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TOOTH GRANULOMA

What is tooth granuloma?

Tooth granuloma is inflammation that appears at tips of the tooth roots and is a general term for several different histological types of diseases of dental pulp. It is a chronic bacterial localized focal disease.

What are the causes of tooth granuloma?

The most common cause is caries that came to the tooth nerve (dental pulp). In the presence of bacteria, tooth nerve responds with inflammation called pulpitis. Pulpitis can be carried out painlessly, with occasional pain on cold or hot stimuli or can manifest as a severe pain. If it is not to traumatic, patients often do not know that inflammation of the dental pulp exists and along the natural path pulpitis ends with the death of tooth’s nerve and which is called dead tooth. Dead dental pulp becomes infected with the bacteria of oral cavity. When bacteria reach the end of the roots, they can spread in the surrounding tissue, which causes inflammation around the tooth. The bone is slowly dissolving because of inflammation and newly created space is being filled with inflammatory granulations, which are visible on X-ray as dark spots at the tips of the roots.  This is what we call dental granuloma. In rare cases it can lead to acute exacerbation of severe pain and swelling in the mouth or even cheeks. Patients often visit dentist only when the inflammation is symptomatic, either they feel pain or they are swollen. Often happens patients don’t even know they have dead teeth in their mouth because it is possible they don’t cause any problems. But this is not the reason to leave such teeth without treatment.

What can happen without treatment?

If a dead tooth is left untreated, the bacteria can multiply and occasionally alight in healthy surrounding tissues and even into the bloodstream, so the bacteria can affect other vital organs in the body. Diseases of the dental pulp may affect certain dermatological diseases, the most endangered are heart patients or patients with prosthetic heart valves. So dead teeth affects general systemic health or they can cause local complications like sudden swelling or so called dental abscess. Puss can spread from local site into other parts of the head and neck and can become even life threatening if left untreated. If you are having dental abscess it is necessary to visit a dentist.

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