How to treat suppuration of the gums. Methods of treatment of purulent inflammation of the gums near the tooth

Gum disease and dental defects can lead to a bump or soft sac on the gums. What it is? Often in an adult, an abscess appears if food is clogged in the gum pocket. It rots, a focus of inflammation forms inside. The formation of an abscess on the gum occurs when the tissues of the mucous membrane or the upper part of the root of the tooth are infected. How to recognize an abscess? How to deal with it?

Why did a purulent abscess form on the gum?

The photo shows various formations that appear in the mouth and are often accompanied by toothache. The inflammatory process leading to suppuration begins for various reasons:

Inflammation leads to the formation of a dental abscess, an abscess, a round, bulging sac filled with pus. The formation of a periodontal abscess may be accompanied by pain. In addition to abscesses, when a gum pocket breaks, a cyst may form. It is not always possible to distinguish them on your own, so it is better to consult a dentist.

The beginning of suppuration of the gums is swelling, then a white convex spot appears in its middle part. This means the development of a gum abscess, which is often mistakenly referred to as a "boil" or "furuncle".

The abscess on the gum increases, causing a deterioration in well-being. Sometimes a dental abscess bursts on its own, and a fistula may form - a channel leading out of the cavity of the bag. It is difficult to treat a fistula; a dentist should do this.

Infectious inflammation of the tooth

Infectious inflammation causes different causes. The tissues that hold the tooth in place become inflamed - the periodontium, which consists of periodontal tissue, gum tissue and alveolar processes. Periodontium also contains bone tissue called cementum. Periodontium is a connective tissue that fills the space between the tooth and the alveolar process. The name of the disease depends on the localization of the purulent process:

Inflammation of the gums - periodontitis

Periodontitis used to be considered a disease of the elderly, but now this disease occurs in people of any age. There are many reasons why the gum has narwhaled:

• malnutrition, eating only soft foods;
• poorly made dentures or fillings;
• malocclusion, due to which the load on the teeth is unevenly distributed;
• gingivitis or stomatitis;
• decreased immunity, exhaustion;
• injury to the gum mucosa with solid food or as a result of bad habits;
• allergic reaction to foods and medicines;
• exposure to caustic chemicals;
• inadequate or poor oral hygiene.

If the gums fester, bleeding gums, an unpleasant odor appear, a stone forms on the teeth, pockets form. Later, tooth mobility occurs, the color of the gums changes. Itching and pulsation warn of the appearance of a periodontal abscess.

Symptoms of periodontal abscess

Periodontal abscess begins with infection in the gum pocket. First, the periodontium is suppurated, from which the inflammation spreads to neighboring tissues. In the place where the inflammation appeared, suppuration is formed, a sac filled with pus that is released when pressed. A periodontal abscess is the first stage in the development of an abscess.

• Acute periodontal abscess is accompanied by pain. The patient has deep pockets, tooth mobility. From the tissues near the site of inflammation comes pus. There is a need for urgent treatment of periodontal abscess.
• Chronic periodontal abscess proceeds almost without pain. Bleeding, swelling are observed, the roots of the teeth are exposed. The chronic form easily turns into an acute one. With purulent inflammation of the gums, surgical treatment is necessary (we recommend reading: how can inflammation of the gums be removed between the teeth?).

There is an abscess, but there is no pain

The initial stage of periodontal abscess can pass without pain. Slight redness, bleeding, pain when pressing and brushing the teeth, pain when chewing gradually turn into an extensive inflammatory process.

However, the occurrence of swelling or bumps that are not accompanied by pain can have completely different causes that are not associated with a gum abscess (we recommend reading: there is a lump on the gum and does not hurt: what could it be?). Cysts and tumors, both benign and malignant, do not cause pain.

If the abscess does not hurt, but the tooth is purulent, that is, pus comes out of it when pressed - this is an abscess of the gums. The inflammatory process at the top of the tooth root, accompanied by a fistula that fester, does not cause pain, but can develop into a severe lesion of the gums. It is impossible to squeeze out pus, this can lead to loosening of adjacent teeth.

Small pustules are a sign of stomatitis or another infectious disease. One of these diseases is aphthous stomatitis.

White abscess - when pressed on it, pus comes out

Acute inflammation caused by streptococci, staphylococci, pneumococci, Pseudomonas aeruginosa or Escherichia coli leads to the formation of a white abscess. If the gum tissue is swollen and red, there may be no pain. Then there is the formation of a periodontal abscess, causing pain when taking hot or cold food, pressure. The development of periodontal abscess continues, an abscess appears on the gum, the process is accompanied by chills and fever.

Wen

The white bulge may be a wen (lipoma). The wen does not cause pain, the bump consists of adipose tissue. This is a good education. Trying to squeeze out, get rid of them on your own is dangerous, as this will lead to a serious illness. You will have to consult a doctor if the wen has begun to grow.

gum treatment

An abscess on the gum should be removed by a dentist. Periodontal abscess, deeper dental abscess and any form of purulent inflammation lead to the need to open the gums. Having taken up the matter at the very beginning of suppuration of the gums, you can deal with it conservatively.

Removing a periodontal abscess at home is not possible. Surgical removal of a periodontal abscess is performed under local anesthesia.

An acute case of a dental abscess requires immediate medical attention. However, before visiting a doctor, the patient should be given first aid. Cold will help relieve pain. You should rinse your mouth with a warm solution of Furacilin, Chlorhexedine or herbal decoctions. Food should be liquid and warm. After cleaning a periodontal abscess, it is necessary to take care of the oral cavity to prevent infection.

At the dentist

A gum abscess is treated surgically. An abscess on the gum is opened, cleaning the cavity from pus. Whether it is time to open an abscess on the gum, whether it has matured, only the doctor will determine. Premature opening of a periodontal abscess is easy to harm, it will lead to relapse. If the purulent inflammation that has arisen in the pulp does not allow saving the tooth, it is removed.

Used to combat periodontal inflammation and therapeutic treatment, consisting in taking antibiotics, rinsing the mouth with antiseptics in the form of warm solutions. After that, general strengthening treatment is prescribed. It is possible to use electrophoresis with enzymes or antibiotics, darsonval.

Folk ways to draw out pus

Prevention of the formation of purulent inflammation in the mouth

Measures to avoid a dental abscess are known to all. They consist in strengthening the body, the immune system. To do this, you need to eat right, do hardening procedures, take vitamins.

Oral hygiene should be of high quality and timely. It is better to brush your teeth with a soft brush so as not to damage the mucous membrane. Every year it is necessary to undergo an examination at the dentist and treat caries, any diseases of the oral mucosa. It is important to be attentive to fillings, prostheses, braces, to ensure that they are comfortable and do not injure the oral cavity.

First of all, pus appears due to the accumulation of bacteria in the periodontal pocket. An abscess in it often occurs due to untimely treatment of gum disease: gingivitis, periodontitis, periodontal disease, periodontitis.

One of the causes of purulent inflammation of the gums is the untimely treatment of gum disease.

Often, suppuration of the gums above the tooth occurs after a mucosal injury - a cut with a fragment of a tooth after a fight or an unsuccessful fall, an illiterate installation of a prosthesis or an inaccurately filed filling with a sharp edge. Household oversight is also common - picking a tooth with homemade matches, needles, pins, etc. Remember, this is not a cure.

What to do if you find pus under the tooth or in the gum?

Treatment with medical methods

It is best to immediately go to the dentist in case of detection of purulent foci. Treatment is usually carried out in a neurosurgery hospital.

There, the attending physician will prescribe anti-inflammatory therapy for you, including antibiotics, lotions from antiseptic solutions, and procedures to clean the periodontal pocket.

Without the permission and prescription of the attending physician, it is forbidden to take antibiotics on your own. The choice of antibacterial treatment can only be determined after deciphering the analysis of a sample of microflora taken from a festering area.

If an abscess occurs, immediate surgical intervention is required, which involves the following steps:

• the dental surgeon dissects the abscess tissue, drains the purulent mass and cleans the pocket cavity with medical antiseptic solutions;
• in case of damage to the periodontium or the process of tooth destruction, it is treated or amputated;
• maintenance therapy with antibiotics, painkillers, and special rinse solutions (furatsilin, potassium permanganate, 3% hydrogen peroxide, chlorhexidine, etc.) are prescribed.

In case of purulent inflammation of the gums, you should consult a dentist

But what to do if there is pus from the gums near the tooth, how to treat if there is no possibility to immediately go to dentistry?

