Granulomas

Treatment of granulomas

Granuloma is one of the most common complications of tooth decay and pulpitis. It is the escape of the infection outside the tooth with the formation of a capsulated sac filled with dead cells. For a long time, the development of granuloma can proceed without pronounced symptoms. As it develops, the disease manifests itself through suppuration and encapsulation of the granuloma, i.e. formation of a pouch with purulent contents in the gum (near the root of the tooth).

Symptoms of granuloma

Externally, the development of this subtype of cyst is manifested as follows:

• a gingival tumour;
• purulent discharge;
• minor pain that worsens when biting or chewing food;
• discolouration of the enamel of the affected tooth.

If you have such symptoms, you should make an appointment with a doctor. In the clinic “Dent-House”, inviting its patients in the city of Odessa in Ukraine, you can do this both online and by phone, listed on the page “Contacts”. Also on the site are reviews of our clients. On its own, such pathology does not pass, as the disease is a consequence of deep carious lesion of the tooth. Pathogens through the resulting cavities get into the pulp. Its dying off is accompanied by the filling of root canals with microorganisms with the formation of granuloma. The pathological process can take several months (in the case of a rapid course) or several years.

Why does a granuloma appear

The main causes of granuloma and cysts are:

• pulpitis;
• substandard treatment.

After the pulp dies, pathogens fill the canals and gradually begin to spread outside the tooth. Therefore, inflammation is most often manifested at the root tip. The disease can also develop in the root of the tooth, in which a filling was previously made. This can be both the development of secondary caries under the filling and poor-quality filling of canals after pulpitis treatment. In the cavities, pathogens develop and spread outside the tooth. In some cases, other pathologies can also provoke inflammation and granuloma:

• Suffered dental trauma – infection can penetrate broken teeth;
• the development of certain colds and inflammatory diseases, such as tonsillitis.

In the latter case, the infection enters by other routes – through the blood or lymph.

Diagnosis

If a granuloma is suspected, the doctor will send the patient for an X-ray. You can find out how much this service costs on the “Price” page. On the image, the formation will be reflected by darkening in the problem area. After that, it is possible to refer for a targeted dental X-ray to make an accurate diagnosis, determine the size of the granuloma and develop treatment tactics. It should also be differentiated from other forms of periodontitis, such as cysts. Unlike a granuloma, a cyst may be larger in size, but may not show any symptoms for longer.

Types of granuloma

Depending on the place of localisation, specialists distinguish the following types of formation:

• Apex – occurs most often, in this case the apex of the root of the tooth is inflamed;
• Root granuloma – develops near the root of the tooth;
• Intercorneal – between the roots of the teeth;
• Apical granuloma – localised near the apical opening of the tooth.

Today, all of these subtypes of the disease are effectively treated using a number of standardised regimens.

How it’s treated

At the Dent-House Clinic, specialists use both conservative and surgical methods to treat granuloma. Depending on the initial condition of the tooth, the treatment plan may differ slightly. If the tooth canals are filled, the treatment is preceded by surgery to unseal the canals. If the root canals are not filled, treatment involves the following steps:

• removal of carious tissue;
• aseptic canal treatment;
• filling.

If the granuloma is up to 3 mm in diameter, a complete filling is possible. If the capsule is larger, a temporary paste based on calcium hydroxide is used. After a few weeks, an X-ray is scheduled, and if there is no inflammation, a gutta-percha filling is made and the tooth is subsequently restored. In some cases, surgical treatment is performed:

• for root canal obstruction;
• if it can’t be unsealed;
• if there is a pin in the canal;
• If the patient does not want to remove the artificial crown.

In these cases, the granuloma is removed. Depending on the situation, the apex is resected or hemi-sectioned, i.e. one of the roots with part of the crown of the tooth is removed. In such case, there is a need for subsequent prosthetics. If purulent complications develop in the periosteum or in the oral mucosa, the pathological formation is opened to drain its contents. After that, a course of antibiotics will be prescribed to suppress the possible spread of infection. It should be understood that independent cure of granuloma is impossible. For its elimination, dental care is necessary.

How much it costs to remove a cyst in a tooth in Odessa

The Dent-House Clinic successfully eliminates any type of granuloma. The full price of this service is determined by the total cost of the doctor’s work and the osteomaterials used. Today there is a choice of quality dental materials with different prices. After consultation with a specialist, the patient can choose the appropriate materials and thus affect the final cost of treatment. An appointment at the Dent-House Clinic, located in Odessa in Ukraine at 41, Nezhinskaya Street, is available through the form on the website or by phone.