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Alveolitis that occurs after tooth extraction

alveolitis after the tooth extraction operation

Alveoli or tooth socket is a deepening in the jaw, where the upper part of the tooth root is. Inflammation of a tooth socket is called alveolitis and occurs for several reasons.

Treatment of the disease depends on timely diagnosis and identification of the factors influencing this process.

Causes

Inflammation can begin on the background of weak immunity, which is a consequence of a chronic somatopathy. But basically, the process progresses after the traumatic removal – when the deepening and its surrounding periodontium are injured.

The operation is considered to be difficult if the tooth:

  • has not completely cut through and is closed with the gum;
  • crumbles during the procedure;
  • is completely destroyed, and the doctor has nothing to catch with forceps;
  • roots have non-standard shape.

Both, the patient, ignoring post-operative care is to blame for the occurrence of inflammation, as well as the doctor who violated hygiene:

  • improper treatment of oral cavity with antiseptic;
  • entering the wound plaque;
  • not thoroughly cleaned tooth hole.

An important role in causing inflammation play risk factors. These include the presence of foci of dental caries and chronical infectious diseases of a nasopharynx.

In some cases, the wound healing progress can disrupt leaching or complete destruction of the blood clot that fills the tooth hole after surgery.

An alveolar clot is meant to protect a tooth hole against infection. In the normal case, the clot falls off after seven to twelve days postoperatively. If prolonged bleeding is being experienced or the patient is continuously using mouthwashes, the clot is being prematurely washed out, which can cause infection and the development of alveolitis.

Symptoms

alveolitis after tooth extraction symptomsAfter the operation, a tooth hole heals quickly, and pain passes through the day. If a blood clot, which performs the protective function is not formed, the infection can penetrate into the wound.

Self-medication and the excessive amount of rinsing lead to undesirable complications, including the occurrence of alveolitis.

The main symptom is continuous, aching pain felt in the ear and temple. After the anesthesia and the removal of tooth pain can begin immediately, but more often – in a few days.

The examination of the patient, the doctor feels the stench. The edges of the wound are bog-brownish color, alveolar blood clot – a loose structure. The walls of the alveolar recess are also inflamed and covered with gray-green plaque.

The edges of the gums lose their sensitivity to pressure, become loose and purplish. Periodontium of healthy teeth is in the inflamed area – so when to squeeze them, pain and bloating occur.

Also, in the case of alveolitis after the tooth extraction, submandibular lymph nodes can be increased (see photo at right) – they become painful on palpation.

If the patient just does not consult a specialist, a fever can start, and the corresponding part of the face becomes edematous.

When less severe symptoms and absence of treatment, a chronic stage with the formation of abnormally proliferating tissues may occur after a few weeks. When pressing purulent exudate is released from it.

In this case, surgery may be needed, followed by washing the wound with antiseptics. Cropped inflammation of the bone is extremely difficult, so it is recommended at the first symptoms to consult a doctor.

Special Cases With A Wisdom Tooth

Wisdom tooth or in other words – a third molar, it causes a person a lot of problems. Appearing when all the rest of his brethren have already cut through, it, like the uninvited guest does not make anybody happy with the visit.

At its eruption periodontal tissue edema often develops, painful sensations appear. It is necessary to identify situations in which a rudiment removal is necessary:

  • Deviation in tooth growth in an unpredictable direction, thereby injury to the oral mucosa and tongue;
  • The presence of caries and the impossibility of treatment due to inaccessibility of the tooth;
  • Very slowly cutting that promotes the formation of “hood”, which provokes inflammation;
  • The negative impact of the “intruder” at the adjacent teeth;

During removal of third molars, an injury of nearby nerves that leads to paresthesia of certain parts of the face may occur. Sometimes the neighboring teeth or dentures can be damaged during surgery.

But the most unpleasant consequence can be a “dry socket” – a complication after traumatic removal.

As mentioned earlier, in the hole cavity a blood clot should form, which protects it from infection. Considering the location and complexity of a wisdom tooth during the removal process the displacement of the gingival tissue may occur, which makes it impossible to form a protective thrombus.