Treatment at home

The first aid that you can give yourself is to rinse your mouth with antiseptic and antimicrobial agents, a weak solution of manganese, a mixture of baking soda with salt and iodine, and medicinal herbs.

To reduce pain, it is allowed to drink some painkillers on your own (tempalgin, analgin, paracetamol, spasmalgon, etc.).

Gentle but thorough oral hygiene is also required: food debris is carefully removed from the diseased tooth, after which the mouth should be rinsed with a solution of chlorhexidine or furacilin.

To relieve pain, only cool compresses, ice or objects (coins, frozen meat, etc.) can be applied. It will also help to slow down the spread of inflammatory processes for a short time.

Let us consider in more detail what to do if the gum is swollen and festering.

As we have already found out, home treatment is aimed at reducing pain and slowing down inflammation. Also, some folk methods allow you to accelerate tissue regeneration after opening abscesses, to prevent their occurrence in the future.

1. Soda-salt solution. An excellent tool for disinfecting affected areas, which can be prepared in almost every home. In a glass of boiling water, add 1 teaspoon of baking soda, the same amount of salt and a couple of drops of iodine (if any). The mixture is stirred until the components are completely dissolved and cooled to a temperature slightly warmer than room temperature. With this solution, you can rinse your mouth 3-4 times a day, as well as after meals, before going to bed and after rest.
2. Ice and cold water. If, with suppuration of the gums, swelling of the cheeks is also observed, as well as severe cutting and stabbing pains, then cold can be applied to the affected area (a piece of ice, a bag of meat or a drink from the freezer) or rinse the area with ice water (provided there is no increased sensitivity of the teeth) .

In case of acute pain, cold should be applied to the affected area.

1. peroxide solution. For preparation, we use a 3% preparation, which is diluted with water in a ratio of 1 to 1. Such a preparation perfectly disinfects and disinfects the oral cavity, slows down the development of pathological microflora. Rinsing should be done no more than once a day. Excellent as maintenance therapy after opening an abscess by a surgeon.

Alternative methods of therapy

How to get rid of pus in the gums with folk methods? In some cases, traditional medicine can achieve remarkable results without the need for chemical components.

1. Green tea. We all know that this drink contains antioxidants, has an anti-inflammatory and astringent effect. Brew a cup of premium loose-leaf tea (the drink should be strong) and you can rinse your mouth with it an unlimited number of times during the day.
2. Infusion of pharmaceutical chamomile. Chamomile petals have long been valued for their antiseptic properties. To prepare the infusion, pour 2 tablespoons of the pharmacy collection with a glass of boiling water and let stand for 20 minutes. After that, the drink is filtered, cooled and rinsing can be carried out.
3. Aloe. Many people at home use this plant for decorative purposes, but in vain. Aloe from the age of 2 years acquires valuable properties: it disinfects, cleanses, relieves inflammation, and prevents the development of complications.

Aloe - a folk remedy for the treatment of purulent inflammation of the gums

Take a tight succulent leaf of the plant (we tear off the lower branch), cut the thorns, divide in half, extract the juice and apply it to the affected gum area.

1. Plantain. What to do if the tooth is festering, and the necessary herbal preparations were not found in the nearest pharmacy? Plantain leaves are available on the roads of the city. If you find it in the yard, rinse the leaf thoroughly before applying to the wound.
2. Burdock. For the treatment of an inflamed wound in the gum, it is the root of the plant that is suitable. On an empty stomach, you should chew a fresh root well, after which the crushed mass is wrapped in gauze and worn near the purulent focus all day.
3. Propolis ointment. An effective remedy for fresh wounds, purulent ulcers, abscesses, stomatitis, etc. For cooking, we need 100 ml of olive oil, to which we will add 10 g of crushed propolis. The mixture should be heated, stirring, then strain and cool. The resulting ointment is used to lubricate the affected areas of the oral cavity.

Whatever methods you use, it is important to remember one thing - a prompt visit to the dentist is necessary, even if you feel temporary relief.

All information is provided for informational purposes, before treatment, consult your doctor.

How to cure an abscess on the gums and what provokes the appearance of an abscess?

Very often, the gums of the teeth are prone to various kinds of diseases, which often result in purulent formations. This condition is extremely dangerous, both for an adult and for children.

If the violation is not cured in time, the infection can spread to the entire oral cavity and even lead to serious complications that are extremely dangerous for human health.

What is an abscess?

An abscess on the gum is a small sac filled with purulent fluid. In medicine, this phenomenon is called an abscess.

Suppuration can manifest itself in completely different ways, often there is redness, bleeding and swelling of the gums, soreness, inflammation and purulent discharge, in more severe cases, the temperature rises.

The cheek and soft tissues of the face may also swell. As a rule, this condition is preceded by an infection of the oral cavity, which must be detected in time. The sooner the source is identified, the easier and faster the treatment will be.

Causes and risk factors

There are many reasons why the gums can fester, however, the main ones are:

1. Periodontitis. This is a dental disease characterized by the formation of periodontal canals located between the tooth and gum. In these channels, dental deposits are formed, which lead to an inflammatory process and suppuration. Bacteria begin to multiply actively, which becomes the reason for the formation of an abscess on the gum. A distinctive feature of this disease is that the inflammation is located on the surface of the gums and is detected very quickly. Often, this condition can be accompanied by severe pain and swelling, especially when a large amount of pus accumulates.
2. Periodontitis. The inflammatory process at the top of the tooth root, becomes a focus of abscesses on the gums. Often the cause of periodontitis is caries or pulpitis. Also, the infection can enter the body with poor-quality dental procedures. At the beginning of the disease, pain may not be observed, but, nevertheless, with the development of the disease, patients complain of aching or sharp pain, swelling of the gums, redness. The reason for the development of a violation in some cases are cysts and various kinds of benign formations, which are associated with a change in the structure of the oral cavity.
3. Gingivitis. This is the initial stage of gum disease. As a rule, it occurs due to improper care of the oral cavity. In this case, bleeding of the gums is observed, abscesses and bumps often occur.

Risk factors for the occurrence of purulent bumps on the gums can also include:

• various kinds of injuries - these are both mechanical damage and injuries that are caused by improper installation of prostheses, fillings and crowns;
• banal hypothermia can also lead to suppuration of the gums;
• various chronic infectious diseases;
• non-compliance with oral hygiene;
• bad habits, especially smoking.

Symptoms of the violation

The main symptom is the occurrence of suppuration on the gums, accompanied by an inflammatory process.

In addition, there is also redness and swelling of the gums.

In some cases, acute pain occurs, the general condition worsens, bad breath may appear, and the enamel on the teeth may darken.

When inflammation spreads to the entire tooth cavity, body temperature often rises.

The photo shows what an abscess looks like on the gum

Therapy Methods

The first thing to do if the gum fester is to eliminate the source of infection.

Depending on the provoking factor, the following therapeutic measures are prescribed:

1. If suppuration is caused by a disease such as periodontitis, then the therapeutic course includes two main methods: conservative treatment and surgical intervention. An x-ray is taken to make a diagnosis. After that, if necessary, crowns are removed or fillings are removed, and root canals are also unsealed. With caries, deposits are removed, the nerve is removed and the channels are expanded. Thus, pus receives an outflow. Then the canals are treated with antiseptics and antibiotics are prescribed without fail. If surgical intervention is necessary, then it is carried out only when the abscess is opened and the inflammation is removed. The dentist-surgeon performs a resection of the apex of the tooth, while scraping out a granuloma or cyst at the apex of the root.
2. With periodontitis, which causes an abscess on the gums, the main therapy is to remove dental plaque, wash the periodontal canal with antiseptics, and treat the affected gums with anti-inflammatory drugs. If necessary, depulping the tooth is performed. Antibiotics are also required.
3. When this condition is caused by poor filling or incorrectly placed crowns, the crowns are usually removed and the tooth refilled. In parallel with this, its cavity is carefully cleaned and treated with antiseptics. In some cases, in order to speed up the healing, the specialist prescribes laser and infrared radiation procedures.

Before you go to the dentist

Before contacting a doctor, you can treat gum abscesses at home. This will help reduce pain and alleviate the condition of the patient.

You can pull pus out of the gums near the tooth with the help of such means:

1. Soda solution. A spoonful of soda is dissolved in a glass of boiling water and used for rinsing.
2. Hydrogen peroxide. Make a solution of hydrogen peroxide and water 1: 1, rinse the gums 1 time in two days. This disinfects the oral cavity and helps to remove the inflammatory process.
3. Tea. You can also rinse with freshly brewed black tea.
4. Chamomile. The plant has a pronounced antiseptic effect, therefore it is effective for any type of inflammation.

