Sometimes a special phenomenon occurs in dental practice: a molar or milk tooth grows from the gum. It not only violates the correct construction of the row, but also leads to deformation of adjacent incisors. Doctors do not consider this defect cosmetic, and warn of possible inflammation and painful complications. This is a serious pathology, which has the name "retention". It is faced by children and adults, this is a common problem with the appearance of "wisdom" teeth.
Nature provides that each tooth should go out at a certain time and in the right place. Increasingly, patients are turning to specialists for whom such a system fails. The next molar remains in the middle of the soft tissue or only a small crown is visually shown. The process can touch the milk incisor or canine, subside for many years.
Dentists distinguish between two types of pathology:
- Complete: the tooth grows into the gum and is not visible without x-ray equipment. In many cases, the rudiment is laid in early childhood, without being felt at all during palpation. The patient learns about it when there are problems with bite or chewing.
- Partial: a whitish top is visible on the surface. It can look through the side of the main row or stand as a second stripe.
Sometimes the incisor goes deep into the jaw and damages the bone with its tip. This is called "bone immersion" and is more difficult to diagnose. When the mucosa breaks, damage to the soft tissue is diagnosed, which is fraught with infection if microbes and bacteria enter.
Signs of tooth growth in the gum
In the vast majority of identified clinical cases, the growth defect is laid in infancy. The first manifestations begin during the period of active eruption of milk teeth or their change to permanent ones. Parents notice a strong delay in the exit of the next incisor to the outside, they see a double row of molars.
The second problematic point: the pathology of the development of wisdom teeth, which erupt in adolescents or adults. By the time they appear, the jaw is already formed and corny there may not be enough space to accommodate such large formations. Eights have to make their way through the periodontal tissue and bone, so complications are quite common.
Retention can go unnoticed for a long period even with careful hygiene. The main symptoms of pathology, indicating the formation of a dental defect:
- In place of a molar or milk tooth, an empty hole remains, the incisor breaks through only a few millimeters. The impacted tooth may protrude at the base of the row closer to the roots, “look” at the inner surface of the cheek or tongue.
- The gums may swell and become red. In place of the apex, a seal or resembling appears.
- Against this background, the temperature rises, there is general weakness or. The patient cannot fully sleep and eat.
The process is especially difficult when cutting eights. They are larger and do not have a sharp top, so they go hard. They seem to make their way and can damage blood vessels, injure periodontal tissues and cause acute. It is poorly removed even by the most effective analgesics and is aggravated by touch.
Complications when a tooth grows into the gum
In toddlers and adolescents, retention can develop over several months or even years. Many parents mistakenly believe that she herself will leave when changing her teeth to molars and prefer not to go to the dentist. Unfortunately, the defect requires mandatory correction and observation by an experienced orthodontist. Otherwise, it threatens with serious complications:
- With the formation of complete retention inside the gums, thinning and resorption of the roots of healthy adjacent teeth may begin.
- After tissue integrity is violated, a dangerous infection easily enters the wound, acute inflammation develops and painful
- In children, the bite is disturbed, a protruding lower jaw is formed, and the symmetry of the face changes.
- If the defect is ignored, osteomyelitis of the jaw bone can begin - inflammation inside the bone tissue.
- With a defect in the upper row, a person often suffers from chronic diseases of the nasopharynx: sinusitis, tonsillitis or laryngitis. It is quite difficult to identify the root cause, so relapses are repeated in the warm season and exhausted by long-term treatment.
Pericoronitis - hood over the tooth
Such problematic teeth often give periodic pains that are not clear to the patient. You can often see the problem only on an X-ray or panoramic picture of the jaw.
Methods of treatment for germination of teeth on the gum
In each diagnosed case, the dentist selects an individual treatment option. If a baby tooth grows on the gum and interferes with the vertical exit of adjacent incisors, it should be removed. It does not have a root, so the process is easy and almost painless for the baby. The wound heals quickly and without much effort on the part of the parents. In the future, you should visit a doctor to monitor the condition of the remaining teeth every six months. It may be necessary to put a leveling plate in order to restore the correct axis of their growth.
A more difficult task lies ahead if an adult has a wisdom tooth growing into the gum. The peak of appeals falls on the age of 18-26 years. Patients complain of severe pain and inflammation, so it is necessary not only to eliminate the defect, but to conduct a comprehensive treatment. With partial eruption of the crown, you will have to make an incision in the soft tissues and “help” the incisor come out.
If the crooked molar is located deep inside under the periodontium and the angle of inclination exceeds 35–40 °, surgery is indispensable. Depending on the complexity and pain threshold of a person, it is performed under general or local anesthesia. It is almost always removed to prevent destruction of neighboring teeth. After that, the patient should carefully care for the open wound at home:
- rinse your mouth with a solution of soda or sea salt;
- use an antiseptic for processing or;
- apply to the hole;
- lubricate the mucosa with anti-inflammatory paste.
Even in an adult patient, the defect can be removed using a bracket system. If the retained tooth is only 30° deviated from the growth axis and has a normal healthy root, the orthodontist can install a special framework. He will gradually align the entire row, turn the canines and molars in the right direction. The only downside to this method is its length. Sometimes it takes at least a year for a smile to become flawless and perfect.
The process of teething and healing may be accompanied by pain. Painkillers will help relieve discomfort and burning sensation: Tempalgin, Ketanov, Ibuprofen or Diclofenac. It is recommended to use light local gels with lidocaine or benzocaine:, Mundizal, Modern dentistry has a huge range of unique techniques and techniques, so removing retention has not been a difficult task for a long time.
Health
Thanks to the vocal cords, people are able to regularly exchange whole streams of information. It turns out that our teeth, gums and oral cavity as a whole give us no less information. Only this information is about one thing - about the state of our health.
"Our oral cavity is part of our body," says Anthony Iacopino, Dean of the Faculty of Dentistry at the Canadian University of Manitoby (University of Manitoba Faculty of Dentistry) and a representative of the American Dental Association (American Dental Association). “Everything that happens in our mouth has a significant effect on our entire organ system and on the processes that take place in the body. And vice versa: everything that regularly happens in our body manifests itself in one way or another in our mouth.
