults and children, Streptococcus intermedius is a commensal bacterium found in the oral cavity and gastrointestinal tract [6, 7]. The discovery of this organism in bacteriological cultures should lead the clinician to consider an oral and dental aetiology. In this case report, the delay between neurosurgical and dental procedures is explained by the lack of knowledge of this dental aetiology. Fortunately, the patient made a full recovery without sequelae, but morbidity of brain abscesses can reach 53% and mortality 16% of cases [7].

Disclosure

The authors thank Professor Kamran Samii and Susan Becker for their help in proofreading.

Conflicts of Interest

The authors declare no conflicts of interest.

Copyright

Copyright © 2020 Léonor Costa Mendes et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

If you have an infected tooth, you should contact a Sacramento emergency dentist as soon as possible. Aside from being terribly painful, infected teeth can be dangerous in a number of ways.

Symptoms of infected teeth

• Pain that can be either
• low-grade and throbbing, or sharp and immediate
• A bubble of tissue under the painful tooth
• Sleep disturbance
• Swelling of the gums and surrounding tissues
• Difficulty chewing
• Sensitivity to heat
• A bad taste in the mouth
• Bad breath
• Fever
• Swollen glands

Infected or abscessed teeth generally come in two different types: acute and chronic. An acute abscess comes on quickly and is identified by a sharp, abrupt pain. Chronic abscesses may linger for months with low-grade pain. These can be more dangerous than the acute type because the patient may put off treatment, since they can live with the pain. However, during this time serious damage to the tooth, the bone in the jaw, and the soft tissue can occur. By the time the patient goes to the dentist, it may be too late to save the tooth or those surrounding it and the infection may have expanded beyond the teeth. If you live in Sacramento and have any type of dental pain, it’s important to be seen by an emergency dentist as soon as possible.

The Dangers of Infected Teeth

Although it may seem that the worst consequence of an infected tooth is the loss of the tooth, the truth is an infected tooth can lead to systemic illness that causes damage to other organs in the body. If left untreated long enough, an infected tooth can cause fatal illness. An emergency dentist can help prevent this from happening.

When a tooth in the lower jaw becomes infected, it can cause swelling to occur in the cheek and neck. If the swelling becomes too severe, it can interfere with swallowing and breathing to the point where the patient may die.

Ludwig’s angina is a type of cellulitis that occurs in the mouth and is caused by infected teeth. It involves the tissues under the tongue. Cellulitis is a serious bacterial infection that can kill if left untreated. An emergency dentist can prescribe antibiotics to destroy the infection.

When the infected tooth is in the upper jaw, swelling moves upward, into the cheek, temple and below the eye. The swelling can cause the eye to gradually close. This can also lead to a condition called cavernous sinus thrombosis. This is a serious infection of the sinus cavities that requires antibiotic treatment and could be fatal.

Bacterial infections have the potential to become very serious very fast. If you suspect an infected tooth, see a Sacramento emergency dentist right away. With today’s high quality dental treatment and antibiotics, there is no reason for an infected tooth to turn into a life-threatening scenario.

90,000 Treatment of gum disease

Gingivitis is an inflammatory disease of the gums caused by the proliferation of bacteria. The characteristic signs of gingivitis are: swelling, bleeding, redness of the gums, and sometimes even their increase in size – “overgrowth”. If gingivitis is not treated in time, it will turn into a more dangerous disease – periodontitis.

Gingivitis is a gum disease that causes bleeding of the gums.Bleeding gums often lead to bad breath. The most common cause of gingivitis is accumulation of plaque and tartar, which irritate the gums, causing it to become inflamed. If the treatment is not carried out in a timely manner, which consists in removing tartar, plaque, polishing the necks of the teeth, then the inflammation can spread deeper, to the tissues surrounding the tooth, causing destruction of the bone surrounding the tooth and, as a result, leading to tooth mobility up to their loss. Timely treatment leads to the complete elimination of gingivitis.However, it should be noted that plaque and tartar reappear after a while, so the procedure for professional hygiene (prevention of gingivitis) should be repeated at intervals from 1 time in 3 months to 1 time per year, depending on the rate of tartar formation. (individually for each person). In our clinic, the removal of plaque is carried out by an ultrasound method using the excellent equipment of the Swiss company “EMS” (“Piezon-master”), which provides maximum comfort while obtaining an excellent result.After removing tartar, medications are applied to the gums and teeth.

