Granulating periodontitis
Last reviewed: 23.04.2024
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Periodontitis, at which the granulation of tissues occurs, often occurs in chronic form. Chronic granulating periodontitis is an inflammation in which the pulp is already necrotic. Granulation can be a consequence of exacerbation, but also an independent form. Granulation tissue grows in the apex zone - the apex of the root, provoking resorption (destruction, destruction) of the bone. The granulating focus can germinate into the periosteum, soft tissues (subcutaneous and submucosal tissue), as a result granulomas are formed. When carrying out an X-ray examination, the focus of a loose bone tissue with a characteristic pattern - "a kind of flame" is clearly visualized on the picture.
[Symptoms of granulating periodontitis
Manifestation of pain:
- Periodic painful sensations.
- Feeling of raspiraniya, the tooth as if interferes.
- Pain when taking hot food, drinking.
- Sensitivity of the tooth when eating solid food.
Appearance of the affected tooth:
- The tooth is clearly destroyed.
- The tooth color changes.
- There are signs of caries, there are particles of softened dentin in the cavity.
- The carious cavity is connected to the cavity of the tooth.
- Pulp is more often necrotic.
Mucous membrane of gum:
- Mucous in the area of the affected tooth is hyperemic.
- When pressing on the mucosa, a small depression (vasoparesis) is visible.
The presence of fistula indicates the duration of the inflammatory process. The fistula can develop, stumble and reappear. Often, the fistula exudates from the fistula.
Lymph nodes to the touch are painful, an increase is possible in the acute stage of the process.
If a person notices at least one of the above signs, calling to the doctor will help to avoid complications caused by a purulent exacerbation.
Treatment of granulating periodontitis
Treatment of granulating periodontitis is to neutralize the infectious focus in periapical tissue, as well as eliminate the activity of the identified pathogen (streptococcus) in the root canal. As a rule, after sanation, filling and reconstruction of the normal shape of the diseased tooth is carried out.
The prognosis of the granulating inflammatory process depends on the timeliness of the diagnosis and the quality of the therapeutic measures. As a rule, the outcome of treatment is favorable in 90%, in spite of the fact that the periodontal tissue is not completely restored due to the specificity of the lesion. Nevertheless, the restored tooth can perform all functions, provided complex and effective treatment of caries. If the affected tooth does not begin to heal, the prognosis, of course, will not be so rosy. Exacerbation in the form of pain is not the most important danger that accompanies granulating periodontitis. Much more serious in terms of symptoms and outcomes of fistulas on the face, neck, sinusitis, periostitis or osteomyelitis, often requiring surgical treatment, right up to the hospital.