Granuloma Treatment
Cost of treatment
What is granuloma treatment?
Granulomatous periodontitis (apical periodontitis) results from an untreated root infection in a tooth that affects the surrounding tissue behind the root apex.
Microbial factorised pulp and periodontal ligament and a weak immune system contribute to the development of chronic apical periodontitis, which leads to local inflammation, resorption (destruction) of bone, and sometimes even the root wall.
Symptoms
The onset and exacerbation of chronic periodontitis begins with such symptoms:
- sensitivity, pain when biting on the tooth;
- hyperemia of the gingiva and mucous membrane around the infected tooth;
- increasing swelling of the surrounding soft tissues;
- the appearance of a fistulous passage in the projection of the root of the tooth;
- mobility of the infected tooth;
- worsening of the general condition, fever, increased lymph nodes;
- bad breath.
Types of granuloma treatment
Treatment of periapical lesions involves destroying pathogenic microflora or significantly reducing the microbial load on the root canal and preventing re-infection by orthograde filling.
The percentage of successful results after treatment is relatively high — more than 70% — but the expected response to the treatment may not occur due to the anatomical features of the microcanals, which are inaccessible for cleaning and treatment according to modern protocol. There are also biological causes of failure, which cannot be affected even by medication. Dominating, such a factor, inhibits the treatment of the tooth.
Treatment and prevention of granuloma treatment
Monitoring the treatment results is carried out under the dentist’s control with the help of X-ray diagnostics or computer tomography 6-8 months after root canals are filled. The data are compared with the primary image at the time of the patient’s request with the problem.
Apical periodontitis is not subject to self-healing and often has an asymptomatic irreversible course, so only instrumental diagnosis and careful collection of anamnesis by a dentist will ensure that the patient receives timely, appropriate treatment. Otherwise, tooth extraction is recommended when the consequences of inflammation are assessed to a severe degree.
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FAQ
Are root canals treatment painful?
Currently, all dental procedures possibly causing painful sensations are performed under anesthesia. You do not need to worry and tensely expect that the doctor is about to “touch the nerve,” local anesthesia helps not think about the sensations during the procedure.
Root canal vs. extraction: what’s the difference?
Root canals are located within the roots of the teeth, holding them in the jaw. The roots remain, and the canals inside of them are cleaned and sealed.
Why do I need root canal treatment if my tooth doesn’t hurt?
It is not uncommon to have the canals re-treated due to poor previous treatment. The resealing can occur after the treatment, causing root canal infection, making periodontal disease visible through an X-ray. Modern standards of primary root canal treatment almost eliminate the need for further retreatment.
Earlier, during root canal treatment, a doctor would replace the medication inside the tooth, but how is it treated now?
The root canal treatment method requiring a change of medication for more than 4 weeks is hopelessly outdated. 1-2 visits are enough for most endodontic treatment cases.
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