In addition, you can use an aloe leaf, lubricating it with an inflamed gum. If the cheek is very swollen, ice can be applied, it will help reduce pain.

When severe pain is observed with an abscess on the gum, it is allowed to take a pill from the group of analgesics.

Help for little patients

Often gum abscess is observed in children. Treatment of abscesses on milk and molars in a child has its own differences.

If an abscess is found on a milk tooth, then most often this indicates a disease such as periodontitis. In this case, the tooth is removed to prevent the infection from spreading and damaging the permanent teeth. Also, after removal, antibiotic therapy is carried out.

Treatment of molars with the same diagnosis is carried out, as well as in adults. An abscess is opened, and if the tooth is to be treated, then it is saved.

Possible Complications

If you do not treat purulent formations on the gums in time, this can lead to serious complications.

Lack of treatment is a consequence of the development of periodontal disease, which, with a long course, leads to complete loss of teeth.

In addition, a small abscess can cause a flux, which requires surgical intervention.

Moreover, growths on the gums can become a complication of this condition, very often they become the cause of osteomyelitis, which is characterized by inflammation of the bone tissue. This is a serious disease that requires careful and long-term therapy.

You also need to remember that the constant presence of infection leads to a decrease in the body's defenses and the development of additional diseases.

Preventive actions

To avoid problems with gums and teeth, the following preventive measures must be observed:

• constantly monitor oral hygiene, brush your teeth 2 times a day;
• after each meal, rinse your mouth with water;
• treat all dental diseases in time;
• visit the dentist for a preventive examination;
• avoid bad habits;
• support the immune system.

Of course, a purulent sac on the gums is a serious pathology that requires immediate medical attention and a competent approach to treatment. In order to avoid this condition, both adults and children should adhere to certain preventive measures.

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How to remove pus from the gums

From this article you will learn:

The article was written by a dentist with more than 15 years of experience.

A prerequisite for the appearance of suppuration of the gums is the presence of a source of infection. The source of infection can be located inside the tooth, or on the surface of the root of the tooth. Before starting self-treatment, you need to understand why pus appears in the gums, and based on this, select the appropriate treatment.

Abscess on the gum: photo

Suppuration of the gums can look completely different. This may be a limited swelling on the gums (Fig. 1-3), in place of which a fistula with cloudy or purulent discharge may appear over time (Fig. 4-5). Depending on the severity and localization of inflammation, edema and swelling of the soft tissues of the face - lips, cheeks (Fig. 6) may also join the gum edema.

Abscess on the gum: photo

Why does the gum fester: reasons

There are two main reasons. The first is associated with the occurrence of a focus of infection at the top of the tooth root, the second - with inflammation of the gums in periodontitis. Below we will look at each of them.

1. There is a focus of purulent inflammation at the top of the tooth root -

A disease in which a focus of purulent inflammation forms at the top of the tooth root is called periodontitis. There are 2 main reasons for its appearance. Firstly, it is caries and pulpitis not cured in time. In this case, the infection gradually affects deeper and deeper tissues of the tooth, successively causing inflammation and death of the nerve in the tooth, and then inflammation at the tops of the roots (Fig. 7,8).

The second reason is poor-quality root canal filling by a dentist (Fig. 9,10). I must say that according to official statistics, dentists seal root canals poorly in 60-70% of cases. Accordingly, in all these cases, purulent inflammation develops at the tops of the tooth roots, cysts and granulomas form (Fig. 11).

Thus, an abscess on the gum is almost always formed in the projection of the top of the root of the diseased tooth. On this tooth, you can always notice either a carious defect, or a filling or crown. In the depths of the gums, at the top of the root of the causative tooth, there will be a focus of purulent inflammation, which is called a granuloma or cyst (Fig. 10-11).

Inflammation at the root apex for a long time can proceed without symptoms or with minor symptoms (slight pain when biting on the tooth). And only with an exacerbation of the process can acute pain and swelling of the gums appear in the projection of the focus of inflammation.

2. Pus in the gums with inflammation of the gums -

If, with inflammation at the apex of the tooth root, suppuration of the gums develops only in the region of 1-2 teeth and can be accompanied by severe pain and swelling, then with inflammation of the gums, the symptoms are usually very weak.

With periodontitis, deep periodontal pockets are formed between the gum and the surface of the tooth root (Fig. 12,13), in which there are subgingival dental deposits, which cause inflammation and suppuration of the gums. The gum usually does not swell much, but its marginal part (adjacent to the necks of the teeth) is swollen, bleeds easily when brushing the teeth, and pus can be released from the dentogingival sulcus, both spontaneously and with pressure on the gum (Fig. 13-14 ).

In cases where the periodontal pocket is very deep, the outflow of pus from it may be disturbed. This can lead to the formation of a periodontal purulent abscess in the gum (Fig. 15). In this case, a swelling will appear in the projection of the periodontal pocket on the gum, resembling an abscess on the gum with periodontitis, which can then turn into a fistula with purulent discharge.

Pus in the gums: treatment

If there is an abscess on the gum - what to do will depend on the cause that caused the inflammation, which was described above. But in any case, if you have pus coming from your gums, then treatment should primarily consist in removing the source of the infection.

In case of periodontitis, this will consist in treating the focus of inflammation at the root apex and subsequent high-quality filling (refilling) of the root canals. With periodontitis, the most important thing is to remove dental deposits, after which anti-inflammatory gum therapy is prescribed, splinting of moving teeth, etc. is carried out.

1. Treatment of an abscess on the gum in the presence of a focus of infection at the top of the tooth root -

There are two possible treatment options - conservative and surgical.

at the 1st visit, an x-ray is taken, and if the x-ray confirms the diagnosis of periodontitis, then traditional treatment of periodontitis is carried out. If there is a filling or crown on the tooth, they are removed, after which, if the root canals were sealed, they are unsealed. If there is a carious defect on the tooth, then the tissues affected by caries are drilled and the nerve is removed from the tooth, and the root canals are expanded.

After the root canals are instrumentally processed and through them an outflow of pus is created from the focus of inflammation at the root apex, the root canals and the focus of inflammation are treated with antiseptics, antibiotics are prescribed inside. If there is swelling on the gum, then the patient is sent to a dental surgeon to make an incision to open a purulent abscess (Fig. 16).

Abscess on the gum: autopsy (video)

On one of the following visits, the doctor can fill the canals on an ongoing basis - if the X-ray shows that the focus of inflammation is small. If the x-ray shows that a granuloma or cyst has formed at the root apex, then the root canals are first sealed for about 3 months with a special temporary therapeutic material based on calcium hydroxide.

After 3 months, he takes a control picture, and if the focus of inflammation decreases, the root canals can be sealed already on a permanent basis. After filling the canals, a filling / crown is placed on the tooth.

this method is much simpler and cheaper than the previous one, it allows in some situations not to loosen the tooth in order to perform root canal treatment. It is used, for example, in a situation where root canals have already been sealed in a diseased tooth, but not in a quality manner, and require retreatment. A necessary condition: that the canals should be poorly sealed only at the very top of the root, and throughout the rest of the length they should be sealed normally.

In this case, it is possible to resect the apex of the tooth root. The meaning of this operation is that the dental surgeon will cut off the top of the root with the unsealed part of the root canal with a drill, and at the same time scrape out the granuloma or cyst from the wound at the top of the root (Fig. 17).

The resection operation has many advantages, because there is no need for numerous visits to the dentist (as with conservative therapeutic treatment), besides, there is no need to remove fillings, crowns, spend money on new prosthetics, filling the tooth and root canals. The operation is performed after the inflammation subsides, i. on the first visit, they will only open the abscess on the gum, prescribe antibiotics and rinses. And after the inflammation subsides, they will be prescribed for an operation that will take just minutes.

Why is pus formed?

It is worth noting that the causes of pus in the gums are so numerous that sometimes you wonder why such a serious problem can appear. If the gum above the tooth suddenly begins to swell, you should think about what caused the suppuration.

1. If a tooth is broken and its sharp fragments remain in the gum, soft tissues can be injured.
2. With gingivitis, periodontitis, a pocket appears between the inflamed gum and the tooth, inside which plaque and food debris accumulate. This is an ideal springboard for the onset of bacteria. It is their mass reproduction that leads to the formation of suppuration and inflammation.
3. Any periodontal disease can lead to similar complications.
4. If the problem is found in young children, trauma is often the cause. The child pulls various objects into his mouth and can easily scratch his gums. He may also hit something.
5. Often, dentists themselves are the culprits for the appearance of pus. If the filling, crown, fitting of the prosthesis is unsuccessful, the soft tissues surrounding the tooth can be damaged. Also, the doctor often fills the canals incorrectly. This leads to inflammation in the area of ​​the root apex. A cyst or granuloma forms, from which pus can penetrate into the gum.
6. Even untreated caries and other diseases of the teeth and gums that occur in parallel with it can lead to the formation of abscesses.

