They say that in remote prehistoric times, when people did not have time to become civilized, when there were no cities, supermarkets, chips and even the Internet, and there were only caves (if they are lucky, they are warm and dry, and if not, what will happen) then, strangely enough, the teeth of primitive people were healthier than those of today's dental surgeries, and even those who do not neglect the rule to visit the dentist every six months.As evidence, not only archaeological finds are presented, but also the results of studies conducted in lost tribes that are virtually unrelated to civilization and lead an almost primitive lifestyle. And how much will take and superstition is associated with teeth and with toothache! For example? That's who knows that to ensure the absence of toothache for a whole year can be very simple way - as soon as you hear the first thunder, and rush the first stone that has turned up to gnaw. And for the stone no damage, and for the teeth amulet for a whole year (subscription, in a modern way). Or here are the Japanese, for example (and the Japanese have always been famous for their intelligence, ingenuity, and the ability to find the right solutions). So, the Japanese, with toothache, were looking for a willow and stuck a needle in it: the stronger the pain, the bigger and thicker the needle. It turns out that the spirit of the tree felt the pain from the injection, so he thought it was just necessary to take care that the person did not get sick and that the person stopped poking sharp objects into the wood. But Auntie Toothache is quite capricious, unpredictable and very active, and at her disposal and submission is any pain that touches both the teeth and even the gums, so that, for example, the flux that most often appears on the gum is also falls within the scope of her responsibility.
What is flux?
It should be assumed that those who wish to get acquainted with the flux closer simply do not exist in nature. However, to reduce this, let's say directly, unpleasant familiarity is necessary for many. So what is flux? This happens for many unpleasant and little sympathetic word from the German "flow"Which merely means" flow "or" flow ". Apparently, the name implies that from the tumor (abscess) purulent contents flow out. But the word itself is already coming out of medical scientific use, because it was replaced by the term "periostitis", or "odontogenic periostitis", although the disease is still troubling and bothersome a lot of people without making a discount for age and not paying attention to positions and wealth . In fact, it is a purulent inflammation at the root of the tooth, which, as already mentioned, is scientifically called periostitis. With periostitis (the flux is a household, "folk" name), which is more accurately called odontogenic periostitis, a purulent cone appears on the gum in the region of the tooth root. Initially purulent contents are formed and collected near the root, gradually penetrates through the bone tissue and, finally, reaches the upper layers of the mucosa - on the gums a cone-shaped tumor is formed, filled with purulent contents.
Attention! The most important sign of odontogenic periostitis- purulent swelling (lump) in the gum area.
The most frequent symptoms of flux, which disturb the majority of victims, it is impossible not to notice and leave without attention. First of all, this is an acute pain, and this pain extends beyond the affected aching tooth - it often seems that it hurts not only one tooth, but the whole jaw or even both jaws, in addition, strong pain sensations appear in the neck region; certainly, the head also starts to hurt or be ill; be sick. If there are even the slightest doubts, then they immediately disappear when you try to at least something to chew the sick tooth - with the slightest load on the injured tooth, immediate pain is felt. The gums in the region of periostitis (flux) have a reddened appearance, and a very significant tumor is formed, which affects not only the gum but also the cheek - the cheek becomes quite swollen, which is noticeable at first sight. If you open your mouth, then on the reddened and swollen gums you can find a cone with purulent contents. There are often cases when the symptoms of flux (odontogenic periostitis) are not limited only to pain, swelling and redness: during the exacerbation of this disease, it is possible that the body temperature is high, which (depending on the individual characteristics of the organism and the course of the disease) can rise to high values. Often, with periostitis, there is a noticeable, and sometimes significant deterioration in the state of the entire body, that is, in addition to fever, there is weakness, nausea, dizziness, body aches, irritability, lethargy.
Attention! A full and effective treatment of odontogenic periostitis (flux) is possible only in a dental clinic, because with independent unskilled activities, the risk of rupture of the purulent sac is very high, as a result of which pus can spread throughout the body and infect any organs. Huge harm with periostitis (flux) is caused by hot compresses that promote the penetration of purulent contents into healthy tissues.
