What causes acute apical periodontitis? How should acute apical periodontitis be treated?

Generally, it may be caused by infection with germs, or it may be caused by the decline of one's own body immunity, or the trauma of the bite; If you suffer from acute apical periodontitis, you should take some related drugs under the guidance of a doctor, and you should also try to adjust your diet, eat a light diet, eat more light vegetables and fruits, and drink more water.

Acute apical periodontitis may be caused by bacterial infection, or it may be caused by inflammation. If you have this disease, you should go to the hospital as soon as possible**.

The main reason is bacteria. The most widespread ** is to do a root canal**, to remove the tissues in the root canal that are infected by the lesion, and to reduce inflammation around the apex.

It's probably because you're going to eat cold and hot. Generally, you should wash your stomach first, then empty your stomach and rest for two days.

If you do not pay attention to hygiene during the use of the oral cavity, and get on fire, or after being infected by some bacteria, it will lead to acute apical periodontitis; If it is not timely, it will make our teeth particularly painful, and it will also cause many complications and affect our health.

For the emergency management of acute apical periodontitis, local anesthesia should be administered first, and then the medullary drainage channel should be opened. After penetrating the apical foramen, exudate and pus from the root tip can be drained through the root canal, relieving pressure on the root tip and relieving pain.

If acute apical periodontitis has resulted in the formation of a subperiosteal or submucosal abscess, local incision and drainage should be performed after local anesthesia. Therefore, if there is acute apical periodontitis, it should be carried out in a regular dental hospital**.

Generally, it can be relieved by local anesthesia and medullary drainage, but if an abscess has formed, the inflammation can be relieved by incision and drainage of the abscess. Therefore, for the emergency treatment of acute apical periodontitis, it is necessary to carry out local anesthesia and drainage to relieve pain.

You can follow your doctor's instructions and take some related medications; If you want to effectively relieve pain, you should drink plenty of water, take some medication for labor pain, and you can also do some local anesthesia.

1. Acute apical periodontitis: there is mild pain in the affected tooth in the early stage, at this time, the affected tooth is clenched, the pain can be temporarily relieved, and with the aggravation of inflammation, the patient's tooth is elongated, there is a feeling of floating, and the pain is caused by gently percussion of the affected tooth. In apical periodontitis, the pain is spontaneous, persistent, and limited, and the patient can clearly identify the affected tooth.

If acute apical periodontitis is not obtained, the inflammation continues to develop, and an acute apical abscess is formed, the pain is increased, the percussion pain is obvious, and there is persistent throbbing pain. Once the pus penetrates the periosteum and reaches the submucosa, the pain is less than before due to the weakening of the pressure and the loosening of the submucosal tissue.

2 Chronic apical periodontitis.

1) Periapical granuloma: generally no spontaneous pain, only discomfort in chewing, weakness in biting, abnormal sensation during percussion, elongation of the affected tooth, at this time, the pulp has mostly been necrotic, the tooth decomposition and discoloration, and the body resistance can be acute when the body resistance is low.

2) Chronic periapical abscess: mostly without conscious symptoms, there can be a fistula at the mucosa of the apical area of the affected tooth, and there is often granulation tissue hyperplasia at the mouth of the fistula, and pus can be discharged from the fistula, because of the fistula drainage, it is not easy to turn into acute inflammation.

3) Apical cyst: mostly without conscious symptoms, tooth discoloration, tooth piece can show cyst at the apex, if the cyst enlarges, forcing the surrounding bone resorption, the mucosa at the root tip of the affected tooth is mostly semicircular bulge, with a sense of ping-pong ball.

Clinical symptoms of acute apical periodontitis.

The symptoms of acute apical periodontitis are discomfort, tingling, and a feeling of bulging in the affected tooth. When clenching, the affected tooth first comes into contact with the tooth of the opposite jaw. This swelling and effacing sensation is a symptom of the apical tissue swelling due to hyperemia and edema of the apical periodontal ligament.

At this point, the patient will feel slightly more comfortable clenching his teeth. However, as the inflammatory exudate at the apical area gradually increases, the sensation of the tooth emerging and elongating gradually increases. The nature of this pain is spontaneous, persistent, and generally localized, and does not reflect to the teeth in the jaw, so the patient can clearly identify the affected tooth.

I just saw it on Zhejiang Dental Network.

Stages of development of acute apical periodontitis.

Apical abscess: pus is confined to the apex, and the clinical manifestations are spontaneous and persistent throbbing pain, the pain is more severe, the affected tooth is percussion, the tenderness is obvious, the apical swelling is not obvious, and the pain of palping is severe.

Subperiosteal abscess: perceived pain is exacerbated, swelling is more pronounced than before, apical transition sulcus is flattened, and deep fluctuations may be palpable in the late stage. Reactive edema may occur on the corresponding face.

Submucosal abscess: swelling and fluctuating sensation is more pronounced than a subperiosteal abscess, but it is less painful than before.

Many periodontitis patients want to take anti-inflammatory drugs to ** periodontitis, in fact, many times only taking anti-inflammatory drugs can not be completely cured, the destruction of periodontal disease is cumulative, in fact, periodontal disease starts from a young age, if you can take good care of it from an early age, your teeth can be used for a lifetime.

Generally, most of the elderly lose their teeth because of periodontal disease, so it is important to do regular check-ups and maintenance. Only by cleaning your teeth diligently, can you have a good tooth with you, and your teeth will not abandon you for no reason just because you are old!

Periodontal disease is known to be one of the leading causes of premature tooth loss. If teeth are lost prematurely, it can affect chewing, digestion and thus overall health. Therefore, it is necessary to master the basic knowledge of periodontal disease prevention and **.

No pain is just the absence of symptoms, which does not mean that there is no disease. Many chronic diseases are painful in the early stages, such as high blood pressure, diabetes, and even cancer. Most periodontal diseases and tooth decay are likely not painful at all, but only occasionally uncomfortable.

Once pain is felt, the condition has progressed to a certain extent, especially in periodontal disease. In fact, it is best to drink Yibei tooth tea with Caoji for periodontitis, which can be anti-inflammatory, antipyretic, clear heat and detoxify, reduce swelling and relieve pain, and strengthen teeth and gums.

Apical periodontitis of the tooth can lead to loosening of the tooth and the formation of gingival fistula, which can cause redness, swelling, bleeding and pus in the gums. Generally, in the case of occlusal trauma or caries and pulpitis, it is recommended to go to the dental specialist as soon as possible for a detailed examination, do a root canal**, perform full crown repair after surgery, and master the correct brushing method, thoroughly remove plaque every day, develop good living habits, and more oral knowledge can be visited on the official website of Dental Doctor.