How to treat apical periodontitis?

Apical periodontitis is a type of dental disease. The main symptom of apical periodontitis is biting pain. That is, there will be severe pain in the mouth when biting. Patients with apical periodontitis generally have suffered from dental diseases before. It is possible that the previous dental disease was not treated completely, and the apical periodontitis was caused by the recurrence of the disease. Suffering from apical periodontitis has a great impact on daily life. There will be a needle-like pain when eating and drinking, and the pain may also occur when sleeping, affecting sleep. In the long run, it will affect a person's physical and mental state. The following will introduce its treatment.

Apical periodontitis, also known as apical periodontitis, refers to an inflammatory disease that occurs at the root apex of the tooth and its surrounding tissues. That is, it manifests as an inflammatory reaction in the cementum, periodontal ligament and alveolar bone.

The main cause of apical periodontitis is infection, which is often secondary to the infection and necrosis of the dental pulp tissue (commonly known as the "dental nerve". The affected teeth are mostly carious and non-carious dental diseases, followed by trauma, chemical stimulation and immunological factors. According to the acuteness of clinical symptoms, apical periodontitis can be divided into acute apical periodontitis and chronic apical periodontitis.

The treatment of apical periodontitis is more difficult than the treatment of pulp disease. Because the inflammation has developed to the periapical tissue, the bacterial infection is not only confined to the pulp tissue, but spreads to the root canal wall and periapical tissue. At this time, the dental pulp is mostly necrotic, and the pulp cavity has become a dead cavity that is beyond the reach of its own defense capabilities. However, the periapical tissues are rich in blood supply and have a strong ability to repair and regenerate. If the pathogenic irritants in the root canal can be removed, most apical lesions can be repaired and healed. It can be said that the treatment effect of periapical periodontitis reflects the medical level of oral disease treatment to a certain extent.

For teeth that have undergone root canal treatment and whose lesions continue to not heal, the gingiva can be incised, the flap can be opened, the bone lesions can be exposed, the diseased bone tissue and granulation tissue can be removed, part of the tooth root can be cut off, and the tooth root can be tightly sealed with materials to promote the healing of the bone lesions. Root canal treatment Root canal treatment is the most effective method for treating periapical periodontitis. The source of infection in the root canal is completely removed through debridement, chemical and mechanical preparation, and the root canal is tightly filled to promote the healing of periapical lesions.

At present, the commonly used method in clinical practice is to kill the nerves and perform root canal surgery. Currently, biological therapy can be used, such as dental gold, which can cure the disease. First of all, its effective ingredients can quickly remove suppurated and necrotic tissues, activate the immune function of the gums themselves through the principle of nutrient delivery, absorb apical periodontitis and periodontitis, and usually promote the recovery and regeneration of atrophic gums, re-wrapping the tooth roots, and preventing pulpitis caused by leakage.

What diseases can apical periodontitis cause?

1. When the alveolar process of the maxillary central incisor is very low and the root is long, pus penetrates the nasal cavity floor;

2. The root apex of the maxillary lateral incisor often deviates to the lingual side, and pus can penetrate the palatal bone plate to form a palatal abscess;

3. The roots of maxillary posterior teeth are close to the bottom of the maxillary sinus, and sometimes pus can penetrate into the maxillary sinus;

4. Abscess at the palatal root of maxillary molars may even extend from under the periosteum to the soft palate.