What to do if the flesh inside the tooth hurts

Many people always feel pain in the flesh inside their teeth, and it can cause abscesses around the gums. In fact, this situation often happens, and the solution is very simple. The first thing to do is to find the cause of the inflammation and see which side it is on, including the current state of the flesh inside the tooth. If it is swollen, there will be pus inside that needs to be drained and cleaned after incision.

Disease treatment

Appropriate periodontal treatment (gingival abscess, periodontal abscess), root canal treatment (acute apical periodontitis) or tooth extraction (pericoronitis of wisdom teeth) is required after acute inflammation is controlled. The treatment options for periodontal abscess and gingival abscess are

1. Acute periodontal abscess

1. Treatment goal is to eliminate acute symptoms and signs as quickly as possible.

2. Treatment considerations

(1) Removal of plaque and calculus, debridement and drainage of periodontal pockets, or excision and drainage of abscesses

(2) Appropriate occlusal adjustment and antibiotic application may be considered.

(3) After the acute symptoms are controlled, a comprehensive periodontal assessment and systematic periodontal treatment should be performed.

(4) Before the abscess matures, it can be cleaned, the bag can be rinsed and medicated, and systemic medication can be used if necessary.

(ii) Gingival abscess

1. Remove relevant local irritants. Such as removing impacted food debris, eliminating overhangs in fillings, and removing foreign objects such as fish bones.

2. Eliminate acute inflammation and relieve pain. After removing local irritants, apply antibacterial and anti-inflammatory drugs, such as 3% hydrogen peroxide solution or 0.12% chlorhexidine solution for local flushing, and apply compound iodine solution to the gingival papilla.

3. Treatment is directed at the cause. After the acute inflammation of gingivitis is controlled, not only should the original gingivitis be treated, but the cause should also be completely eliminated, such as removing the pathogenic factors that cause impaction, modifying the edges of poor restorations, and treating interproximal caries.