So, it only remains for us to talk about the seven most important signals that our body gives us through our own teeth and mouth, and which, of course, you need to pay attention to (in conjunction with other manifestations and signals of the body).
Signal one: flat, worn teeth plus frequent headache
The body signals stress
Many people are very surprised to learn that they grind their teeth in their sleep. Indeed, it happens completely unconsciously. But the gnashing of teeth in a dream (bruxism, Carolini phenomenon, odonterism) usually indicates that the person is experiencing (or has experienced) severe stress. Jacopino says bruxism can be indicated by abraded tooth tips—you can even feel them with your tongue. Aching pain in the jaws is also possible.
Usually bruxism is accompanied by a headache caused by spasms of the facial muscles. Sometimes the pain spreads from the mouth and head to the neck and even the upper back. Special rubber mouthpieces worn at night can help in this situation.
Signal two: teeth often crack and crumble
The body signals the presence of gastroesophageal reflux
Very often, teeth crack and crumble in older people. The enamel becomes thin and almost transparent. But such dental erosion is not a normal phenomenon that accompanies aging. In fact, it can happen at any age.
Teeth can decay due to acid that rises from the stomach and dissolves tooth enamel. The reason, as mentioned above, is gastroesophageal reflux, or as it is also called, acid reflux. This disease provokes the release of stomach acid back into the esophagus, and from there to the oral cavity, as they say, within easy reach. Gastrointestinal reflux is a chronic disorder caused by disruption of the natural barrier between the stomach and esophagus.
What else should you pay attention to
Dry mouth and heartburn are symptoms that often accompany acid reflux. Also, crumbling and breaking teeth at a young age may indicate the presence of bulimia or the so-called wolf hunger (a sharply increased feeling of hunger). In this case, the patient often starts vomiting after eating, and the result is the same - gastric juice rises into the oral cavity, gradually destroying tooth enamel.
Signal three: non-healing wounds in the oral cavity
The body signals about oral cancer
Many people sometimes bite themselves on the inside of their cheeks, and they do it for a reason (as happens during meals, for example). This is a nervous habit. Others may actually accidentally bite their cheek while chewing. These wounds usually heal fairly quickly. But if the open wound does not heal within a week or two, you should definitely visit a doctor (the same dentist, for example). “A person can accidentally injure the tissues of the oral cavity, but if various reddenings (or vice versa - too white areas) remain so for a long time without acquiring a normal pink color, then it is necessary to check to rule out the diagnosis of oral cancer,” says Susan Hyde, Associate Professor, University of California, Department of Dentistry (University of California, San Francisco, School of Dentistry).
According to the National Cancer Institute (National Cancer Institute) more than 21,000 men and 9,000 women are diagnosed with oral cancer each year. Moreover, the survival rate in patients with this type of disease is only 31 percent, and this is due to the fact that oral cancer is usually diagnosed too late. Smokers are more at risk of developing this disease, but out of 4 cases of oral cancer, one occurs in a non-smoker.
What else should you pay attention to
In people who may suffer from this disease, there is a high damage to the oral cavity. Very often the edge of the lips is red or white. Ulcers can form under the tongue, where they can be hard to see. Numbness of the gums and bleeding are other signs of oral cancer, but very often the only sign is damage that does not go away for a long time. An accurate diagnosis can biopsy- a method for studying tissue cells.
Signal Four: The gums are growing over the teeth
The body signals an overdose of certain drugs
If you have noticed that your gums literally grow over your teeth and grow abnormally on them, and at the same time you are taking some kind of treatment for heart disease, or immune-supporting drugs, this means that you should definitely consult with your doctor about such a side effect. doctor.
"Swollen gums to the point that they protrude between the teeth is a signal that the dose of medication you are taking needs to be reduced.", explains American Dental Association spokesman Anthony Jacopino. The fact is that certain medications stimulate the growth of gum tissue. In view of this, it becomes impossible to brush your teeth, which can cause gum rotting and, as a result, periodontal disease.
What else should you pay attention to
As a rule, swollen gums cause severe discomfort. And in severe cases, the gums can cover the entire inside of the teeth. Both reasons should make you want to see a doctor.
Signal five: dry mouth
The body signals about Sjögren's syndrome or diabetes
Many things can lead to dry mouth, from dehydration to allergic reactions to, for example, smoking or new medications. Moreover, there are thousands of drugs after which dry mouth is observed as a side effect.. These include drugs for depression, incontinence, muscle relaxants, sedatives, and antihistamines. But lack of saliva in the mouth can be an early warning sign of two autoimmune diseases: about Sjögren's syndrome or diabetes.
If you have Sjögren's syndrome, white blood cells (leukocytes) for unknown reasons, they affect the glands that secrete moisture. This is a fairly common disease. In America alone, more than 4 million Americans suffer from Sjögren's syndrome (half of them are women). And another 24 million people also in the United States of America have type 1 and type 2 diabetes, suffering from high blood sugar.
What else should you pay attention to
Other signs that you may have diabetes are extreme thirst, tingling of the hands and feet, frequent urination, blurred vision, and weight loss. In the case of Sjögren's syndrome, the eyes dry out as intensely as the oral cavity, and in the rest of the body there are violations of the work of various organs. I must say that due to the similarity of the symptoms of these two diseases (Sjögren's syndrome and diabetes mellitus), quite often patients are misdiagnosed, and they live for many years without proper treatment.
Signal six: white rash on the gums, palate, cheeks, tongue
The body signals the presence of Wilson's lichen
The last thing people usually pay attention to when brushing their teeth is the condition of the cheeks and tongue. But you should pay attention to them, as well as to the condition of the gums. Especially if a characteristic white rash appears on the oral mucosa. In this case, we can talk about the so-called lichen planus (or about Wilson's syndrome). The causes of this disease are unknown, and it affects men and women aged 30 to 70 years. And the mucous membrane of the mouth gets hit first.
Wilson's lichen appears as whitish, almost lacy patterns on the inside of the cheeks. The very name of the disease - lichen - comes from lichens that affect the bark of trees, and are even somewhat similar in structure to Wilson's lichen (visually, of course). In almost 70 percent of cases, this disease first manifests itself in the oral cavity, and only then affects other parts of the body.