Periodontitis – in the early stages does not cause fear in patients. However, over time, so-called “periodontal pockets” appear between the teeth and gums, which lead to loosening of the teeth and, as a result, to their loss.

Periodontitis is a disease of the tissues surrounding the tooth, manifested by bleeding of the gums, the appearance of tooth mobility, bad breath, exacerbation of the process with the formation of abscesses (pustules) is possible.The essence of the disease lies in the damage to the bone tissue surrounding the tooth, which leads to the appearance of tooth mobility, up to and including their loss. Some people confuse periodontitis with periodontal disease. But there are differences between periodontitis and periodontal disease. The main reason for the development of periodontitis is dental plaque. It contains a wide variety of bacteria that can enter other tissues. Long-term presence of infection in the oral cavity can lead to the development of such common diseases of the body as rheumatoid arthritis, gastritis, infective endocarditis Contrary to popular belief that treatment of periodontitis is ineffective, in fact, the course of treatment leads to a significant improvement in the condition of periodontal tissues.Adherence to the recommended treatment plan for periodontitis ensures long-term and consistent good results. Clinically, this is expressed in the absence of inflammation and bleeding of the gums, strengthening of the teeth. An important condition for the stability of the achieved result is both a thorough self-administered oral hygiene and regular professional hygiene in a dental clinic. Remember that with timely treatment and following the doctor’s recommendations, you will save your teeth for many years.

How is gum treatment done?

Fortunately, gingivitis and periodontitis are treatable until complete recovery. For this, our periodontists have a full arsenal of necessary materials and equipment for carrying out such procedures.

Competent gum treatment begins with a comprehensive examination of the gums and oral cavity by a periodontist. Further, gum treatment includes the following procedures: removal of over – and subgingival dental plaque (calculi), curettage of periodontal pockets, antibacterial and anti-inflammatory therapy, splinting of mobile teeth; flap operations using osteotropic materials.

It should be noted that the treatment of gums, treatment of periodontitis and periodontal disease will be much more effective if you do not forget the simple rules of hygiene: regular brushing of your teeth 2 times a day, the use of irrigators and special solutions for the prevention of gum disease. Our periodontists will tell you how to keep your gums healthy at home.

• Anisimova Victoria Failovna

  Dentist-therapist, dentist-surgeon

  Experience
  work:

  Anisimova Victoria Failovna

• Nikitina Alina Evgenievna

  Dentist-therapist, dentist-surgeon, periodontist

  Experience
  work:

  Nikitina Alina Evgenievna

• Savitskaya Tatiana Alexandrovna

  Dentist-therapist, dentist-surgeon, periodontist.

  Experience
  work:

  Savitskaya Tatiana Alexandrovna

• Kartuzova Olga Fedorovna

  Dentist-therapist, periodontist

  Experience
  work:

  Kartuzova Olga Fedorovna

• Kozlova Tatiana Viktorovna

  Dentist therapist, pediatric dentist

  Experience
  work:

  Kozlova Tatiana Viktorovna

90,000 Neck cellulitis – symptoms and treatment

By Evgeny Basin,

maxillofacial surgeon, d.M.Sc.

Phlegmon of the neck is an acute or chronic inflammation that develops and proceeds in the neck region: from the edge of the lower jaw to the level of the collarbones and the jugular notch. Due to the anatomical structure of this area and the highly developed lymphatic system, purulent and inflammatory changes spread in it extremely quickly.

Cellulitis of the neck is characterized by a rapid spread and is a life-threatening condition, and if not treated and diagnosed in a timely manner, it can be fatal.

Reasons for the development of phlegmon of the neck

Most often, neck phlegmon develop due to a long-standing focus of infection, the symptoms of which are often ignored.

Other reasons:

• Inadequate filling of the root canals of the teeth and the development of peri-maxillary abscesses and phlegmon with extension to the neck,
• Difficulty erupting wisdom teeth (third molars),
• dental diseases (caries, pulpitis, periodontitis)
• sialoadenitis – inflammation of the submandibular salivary gland or the formation of calculus (stone),
• diseases of the lymph nodes – lymphadenitis, which can proceed as a “hot” or “cold” abscess, as well as a manifestation of systemic diseases: metastases in malignant neoplasms of the head and neck, specific diseases: syphilis, tuberculosis, actinomycosis,
• skin diseases: carbuncles, boils, wounds and abrasions contribute to the development of superficial abscesses and phlegmon of the neck,
• consequences of trauma – untimely treatment of fractures or pathological fractures of the jaws (with bisphosphonate, antiresorptive, desomorphine, radiation osteonecrosis of the jaws),
• neck cysts (lateral and median) are often diagnosed only when they are inflamed, which requires anti-inflammatory therapy and their subsequent removal in a planned manner,
• parapharyngeal or paratosillar abscesses contribute to the spread of a purulent-inflammatory process to the neck,
• foreign bodies,
• thyroid disease,
• neck injury