“A dry socket” may be the result of prolonged bleeding, which occurs for various reasons. In this case, there exists a very high probability of wound infection.

In the formation of “dry socket”, the doctor will prescribe an effective treatment. Daily until healing is complete, he will impose an antiseptic swab on the wound, providing rapid healing and eliminating the penetration of the infection.

In the case of not timely medical help, the inflammation leads to osteomyelitis, which may spread to adjacent teeth. Therefore, after the removal of a tooth, it is essential to comply with all medical advice!

Treatment

Medications

treatment of alveolitisBefore treatment, the patient is assigned to X-rays. The picture will mark the presence of foreign elements or tooth fragments on the gingiva.

Then anesthesia is performed, and the following manipulations:

  • With a special syringe, a socket is washed with an antiseptic solution and cleaned from food residues, tooth debris, blood clots. Then the cleaning of the inner cavity of the socket is held (curettage).
  • After re-treatment of the wound with antiseptic, it should be thoroughly dried and sprinkled with Anestezin.
  • Then a gauze bandage moistened with an anti-inflammatory compound is applied. When changing the bandage, the wound should be treated with antiseptic solutions. Treatment is carried out until complete relief of the inflammatory process.
  • When severe pain a “blockade” with drugs is conducted.
  • To facilitate the treatment and to speed the recovery an additional course of physiotherapy: ultraviolet radiation, microwaves, infrared, laser beams is assigned.
  • With the threat of the spreading of the inflammation upon the tissues surrounding a socket, your doctor may prescribe antibiotics and restorative vitamin complexes.

If treatment is started on time, inflammation is stopped within a week, the wound is covered with a protective epithelium, indicating the positive dynamics of treatment. After this, the patient must comply with treatment recommendations and regular visit a specialist for examination.

Folk remedies

After stopping inflammation with medications, treatment can be continued at home. Traditional medicine offers rinsing tincture and decoctions of medicinal herbs:

  • chamomile;
  • sage;
  • marigold petals.

Valuable essential oils are in the composition of herbs, natural anti-natural ingredients that help shooting a small inflammation and disinfecting the mouth.

The infusion of sage

Sage has a disinfectant and analgesic properties. Take one tablespoon of dried herbs and pour a glass of boiling water.

A dish with the brewed herb must be wrapped with a towel and let stand for an hour. Strain the solution, after which it is ready for use.

Pharmaceutical chamomile

The components that make up the chamomile, gently cleanse the mouth and remove inflammation. Brew the inflorescence of chamomile, as in the previous recipe. Leave it for 15-20 minutes under a towel. Strain the solution and rinse the mouth.

Petals of calendula

alveolitis treatment at homeCalendula relieves swelling, disinfects and promotes speedy healing of the mucosa. Pure one tablespoon of marigold inflorescences with a glass of hot water, then the solution must be left for half an hour to draw.

Infusions of herbs are recommended to rinse for at least ten times a day, and for the prevention of disease 3-4 times. Gauze pads may be done of herbal infusions and applied to the inflamed site in the oral cavity.

If you do not want to bother yourself with broths, you can buy alcoholic infusions of herbs in drug stores.

But such infusions can be made at home. Here is the recipe for one of them:

  • Poplar buds – 100 g.;
  • Vodka – 500 g

Pour the buds in a glass bowl, pour in vodka and leave in a cool, dark place for several weeks, then strain. The infusion can be added to warm water to rinse and to make gauze applications to the inflamed gums.

The occurrence of complications after removal of the teeth depends on many factors: the individual characteristics of the organism, the complexity of surgery, the correct treatment.

In any case, in the case of symptoms that signal the development of inflammation (swelling of the face and gums, fever, severe pain, putrid breath) you need to consult a specialist as soon as possible. These symptoms may be signs of inflammation.

To prevent the development of complications it is necessary to comply with the doctor’s recommendations for oral hygiene. It is important to understand that self-medication is unacceptable and can lead to unpredictable consequences, and treatment with folk remedies is possible only after a visit to the dentist and getting recommendations.

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