What else should you pay attention to
In women, in the case of the presence of this disease, very often the same "lace" can cover the area of \u200b\u200bthe vagina. Very often, Wilson's lichen goes away on its own, but sometimes medical intervention may be needed.
Seventh signal: the presence of growths (plaques) on false teeth
The presence of a potential risk of developing aspiration pneumonia
Few people associate the presence of artificial teeth (false dentures) with pneumonia. Meanwhile, it is worth thinking about the connection between these two things. Of course, we are talking primarily about older people., since they mainly use false teeth. Especially since aspiration pneumonia is a deadly disease. "The main reason why older people go to the next world is precisely aspiration pneumonia, which is often formed due to false teeth, due to the presence of which pathogens of various infections enter the lungs", said Anthony Jacopino.
Indeed, in the case of aspiration pneumonia, the infection develops in the lungs, getting there through the airways with foreign particles, which is very dangerous for the body, and sometimes leads to death. Very often, the infection is transmitted to a healthy person from sick people somewhere in a hospital, or in a nursing home, especially if the person does not take proper care of their false teeth. That is why false teeth must be thoroughly cleaned with a special brush and stored in a special solution.
What else should you pay attention to
Attention should be paid to the soft (in the form of a crust) plaque formed around the teeth. And to avoid the risk of aspiration pneumonia in the case of wearing false teeth is very simple - you need to properly monitor your false teeth and clean it. Indeed, Anthony Jacopino claims that if you follow the hygiene of false teeth, you can be 100 percent safe from aspiration pneumonia. And, therefore, to avoid the most common cause of death in old age!
From this article you will learn:
- inflamed gum near the wisdom tooth: what to do,
- wisdom tooth: hood and its removal (price for 2019),
- how to relieve inflammation at home.
The article was written by a dental surgeon with more than 19 years of experience.
Difficulty eruption of wisdom teeth is often accompanied by the development of inflammation of the gums around them. The mucous membrane of the gums, which partially covers the crown of the erupting wisdom tooth, is called the wisdom tooth hood (Fig. 1-3).
Because the hood over the wisdom tooth is loosely attached to the crown of the tooth - a semi-enclosed space is formed between them, in which favorable conditions are created for the reproduction of pathogenic bacteria and the development of inflammation. In dentistry, an inflamed hood on a wisdom tooth is commonly referred to as pericoronitis.
Wisdom tooth: inflammation of the hood and its symptoms
Patients who have inflamed gums near the wisdom tooth usually complain to the doctor that they have a growing wisdom tooth, swollen gums, and there is also a smell from the wisdom tooth. The formation of an unpleasant odor is caused by the formation of pus, which is gradually released from under the hood. Also, patients complain of pain in the area of the wisdom tooth. Such symptoms correspond to only a mild form of pericoronitis.
What do the symptoms of pericoronitis look like on video –
Please note that in the video below you can see the following symptoms: redness and swelling of the hood over the upper wisdom tooth, a small amount of purulent discharge (white) from under the hood. Similar symptoms correspond to a mild form of inflammation.
If pericoronitis occurs, treatment is possible only with a dental surgeon. But at the initial stage, patients try to alleviate the symptoms on their own with improvised means: antiseptic rinses, painkillers. In most cases, this is ineffective, and inflammation only increases. There is an increase in the following symptoms (in various combinations):
Important : if at this stage the removal of the wisdom tooth hood has not yet been carried out (see below), then you should be ready for the next development of events. First, because inflammation occurs in the chewing muscles - their spasm can lead to an almost complete closure of the mouth. If at this moment you decide to still go to the dentist, then he will not be able to do anything for you if you do not open your mouth enough, except to send you to the hospital.
Secondly, pus may begin to spread not into the oral cavity, but rather deep into the bones and soft tissues, which will cause the formation of an abscess or phlegmon (peropharyngeal or submandibular). The latter complications will also mean the inevitable hospital treatment, and therefore it is better not to bring the inflammation of the wisdom tooth to a critical level.
Pericoronitis: treatment
If you have inflammation of the gums near the wisdom tooth, the treatment most often consists in the fact that the dental surgeon will remove the hood over the wisdom tooth. However, if a pronounced purulent inflammation is observed, then it is undesirable to carry out a complete excision of the hood immediately, because. this can lead to various inflammatory complications.
With severe purulent inflammation, the hood is first only dissected to facilitate the outflow of purulent discharge, and anti-inflammatory therapy is prescribed. And the doctor will prescribe you for its complete removal after the active inflammation subsides.
1. Excision of the hood over the wisdom tooth -
Removing the hood from the wisdom tooth consists in excising the overhanging mucous membrane over the erupting eighth tooth. Excision of the hood over the wisdom tooth leads to the elimination of conditions for the reproduction of pathogenic bacteria. This small surgical intervention is usually less traumatic, but in some cases it is necessary to excise a large amount of gum tissue.
Excision of the hood over the wisdom tooth is performed by a dental surgeon under local anesthesia. The procedure is completely painless if you get to a good specialist, if the anesthesia is set correctly and a good anesthetic is used, and not something like that. Soreness will appear only after anesthesia has passed (after 30 minutes), so even before the onset of pain, it is worth taking an analgesic.
- Hood removal: price on the 2019
in an economy-class clinic in Moscow, such a service costs about 2,500 rubles. In the regions, the cost of the procedure may be 2 times lower. By the way, in the clinic at the place of residence (if you have a policy and a passport), you should have this intervention completely free of charge.
Stages of excision of the hood -
2. In what cases is it better to immediately remove a tooth with a hood -
If your gums are inflamed at the wisdom tooth, the most radical treatment will be, over which the ill-fated hood appears. This will solve the problem permanently, but you must be prepared for the fact that the eighth teeth can be crooked (this can be checked by taking a picture) and the extraction can then be difficult.
Situations where deletion is the best solution to a problem −
- Firstly- with insufficient length of the lower jaw, which means there is not enough space for the eruption of the wisdom tooth. Removal in this case will prevent the displacement of the remaining teeth by the erupting tooth, and will prevent the development of crowding of the teeth in the anterior part of the lower jaw.