Thus, any self-treatment of the flux is impermissible, since it can lead to the most serious consequences. It is known that the formed purulent cone (purulent sac) can burst without any external influence. Such an independent rupture of the abscess on the gum brings quick visible relief, that is, the pain sensations decrease or even completely disappear, the temperature, if it rises, normalizes, the edema subsides, the mucous membranes acquire their usual color. It would seem that the problem resolved itself. However, this is completely wrong, since the inflammatory process, which developed in the middle of the tooth and in the bone tissue, has not gone away and continues, destroying healthy tissues further. So an independent rupture of the abscess and leakage of pus with odontogenic periostitis (flux) does not at all indicate that the problem has resolved itself and that one can breathe peacefully - in fact, the condition has improved only for a while and relapse is inevitable, since the inflammatory the process is not stopped.
Why does the flux (periostitis) appear?
In order to understand why the flux may appear, it is also an odontogenic periostitis, it is necessary to understand a little the structure of the tooth. As you know, the tooth is not a homogeneous structure, but rather a complex organ having many layers. The top layer of the tooth is enamel, which protects the teeth from any bacteria and other microbes. But if the enamel of the tooth is damaged, for example, by caries, the bacteria can penetrate deep into this organ and penetrate into the pulp, which is a rather loose structure in its structure, filling the cavity of the tooth. In the dental cavity, of course, there are blood vessels, and lymph vessels, and nerve fibers, which are able to react to an alien invasion. When bacteria enter the inside of the tooth (into the pulp), the inflammatory process begins, which is accompanied by painful sensations. But when the tissues of the pulp die, the pain stops and the discomfort disappears, resulting in the impression that the condition has returned to normal. However, the inflammatory process did not stop, but continues to develop, but now it has become chronic. Gradually, new and new tissues become infected (dental tissues, gums and even periosteum), and the inflammatory process gradually develops more and more actively, touching the root of the tooth and the periosteum, which already presents a difficult problem. In addition to pain and swelling, this inflammatory process is characterized by an active production of purulent contents - an acute stage of the flux (odontogenic periostitis) begins. Due to the fact that the pus accumulates more and more actively, a tumor appears on the gums, which has a red color, and resembles a sack in shape.
What becomes the cause of the flux (periostitis)?
Undoubtedly, first of all, the cause of the formation of a flux having purulent contents should be considered infectious infection, which can develop in different situations.
First of all, one of the main reasons for the formation of the flux is caries, more precisely, caries, which was started (in time, not cured), which touched the root of the tooth and caused pulpitis.
In second place among the causes of flux formation is an inflammatory process in the gingival pocket (the so-called groove that is located between the tooth and the gum).
Unfortunately, the cause of periostitis, that is, the flux, can be any mistake or negligence during the treatment of dental activities (most often it may be infection in the tooth tissue, which most often happens as a result of non-compliance with asepsis rules during dental procedures).
Among the causes of flux - improper sealing of the root canals (we are talking about incomplete sealing of the root canals).
The unfinished treatment of teeth affected by tooth decay can also be a serious danger, when treatment stops at the stage of a temporary filling, which is not intended for long-term use and for serious loads.
It is possible that the flux (periostitis) can begin because of any chronic disease that is in the body, even if this disease is not directly related to the teeth. For example, such diseases can be tonsillitis, tonsillitis, furunculosis and some others.
Also, the cause of the flux development may be physical (mechanical) injuries received in the jaw area, for example, it may be a bruise or any other injury that causes an inflammatory process in the bone tissue or, for example, internal hematoma.
Attention! At the initial stage of the development of periostitis (flux), many bright signs and symptoms of the disease are absent: for example, in the early stages, swelling of the gums may not develop, and purulent contents may not accumulate. If the flux is not detected and not treated at this stage, the disease will progress, the infection will develop and the pus will form.
