FAQS:
About 4 months ago I was suffering from gingivitis left. By that time the dentist I do small surgery and removed pus and blood. Sepulangnya, I was given antibiotics and suggested to control again 4 days later. At that time, doctors also said further examination will be known whether the teeth need to be repealed or not. However, since that time I have gingivitis improved and since the flurry of work, I don't go back to the dentist. Some time ago, my gums inflamed again in the same place, but after 2 days of taking any vitamin C supplement tablet finally subsided radangnya. However strange as I fingered my teeth and gums that feels konturnya kok is different from a few months ago. My gear seemed to vanish (my feelings, because only through perabaan and haven't checked any further). My question is, what happened to my gums and teeth? Does it need to do the lifting gear? Because I felt my teeth are still very strong, nor did rocking. What advice could be provided in order to avoid gingivitis? Thank You.
(Fabrian Dewangga, 23, Jakarta)
ANSWER:
Hello Fabrian is good,
Too bad data you provide less adequate. You do not describes the condition of your teeth further (whether or not perforated or not), the location where the gums surgery done (whether in the gums around the neck of the teeth, gums, teeth roots near the inside or outside overlooking the cheek), on the left side of the upper jaw or lower, as well as covering how many pieces of gear. I will try to infer roughly what disease you suffer at this time, just based on the information you provide. If any action is a small surgery view to remove the pus from your gums and administering an antibiotic, it looks like you are suffering from periodontal abscess.
Periodontal abscess is a pus infection is localized on the gums around the teeth, which can cause damage to the ligaments supporting the teeth and jaw bones. The cause of the occurrence of periodontal abscess, among others, the damage to the roots of the teeth, change of meeting the composition of mikroflora, the entry of foreign objects (such as spines, bristles toothbrush fish, and a piece of a toothpick) into the gums, teeth, tooth coral wall is perforated in the direction of the side because of root canal treatment procedure error teeth, bone resorption and root eksterna, dens invaginatus (malformed teeth, namely the presence of teeth in the gear), and the teeth crack.
Periodontal abscess treatment include:
1. immediate Care.
Administering antibiotics and supportive therapy systemic delivery (soft, food consumption, and the granting of total rest an analgesic).
2. Early Treatment.
Includes the drainage action (removing the pus and blood) and eliminate the causes. As well as giving instructions to the patient, among others:
· For patients without systemic complications instructed to washing with SOAP with a glass of warm salt water (a cup of warm water and a teaspoon of table salt) every two hours.
· Patients are encouraged to reduce its activity, and eating foods that are soft.
· When the patient is rather weak, it is advisable to rest in bed. Usually after 24 hours had swelling decreases, even could be lost and reda akutnya symptoms.
· If the symptom is still present, akutnya patients are encouraged to continue with the instructions provided and return the next day.
· If the symptoms of the disease are already disappearing, periodontal maintenance can be scheduled for the next relief kronisnya lesions.
3. the definitive Treatment.
Improve the functionality and aesthetic of patients, as well as giving instructions to the patient to maintain good health support network gear. Instructions to patients include:
· No smoking and drinking liquor.
· Kumur warm water mixed with hydrogen peroxide 3% or 0.12% solution klorhexidin.
· Brush teeth carefully.
· Consume nutritional supplements, vitamin B and vitamin C.
· Coral tooth cleaning regularly.
Complications that can arise due to periodontal abscess, tooth loss, among others, and the spread of the infection. Periodontal abscess associated with loss of teeth are usually encountered in cases of severe periodontitis were until, during the maintenance phase. Periodontal abscess is the main cause of tooth on the phases performed maintenance in which occurs the formation of abscesses and dental has a recurring bad prognosis.
Therefore, in your case if after the evaluation was still arise abscess (absesnya over and over again), but has done the whole treatment procedure is appropriate as I described above. Then there is the possibility to do the lifting gear to remove the source of infeksinya.
In the case of your gums that feels different konturnya, it is normal to happen after the surgery is performed on your little gums. The network will be experiencing gum healing process to form new tissue, so that konturnya feels different. However, over time, will return to normal as readily kala.
In the case of your teeth that feels vanish, it is possibly derived from the abscess that has not been lost. So the support network you teeth are damaged, resulting in gear no one holding.
It's good, you immediately go back to the dentist your subscription to address grievances that still exists. As well as, many of the ancillary inspections before deciding to do the lifting gear. Like dental radiography examination, clinical examination, as well as the patient's complaint history. You can also consult to the dentist who is more competent in this field, i.e. a dentist Specialist Periodonsia (Drg., SpPerio).
So, hopefully pretty obvious Fabrian.
Greetings teeth healthy.
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