Not only a child can injure the gums. Adults are often injured by toothpicks, hard foods such as crackers, nuts in shells, and seeds. All this leads to the fact that bacteria get inside the wound and begin to multiply unnoticed by you. Over time, an abscess forms.

Symptoms

Swelling on the gums does not form instantly. First, a small, pea-sized or even smaller formation appears. People do not attach importance to such a phenomenon and completely in vain. Just as a bamboo stalk can grow almost a meter overnight, so an abscess can turn into a huge bubble the size of half a walnut in the same time, twisting the patient's face.

The main symptoms, in addition to gum swelling:

• weakness and general discomfort;
• intoxication;
• pains and abscesses;
• increase in body temperature.

A blister of pus can appear anywhere. If it is in a prominent place, the chances of detection are higher than if the formation is between the teeth.

If you do not pay attention in time, the purulent process can spread, develop into purulent periodontitis. To avoid the problem, use not only a toothbrush, but also floss (dental floss). Only in this case you guarantee high-quality teeth cleaning at home.

A channel can form on the gum - a fistula, through which the body independently removes accumulated pus. To remove it, he removes it, but the inflammatory process itself does not disappear anywhere. Often this indicates that the patient has periodontitis or periostitis in chronic forms.

Sometimes an abscess can be confused with a cyst. The latter is no less dangerous. If it is not removed in time, the destruction of the bone begins around.

Purulent inflammation of the gums in pregnant women

A woman in position is in itself a big problem for doctors. Numerous changes in the body, hormonal surge, etc. lead to a number of negative consequences. It is not uncommon for gums to become inflamed during pregnancy. The process can also proceed with the formation of pus in the gum pockets.

The mucosa during this period is much less protected. It is easy to injure, infect. Therefore, women need to be extremely careful. No coarse food, toothpicks, etc.

Troubleshooting

Many patients, faced with such a problem as pus in the gums, simply do not understand what to do. If the disease occurs in a woman, child, teenager, a common occurrence is the fear of visiting a doctor.

Someone begins to search the Internet for articles on how to draw out pus, get rid of the problem at home with the help of some folk remedies and miraculous recipes that promise healing in one day. All this is natural. After all, a frightened person is rarely able to think sensibly.

Professional treatment is reduced to the following scheme:

• anesthesia of the gum area in which suppuration has formed. This is usually an injection of an anesthetic drug;
• performing an incision of the gums (if necessary, and the periosteum);
• removal of pus;
• installation of drainage on the gum;
• elimination of the inflammatory process with medicines;
• use of antibiotics.
• drainage removal;
• suture on the gum.

Even after removing the pus, the swelling persists. It was also caused by the injury that the gum received during the operation. A seal appears at the site of suppuration, which persists for several weeks. If the operation was performed on a child, then the doctor tries to save the baby tooth. It is removed only with special indications.

It is important not only to remove pus and eliminate the main symptoms, but also to provide subsequent treatment and support for the body. For this, not only antibiotics are used, but also physiotherapy, vitamins, general strengthening agents.

If for some reason you cannot get to the dentist, follow these simple recommendations:

• do not try to squeeze out pus;
• do not warm the gum, this will provoke severe inflammation;
• rinse your mouth with antiseptic solutions;
• if the house has chamomile, calendula, sage, other herbs, do not neglect rinsing;
• it is forbidden to smoke and drink alcohol-containing drinks during treatment;
• effective antiseptic solutions;
• avoid too rough, hot or cold food;
• use a toothbrush with not too hard bristles.

Some people believe that you should not brush your teeth during this period. This only makes the bacteria spread even faster. It also makes no sense to just take painkillers. They do not affect the process in any way. Inflammation will not disappear on its own and pus in the gums will not be removed without the help of a doctor.

If the cause of the abscess is periodontitis, you will have to retreat the root canals. In cases where the cause is periodontal disease, it is necessary to qualitatively clean the teeth from plaque and tartar. Otherwise, you will just relieve the symptoms temporarily. If there is a suspicion of periodontitis, an x-ray should be taken to make sure that the assumption is correct.

If there is a cyst/granuloma at the root apex, it is most effective to resect and remove the affected area along with the neoplasm. The operation is performed under anesthesia and will take about an hour.

If pus appears in the gums with periodontitis, treatment also begins with a diagnostic examination - a panoramic radiograph.

Treatment options depend on the extent of the pus. If the process has covered 1-3 teeth, the doctor removes deposits, rinses periodontal pockets with antiseptic agents. If necessary, the teeth are depulped. Anti-inflammatory drugs are used. In cases where many teeth are affected, we are talking about chronic periodontitis in the acute stage. It is treated in the traditional way.

Many people do warm compresses and hot rinses, tie a cheek with a woolen scarf. This leads to the fact that the abscess increases in size and bursts like a balloon. It is even worse when a person tries to open it on his own, clean his gums, etc. The risk of introducing an even more dangerous infection is extremely high.

Any rinses should be at room temperature, otherwise you can only harm yourself.

If problems began after visiting a doctor, you need to apply for a re-examination. A poorly sealed canal and other problems often lead to extremely negative consequences.

Folk methods and their danger

What kind of recipes do not come across on the Web. All of them are presented as ancient and simply miraculous. But let's see how these methods are safe and effective. One of the proposed options suggests rubbing a mixture of a teaspoon of sea salt and two teaspoons of natural honey into the sore gum area. At the same time, you get two negative points at once - mechanical damage to the gums with salt crystals, the ingress of sugars that make up honey into the wound. That is, you first prepare comfortable conditions for the bacteria, and then you also feed them.

Chamomile, calendula, other infusions, decoctions will not harm you, but they will not eliminate the source of the problem either. As already mentioned above, their temperature should be at room temperature, otherwise you will only make it worse. More effective and not dangerous products based on eucalyptus, propolis, aloe. But before you start such experiments on yourself, consult a specialist. No one can force you to be treated.

Dear readers! If you have pus in your gums, contact your dentist immediately. Any delay is fraught with complications!

Why does an abscess occur?

Bacteria live in the human mouth. When the gums are injured, they penetrate into the resulting wound, provoking an inflammatory process. The accumulation of pus causes swelling of the affected tissue area - an abscess (see photo). To provoke the development of an abscess can lower immunity, caries, inflammation of the gums or injury.

The first symptoms of suppuration

First, the patient notices bleeding while brushing his teeth. Then there is pain when biting, greatly complicating the process of eating. There is a discharge of pus, bad breath and fever. Possible darkening of the tooth enamel. In advanced cases, a person experiences constant severe pain. An abscess may rupture on its own, resulting in short-term relief of symptoms.

Treatment of an abscess at home

Some folk remedies can help reduce inflammation, while others can draw out pus. Often applied:

1. infusions of medicinal herbs and solutions of antiseptics;
2. cold compresses and ice;
3. painkillers.

After the occurrence of an abscess, you must continue to brush your teeth or otherwise maintain oral hygiene. Inflammation occurs due to bacteria living in the mouth, so it is important to clean them along with plaque. Heating an abscess or rinsing with warm solutions is unacceptable, as is an attempt to open an abscess on your own - this can lead to the development of sepsis.

Rinsing with herbal infusions

Herbal infusions such as sage, chamomile, calendula and arnica effectively fight inflammation. Pour a teaspoon of a mixture of these herbs with 200 ml of water, boil and let it brew for 20 minutes. The resulting decoction should be passed through gauze and rinsed with it in the mouth. These herbs have anti-inflammatory properties, so after a few rinses, the size of the abscess will noticeably decrease.

soda rinse

If the gum is festering, then ordinary baking soda can be used. Its solution has pronounced antibacterial properties, so it is great for disinfecting the oral cavity. To prepare it, you need to dilute a spoonful of soda in a glass of warm water. Rinse at least 4 times a day. As a result of this procedure, the abscess will decrease and the patient will soon feel relief.

