Gums discharge pus than to smear. Why pus appears after tooth extraction and what to do. Pus in the gums: what to do at home, surgical and drug treatment

The presence of an abscess on the gum is a characteristic sign of many dental pathologies that require immediate treatment.

This article provides information about the main causes of the appearance of an abscess in the gums in adults and children, as well as how to treat them and prevent the appearance of purulent formations.

Where can purulent exudate in the gum come from?

The formation of suppuration on the periodontium occurs subject to the presence of a source of infection, which can be located both inside the tooth itself and on the surface of its root:

  • The presence of inflammation of the apex of the tooth root. The etiology is explained by untimely treatment of pulp inflammation or caries, in which the infection spreads more deeply, affecting all structures and tissues of the tooth. This pathological process provokes the development of inflammation followed by nerve atrophy. Also, this pathology is caused by poor-quality filling of the canals at the root, which contributes to the development of suppuration, cyst formation and granulomatous inflammation.
  • Inflammation of periodontal soft tissues– a characteristic sign of many dental pathologies. With periodontitis, periodontal pockets are formed in which subgingival dental deposits accumulate. They are the main factor provoking the development of the inflammatory process and the appearance of a purulent sac in the gum.

    Important! The development of the slightest pathological processes in soft tissues requires an immediate visit to the dentist. Advanced forms of pathologies and the accumulation of purulent exudate in the gums can provoke the spread of infection throughout the body.


The formation of suppuration on the periodontium occurs when there is a source of infection

Etiology of the problem

The presence of pus under the tooth in the gum is not the cause, but a consequence of the development of periodontal inflammation.

Experts include the following as the main reasons for the formation of inflammation:

  • Poor or insufficient oral hygiene.
  • Injury to soft periodontal tissues.
  • Poor quality prosthetics.
  • Past dental and otolaryngological diseases of infectious etiology.
  • Entry of pyogenic bacteria into periodontal pockets.
  • Exposure of gums to aggressive chemicals.

Important! Suppuration and bleeding of the gums, the presence of an unpleasant odor, the formation of tartar and pockets, discoloration of the gums, itching and throbbing pain indicate the development of periodontal abscess.

Symptoms of suppuration

Thanks to the following local signs, it is possible to recognize an abscess on the gum at the initial stage of its development:

The general symptoms of this pathological process include:

  • General intoxication of the body, which manifests itself as aches and pains.
  • Rapid onset of hyperthermia.
  • Decreased overall body tone, lethargy, fatigue.
  • Severe pain, radiating to several nearby teeth, maybe to the temples, head, neck and ears.
  • Enlarged lymph nodes.
  • Swelling of the soft tissues of the face on the side of the affected tooth.
  • At an advanced stage of the pathology, noticeable loosening of the teeth is observed.

Important! Depending on the etiology of the appearance of pus under the tooth in the gum, the signs can be pronounced or may pass latently. Therefore, if the slightest symptom appears, you should not self-medicate, but should immediately seek qualified help from a dentist.

Diagnosis and treatment

To accurately and correctly prescribe a therapeutic course, it is important to correctly determine the cause of the appearance of pus in the gum under the tooth and carry out a full diagnosis.

Experts make their conclusion based on the results of radiography. A panoramic X-ray image clearly demonstrates the condition of the affected tooth or gum.

Depending on why the gums are festering, the dentist prescribes treatment, which may be:

  • Conservative. It is a mandatory and main therapeutic method, which is carried out first. Depending on the location of the pus, either cleaning of periodontal pockets or treatment of the affected tooth is carried out, followed by opening of the root canals.
  • Surgical. The essence of this type of treatment is to dissect the gums to eliminate purulent exudate. Surgical correction can also be performed, which involves curettage of the affected gum pocket. Another surgical method is resection of the apex of the tooth root.
  • Medication. Most often, if indicated, antibacterial, anti-inflammatory, antiseptic and analgesic medications are prescribed. Medicines can be taken orally, used for mouth rinsing, application
  • Physiotherapeutic. It is an effective auxiliary method of therapy. When this pathology develops, electrophoresis is prescribed with the administration of medications, which facilitates the outflow of pus from the gums and stimulates the regeneration of damaged tissues. Ultrasound therapy and laser are also used, which have an effective symptomatic effect, relieving swelling and inflammation of the gums.


Squeezing pus from the gums


Treatment of an abscess on the gum

How to remove pus from gums at home?

