What is a fistula: the reasons for the appearance of a hole and the methods of treating a fistula in the gum

Any disease associated with teeth or gums requires an urgent visit to the dentist.Only an expert can make the correct diagnosis and perform the necessary treatment.With particular seriousness, one must treat a hole in the gum.Because this leads to the formation of a fistula.And the fistula is known to be an inflammatory and purulent disease, and it is not worth delaying with its treatment.

What is the fistula and the causes of its appearance

Fistula is the purulent formation of , which looks like a bag on the gum or a small aperture.In fact - this is the channel that passes inside the gum, and it connects the surface with suppuration, which was formed in the root of the tooth.Through this channel from the focus of inflammation passes the fluid and pus.This can even be seen with the naked eye.

The cause of formation of the built-up edge on the gums is the activity of pyogenic microorganisms.The causative agents of fistula are staphylococci, pneumococci and gonococci.But the main culprits of fistula formation are such diseases as caries, periodontitis and pulpitis.With caries, the tooth tissue begins to decay, and thus forming caries on it, and due to the activity of carious bacteria a fistula is formed in the gum.

Pulpitis is a complication of , which appears as a result of an untreated caries.To decay did not reach the root of the tooth and did not get into the bone and soft tissue of the jaw, it is necessary to fill the diseased tooth and at the same time to remove the nerve.

Periodontitis is caused by an infection that inflames the tissue around the tooth.This disease, if not treated, also contributes to the formation of a fistula.

In addition to the above, the cause of the build-up on the gums may be a cyst.It is formed at the top of the root of the tooth due to unhealed pulpitis.The cyst is filled with pus and can reach a size of 2-3 cm. When the pus overwhelms the cyst, it comes out and thereby forms a fistula on the gum.

There is one more disease - granuloma, which also provokes the build-up of on the gum.The granuloma is similar to a cyst, only it is smaller and does not have a membrane.Granuloma is easier to treat than cyst.

These diseases also appear after the caries started or wrong treatment.During the filling of channels, voids should not remain, because they cause inflammation, and then fistulas.

Many do not know that the cause of the build-up on the gums may be wisdom teeth, and a complex eruption of infant teeth .Sometimes a long eruption of baby teeth or complicated wisdom teeth promotes swelling of the gum and its inflammation, which leads to the formation of a fistula.

Symptoms of

This dental disease has some symptoms by which it can be identified:

• severe pain.Toothache in this case can be aching and worse with chewing or any other pressure on the teeth;
• reddening of the gum and its inflammation around the tooth;
• mobility of a diseased tooth;
• appearance of purulent masses;
• temperature increase.

Fistula on the gum may be of two kinds: external and internal .An external fistula man can detect himself.But the internal fistula can not be seen with visual inspection.To see it you need to undergo roentgenography.

Species

This disease has several varieties that appear as a result of various factors.But separately should allocate these types:

1. Fistula formed after tooth extraction.After removing the aching tooth, a fistula may appear due to fainting in the sinuses or gums.It should be noted that this species is rare and is a consequence of infection during removal of the tooth.
2. After tooth extraction, serious complications can occur, which is characterized by the appearance of fistula from the aching tooth to the maxillary sinuses, and therefore sinus can become inflamed.
3. Fistula under the crown.This kind of fistula can be met often.When a person often puts crowns, and this operation is not easy, then as a result of not healing channels formed inflammation.The situation is serious because the patient has already put the crown and to treat the fistula it will be necessary to remove it.
4. After implantation of the tooth.This type of fistula is formed due to poor cleaning of the place where the implant should be installed or, conversely, its incorrect installation.

Treatment

In order for the fistula treatment to be effective, you first need to to determine the cause of its appearance , namely, to cure the tooth.The dentist should clean the dental canals well, remove pus and all the carious deposits.After this, it is necessary to treat the tooth with a disinfectant and seal it.

At the very moment when the pus comes out, the patient will be able to feel obvious relief, while the toothache noticeably decreases.But sometimes a fistula rupture can occur before a visit to the doctor and at this point the person thinks that it is no longer worthwhile to treat, but this opinion is erroneous.Affected tissues must necessarily be removed by scraping, because otherwise the inflammation can begin anew .

After the dentist opens the fistula itself, the wound on the gum should remain open, but it should be periodically disinfected.With the help of rinses all the exudate should come out, and thanks to the physiotherapy the inflammatory process is eliminated.Together with external treatment it is necessary to take anti-inflammatory and antiviral drugs.

If the symptoms of the disease begin to disappear, the patient will immediately notice this, because the swelling subsides, the pus stops flowing, the redness disappears, and the wound itself begins to tighten.On a sick tooth should put a temporary seal , and after 10 days change it to a constant.This is necessary to exclude signs of a new infection.

If a complication occurs, for example, the spread of infection to the periosteum, then removal of the fistula, perhaps only surgically.A timely visit to the dentist will avoid serious complications and surgery.

Treatment for pregnancy

As a result of the fact that the organism of the expectant mother is highly prone to various infections, sometimes they may also have fistulas on the gum.Naturally, in this case, it is impossible to treat the fistula with antibiotics.Therefore, for pregnant women, the dentist takes completely different measures.Most often, fistula treatment during pregnancy is based on the use of preparations on herbs and in the form of ointments.

Treatment of fistula in children

In children, the disease appears due to a disruption in the growth of infant teeth.For a small child, this situation is serious, so you should immediately call your dentist.If you do not heal it in time, then the child's body can weaken, it becomes irritable due to toothache.Also, a fistula started can lead to chronic diseases of permanent teeth.

Treatment in children is based on two methods:

• medication, with the help of which the doctor selects preparations for the child and herbal decoctions for rinsing the oral cavity;
• tooth extraction, which is the cause of the disease.This decision is made by the dentist only if the fistula is serious and other treatment does not help.

Folk remedies

The only way to treat a fistula on the gums is with a doctor and this is done after the examination.After dental procedures the patient conducts a course of treatment with antibiotics and simultaneously caresses the oral cavity with medicinal solutions, for example, furacilin.But there are many medicinal herbs that have anti-inflammatory effect.Naturally, they can not eliminate the cause of the disease and lead to a complete cure, but for the purpose of rapid healing they will perfectly help.

To treat the fistula by rinsing it is possible to with the following herbs:

1. Tincture of chamomile and calendula.They can be used separately and together.They perfectly help to remove inflammation and reduce pain syndrome.
2. Eucalyptus ointment.For its preparation, it is necessary to crush the leaves of this plant and mix with sunflower oil.Then insist the resulting mixture for a day and add finely chopped onions to it.Each ingredient is taken in equal proportions.A little bit of the mixture should be wrapped in a bandage and attached to a fistula.This tool will help to pull pus, as well as it is suitable for rapid wound healing.
3. Bee Propolis.After dental surgery, bee propolis will allow the disinfection of the wound.To do this, you need to dissolve it under the tongue.
4. With the help of decoctions of calendula, tansy and yarrow can get rid of inflammation.For this, the decoction of any of the listed types of herbs is taken in the mouth and held for about 5 minutes.

Prevention

Prevention as such does not exist, the only thing necessary is the to maintain the purity of the oral cavity .This can be done with daily hygiene and frequent visits to the dentist, to clean the teeth from plaque and tartar.

It should be remembered that everything depends on the person himself and on whether a visit to a specialist was made in time and how well the dental health is controlled.