Flux (periostitis) and the following forms of inflammation
As already mentioned, any inflammatory processes of the jaw area of the face, especially those having a purulent character, is in the vast majority of cases the complications of the carious process (caries). Such inflammatory processes can occur with varying severity and have slightly different signs. The consequences of suppurative inflammatory processes in the maxillofacial region can also be very different, down to extremely negative. First, the inflammatory purulent process of the jaw region acquires the appearance of an odontogenic periostitis (flux). If medical intervention is not followed and no help is provided, an abscess may develop on the spot of the flux (odontogenic periostitis). But if the measures are not taken and in this case, the phlegmon develops. It all starts with a sick tooth that has not received the necessary treatment. First, pus, trying to escape outward, provides (makes) a channel in the bone tissue, breaks through it and can stop under the periosteum of either of the jaws (upper or lower). So, if the toothache becomes practically constant, if any attempt to increase the impact on the diseased tooth (press, knock on any object, something to chew), the pain becomes much stronger if the tooth has significant damage and destruction, if this tooth has already, then it is most likely possible to suspect a disease called periodontitis. But if the above symptoms are accompanied by swelling of the mucous membrane that surrounds the diseased tooth, if the cheek is on the side of the nose the road tooth swells up, then it should be already talk about odontogenic periostitis, which can differ and increase in body temperature (sometimes the body temperature with periostitis rises to more than 38 ° C). A visit to the dentist in such cases is mandatory, and it must be done as soon as possible. At the doctor's appointment, in addition to other medical measures, a cut will be made (anesthesia is mandatory) to remove the pus gathered. Then a special drain will be inserted, which looks like a small strip of special medical rubber. Flux (odontogenic periostitis) is really a serious disease that requires the appointment of antibacterial drugs and anti-inflammatory drugs.
Attention! Self-administration of any medications, especially antibiotics, is unacceptable.
If the periostitis is not properly treated, then the flux (periostitis) is replaced by an abscess, in which pus is also collected in the tissues. Of course, periostitis is inherently and inherently the same abscess, but an abscess that is limited only by the periosteum. But when the purulent process is already spreading beyond the periosteum, then only the abscess should be spoken. As for the treatment of abscess, the abscess must also be opened and drained immediately and correctly, but the drainage remains much longer in the wound. Drug treatment is also mandatory, but also only for the purpose of the attending physician. But if professional medical aid has not been provided and the inflammatory process has not been stopped, then on the spot of periostitis and abscess develops phlegmon, which also represents a purulent inflammatory process - the so-called purulent diffuse inflammation. It should be understood that in this case pus is not restricted in any way and is dispensed in a variety of tissues, including the entire face (between the muscles), also with phlegmon pus may spread to the neck and even descend even lower - into the thoracic cavity. There are cases when the purulent contents flowing from the phlegmon penetrated even into the mediastinum, that is, to that part of the thoracic cavity where such vital organs are located, as the heart that takes part in the processes of respiration of the trachea, as well as the esophagus.
Attention! Phlegmon is a very dangerous disease that can pose a threat to life: there are known cases of lethal outcome as a result of phlegmon.
For some reason it seems that saying goodbye to life because of fear of the dentist is simply silly. In addition, modern dentistry has all the possibilities to make any treatment practically painless and maximum effective.
Visit to the dentist about the flux
It is very important to realize that even the flux, and especially the abscess or phlegmon, will not pass by themselves and require compulsory medical intervention. What awaits the patient who turned to the dentist with odontogenic periostitis (flux)? Of course, the patient will first be examined to establish an accurate diagnosis, as well as to identify all the attendant problems. After the examination, the doctor will be able to determine whether it is possible to save the injured tooth or still better to say goodbye to him. Only after the decision on preservation or about a tooth extraction is accepted, treatment begins.
It is necessary to understand that the treatment of flux (odontogenic periostitis) in any case will be surgical.