- Secondly- if the 8th tooth has a strong inclination towards the cheek or the seventh tooth, then sooner or later it will have to be removed anyway, because. it will injure either the buccal mucosa or the root of the 7th tooth, respectively.
Inflamed gum near the wisdom tooth: what to do at home
I would also like to say a few words to those who want to deal with the problem on their own. If you have developed pericoronitis, home treatment is possible, but for this you will have to constantly suppress the infection with antibiotics and antiseptics. If your health is not a priority for you, or you are in a remote village (where there is no surgeon) - this can really be a solution for some time.
We can recommend self-treatment only if you have the most initial minimal symptoms of inflammation (without signs of severe swelling of the gums or cheeks, suppuration, in the absence of painful swallowing or difficulty opening the mouth), or if you are in a remote area and there is no doctor nearby but have a pack of antibiotics handy.
Application scheme –
treatment is designed for 2-3 times a day (in the morning after breakfast and brushing your teeth, in the evening before bedtime). First you need to intensively rinse your mouth with a solution of chlorhexidine for 1 minute. After that, dry the surface of the mucosa at the site of application with a dry gauze swab. Squeeze a little gel onto your finger and apply to the hood with light massaging movements. After that, squeeze out the gel a little more and apply it on the hood without massaging (after that, close your mouth, swallow saliva, do not eat for 2-3 hours, you can drink).
Important: inflammation of the gums in the wisdom tooth can be stopped by such means only at the very beginning of the development of inflammation of the hood, when there is still no severe swelling, suppuration, and there are also no such extremely unfavorable symptoms as painful swallowing and difficulty opening the mouth, cheek swelling. Antibiotics are best used only if it is impossible to get to the doctor in the coming days (for example, working in remote areas).
Still, it is worth remembering that such conservative treatment with antibiotics, rinses and gels will only be a temporary solution to the problem - after all, the cause of inflammation (the hood) has not disappeared anywhere. Therefore, after such a course, inflammation of the hood will sooner or later reappear. We hope that our article on the topic: Wisdom tooth inflamed what to do - turned out to be useful to you!
Sources:
1. Higher prof. the author's education in surgical dentistry,
2. Based on personal experience as a dental surgeon,
3. National Library of Medicine (USA),
4. "Pathology of eruption of wisdom teeth" (Rudenko A.),
5. "Outpatient surgical dentistry" (Bezrukov V.).
Suddenly, the gums swelled up - for sure, such a problem is known, if not to everyone, then to every second for sure. Local inflammation either proceeds completely painlessly, or is accompanied by pain and fever, complicated by bleeding and suppuration. What to do when the gums are swollen, how dangerous it is and what are the causes of an unpleasant illness, we will figure it out in our article.
The gums are swollen and sore: possible causes
Explanations for this may vary. An accurate diagnosis will be made by a qualified specialist. We have divided the possible causes into two categories. In the first, we list cases when the problem has no external causes - the gum is swollen and sore, but the tooth is completely healthy. The second includes cases when the problem is obvious - the tooth near the sore gum is also a source of pain.
Pain in the gums near a healthy tooth
Together with the gum, the tooth hurts
If the above cases are mainly associated with the problems of the gums themselves, then the main reason is obvious here - a bad tooth. Let us consider in detail why a tooth and gum around it can hurt.
Gum treatment at home
The effectiveness of home treatment depends on how serious the problem is. If the soft tissues swell due to improper hygiene or the gum has been subjected to mechanical stress (for example, scratched), then it is enough to take care of more thorough oral hygiene and use rinsing with folk remedies. We will cover this topic in detail in the next section.
In conditions where this is not possible, and the pain is unbearable, it is allowed to take painkillers. This is also not a way out, and the help of a specialist will be needed, however, painkillers will relieve pain for a while until you get to the hospital.
How to remove gum swelling with folk remedies?
If you do not have the opportunity to get to the doctor in the near future, traditional medicine will come to the rescue. Do not neglect such remedies, because they help at home to alleviate the condition, and in not very deplorable cases, even completely remove the tumor. We have selected the most effective and popular recipes for solutions, infusions and decoctions for rinsing the mouth, which are easy to make:
In addition to rinsing, to relieve swelling, wipe the swollen gums with healing remedies:
What to do if the gums are swollen in a pregnant woman?
Pregnancy is a natural, but complex process that completely rebuilds the work of the body. It is not surprising that existing problems are exacerbated or new ones appear. What to do if the expectant mother for one reason or another has a tumor on the gum?
If the case is urgent, rinsing with herbal decoctions and infusions is allowed, but without alcohol.
You need to see a dentist as soon as possible. He will make a diagnosis, determine the treatment with a minimum degree of risk for the unborn child and help to remove inflammation.
When do you need to urgently see a doctor?
You need to contact a specialist in any case, even if the problem does not seem so serious to you. The doctor will examine the gums and teeth and determine exactly what happened and how to cure it.
Seek immediate medical attention if:
- feel a sharp pain in the tooth or gum;
- in addition to swelling, a flux, bleeding or purulent discharge appeared;
- it hurts to move the jaw or its mobility is generally limited.
These cases concern not only the first time the disease has arisen, but also after the treatment. It is not worth hoping for an independent solution to the problem.
Methods for preventing gum disease
Prevention of gum disease elementary:
- brush your teeth in the morning after waking up and in the evening before going to bed;
- rinse your mouth every time after eating;
- for thorough cleaning, use a special thread;
- if rinsing and flossing are not available, chewing gum can be used for 10 minutes (however, it should not be abused, as it is harmful to the pancreas);
- give up solid food;
- make your diet complete - it should contain enough minerals and vitamins, especially calcium;
- give up bad habits.
Do not be lazy to visit the dentist even for a preventive examination. If a problem has arisen, its timely solution will help to avoid complications.
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What is tooth retention
The condition when the tooth has not erupted within the time frame set for it by nature is called tooth retention. Such a tooth may not be visible at all on the surface of the gum or is barely noticeable, or it may cut through it a little. Most often, permanent teeth are already exposed to such a pathology: fangs, wisdom teeth, lateral incisors of the upper jaw (second front teeth from the center).
What are the types of tooth retention
Depending on how far the tooth could “break through” through the gum tissue, retention can be of two types:
- Partial (or semi-impacted tooth). Part of the crown of the tooth is visible during visual inspection of the jaw.