Symptoms of phlegmon of the neck

With phlegmon of the neck, the condition worsens rapidly.The body temperature rises to 38 °, edema grows in the neck area, the skin becomes hypertensive, swallowing is impaired, and general intoxication develops. Other characteristic symptoms also appear:

• The presence of swelling, “ball”, lymph node in the neck, preceding pain in the tooth, jaw or ENT organs, which “subsided”, but swelling appeared on the neck
• Skin redness
• Feeling of fullness in the neck
• Change voice
• Respiratory Distress
• Putrid or bad breath
• Inability to open mouth and chew food
• Impaired speech
• Impaired swallowing

Diagnosis of phlegmon of the neck

For timely diagnosis and treatment in connection with the threat to life and a high probability of surgical treatment, an immediate examination by a maxillofacial surgeon or an ENT doctor is recommended.

• During the initial examination, the doctor specifies the anamnesis, which makes it possible to recognize the “entrance gate” of the infection.

• Next, he palpates the maxillofacial region to determine the primary boundaries of the inflammatory process in the neck.

• Based on the results of examination and palpation, the doctor prescribes blood tests to determine the general condition of the patient.

• Ultrasound of the neck tissues is the primary element in the diagnosis of cystic and common inflammatory diseases.

• If there is a suspicion of metastases or specific damage to the neck tissues, a puncture is performed under ultrasound control.

• To assess the condition of the oral cavity, it is necessary to conduct a cone-beam computed tomography.

• Computed tomography and MRI studies with contrast enhancement can determine the boundaries and spread of the inflammatory process or neoplasm.

What not to do if neck phlegmon is suspected

Self-administration and administration of antibacterial drugs contributes to the aggravation of the condition, the slow spread of inflammation and complicates postoperative treatment due to the development of antibiotic-resistant strains of microorganisms.

Warming up or, conversely, applying a cold compress promotes the spread of the process or its transition into a “cold” abscess.

Treatment

Effective treatment is possible only with urgent medical attention at the first symptoms of the disease!

Complex treatment is prescribed individually depending on the reasons for the development of neck phlegmon. Hospitalization is required with surgical treatment – opening of a purulent-inflammatory process, antibioticogram to determine the sensitivity of microflora, in some cases a biopsy is performed to determine the boundaries and nature of the neck disease.

Complications

• secondary mediastinitis (mediastinal lesion)
• sepsis
• deep vein thrombosis of the lower extremities
• damage to the respiratory system (pneumonia, pneumothorax), pericarditis
• disseminated intravascular coagulation syndrome

Prevention

The best prevention of purulent-inflammatory neck diseases is oral cavity sanitation and orthopantomogram or cone-beam computed tomography once a year.We recommend that you regularly visit a dental hygienist for professional oral hygiene twice a year to identify possible problems and, if necessary, dental treatment.

To remove a tooth at a dentist surgeon in Krasnodar

Dentist surgeon of the Phoenix clinic performs tooth extraction only in the most advanced cases. It is always best to cure if possible. The easiest way to remove a baby tooth from a child. The indication for this is often the natural eruption of the permanent.But removing a tooth from an adult is much more difficult. Such work requires sound reasons and fundamental action.

Removing a permanent tooth is not a very pleasant procedure. It is sometimes not easy for a dentist to a surgeon to remove a bone structure that has been destroyed to the gums. However, this specialization obliges him to treat his work with understanding and accuracy. When there are no options to restore, the tissues are severely damaged, an inflammation process arises that cannot be treated, they come to our dentist surgeon in Krasnodar.

In what cases do we still recommend a tooth extraction?

• trauma that does not allow restoration of integrity by therapeutic or orthopedic methods;
• Incorrect position or shape causing discomfort;
• deficit of space, as well as malocclusion;
• total caries damage when its treatment is impractical;
• periodontitis;
• pulpitis.

How is a tooth extracted in Krasnodar?