If the ability to keep the tooth absent and the tooth in any case must be removed, then first removed the patient tooth. After removal of the tooth, it is necessary to remove pus from the soft tissues, for which it is necessary to make a cut on the gum (the length of the incision is up to two centimeters). To ensure that the edges of the wound do not stick together and the pus can flow freely, a drainage is inserted into the incision, which is made in the form of a strip of special medical rubber. If the decision is made to keep the injured tooth, a cut is made around the aching tooth so that purulent contents can flow out (through it). Then all the foci of caries are identified and their treatment is carried out (sanation). It is obligatory in such cases to conduct an autopsy of the root canals, where pus may be contained, which must be carefully removed.
That the pus which continues to be formed in a place of inflammatory process, could be removed, for its unimpeded outflow establish a drainage system. In addition, as part of the necessary treatment prescribed painkillers and drugs, antibiotics (antibiotics can appoint only a doctor). When the inflammatory process is completely stopped (terminated), the top of the affected root will have to be removed. And only after the complete termination of treatment it is possible to perform tooth restoration, crown installation or prosthetics.
What can not be done with a flux (odontogenic periostitis)?
Unfortunately, as experience shows, with periostitis, as, however, with any toothache, people often act categorically wrong, therefore, instead of help, they get worse situation. In order not to damage the sick tooth and not worsen the condition, it is impossible to make warming compresses under any circumstances, apply hot-water bottles, hot towels and warm the sick tooth in some other way. As a result of such warming, the inflammatory process will develop even faster and more actively, which, of course, will not lead to anything good, but the rapid transition of the flux to the stage of abscess or (even worse) phlegmon becomes quite real. Experts do not advise doing any bandages: warming, squeezing or any other, since such bandages only help heroes of cartoons or caricatures, and in real life they are of no use to them. No bandage is capable of exerting any curative effect on any diseased tooth.
Attention! Categorically, you should not take any antibiotics that the dentist does not prescribe!
Any antibiotics, including those with odontogenic periostitis, should be prescribed by a doctor who should, among other things, explain which scheme to take this medication: antibiotics that are taken incorrectly, are capable of causing serious harm to the body. The fact that the wrong reception of any antibiotic leads to resistance to this type of antibiotics, that is, pathogenic microorganisms adapt to the drug and stop responding to it, and resistance will continue in the future, that is, this antibiotic will be useless in any other case. The saddest thing in this situation is that pathogenic microorganisms will remain unharmed, but the kidneys and the liver will be severely impacted and may suffer very seriously.
Attention! Any antibiotic is important to take only according to the prescribed schedule and in prescribed dosages.
If a visit to the dentist is planned, in no case should you take any painkillers at least three hours before the visit. The fact that the action of pain medication significantly complicates the diagnosis, which can lead to the wrong result. It is very important to not take acetylsalicylic acid (aspirin) after cutting the gums to remove the purulent contents. First, aspirin can increase bleeding, which is completely useless. Secondly, the effectiveness of aspirin as an anesthetic after dental manipulations, especially after the incision of the gum, is absolutely zero. That is, aspirin in this case can bring a lot of harm, but there will be absolutely no benefit from it.
Attention! If, after a gingival incision, relief does not occur for a long time (about 12 hours), you should immediately consult a doctor again.
It is very important for any purulent processes in the gums, including with periostitis (flux), in any case not to take any medications on your own. Similarly, in no case can you yourself cancel any medications or procedures prescribed by your doctor.
Attention! A huge mistake in any disease, especially when it comes to purulent processes, including periostitis, is to use advice not from the dentist, but friends, relatives or friends, even if it seems that the situations are similar - each organism is very individual and destination physicians should be only individual, taking into account all the features of the disease and accompanying conditions.
Is it possible to treat flux with folk remedies?