- Full. Here, the tooth is completely hidden by the gum (or jaw bone) and is not visible or palpable during examination.
In this case, the tooth can be placed both vertically in relation to the jaw, and horizontally with an inclination inward (lingual-angular arrangement) or outward (buccal-angular).
Why does tooth retention occur?
The reason that the tooth literally gets stuck in the gum or bone tissue can be either a disease or an anatomical anomaly, or parents' omissions regarding the control of their child's teeth.
If we touch on the reasons why the teeth “get stuck” in the gums, more specifically, the following conditions can be distinguished among them:
- General depletion of the body as a result of infectious diseases or chronic diseases.
- Irrational and / or inadequate nutrition of the child.
- Problems with "predecessors", that is, with milk teeth (early extraction, delay in replacement or resorption of the roots).
- Obstacles to tooth growth (neighboring, densely spaced teeth or their roots, dense tissue of the dental sac).
- Problems with the growing teeth themselves or the jaw (malpositioned tooth buds or jaw pathology).
- Heredity.
Considering that the "roots" of the problem go back to childhood, all parents need to strictly control how well their babies' teeth erupt. The situation requires special attention when the delay in the appearance of teeth is more than six months or the milk tooth "left" ahead of time (was knocked out, broken or removed as necessary).
How does tooth retention manifest?
It is quite difficult not to notice such a pathology as a tooth in the gum:
- There is a defect in the dentition (there is no tooth at all or it does not erupt where it should).
- The gum at the location of the tooth is edematous, hyperemic (has a red color) and can be painful, especially when probing.
- The temperature may rise, accompanied by a feeling of general malaise.
- With partial retention, the tip of the tooth is visible above the surface of the gums and is felt when probing, the tissues surrounding it are swollen, inflamed and painful.
Full retention hides the tooth completely, so you can get all the data about its location and condition only by X-ray examination. In general, if we touch on the diagnosis, then it is the X-ray that can dot all the “e”: a permanent tooth in the gum or milk, its location and direction of growth, the state of the bone tissue around it and the presence of cysts.
Impacted tooth treatment
The main thing you want to focus on in the treatment of tooth retention is individuality. That is, in each specific case, the method of solving the problem of a tooth in the gum will be chosen exclusively by the dentist (and, most likely, by several specialists from different areas of dentistry) and solely on the basis of the existing clinical picture and the results of an x-ray examination:
- If only dense gum tissue interferes with the eruption of a normally located tooth with the correct direction of growth, the doctor will simply cut it (above the tooth) under local anesthesia.
- If the fangs or incisors have partially erupted (at the same time, their angle of inclination is not more than 35 degrees), and the jaw is still in the period of growth, the problem can be solved with a bracket system (after complete surgical exposure of the tooth body).
- If the tooth in the gum is located incorrectly, its neck has signs of destruction, the inflammatory process captures the area of the impacted tooth and the teeth located next to it - it is removed.
In most cases, it is the removal of an impacted tooth that helps to radically solve the problem and prevent all its possible consequences.
We note right away that ignoring the pathology called “tooth retention” can lead to serious complications in the form of cysts, impaired eruption or resorption of the roots of adjacent teeth, and aesthetic defects. Therefore, follow the development of your child and do not delay visiting the dentist.
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Why is the hood inflamed
Before removing the hood of a “wise” tooth, the doctor must reliably determine which pathogenic factors preceded this health complication. The inflammatory process is accompanied by soreness of the oral cavity, interferes with chewing function, disrupts diction, and suppresses the desire to talk. It is important to find out the etiology in a timely manner, otherwise the pathological process only intensifies. The causes of this disease may be as follows:
- atypical position of the eight;
- partially or fully rated tooth;
- anatomical features of the jaw;
- thickening and hardening of the mucosa.
Symptoms of inflammation of the gums
If, during a routine examination in the dental office, the doctor discovers that the gum has grown on the tooth, it is recommended to immediately agree to the operation, even in the absence of alarming symptoms. In the absence of surgical intervention, the pathological process only worsens, pain occurs, which is often supplemented by the following symptoms:
- inability of the patient to open his mouth wide;
- violation of the temperature regime;
- difficult and painful swallowing;
- increased swelling of the cheek (usually one-sided);
- soreness of the lymph nodes on palpation;
- swelling and hyperemia of the jaw, reduced mobility;
- general weakness.
The gum grows on the tooth
Operable removal of the hood of the eighth molar is necessary with this symptom, otherwise, among the potential complications of such an unpleasant condition, dentists predict such a diagnosis as peritonitis for the patient. You can determine the characteristic pathology at a scheduled examination by a dentist, or in case of discomfort when chewing food, during a conversation. In the absence of treatment, the temperature rises, acute pain syndrome prevails.
Bad smell
With characteristic inflammation, a persistent odor and oral cavity appears, putrid in its characteristics. This is due to abnormal processes that occur after the growth of the soft tissues of the gums on the eighth tooth. The remains of food after each meal accumulates in the formed gaps, gradually rots, after which the pathogenic flora develops. The patient smells bad from the oral cavity, which becomes one of the main reasons for an immediate visit to the dentist.
When is a gum incision needed?
If the swollen gum hangs over the 8th tooth, you need to act immediately. Otherwise, the pathogenic formation will completely block the figure eight and spread to neighboring soft tissues. Such a dangerous inflammation will eventually lead to the development of an abscess or phlegmon, requiring special gum incisions in a hospital setting. If the treatment of the wisdom tooth is mediocre, its removal is recommended, and a number of prerequisites precede such a medical decision:
- excision of the hood does not provide positive dynamics;
- the absence of the top position of the antagonist;
- the impossibility of prosthetics position;
- anatomical features of the affected position (shift towards the cheek);
- the desire to quickly and completely get rid of the health problem that has arisen.
Treatment of pericoronitis
Surgical manipulations are appropriate if conservative therapy has not provided positive results. The disease that characterizes the inflammation of the hood of the "wise" tooth, called pericoronitis, often progresses in adulthood. After the final diagnosis is made, preparation for the operation is carried out, followed by surgical procedures and a period of rehabilitation. The procedure is quick and proceeds without complications, but first requires the introduction of painkillers.