Compresses

Cold compresses can be used to relieve symptoms. To prepare it, moisten a piece of gauze in the solution and place it on the inflamed area. A cold compress will not only cool the gums, but also reduce inflammation. For the treatment of an abscess, you can use:

Although hot compresses are better for reducing pain, their use for abscesses and other festering wounds is strictly prohibited. Heating the abscess leads to an increase in local blood circulation, due to which purulent masses can enter the bloodstream. As a result, inflammation can move to other organs and tissues. Sepsis (blood poisoning) is especially dangerous - a serious complication that can lead to the death of the patient.

Treatment with ginger root

With an abscess, ginger root helps a lot. This plant has anti-inflammatory properties and helps relieve swelling. Ginger tea is good for treating oral problems. To prepare it, it is enough to mix 6 teaspoons of the crushed root with a glass of water and boil this mixture over low heat for 10 minutes. After that, let the broth brew for 5 minutes and add a little honey to it.

To draw out pus from an abscess, you can make a ginger compress. To prepare it, you should cut off a small piece from the root, peel it and attach it to the abscess. If there is no fresh root, then dried root can also be used, in the form of a powder.

Other ways to draw out pus

• One of the most unusual ways to remove pus is compresses from fat. Oddly enough, abscesses were treated with their help several centuries ago. Before use, the fat should be cut into thin slices and placed in the freezer for a couple of hours. After that, you should place a piece on the affected area of ​​\u200b\u200bthe gum for 15 minutes until it warms up. If you repeat this procedure often enough, you will be able to remove inflammation and pus.
• During treatment, a mixture of lemon, honey and strawberries will provide excellent help to the body. The berry should be mixed with finely chopped lemon and pour honey. This cocktail contains many useful substances for the body, so you need to take it daily.
• As you know, green tea has anti-inflammatory properties, so it can be used to relieve the symptoms of flux. Rinse your mouth with them an unlimited number of times until the effect appears.
• Chamomile extract can be used as a rinse. 2 tablespoons of dried petals should be diluted in 200 ml of boiling water and let it brew for 20 minutes. Then you need to strain and cool the infusion, and then start rinsing.
• Many people have aloe at home. The juice of this ornamental plant has excellent disinfecting and anti-inflammatory properties. In case of an abscess, the lower branch should be cut off, cleaned of thorns and peel. Aloe should be applied directly to the abscess.
• Plantain leaves can be called the most accessible of the listed remedies. This plant is sold in any pharmacy and even grows on the street. Also in any yard you can find burdock, from the root of which you can make compresses. It must be crushed and wrapped in gauze. The compress should be applied to the affected area and worn throughout the day.
• If you have some propolis, you can make an ointment out of it. To do this, it must be mixed with olive oil in a ratio of 1 to 10. After that, the mixture should be heated, stirring constantly, and then filtered through cheesecloth. The ointment should be applied directly to the affected gum.
• Pine needles are poured with cool water and brought to a boil. The medicinal mass is boiled for half an hour over low heat and used for rinsing to strengthen the gums and disinfect the oral cavity.

• Chamomile and St. John's wort are mixed in a ratio of 1: 2 in a porcelain container. The medicinal mass is poured with boiling water, tightly closed with a lid and kept for about a minute. At the end, the product is carefully filtered and used to perform mouth rinses.
• To relieve pain, an agent prepared from the herb agrimony is effective. You need to take 6 tablespoons of dry grass, pour 1 liter of water, boil for five minutes and insist under a tight lid for 4 hours. The agent is filtered and used for rinsing the mouth.

When is it necessary to urgently see a doctor?

Contrary to popular belief, purulent inflammation almost never goes away on its own. If the gum aches, then you need to go to the dentist. Treatment at home can only alleviate the symptoms of the disease. Complications of purulent inflammation can be severe and even dangerous for the patient. Without proper treatment, the abscess will begin to grow in size. In the future, its contents can enter the bloodstream, causing sepsis.

During pregnancy, self-medication is impossible. Only a doctor can diagnose the disease and prescribe an adequate treatment that is safe for the child.

Flux Prevention

To prevent inflammation, it is important to follow the basic rules of oral hygiene: brush your teeth, use dental floss, rinse your mouth with plain warm water or antiseptic solutions. It is important to periodically undergo an examination with a dentist, because caries and other diseases of the oral cavity contribute to the appearance of abscesses.

It is worth adding apples, carrots and other fresh fruits and vegetables to the diet. It is advisable not to eat too cold, hot or hard food. Due to plant fibers, they clean teeth well from plaque. Soft toothbrushes should be used to prevent gum damage.

Try to eat as many foods rich in calcium and vitamin C as possible. Although they will not relieve inflammation of the gums of the teeth, they will help eliminate bleeding and strengthen bone tissue.

Symptoms of pus on the gums

If a person has an abscess on the gum, then this should not be taken lightly. It is almost impossible not to notice the development of pus. With the development of this disease, the following symptoms are noted: high body temperature, a significant deterioration in human well-being, intoxication of the body, the presence of severe pain in the gums and teeth, the formation of abscesses on the gums.

Causes of pus on the gums

In most cases, the cause of the development of pus in the gums is an infection that somehow gets into the periodontal pocket. An equally common cause of the formation of an abscess is gum injury. You can injure your gums in many ways - it can be a toothbrush with too hard bristles, a fragment of a previously broken tooth, a poorly installed crown, or just an accident during, for example, brushing your teeth with a toothpick.

Treatment of pus in the gums

I would like to say right away that the treatment of pus in the gums should be carried out in a dental institution, since a purulent formation can cause blood poisoning, and in especially advanced cases it can even lead to death. That is why in no case should you resort to self-treatment, it is better to entrust your health to experienced professionals.

When treating pus in the gums, the first thing a dentist does is a thorough examination of the oral cavity. Then the doctor cleans the patient's oral cavity from plaque and other dental deposits. The procedure for treating an abscess on the gums includes surgical intervention and antibiotic therapy.

Under surgical intervention is meant the opening of a purulent formation to remove pus from the gums and ensure high-quality drainage of the cavity of the purulent formation. Further treatment of pus in the gums is to take antibacterial and anti-inflammatory drugs, which will not only prevent the development of inflammation, but also significantly speed up recovery. But keep in mind that it is strictly forbidden to prescribe any antibacterial substances for yourself, the dentist must prescribe all the drugs you need.

In some cases, antibiotic and surgical treatment is not enough, and tooth extraction may also be necessary. Tooth extraction, as a rule, is carried out only in especially advanced cases and if this particular tooth is the source of infection.

Before visiting the dental clinic, the treatment of pus in the gums can be carried out by applying cold to the diseased area or rinsing the mouth with special antiseptic solutions, such as chlorhexidine or potassium permanganate. ATTENTION! It is strictly forbidden during the development of purulent inflammation to apply heat to the sore spot, that is, you can not make warm compresses, rinse your mouth with hot and warm solutions, since heat will only accelerate the growth of the abscess and negatively affect the inflammatory process.

With the development of this disease, you should not stop carrying out oral hygiene, as this can adversely affect your condition. If you have pus on your gums, then special attention must be paid to oral care so that your teeth and gums are always clean.

Symptoms

It is possible to fix the presence of an inflammatory process in the gum already at the stage of its early development.

• the appearance of minor pain during meals and hygiene procedures;
• the presence of slight bleeding during daily brushing of teeth;
• discharge of a small amount of pus when pressing on the gum at the root of the tooth.

The progression of the disease leads to the formation of severe suppuration in the gums. Its size in a fairly short time can increase dramatically and contribute to the spread of infection.

• deterioration of health, accompanied by an increase in body temperature;
• a significant increase in pain that manifests itself arbitrarily or when touching the inflamed part of the oral cavity;
• the occurrence of swelling of the soft tissues of the face on the side on which the abscess developed;
• noticeable loosening of one or more adjacent teeth.

Causes

Timely identification of the causes of inflammation will help to avoid mistakes when choosing a treatment program and contribute to its effectiveness.

What are the main causes of periodontal abscess development?

1. Inflammation of the periodontium. It is a consequence of the discharge of gum tissue and exposure of the neck of the tooth. As a result, a periodontal pocket is formed, in which harmful bacteria often accumulate, causing the development and spread of infection. Intensive formation of periodontal pockets is facilitated by:
   • Periodontitis. The occurrence of a focus of purulent inflammation at the apex of the tooth root occurs in cases of poor-quality filling of the root canals in the dental office, as well as with advanced caries or pulpitis.
   • Gingivitis. Inflammation of the gums is a consequence of the accumulation of pathogens due to poor oral hygiene, especially if accompanied by improper orthodontic treatment.
   • Periodontitis. Trophic damage to the gum tissues, contributes to the destruction of tooth cells and subsequent loosening and loss of teeth. It can be the result of hereditary diseases, reduced immunity, and poor oral hygiene.
2. Injury. Damage to the soft tissues of the oral cavity is also fraught with the development of periodontal abscess. The reasons for this may be:
   • brushing your teeth with a too hard toothbrush;
   • careless use of a toothpick or dental floss;
   • poorly installed crown, hanging over the gum and constantly injuring it;
   • the presence of broken teeth, the fragments of which contribute to damage to the gums.
3. Periostitis. This is an acute inflammatory process of the periosteum, which occurs when an infection enters the blood and lymph from an unhealed carious tooth.