Dentists are unanimous in the opinion that it is impossible to cure odontogenic periostitis (flux) with folk remedies that are used at home conditions: miracles do not happen in this area and the flux itself does not resolve itself and does not pass. And even more so, abscesses or phlegmons do not pass by themselves. However, folk remedies can be used in cases when it is impossible to get to the dentist immediately or there is no possibility and it takes some time to wait for this visit. What kind of home remedies can and should be used for purulent gingival inflammation, that is, with flux? First of all, herbal rinses prepared from anti-inflammatory and soothing medicinal plants, in particular infusions from chamomile, or from birch buds, or from sage, or from acacia flowers, proved to be quite effective. To prepare a medicinal infusion that will help to remove a little swelling from the gums and reduce pain, three tablespoons of dried herbal medicinal raw material should be placed in enamel, glass or porcelain utensils and poured into two glasses of steep boiling water, and then close the dishes and give the infusion properly brew for at least an hour. Rinse the mouth with a ready-made infusion up to five times a day. Sage infusion can be used to rinse the mouth and more often - every twenty minutes. Effective with a flux is the rinsing of the mouth with a solution of baking soda. To prepare the solution, you should take one teaspoon of baking soda and dissolve one teaspoon of the kitchen salt in a glass of boiling water and let the solution cool to room temperature. This solution can rinse the oral cavity about once every 1.5 to 2 hours. To prepare a complex herbal preparation for rinsing the mouth with a flux, you can take in equal proportions the dry vegetable raw materials of peppermint, angelica, birch buds and periwinkle and mix all the herbs thoroughly. Three tablespoons of the resulting herbal mixture should be placed in a suitable dish (glass, porcelain or enameled), pour cold water (one liter) and bring to a low heat until boiling, boil (also on low heat) for not more than five minutes and insist for one hours, then drain. Rinse the mouth with this infusion should be every two to three hours.
As you know, the prevention of any problems is always cheaper, and less troublesome. Undoubtedly, preventive measures are known that will help to avoid the appearance of flux and any other troubles with teeth.
First, the golden rule of preventing any kind of dental disease is regular visits to the dentist, even if nothing bothers you. The dentist needs to visit at least once every six months so that the doctor can find out in time any problems with the dentition and with the gums at the very beginning of their stage. If at least minimal problems are found during the visit, they should be immediately eliminated, for which to conduct timely and complete treatment.
Secondly, the importance of careful care for your teeth. It should not be forgotten that a huge selection of toothpastes and brushes is not an opportunity to save, choosing the cheapest, but the opportunity to choose exactly what will be most suitable for a particular person. As for the optimal choice of toothpaste and toothbrush, it will not be superfluous to consult with the treating dentist.
Thirdly, with regard to oral hygiene, at the present stage professional cleaning is becoming increasingly important, which is performed by the dentist with the help of special professional equipment. The doctor during the reception should remove the tartar, which is formed on the teeth and which contains many unpleasant (let us say, pathogenic) bacteria. This procedure should not be neglected or postponed "for later", as deposits of tartar can injure the gums and cause inflammation of the gums and mouth as a whole, and cause bleeding gums.
Fourthly, the daily menu should include not only all the proteins, fats, carbohydrates, vitamins, micro and macro elements necessary for life, but also a sufficient amount of solid food, which must be chewed thoroughly, giving the teeth the necessary load. That is, in the daily menu must be fresh fruit, fresh vegetables and greens, which is desirable to eat in a not too shredded kind (at least, apples and carrots should be gnawed whole).
You know, there is a wonderful expression "hurry, not hurrying up." However, this expression is completely inapplicable to the state of the teeth and to the toothache - sick teeth do not like and can not wait. And neither herbal preparations, nor conspiracies, nor hammering a nail into a tree (according to the Japanese tradition) will not help if the problems with the teeth have already begun. In this situation, the most sensible act is an immediate visit to the dentist: it's not scary and it is absolutely necessary. Beauty in fact requires sacrifices - everyone knows this. But a timely visit to the doctor will help to avoid the victims, which can be avoided. And instead of pain and expenses for restoration of the dentition, a timely preventive visit to the dentist will give a white-tooth smile and help to save, for example, a chic swimsuit (and even a fur coat).