In most cases, tooth extraction is performed under local anesthesia.Before the start of the procedure, the dentist surgeon of the Phoenix clinic in Krasnodar:

• examines the patient’s oral cavity,
• analyzes the general state of health,
• takes X-rays,
• and, if necessary, a tomogram.

All this is necessary to exclude possible side effects from the use of drugs and more accurately perform surgical procedures.

To remove a tooth or root, the dentist / surgeon dissects the gum for maximum accessibility.After the operation is completed, a neat suture is applied to the damaged gum. Injuries in the oral cavity heal quickly and the patient practically does not notice how soon it happens.

However, it will take some time to observe a special hygiene regime. The doctor will tell you in detail what procedures to carry out and how often. If the recommendations are followed, the hole remaining after the operation is tightened with practically no unpleasant impressions.

It is possible to remove a tooth in Krasnodar comfortably!

Our dentist surgeon has many years of practice, has the latest instruments and safe medicines.The offices are spacious and comfortable. There is a parking lot in front of the clinic, there is a public transport stop in the immediate vicinity. If you need to remove a tooth in Krasnodar, make an appointment by phone: 8 (861) 255-85-96. And come at the agreed time on the street. Moscow, 5A.

90,000 Pulsating Tooth Pain: Reasons to Get Rid of

Causes of ripple

Common causes include exacerbation of oral cavity diseases, dental injuries, the consequences of poor-quality treatment, a temporary condition after dental procedures, and tooth hypersensitivity.You will not get rid of these reasons yourself at home, but you can aggravate the situation. The longer you put off going to the doctor, the more serious the consequences: the need for surgery or the loss of teeth. There are other causes of ripple.

Pulsation of the tooth under the filling. If the filling is temporary, pain is allowed within two days after its installation. Temporary fillings are often placed due to pulpitis pain in order to relieve the patient of unpleasant sensations and to observe the body’s reaction to foreign material.At the same time, sometimes a medicine that kills the nerve is placed under the filling. This can cause pain. If the filling is permanent, the diagnosis can only be made by a doctor after diagnosis.

Pulsation of the tooth under the crown. Here we are talking about two options: either an infection got under the crown during installation, or the nerve was poorly healed before installation. It is difficult to fix the problem in both cases – you will have to open the crown, the process is not pleasant. Otherwise, you may lose your entire tooth.

Pulsation after tooth extraction. Pain can be temporary and even long-term if a wisdom tooth is removed, the soft tissues of the oral cavity are damaged (the gum was cut, for example), an operation was performed to remove a dental unit. But there is also a more dangerous option – suppuration of an empty hole. When a tooth pulsates due to a purulent formation, home treatment is strictly prohibited! See your doctor, he will clean the hole and prescribe medication.

Pulsation without pain. This phenomenon is possible as a result of apical periodontitis (pus accumulates and gives a pulsating sensation) or periodontitis (inflammation of the tissues surrounding the tooth). If the area in the mouth is pulsating, there may be no pain in the tooth, but this does not mean that your health is safe. Launched periodontitis is dangerous by the development of sepsis (purulent infection), peri-maxillary abscess (a purulent tumor appears on the jaw) and the appearance of other diseases, including chronic ones.

Tooth pulsation may not be associated with oral diseases. Among other reasons: diseases of the gastrointestinal tract, liver, the development of sinusitis. In these cases, the pulse in the teeth is accompanied by a general deterioration in the state of the body. What to do? First of all, see your dentist. If he confirms that the teeth are healthy, contact a therapist, he will give a referral to a specialized doctor.

Temporary pain relief

If you cannot visit a doctor in the near future, and the pain is difficult to endure, you need to turn to pain relievers: paracetamol, ibuprofen and others.After the end of their action, you can use antispasmodics, for example, drotaverine. Before taking pharmacy drugs, be sure to read the instructions and consult your doctor! Medicines can be supplemented or replaced with traditional methods of pain relief. For example, rinsing with a decoction of herbs (sage, oregano, chamomile) or soda-salt solution (dilute ⅓ teaspoon of soda and salt in a glass of warm water, rinse your mouth after each meal or an attack of pain). Natural propolis also has analgesic and antiseptic effects when applied to the affected area and chewed slightly.