Video: acute purulent infection

What to do if there is pus in the gum

Most experienced dentists strongly advise their patients to refrain from self-treatment. In questions about how to remove pus and prevent re-infection, it is better to resort to the help of qualified specialists.

Treatment in dentistry

Treatment of the disease begins with a thorough examination in the dental office.

Before removing the pus, the doctor determines the causes of the development of the inflammatory process and the best ways to eliminate it. If necessary, plaque is removed, as well as tartar and food debris from under the gums (curettage).

All subsequent therapeutic procedures are carried out in two stages.

1. Cleaning gums. The abscess is opened surgically to remove the accumulated pus.
2. Anti-inflammatory therapy. Taking antibiotics will help suppress the inflammatory process and prevent its further development. In no case should you start taking anti-inflammatory drugs on your own.

Control over the course of the disease and the appointment of medications should be carried out by an experienced doctor!

Treatment with folk remedies

The use of folk methods for the treatment of periodontal abscess is relevant:

• to reduce pain in the absence of the opportunity to immediately get an appointment with the dentist;
• to accelerate the regeneration of gum tissue after the opening of suppuration;
• to prevent the occurrence of abscesses in the presence of risk factors.

This method involves the use of lotions and rinses using cheap and affordable products that can be found in almost every home.

• Soda. Solution for rinsing from drinking soda. It is made at the rate of 1 teaspoon per cup of boiling water. It has anti-inflammatory properties and is used when it is impossible to immediately contact a specialist.
• Ice. For the same purpose, with severe pain and swelling of the cheek, cold can be applied to it. It will stop inflammation and reduce pain. It is also allowed to take over-the-counter analgesics such as tempalgin, pentalgin and paracetamol.
• Hydrogen peroxide. Rinse solution of hydrogen peroxide (concentration 3%) and water in a ratio of 1:1. It disinfects the oral cavity and prevents the increased development of pathogenic bacteria. The rinsing procedure is carried out once every two days. It is also perfect for home treatment after a surgical opening of the gums.
• Tea. Freshly brewed large leaf green tea has anti-inflammatory properties. A teaspoon of tea is poured into a glass of boiling water and brewed for 5 minutes.
• Chamomile. Chamomile, due to its pronounced antiseptic properties, is used to prepare a medicinal decoction. To do this, two tablespoons of chamomile, pour boiling water and, after letting it brew, filter for rinsing.
• Aloe. An aloe leaf (at least two years old) is cut in half and the inflamed part of the gum is smeared with the juicy side.

Important: the use of folk remedies cannot replace quality medical intervention. In addition, treatment with folk methods requires following precautionary measures.

When deciding how to rinse your mouth with inflammation, you should make sure in advance that there are no allergic reactions to one of the agents used. It will not be superfluous to discuss its expediency with the attending physician.

When carrying out the rinsing procedure, it is necessary to cool the solution to room temperature. Using too warm a solution can contribute to increased inflammatory processes. For the same reasons, contrary to mass delusion, it is impossible to warm a sore spot.

The child has

The presence of suppuration on the gums in a child requires an immediate visit to the dentist.

Children's immune system is not yet sufficiently developed, and the appearance of an abscess threatens the rapid spread of infection throughout the body.

Infection, in turn, contributes to the absorption of toxins into the bloodstream that can cause a number of dangerous diseases: from acute allergic reactions to bronchial asthma.

Even if, as a result of a breakthrough of soft tissues, pus comes out of the gums, the maximum that can be done at home is to rinse the child's mouth with a solution of salt and soda (one spoonful of each product in a glass of water). But it is better to immediately contact a specialist.

It is especially important to visit a dentist when an abscess appears on the gums of a milk tooth. This situation requires its immediate removal, otherwise the progressive inflammation will cause the death of the rudiments of the molars.

With the development of a periodontal abscess in a child at the base of a molar, treatment is carried out according to the same scenario as in adults.

Complications

Complications of a periodontal abscess may include:

• as a result of a careless attitude to the disease;
• during and after surgical opening.

In the first case, the spread of infection is possible, as well as significant loosening and loss of healthy teeth.

And this is an acute extensive inflammatory process that affects soft tissues, is difficult to treat and requires mandatory hospitalization.

Opening an abscess can be difficult:

• the extensive size of the tumor, which requires the installation of a drainage tube for the outflow of purulent masses;
• unstable physical condition of the patient, caused by low immunity.

Postoperative complications include bleeding and abscess recurrence.

The risk group includes patients with chronic diseases of internal organs, having bad habits or long-term use of laxatives and hypnotics, insulin, tranquilizers, etc.

Prevention

Preventive measures to prevent the formation of ulcers on the gums include:

• complete oral hygiene;
• using a soft toothbrush to avoid gum injury;
• regular self-examination of the condition of periodontal pockets;
• periodic sanitation in the dentist's office (at least once a year);
• timely treatment of carious teeth, as well as gingivitis, periodontitis and periodontal disease;
• giving up bad habits (alcohol, smoking, drugs);
• proper nutrition (refusal of overeating).

There is a change in the color of the mucous membrane, as well as the presence of visible swelling of the soft tissues from the focus of inflammation.

Frequently asked Questions

The appearance of a periodontal abscess is always unexpected. When an abscess is found on the gum, many questions arise.

Can it be squeezed out?

No. The removal of pus should be carried out by an experienced doctor, who should be contacted as soon as possible. Attempts to independently pull out purulent masses may be ineffective and fraught with complications.

In addition, there is a risk of introducing and spreading a new infection. Before visiting the dental office, it is possible to rinse the mouth with saline, but it is better not to delay it.

What to do if pus comes after tooth extraction?

The appearance of pus in the area of ​​\u200b\u200bthe hole left after the extracted tooth is a consequence of its infection and requires a visit to the dentist.

• Neglect of the recommendations of doctors for oral care after surgery.
• The absence of a blood clot in the cavity formed after the extraction of the tooth, which prevents the penetration of pathogens.
• Decreased immunity.
• Incorrect tooth extraction technique.
• The presence of a foreign object in the wound cavity. It can be a piece of a cotton swab, a fragment of a tooth, etc.

If it is not possible to immediately visit the dental office, rinsing can be carried out. To do this, use a solution of furacilin (1 tablet per glass of water), as well as decoctions of chamomile, sage or calendula.

But even with a pronounced improvement in physical condition, it is necessary to consult a specialist.

Video: alveolitis after tooth extraction

As you can see, pus in the gums can be a serious problem. However, you should not panic ahead of time. Timely treatment will minimize the risk of complications of the disease and its recurrence.

This formation is located outside the bone, spreading into the soft tissues of the face. Most people do not go to the dentist right away because the sharp pain may subside, sometimes not at all. However, the face is rounded at the epicenter of the accumulation of pus. If the flux occurs near a tooth in the upper jaw, then swelling can affect the eyelid.

Treatment

If the treatment was carried out qualitatively and in a timely manner, then the tumor will decrease by about 3 days, but general well-being often improves a few hours after the removal of pus.

Complications

Some patients are in no hurry to address this problem to the doctor, on the contrary, they try to solve it themselves. Most often, they apply warm compresses to suppuration, and this only increases inflammation. This eventually leads to an abscess. After all, suppuration is dangerous for its complications. It can go beyond the periosteum, which threatens with serious problems.

Ways of development of the disease

Often, an abscess or abscess opens spontaneously, and pus comes out through the mucous membrane into the oral cavity. In this case, the inflammation will pass on its own over time, but the infection will remain. In this case, it should be taken into account that the flux can reappear at any time. With a weak immune system, the body cannot cope with such a problem on its own, a person will subsequently feel a strong growing pain, and the state of health will worsen. In most cases, patients have a severe headache, a high temperature is observed, swelling of the face increases, the skin turns red, and it will be painful to touch it. The above condition is phlegmon. This is an inflammation of the subcutaneous tissue of the soft tissues on the face. This education not only threatens human health, but sometimes his life.