Local anesthesia
The proposed method of anesthesia is quite enough for the removal to take place without pain, panic fear on the part of the clinical patient. Local anesthesia is injected directly into the gum next to the growing hood, and the injection gives the patient only mild, short-term discomfort. A small area of the jaw becomes numb almost immediately, an operation can be performed. If not anesthetized first, the process of removing the hood or the figure eight itself is paralyzing.
Hood excision
This procedure should be carried out if the dentition is not damaged. The main task of the dentist is to free the surface of the third molar, prevent suppuration and infection of the gum mucosa, and save the patient from an acute attack of pain. The figure eight will continue to grow, without pathologies it will replenish the dentition. Excision of the hood over the 8th tooth is performed in the following sequence:
- The introduction of local anesthesia after a preliminary collection of anamnesis data.
- Excision of the overhanging section of the mucous membrane above the wisdom tooth with a scalpel.
- Stop bleeding and treat the wound with local antiseptics.
- The imposition of drugs for the speedy regeneration of tissues.
- Re-examination of the patient, a few days after the removal of the hood.
Antiseptics for washing the wound
After the procedure is completed, the doctor recommends performing baths of antiseptic solutions for rinsing the mouth. It can be a water-salt solution, Miramistin, Holisal-gel, Chlorhexidine, potassium permanganate. All medications are intended for external use, so the list of contraindications and the risk of side effects is minimal. Compresses using proven alternative medicine will help enhance the therapeutic effect. Antibiotics are prescribed in complicated clinical pictures.
What medicine is put after cutting off the hood of the wisdom tooth
As soon as the doctor has performed surgical procedures, he applies special means to the affected area - iodoform turunda or Alvogel. Such effective medicines are prescribed to speed up the natural process of restoring damaged gum tissue, especially if the cheek has become very swollen in such a short period of time. In addition, these are affordable antiseptic compresses, which, in addition, have a hemostatic effect. This local reception is affordable, and its reliability is not in doubt.
What to do after excision of the hood at home
After operable removal of the hood, the dentist recommends continuing conservative therapy, which can be carried out at home. It is necessary to buy in advance at the pharmacy two medications - Chlorhexidine and Holisal, prices are affordable, sold without a prescription. Further actions of the patient should be carried out in the following sequence:
- Immediately after removal, rinse your mouth with an antiseptic solution with Chlorhexidine in the morning after breakfast and at bedtime. Additionally, such a procedure will not interfere after the next meal at lunchtime, but if possible.
- After rinsing, it is required to dry the mucous membrane and qualitatively lubricate the affected area with a special Holisal gel, while not swallowing saliva, and allow the medicine to penetrate into the injured tissues.
- Conduct such home sessions daily for 2-3 days, after which it is necessary to re-appear for a scheduled appointment with the dentist.
Price
When teething a figure eight, a number of difficulties arise, and the need to remove the hood is one of them. The final prices for the operation differ depending on the region, for example, a typical excision in the capital will cost from 4,000 rubles. These rates are not available to all patients. But prices in the provinces are much cheaper: in Saratov, you can remove the hood and clean the crown for 3,000 rubles.
The patient should not save too much in this matter, it is important to study not only the prices for individual services, but also the rating of the dental clinic and the doctor. A favorable clinical outcome depends on professionalism by 70%, and the rehabilitation period will be short. Do not endure pain, otherwise the consequences can be unpleasant, fatal.
lecheniezubov.su
In some periodontal diseases, there is a decrease in the mass of gum tissue - recession. In addition to aesthetic dissonance, this pathological process can lead to a number of serious problems, and even to the loss of healthy teeth.
Painful changes in gum tissue can appear around one or several teeth.
Gum recession is an insidious disease that is not felt in any way.. Raising the level of gum tissue can occur over time and often goes unnoticed.
Painful symptoms in this pathology are absent, however, pain occurs as a result of a change in food temperature or in the process of brushing your teeth with a hard toothbrush.
Most patients consider recession to be an irreversible process as a result of age-related changes in the human body.
Detachment of the edges of the gums is caused by several main reasons:
- anatomical features of the human jaw;
- different forms of periodontium;
- loss or removal of the dentition;
- poor oral care, improper use of dental floss;
- age-related changes in the body
- genetic predisposition;
- bad habits, such as: addiction to seeds, smoking;
- aggressive brushing of the teeth, which leads to inflammation of the gums and increased tooth mobility;
- malocclusion (in particular, when the front teeth strongly overlap the incisors of the lower jaw and often injure the gums);
- caries;
- wearing structures to align the dentition;
- osteoporosis in women associated with a decrease in estrogen production;
- bruxism (teeth grinding);
- vitamin C deficiency.
With the loss of a large number of teeth, changes occur in the structure of the gum tissue due to a lack of chewing load, so these tissues atrophy and become smaller in volume.
If plaque accumulates on the teeth, then harmful bacteria begin to multiply, and they provoke inflammatory processes in the mucous membranes of the oral cavity.
As a result of this activity of bacteria, the mucous membrane turns red, swells and becomes inflamed. As a result, pathological processes in the gums begin to develop.
When inflammation occurs, so-called gum pockets are formed, small particles of food remain in them, and this is an excellent food for bacteria. This stage of the disease is called gingivitis.
Further, plaque hardens, which exacerbates the problematic pathological process. The following deteriorations already concern the processes in the periodontium, in the advanced stage of periodontitis, healthy teeth begin to fall out. Further development of periodontitis leads to a recession of bone tissue, which carries the risk of atrophy.
Periodontitis is a gradual change and destruction of the connective tissue, the function of which is to hold the tooth in the jaw bones.
Therefore, when the first symptoms of periodontitis are detected, it is urgent to begin treatment.
This disease has both specific and general symptoms of manifestation.
General symptoms:
- a decrease in the volume of soft tissues of the gums;
- exposure of the tooth root;
- tooth reaction to cold/hot;
- caries development.
In what cases is regeneration (building up) of gum tissue recommended? This type of procedure is carried out both for medical and aesthetic purposes.