A pulsating tooth is an alarm bell, even if the pain has passed after a while. The problem will not evaporate by itself and will grow like a snowball. We recommend preventing dental problems in advance. To do this, it is enough to visit the dentist only twice a year. The doctor can stop caries in the early stages, prescribe professional hygiene and other strengthening procedures. But if you already have a problem with your teeth, do not try to solve it yourself. You will not treat your appendicitis yourself, will you? So the teeth need a professional approach.Take care of your oral health and keep your beautiful smile for years to come.

90,000 the cost of dental treatment in the Lotus Dent clinic on Kolomenskaya

Contents:

In Lotus Dent dentistry, high-quality and fast tooth extraction is performed. Modern instruments and removal techniques, the highest level of doctors’ work and high-quality anesthesia will relieve you of discomfort while visiting a dental clinic. Specialists remove teeth: impacted, severely affected by caries, dystopic, with broken or damaged roots, third molars in a horizontal position.The clinic is located in Moscow near the Kolomenskaya metro station, you can make an appointment by phone or on the dentistry website.

Indications for tooth extraction

The decision on the need for tooth extraction is made by the dentist-surgeon after the examination and X-ray examination. Only after the specialist examines the X-ray, he will be able to conclude that it is impossible to preserve the problem tooth.

Indications for tooth extraction:

• peri-maxillary abscess;
• cyst (7 millimeters or more), not amenable to therapy;
• acute purulent process;
• extensive caries damage;
• Looseness of the tooth over the 3rd degree with periodontitis;
• root fracture;
• odontogenic osteomyelitis.

Extractions are also required for supernumerary teeth that injure tissues or interfere with prosthetics. Sometimes it is required to remove a tooth that interferes with orthodontic treatment – the installation of braces, implantation.

Contraindications to the procedure are:

• acute, including infectious diseases;
• taking anticoagulants;
• chronic diseases in the acute stage;
• I, III trimesters of pregnancy.

In some cases, the surgeon decides whether a tooth should be removed even if there are contraindications, but in this case additional precautions are prescribed. Therefore, it is important to warn the dental surgeon about the presence of conditions that potentially affect the course of the operation or the speed of recovery, as well as about the medications being taken.

Types of tooth extraction

Tooth extraction is carried out by one of two methods, depending on the characteristics of the clinical case, the presence of complications.Before proceeding with the extraction of a tooth, the doctor injects an anesthetic into the gum with an injection. Thanks to modern drugs, the procedure is painless for the patient.

Simple delete. Forceps are gently and easily, but reliably applied to the problem tooth. S-shaped teeth are used for the upper teeth, curved ones for the lower ones. With precise and gentle movements, the problem tooth is loosened and then extracted. The procedure does not require invasive effects on bone and soft tissues, it takes about 15 minutes.

Complex deletion. An incision is made on the soft tissues, then the surgeon exfoliates and removes the mucoperiosteal flap. If necessary, a small piece of bone is removed to facilitate access to the root of the tooth. Using special tools, the root is divided into several parts, and then the problem tooth is extracted in fragments. The adjacent tissues are not injured during the operation. Typically, a complex tooth extraction takes about 60 minutes.

How do I prepare for uninstallation?

In order for the operation and recovery after it to go as quickly and comfortably as possible, you need to adhere to simple rules.

1. Refrain from drinking alcoholic beverages 72 hours before surgery.
2. It is advisable to eat before visiting the dental clinic, as you cannot eat for two hours after the procedure.
3. On the day of tooth extraction, refrain from physical activity.
4. In the presence of anxiety, fear, it is advisable to take a sedative one hour before the operation.

What are the complications?

After surgery, you must not take alcohol, go to the bathhouse and sauna, be exposed to physical exertion – this can cause complications.After the operation, slight weakness is possible, drowsiness is a normal phenomenon, it is desirable for the body to provide rest and rest. In rare cases, complications may develop after surgery.

Dry hole. In this condition, inflammation occurs, and severe pain occurs. A complication occurs if, due to food intake or frequent rinsing of the mouth, a blood clot leaves the hole.

Alveolitis. In this case, the patient is worried about enlarged lymph nodes, swelling and soreness of the mucous membrane, fever.

Paresthesia. This condition is caused by nerve damage. It is manifested by a decrease in the sensitivity of the chin, tongue, lips, cheeks.

If you have symptoms of complications, you should make an appointment with a dental surgeon. Only a specialist can prescribe an effective treatment.

How much does it cost to pull out a tooth?