) - dentist-therapist, dentist-periodontist. Specializes in: endodontics, aesthetic and functional restoration, professional hygiene and periodontology.

Many are familiar with the situation when blood appears from the gums when brushing your teeth or biting off an apple. Not always people think about visiting the dentist and just try to change toothpaste or brush. Bleeding stops, but the causes are not eliminated. Time passes, and pus appears in the gum. Bleeding gums is the first symptom of the development of the inflammatory process, which indicates the presence of infection within the tissues. If this process is not stopped in time, healthy teeth can be lost over time. Consider the question: the causes of pus in the gums, methods for their elimination and prevention.

Pus is not a cause, but a consequence of the activity of the inflammatory process of soft tissues. The reasons for the formation of a focus of inflammation can be different:

• poor oral hygiene;
• uncomfortable;
• penetration of pyogenic bacteria into the periodontal pocket;
• injury to gum tissue with a toothbrush, blow, fragment of a dental crown;
• advanced caries.

You can also injure the gums with a regular toothpick, if you carelessly clean the interdental space. Micro wounds serve as an entrance into the tissues, where pathogenic microorganisms enter. The development of pathology is not always noticeable, and most people are not aware of the onset of the inflammatory process.

The first symptom that is visible to the naked eye is the appearance of blood from the gums. However, prior to bleeding, the gum tissue may swell and ache when pressed. Then a small abscess appears, which is also not paid attention to. In some cases, the abscess may resolve, but with reduced immunity, this inflammation threatens to develop into. In severe cases, pathology can turn into a general infection of the blood.

Important! If you have or develop a small abscess, seek immediate dental care.

Suppuration of the gums may be accompanied by the following symptoms:

• decrease in the general tone of the body;
• the appearance of hyperthermia;
• general intoxication of the body - aching bones, muscles;
• acute pain syndrome, an abscess appears on the gum.

In the initial stage of the pathological process, inflammation can be localized around one tooth, however, in the future, the process spreads to the entire gum and causes periodontal disease. Troubles can be avoided if treatment is started on time. In the arsenal of modern dentistry there are effective medicines, and herbal tinctures of traditional medicine come to the rescue in the treatment of gums.

When do gums become inflamed and bleed? This may be a symptom:

• stomatitis;
• periodontitis;
• fistula formation;
• periostitis;
• osteomyelitis.

An accurate diagnosis can only be confirmed by a dentist after examining the oral cavity. It is impossible to determine the disease on your own. However, remember that pus in the gums cannot appear without the presence of pyogenic bacteria: the infection requires treatment by a specialist. The source of infection can be localized anywhere: both on the surface of the dental roots and inside them. Depending on the characteristics of the source of infection and its localization, a treatment regimen is selected.

Pus in the gums as a symptom of the disease

Suppuration of the soft tissues of the gums can manifest itself in different ways. In some cases, a slight swelling appears, which degenerates into a fistula. Sometimes a fistula may be accompanied by swelling of the cheeks or lips. It depends on the characteristics of the inflammatory process inside the tissues.

Running caries eventually leads to granulating periodontitis in a chronic form, which is characterized by the formation of granulation tissue in the upper part of the tooth root. Pathological tissue gradually spreads to healthy periodontal tissue, resulting in an extensive focus of purulent exudate.

Pus is looking for a way out, provoking the formation of a fistula. With granulating periodontitis, patients complain of discomfort when chewing food, especially solid foods. A chronic granulating focus of inflammation can degenerate into an odontogenic granuloma, which is characterized by inflammation of the periosteum and adjacent soft tissues of the gums.

Localization of the infection in the gum

Pus in the gums appears for two reasons: infection of the apex of the tooth root (periodontitis) and the inflammatory process of tissues in periodontitis.

Periodontitis

This pathology appears with untimely removal of caries and pulpitis, as well as with unprofessional work on cleaning and filling root canals. Statistics show that in 60% of cases, the dental canals are sanitized and sealed poorly. Therefore, in the vast majority of cases, the occurrence of purulent exudate in the root area is the result of a poorly treated tooth by a dentist.

The root of a tooth with a carious defect is the cause of the appearance and spread of an infection that takes the form of a cyst or. The cyst does not give itself away for a long time, sometimes declaring itself discomfort when chewing solid foods. With a decrease in immunity, the cyst manifests itself as swelling and sharp pain in the projection of the focus of suppuration.

Periodontitis

With this pathology, the symptoms of the disease are practically not expressed - there are no acute pains and inconvenience when chewing products. However, when the gums are pressed, pus oozes from the periodontal pockets. In periodontitis, the junction of the root of the tooth with the gum forms large pockets filled with dental deposits. This is a fertile environment for the activity of pyogenic bacteria.

Periodontal pathology is not characterized by a strong swelling of the tissues: only a slight swelling of the gum contour. When brushing your teeth, blood and pus may come out. In some cases, pus oozes from periodontal pockets spontaneously, without pressure. The formation of deep pockets is accompanied by severe swelling, resembling a focus of inflammation in periodontitis.

Periostitis

This pathology is characterized by an inflammatory process of the periosteum. This is due to the penetration of infection into the blood and lymph. The cause of the pathology is untreated caries and poor oral hygiene. Through the blood, the infection penetrates into other systems and organs of the body, causing intoxication of the body. Therefore, with suppuration of the gums and periosteum, the patient's well-being worsens - the head hurts, muscles and bones aches, hyperthermia appears.

Wisdom teeth

Difficulty eruption of the wisdom tooth is called recoronitis. The problem is associated with a lack of space in the gums, as a result of which the teeth begin to grow not straight, but to the side. This is especially true of the lower jaw. In this regard, the focus of inflammation and suppuration is often localized in the gum. In difficult cases, the pain is transmitted along the nerve endings to neighboring tissues - the throat, ear, cheek and jaw. The temperature rises, the general state of health worsens. The patient is unable to fully open his mouth, which makes it difficult for the dentist to examine.

Purulent exudate looks for a way out and penetrates into tissues adjacent to the tooth, causing swelling and severe pain. An improperly growing wisdom tooth is a source of infection and poses a potential threat to health and even human life.

Medical therapy

Consider the question: pus in the gums - medication treatment. First of all, you should get rid of the source of inflammation. To do this, it is necessary to unfill and clean the dental canals (for periodontitis). With periodontitis, the method of treatment consists in cleaning the periodontal pockets from the accumulation of deposits. Rinses, a course of antibiotics and the use of applications give a temporary effect, without relieving the tissue from the source of infection. As a result, pathological processes take place in the depth of the gums, destroying the bone tissue.

Treatment for periodontitis

To eliminate the focus of infection in the apical part of the root, two methods are used - surgery or therapeutic treatment. At the beginning, the doctor takes an x-ray, and if the diagnosis of periodontitis is confirmed, treatment is carried out. The channels are unsealed for the outflow of pus, sanitized and closed. In difficult cases, surgery is performed - a dissection of the gums to eliminate purulent contents. The patient is also prescribed a course of antibiotics to completely eliminate the activity of microorganisms.

Treatment of periodontitis

Before prescribing a treatment regimen, the patient is given an x-ray of the gums, with the help of which the periodontist sees the volume of the affected areas and the depth of the periodontal pockets. Treatment consists in cleaning the pockets of dental deposits, sanitation with antiseptics. In some cases, tooth depulpation is performed. In the treatment of periodontitis, a course of antibiotics is prescribed. After carrying out the necessary manipulations, a decision is made on - surgical correction.

Physiotherapy

In the treatment of suppuration, physiotherapy helps well:

• electrophoresis;
• ultrasound;
• laser.

Electrophoresis facilitates the release of tissues from pus and promotes regeneration. This method is based on the introduction of medicinal substances deep into the tissues with the help of small doses of current: the patient feels a slight tingling, there is no discomfort.

Ultrasound therapy helps to relieve swelling and alleviate the patient's condition. Five procedures are enough to make the patient feel much better. Laser therapy has a similar effect.

home treatment

Herbal substances have long been used to reduce pain and heal ailments. Modern medicine widely uses herbal rinses, lotions, baths and compresses to relieve acute inflammation and accelerate tissue regeneration. However, it should be remembered that herbal rinsing is an additional, and not the main method of treatment.

Note! Herbal rinses can help at the initial stage of the infection. With extensive purulent exudate, drug treatment is indicated under the supervision of a dentist.

In inflammatory processes, you can rinse your mouth with herbal decoctions with antiseptic properties. These are well-known plants:

• chamomile;
• sage;
• St. John's wort;
• Oak bark;
• calendula.