Increasing gum tissue for medicinal purposes:
- with periodontitis / periodontitis;
- with implantation / prosthetics;
- in case of misalignment.
For therapeutic purposes, gum augmentation, which includes correction of soft tissue contour, helps to preserve teeth from the development of basal caries.
If we talk about the advanced form of periodontal disease, gum pockets cannot be corrected, but in order to restore the necessary gum volume, regeneration can be used.
After a successful operation, the sensitivity of the teeth to the aggressive effects of excessively hot or cold temperatures also disappears.
Regeneration of gum tissue for aesthetic purposes:
- irregular contour of the gums;
- mechanical trauma to the gum tissue;
- soft tissue pathology due to bad habits.
Aesthetic plastic helps to form a beautiful contour of the gum tissue, thanks to which a person acquires an attractive smile.
How to grow a gum on a tooth? In general, can the gum grow on the tooth? Unfortunately, completely, no - it is almost impossible to achieve the required amount of gum tissue plastics at home.
However, traditional medicine recipes can be used as an auxiliary option after the operation.
They will also be very useful in order to prevent further or repeated atrophy as a result of chronic injury and the influence of bad habits formed throughout life.
So, how to build up the gum between the teeth without resorting to outside help? The advice of traditional medicine will help you not only get rid of bad breath and bleeding, but also stimulate the growth of gum tissue and even save your teeth.
Mouth rinse
How can you strengthen your gums yourself? To do this, often resort to rinsing. These hygienic manipulations are recommended to be carried out in the mornings and evenings, also after all meals.
If the rinsing of the oral cavity is performed not with ordinary water, but with specially designed solutions, then the therapeutic effect becomes higher.
What else can strengthen the gums? All pharmacies sell effective remedies for many gum problems. Moreover, such solutions can be prepared independently at home.
So, rinsing the mouth is carried out:
How to effectively strengthen the gums with the help of folk remedies? Antibacterial herbs such as calendula and chamomile are widely used for this.
If you want to achieve an analgesic and anti-inflammatory effect, use decoctions of yarrow and sage. Oak bark and St. John's wort have a characteristic astringent effect.
So, as a strengthening agent for gums, you can use the following decoctions:
Chamomile decoction. To prepare this remedy, pour 2 tablespoons of flowers into 700 ml of boiling water and leave to infuse for about 2 hours.
The resulting solution should rinse the mouth 2 times a day for three weeks. Chamomile flowers help to increase the resistance of the gums, the speedy healing of wounds and the removal of the inflammatory process.
. To prepare a decoction, you need 3 tablespoons of pre-crushed bark, pour 500 ml of water and bring to a boil.
Ready liquid should rinse the mouth three times a day. This decoction helps to get rid of bleeding, strengthens damaged gums and promotes their regeneration.
Decoction of sage and mint. To prepare a medicinal decoction, mix 1 tablespoon of the above herbs and pour them with a glass of boiling water, then leave to infuse for half an hour.
After 30 minutes, you can rinse your mouth with warm liquid. Procedures are recommended to be carried out twice a day: in the morning and in the evening. A decoction of mint and sage helps to improve blood circulation in the gums.
How can you strengthen the gums so that the teeth do not stagger? Aloe leaves are often used for this.. So, 2 large leaves of this plant are carefully crushed to obtain juice and pour a glass of water, and then put on fire and bring to a boil.
The resulting solution should be rinsed in the mouth after eating.
For a noticeable strengthening of the gums, those products that consist of salt and soda are ideal.
Consider the most common recipes:
Hydrogen peroxide + lemon + soda. Mix ½ dessert spoon of baking soda and lemon juice, and then add 10 drops of hydrogen peroxide to them. Wipe the inflamed gums with the finished composition every day.
Sea salt + honey. To two dessert spoons of natural honey, add 1 teaspoon of fine sea salt. Mix all the ingredients well and apply to the gums every evening. After a short period of time, the mouth should be rinsed well with water.
Salt + iodine. This homemade product is similar in composition to sea water. To prepare such a liquid, add 3 drops of iodine and half a dessert spoon of salt to a glass of clean water. The resulting solution should be rinsed in the mouth after eating.
If a person who has weakened gums wants to fix them and help them recover, he will need to reconsider his lifestyle and habits.
The health of the entire oral cavity directly depends on the quality of the food consumed, since it is the oral cavity that performs the primary function of digesting food.
Foods that promote gum health:
However, it should be noted that some of the products listed may not be safe for women to consume during pregnancy.
At this time, a woman should closely monitor the composition of the products used. Pregnant women are advised to take the necessary complex of vitamins for the full replenishment of minerals and vitamins.
Certain vitamin complexes may not be suitable for some people, so you should consult your doctor before taking them.
In addition to proper nutrition, to restore weakened gums, you must follow simple rules.
So, you can grow your gums a little at home thanks to massage.. It can be performed during each brushing of teeth. Another plus is that the procedure does not take much time.
For example, paying attention to the gums for 5 minutes twice a day, you can significantly improve their appearance and contribute to their recovery.
Simple instructions for performing gum massage:
- The procedure can be performed using therapeutic and prophylactic toothpastes and gels.
- Massage should be performed directly in front of the mirror after a thorough brushing of the teeth, when most of the dental plaque has already been removed.
- Currently, there are a lot of techniques for massaging the gums, but the main movements are performed starting from the center of the jaw to the left and right to its edges. Soft movements should be directed from top to bottom, directly from the base of the gum, at the root of the tooth to its edges, and closer to the tooth itself.
- The strength of the massage effect on the gum tissue must be controlled by the person himself, but this should not cause pain or increase bleeding.
- You can perform massage both with your own hands and with the help of special brushes or using a specially designated toothbrush.
Gum massage is indicated not only as a prevention of pathological changes in gum tissue, but also in case of periodontal disease or inflammation.
lechenie-narodom.ru
Overgrowth of teeth by gums - the main causes
- lack of dental treatment in relation to a broken tooth;
- insufficiently released wisdom tooth, which is overgrown with tissue, and puts pressure on the entire dentition. In this case, there is a high risk of bite displacement and other orthodontic problems;
- refusal of the patient to remove the root.
All of these points lead to the fact that under the gum there is a destroyed part of the crown and the root, which also brings a lot of problems to the patient.