In Lotus Dent dentistry, the cost of a procedure is formed according to several criteria. The price depends on the complexity of the clinical case, the type of surgery, the need to take additional measures.The most affordable is simple tooth extraction. An early visit to the dentist reduces the risk of complications that can lead to difficult tooth extraction.

Benefits of going to the Lotus Dent dental clinic:

• Convenient location of dentistry;
• favorable pricing policy;
• high level of qualification of doctors;
• modern equipment;
• individual approach.

In the clinic, the operation is performed by experienced dental surgeons who use modern, high-quality instruments.After the extraction of the tooth, implantation or the creation of a removable denture is available. An emergency tooth extraction service is available.

It is important to remember that a decrease in the volume of bone tissue occurs within six months after tooth extraction. Therefore, it is advisable to seek advice from an orthodontist immediately after removal in order to avoid sinus lifting. Two types of implantation are available for patients: classical and one-stage (immediately after tooth extraction).

90,000 Types and methods of tooth cyst treatment

A tooth cyst is a rounded neoplasm that occurs in the area of ​​the root apex.Outside, it is surrounded by bone tissue, inside is pus. It can appear both in the presence of a tooth, and when it has already been removed. It’s all about the infection, which can not always be detected on time. The cyst of a tooth is determined by overgrowth. The development of pathology is accompanied by flux, periostitis, headache and toothache. In a neglected state, the cyst can take root in the maxillary sinuses, which is accompanied by the smell of pus in the nose.

If a tooth cyst is left untreated

Many people do not understand the severity of the situation, but the infection can lead to the spread of the inflammatory process and pose a threat not only to the health, but also to the patient’s life.The negative consequences can be as follows:

• Inflammation of the lymph nodes.
• Decrease in bone tissue due to cyst overgrowth.
• Chronic sinusitis due to germination in the maxillary sinuses.
• Osteomyelitis, periostitis.
• Abscess in the gums, cheeks.
• Phlegmon of the neck.
• Blood poisoning (sepsis).
• Fracture of the jaw in case of severe enlargement of the cyst and thinning of the jawbone.

Cyst treatment under a microscope

One of the achievements of modern dentistry is the treatment of cysts under a microscope.Multiple magnification (30 times or more) allows the doctor to eliminate the problem as accurately as possible, without missing a single nuance. In addition, the use of an optical device has the following advantages:

• Using a microscope, you can track the stages of the treatment process.
• The doctor sees all hidden damage.
• Surgery will be minimal.
• It becomes possible to use light microinstruments.
• You do not need to take many diagnostic images.
• The patient does not receive much stress during the intervention.
• A gentle treatment is used as a detailed view is opened.
• Growths up to 5 mm in diameter can be treated.

Everything that the doctor sees through the microscope is fed to the monitor. The assistant sees an accurate image and successfully navigates the treatment. The patient is in the supine position, the doctor sits behind his head. The patient must observe complete immobility during all medical manipulations.

The microscope helps to achieve great accuracy and efficiency in the therapeutic and surgical treatment of cysts. The tooth is visible up to its apical part.

Methods for the treatment of tooth cysts

Cystotomy – the anterior wall of the cyst is removed, thereby creating a communication between it and the oral cavity. The entire nerve bundle is removed. The disadvantage of this method is long-term healing and pain syndrome.

Cystectomy – the abnormal growth is removed completely along with the damaged part of the root.Then the wound is sutured, antibiotics and antiseptics are prescribed. Multi-rooted teeth are removed, single-rooted teeth are filled.

Hemisection – amputation, in which everything is removed: cyst, root, part of the crown. Used today as a last resort. During the operation, a root canal remains, which can then be used for prosthetics.

Depophoresis – the root canal is cleaned, pus is pumped out of the pathological formation, a copper-calcium suspension is introduced instead of an antiseptic, a low-power electric current is applied.This removes 99% of the bacteria. The downside is the need to carry out the procedure at least 3 times. The method is used for cysts up to 8 mm in size.

Laser treatment – treatment with a laser beam provides both cleansing and disinfection. Promotes rapid healing of soft tissues, since it practically does not come into contact with them. It is often performed without anesthesia.

Diagnostics carried out using a microscope have many advantages.The doctor manages to detect the smallest features of the pathology and its development. Often, the detection of a cyst serves as a reason to check the rest of the teeth, since this formation can also affect them when they grow. In addition, a neoplasm may be just one of several.