You can prepare the infusion yourself, following the instructions on the pack, you can buy alcohol tincture at the pharmacy. In addition to herbal rinses, a salt solution with soda is also used (a spoonful of each ingredient per cup of warm boiled water).

Instead of herbal remedies, you can use antiseptic solutions:

• chlorhexidine;
• furatsilin;
• potassium permanganate.

When dissolving potassium permanganate in water, make sure that all the grains melt - a burn of the mucous membrane is possible. A solution of potassium permanganate should be a pale pink, not a saturated shade.

Antiseptic solutions relieve puffiness, disinfect, reduce the intensity of the development of the purulent process, cleanse the tissues.

Important! After each meal, clean your mouth with a rinse: this will speed up the process of tissue repair.

Do not injure the soft tissues of the gums when using a toothbrush or floss. Any injury can trigger an inflammatory process.

Outcome

If there is pus in the gums - what to do? It is forbidden to apply a warm compress or warm the sore spot in any other way. Purulent processes in the tissues from this can spread to neighboring areas. At the beginning of acute inflammation, it is recommended to apply an ice cube to the sore spot or do nothing - neither cool nor heat.

If the pus came out on its own before visiting the dentist's office, it is still necessary to go to the appointment: inflammatory processes could affect the tissues adjacent to the gum. Only a dentist can establish the clinical picture of the pathology, but not you. You may need to take a course of antibiotics.

Spontaneous intake of antibiotics is prohibited: you will not be able to choose the right medicines and calculate the dose of the drug. Self-medication can only aggravate the course of the disease and lead to complications. Purulent processes in the tissues of the body are dangerous by the spread of infection through the blood to other organs and blood poisoning.

Sources used:

• Gehrig, J., & Willmann, D. E. (2011). Foundations of Periodontics for the Dental Hygienist (3rd ed.). Philadelphia: Wolters Kluwer/Lippincott Williams & Wilkins Health
• Lemetskaya T. I., Periodontal disease (periodontal disease), M., 1972
• Highfield, J. (2009). Diagnosis and classification of periodontal disease. Australian dental journal

In the initial stage of purulent inflammation of the gums, symptoms do not appear, which often does not allow diagnosing the problem in time.

Pus in the gums can indicate pain during chewing, bleeding during hygiene procedures.

It is possible that pus will be released from under the gums when pressed in the problem area.

Causes

The main reason that pus comes out of the gums is an infection. It gets there in various ways, the periodontal canal is an area that is quite difficult to care for.

Pus in the gum

Especially if the teeth are located at some distance from each other, there are frequent inflammations of the oral cavity.

There is a space between the elements of the dentition and the gum, it is filled with food remnants, which begin to rot over time.

Common causes of gum festering near the tooth are:

• inflammation of the periodontium - it is formed due to the exposure of the neck of the tooth as a result of exfoliation of the gum tissue;
• periodontitis - inflammation of the area at the top of the tooth root, formed as a result of a poor-quality filling, neglected caries, and;
• - trophic damage to the gums, which leads to loss of teeth. It develops with improper oral hygiene. Its development is facilitated by a decrease in immunity, hereditary factors are possible;
• - develops due to improper oral hygiene, accompanied by poor-quality orthodontic treatment.

They lead to the appearance of trauma problems, which are caused by tissue damage by a fragment of a tooth, an inconveniently installed crown. You can damage the gums with a toothpick if you use it carelessly, or with a too hard toothbrush.

Pus on the gums in a child can form due to injury or damage to soft tissues with sharp objects.

If you have gum problems, you should visit your dentist immediately. A neglected injury to the gum canal and the accumulation of pus in it can lead to the spread of infection through the blood and lymph throughout the body.

Pus in the gums: treatment

Suppuration in the gums is a process that can lead to blood poisoning and even cause death.

When pus has formed in the gums, what should the specialist say after studying the problem and drawing up a competent treatment plan. Initially, he will conduct an examination and prescribe drugs that stop the disease.

An abscess on the gum is usually removed surgically.

At the first appointment, the doctor removes the enamel from the surface. In the presence of an abscess, manipulations are necessarily carried out to remove it surgically, then antibiotics can be used to stop the inflammatory process and folk remedies for local use (lotions, compresses).

If pus comes out of the gums on its own, you should not rest on this. This does not mean that the problem is solved, the inflammation will continue if medication is not carried out.

It is impossible to prescribe drugs on your own, especially antibiotics. Uncontrolled intake of medicines will lead to the emergence of new health problems.

When pus comes out of the gums - what to do when there is no way to get to the dentist?

You can apply local anesthetics and disinfectants.

Antiseptic actions have a decoction of chamomile, yarrow, calendula. Chlorhexidine helps a lot.

If there is pus from the gums near the tooth, treatment requires the use of cold, it reduces the rate of inflammation and anesthetizes. For severe pain, you can take medicine.

It is worth remembering that applying cold to a sore spot is a contraindicated technique in the question of how to draw pus out of the gums. You should not get carried away with self-medication, this can lead to the fact that the exacerbation will be asymptomatic, and blood poisoning will begin.

When treating a purulent process in the gums, it is necessary to constantly keep the oral cavity clean. Rinse and brush your teeth after each meal, otherwise food debris will provoke the decay process further.

How to remove pus from the gums at the root of the tooth?

In the treatment of an abscess located at the root of the tooth, two treatment options are used: conservative and surgical.

The method of surgical intervention is simpler and faster. In some cases, you can not even touch the tooth, the root canals are cleaned and treated using the procedure of resection of the root apex.

Root apex resection

This method is suitable in cases where only the root canals at the root apex are poorly sealed, and there are no problems in other places.

The essence of the procedure is to cut off the top of the root with a drill in the part of the unsealed canal, clean the granuloma, pump out the pus, and remove the cyst on the gum. There is no need to open the tooth.

The surgical method has its advantages, these include:

• Few visits to the dentist. At the first appointment, an abscess on the gum is opened, then a medical home treatment is prescribed. After the inflammation is eliminated, an operation is performed, which takes no more than 50-60 minutes;
• Removal of the old filling, crown is not required, which reduces the cost of treatment and prevents re-prosthetics and filling.

Conservative treatment begins with a visit to the X-ray room, where a picture of the problematic part of the jaw is created. If a problem is found, conservative treatment is prescribed.

If there is a filling on the tooth, it is removed, the root canals are expanded, the affected areas are cleaned, and, if necessary, the nerves are removed.

When the pus on the gum above the tooth is removed, antibiotic treatment is prescribed.

If there is swelling, the person goes to the surgeon, who makes an incision and opens the abscess. After the treatment, the canals can be sealed.

Before this, an X-ray is taken again to make sure that the problem is solved and the pus from the gums near the tooth is removed.

In difficult cases, when a cyst is formed on the upper part of the root, a temporary filling from a medical material is placed after treatment. Three months later, a control picture is taken, the temporary material is removed, the tooth is permanently sealed.

Tactics of treatment for periodontitis

With periodontitis, the treatment tactics are similar to the treatment of purulent inflammation at the roots of the teeth, but there are some differences.

It starts with a visit to a periodontist. The doctor directs the patient to an x-ray, where a panoramic picture of the area of ​​\u200b\u200binflammation is taken.

It shows the volume of the lesion, the depth of the gum pockets. Based on the results of the image, a treatment plan is drawn up, which may include depulpation of one or more elements of the dentition.

There are chronic and localized periodontitis. If the inflammatory process covers the area of ​​​​one or two teeth, the disease is considered localized.

In the case of damage to several teeth, the disease is called generalized periodontitis. In this case, the gums and periodontal pockets rot.

The treatment of chronic and localized periodontitis is almost identical.

It is aimed at eliminating inflammatory processes in the area of ​​gum pockets, the only difference is how many teeth are affected and require the attention of a specialist.

Treatment begins with cleaning the teeth and gums from plaque, treating periodontal canals with antiseptic and anti-inflammatory drugs.

Antibiotics may be prescribed. The initial task is to eliminate inflammation and purulent formation, after which the doctor can proceed to the actual main treatment.

It consists in surgical curettage of periodontal pockets. This procedure allows you to remove inflammatory granulations that contribute to the production of pus.

In some cases, bone grafting is performed to reduce the depth of gum pockets.

Related videos

The operation of removing pus from the gums:

Pus in the gums is often ignored by many, believing that everything will go away by itself. This is the wrong approach, the presence of an abscess indicates the presence of a problem in the oral cavity. If treatment is not started on time, the trouble will lead to dangerous complications. Timely treatment will keep your teeth and gums healthy.