The main reason why a tooth is overgrown with gums is a person’s neglect of the state of the oral cavity. Improper nutrition, bad habits, diseases, insufficient hygiene lead to the fact that the teeth become brittle, they are easy to break at the slightest pressure, roots remain under them, which very quickly overgrow with gum tissue.
What happens if the root remains under the gum?
- inflammation of the pulp - a consequence of infection, accompanied by inflammation of the nerve and rotting of the root from the inside. With purulent pulpitis, urgent removal of the root and nerve is recommended;
- Periodontitis is a common gum disease in which the root is gradually loosened, an empty space forms around it, where the infection accumulates. The root gradually moves away from the tooth. With such a problem, the chances of preserving the root part are extremely small. If periodontitis is not treated in a timely manner, the inflammatory process can affect other systems and organs;
- toxic effects of filling residues - a frequent occurrence when a tooth with a filling is broken off, and particles of material remain in its place. They react with the mucosa and gums, provoking an even greater pathological process. Not only the root of the lost crown becomes inflamed, but also neighboring roots and nerves;
- cyst - a consequence of the inflammatory process in the gums and pulp. The destruction extends to the entire tooth and it is no longer fixed with the root. Decay gradually passes both to the root and to the space around it.
How long does it take for a gum to grow over a tooth?
Approximately in a few months. Very often, a person does not have time to get to the attending physician in time (for example, while on vacation, in another country), when the tooth has broken off, and arrives at the appointment with the hole already overgrown with tissue. In this case, the dentist makes a decision - to build up a broken crown, to put a prosthesis or implant.
What to do if the gum has grown on the tooth?
- do not wait until the process worsens, but quickly contact a professional dentist;
- the specialist will perform a visual examination of the tooth, send it to an x-ray, ultrasound of the root to determine further actions;
- often overgrown and broken teeth are removed, but the gum tissue is cut beforehand;
- if the tooth is healthy, after cutting the gums, the dentist installs a pin, on top of which the dental crown is fixed;
- if the tooth cannot be saved, the root is extracted. The surgeon cuts the upper part of the tooth with an elevator (a special tool like a thin blade), the root is wrapped around with special dental forceps and gradually removed. The wound is then disinfected.
The operation to cut the gums is carried out quickly, under local anesthesia, sometimes with suturing. After treatment, special preparations are applied to the wound to speed up the healing process of tissues. A few weeks later, the surgeon examines the wound, removes the stitches, and recommends a certain type of prosthesis or implantation to the patient.
What happens if you do not remove the root on which the gum has grown?
If the root remains under the gum, the process of decay will continue indefinitely, moving on to adjacent teeth. In parallel, the person will have an unpleasant, putrid smell from the mouth. Porous particles attract harmful bacteria and food particles, against which tooth decay develops. In almost 100% of cases, an inflammatory process forms on the tops of rotting roots, a bag of pus, which sooner or later will pour into the flux.
Thus, the only correct way out when the gum grows on the tooth is to contact an experienced dentist who will help solve the problem, save the damaged crown and prevent the development of the inflammatory process.
The most insidious diseases of the oral cavity are, perhaps, gingivitis and periodontitis, that is, inflammation of the gums. Alas, many people often do not treat these diseases - they say, nothing hurts, so why go to the doctor. Meanwhile, a person can have such a disease, even if he himself does not know about it. Why is that? Because these diseases can occur chronically and do not manifest themselves for many years.
What is gingivitis
Gingivitis is an inflammatory process that occurs inside the gums and is expressed by redness, swelling, bleeding and pain in the gums. The very designation of the disease comes from the Latin language, where “gingiva” is the gum, and “itis” in medicine means an inflammatory process. There are several types of this disease, and each of them has its own symptoms.
Gingivitis: symptoms of the first form
Gingivitis generalized appears due to the presence of plaque, and it can be both mineralized and soft. This gingivitis affects the gums of the entire jaw, in acute forms even of both jaws. Most smokers know from their own experience what generalized gingivitis is. Also, the cause of this disease may be the impact on the gums of aggressive environments or the activity of pathogenic bacteria. If the form of generalized catarrhal gingivitis has become acute, then the gums begin to bleed and hurt, and a burning sensation is felt in the affected area. If the form is chronic, then the gum swells, becomes soft and cyanotic. Teeth with this form of the disease are usually covered with tartar.
Gingivitis: symptoms of the second form
Another type of disease is hypertrophic gingivitis, in which the gum begins to grow, and can even grow on the crowns of the teeth. And it grows, mainly outside. Under the overgrown gum, the teeth are covered with a hard coating, and sinuses form between the gum and the tooth, in which microbes begin to multiply.
Gingivitis: symptoms of the third form
With an ulcerative form, a film forms on the surface of the gum, which can be easily scraped off. However, you should not do this, because because of this, the gum begins to bleed heavily. A person whose gums are affected by this form of the disease feels discomfort, itching and pain in the areas of the gum, which is located between the teeth. Needless to say, these sensations are unpleasant. Moreover, the patient's lymph nodes become inflamed and the temperature rises.
Gingivitis: symptoms of the fourth form
There is localized gingivitis, which, as the name implies, affects only some areas of the gum. This form of gingivitis can come from gum injury, or even from over-brushing your teeth. The reason may be food stuck between the teeth - a habitat for microbes. This type of gingivitis can be chronic or acute. If the form is chronic, then a person feels itchy when brushing his teeth, especially when the toothbrush passes through the gums between the teeth. The edge of the gum may be bluish in color. Usually, diseased teeth are located near the site of the lesion.
Causes of gingivitis
The causes of the disease can be internal and external. Internal: lack of vitamins, tooth growth (when a growing tooth injures the gums), decreased immunity, diseases of the gastrointestinal tract and many other reasons. External: burn, gum injury, chemical exposure, infections, medical factors. The most common causes are infection, tartar, chemical irritation, and smoking. Children most often develop infectious gingivitis associated with poor oral hygiene. Also, gingivitis can appear in a pregnant woman (this is a separate form of the disease).
Gingivitis: treatment
JustLady magazine reminds you to look after your gums just as carefully as you take care of your teeth.
Alisa Terentyeva
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