It is necessary to treat a cyst immediately after its detection in order to avoid complications and preserve bone tissue and even a tooth. Today dentists only resort to removal as a last resort. Basically, thanks to modern methods and equipment, in particular the use of a microscope, it is possible to preserve the tooth and its functions for many years.

Tooth cyst – Dentistry “NovaDent”

A tooth cyst is a formation consisting of connective tissue. It is a capsule filled with bacteria and epithelial cells. If left untreated, the inflammation along with the infection will spread throughout the body.

An inflamed cyst can be accompanied by such unpleasant symptoms as: pain, high body temperature, fever, swelling and swollen lymph nodes.

A cyst can form for a number of reasons: decreased immunity, colds, stress, severe hypothermia, as well as poor-quality treatment of dental canals.

What are formations

– Periapical

Considered the most common of a series of odontogenic cysts. It is also called radicular, root or apical periodontal cyst. The cause of the formation is necrosis of the pulp tissue caused by deep caries or tooth trauma.The infected pulp provokes the release of toxins in the apex of the tooth.

Endodontic treatment of a tooth cyst. If the therapeutic treatment is already powerless, the tooth has to be removed.

Sometimes the traditional method of treatment may not help to the end, and education may appear a second time. To avoid relapse, specialists use the method of retrograde canal filling.

– Follicular

As a rule, it forms on the eighth teeth of the lower jaw or on the canines of the upper jaw.It can also appear around a still unerupted, impacted tooth. The pressure that comes from an erupting tooth can trigger the formation of a cyst. Such a cyst, most often, grows very quickly and becomes significant in size. Here, as a rule, only surgery can help. Even after the removal, the patient needs to carefully monitor his health in order to avoid relapses.

What is a cyst

A cyst, as mentioned earlier, is a formation that can be filled with air, or with fluid or infected tissues.Many people believe that any cyst is a source of infection. This is not entirely true. When a cyst forms, it is not infected. The inflammation begins after the pulp tissue is destroyed and inflammation begins. You can visually notice this process. There is strong pressure around the bone of the damaged tooth, which can provoke periodontal recession at the site of the lesion.

A dental abscess and a cyst are two different things

An abscess may appear right next to the cyst.An abscess is similar to a cyst, but the process of inflammation in both cases is different:

– The pain during the formation of an abscess is intense and throbbing. Edema and increased body temperature are added to the pain. There may be an unusual taste in the mouth, as well as a specific odor from the mouth. Pain from the resulting abscess begins abruptly and increases over several days. The pain can also affect the jaw, cervical and ear regions. Lack of treatment will lead to unbearable constant pain.

– An abscess, unlike a cyst, is a local infection in an acute form, requiring prompt surgical intervention on the root canal of the affected tooth.

What symptoms can identify a dental cyst

It is possible to distinguish an infected cyst from a normal one. An inflamed cyst is usually swollen and painful. An uninfected cyst may not manifest itself at all. Such a cyst is diagnosed only with the help of pictures.

Treatment

Dental cyst can be treated with conservative therapeutic treatment or radical surgery.

Conservative therapy is an endodontic treatment of root canals. One of the most successful cyst treatment options today is under a microscope.

Features of treatment under a microscope

The microscope makes it possible to fully examine each dental canal. The use of a microscope greatly increases the patient’s comfort during admission and the convenience of the treatment process for the doctor. High-quality treatment allows you to maintain the health of the damaged tooth for many years.

Advantages:

– Microscope enlarges the treatment area up to 40 times;

– The process is displayed on the monitor screen;

– The entire treatment process is fully controlled;

– With the help of a microscope, hidden damage can be detected;

– Minimum injury rate when removing damaged tissue;

– High score.

Microscope is one of the most gentle methods of treatment, which is used for formations (cysts) up to 5 mm in size.

Treatment process

The doctor works together with his assistant. The patient is in the supine position. The doctor stares intently through the microscope, and the assistant gives him the tools.

Treatment stages:

– removal of the old filling;

– cleansing the canal from inflamed tissues;

– flushing the canal and placing a drug that prevents the further development of infection;

– repeated washing and drying of the canal;

– filling (as a rule, first temporary, then permanent).

Using a microscope provides the following advantages:

– The quality of work is greatly increased, since the doctor clearly sees the affected area and can clean the canals as thoroughly as possible.

– Handling narrow or complex canals is no longer a problem.

If therapeutic treatment is useless

In difficult situations, it may be necessary not only to remove the cyst, but even the tooth itself.