You can relieve pain and stop the process of suppuration in the gums yourself at home.

Important! Herbal rinses can be effective only at the initial stage of infection. The use of traditional medicine or pharmaceuticals at home should be agreed with the attending physician.

What treatment method is used?

The choice of treatment method for abscess on the periodontium directly depends on the factors that provoked the appearance of inflammation, due to which the gums under the tooth rot:

Localization of purulent exudate The essence of the technique
Pus at the rootAs a rule, this pathology involves conservative and surgical treatment. If the tooth is filled, it and the root canals are unsealed. If the tooth is affected by caries, then it is treated and the root canals are expanded, through which an outflow of pus is created.

Next, the affected area is treated with antiseptics, and a course of antibacterial therapy is prescribed. If there is swelling on the gum, the patient’s surgeon makes an incision into the abscess to open it.

After stopping the inflammatory process and eliminating the pus, the dentist temporarily fills the canals with a special healing material based on calcium hydroxide. After 2–3 months, a control x-ray is performed and, if indicated, the canals and teeth are filled on a permanent basis.

Purulent exudate in soft periodontal tissuesRemoval of pus occurs in the presence of periodontal pockets. For these purposes, dental plaque is eliminated, after which local anti-inflammatory drugs are taken. As a rule, it consists of washing the periodontal pockets with antiseptic agents and treating the periodontium with a special dental gel that has an anti-inflammatory effect. Also, if necessary, a course of antibacterial therapy is prescribed.

After stopping the suppuration and stopping the inflammatory process, surgical curettage of the periodontal pockets is performed. This allows you to eliminate inflammatory granulations from under the gums, and, if necessary, to reduce the depth of periodontal pockets, implant artificial bone tissue. Also, if necessary, splinting of mobile teeth is carried out.

Important! The level of qualification of the clinic and the professionalism of the doctor is one of the components of the key to successful treatment of abscesses under the tooth on the gums.

Possible complications

With untimely and poor-quality treatment of ulcers in the tooth area, serious complications develop.

These include:

  • The appearance of periodontal disease, causing complete loss of teeth.
  • Development of the inflammatory process in the connective tissues of the jaw.
  • The formation of growths on the soft tissues of the gums, which can subsequently cause the development of osteomyelitis.
  • Advanced stages of pathology can lead to blood poisoning.

Important! Constant infection of the body leads to a decrease in its protective functions and contributes to the emergence of additional pathologies of various systems and internal organs.

Preventive measures

Regular adherence to preventive measures significantly reduces the likelihood of suppuration in the gum under the tooth.

Experts include such measures:

Important! Paying attention to your health will not only avoid the development of suppuration in the gums, but will also prevent the development of many dental pathologies.

What to do if there is pus under a wisdom tooth?

This pathological process develops due to insufficient space in the gum, which leads to tooth growth sideways

In dental practice, there is often an accumulation of purulent exudate under the molars.

This is due to the physiological characteristics of its difficult eruption, called pericoronitis.

This pathological process develops due to insufficient space in the gum, which leads to tooth growth sideways.

This provokes the rapid development of inflammation and suppuration of the gums.

A wisdom tooth that grows incorrectly and causes the formation of pus in the gums is a source of infection and poses a significant threat to human health and life.

Therefore, if this pathology develops, the molar should be immediately extracted, followed by antibacterial therapy.

Features of the treatment of abscesses in children

In dental practice, abscesses on the gums of children are often diagnosed (including under baby teeth in infants).

Treatment of this pathology on primary and molar teeth in children has significant differences:

Pus under a tooth in the gum can appear in any person. Acute inflammation is accompanied by severe pain, but the initial stage can be asymptomatic. But, despite this, you should not self-medicate and wait until the pus comes out on its own.

If the gums have become rotten, this poses a great danger to the health of the entire body. Therefore, if the slightest symptom appears, you should immediately undergo treatment from a qualified dentist.

In most cases, purulent gum diseases are the result of untimely or poor-quality treatment of infectious and inflammatory processes in the oral cavity. Pus is a minty, viscous liquid of a milky, yellowish or light brown hue, containing pathogenic bacteria and toxic substances (their waste products). If the gums near the tooth fester, the cause may be acute or sluggish chronic inflammation of the periodontal tissues with the formation of gaps between the edge of the gum and the cervical part of the tooth, which are called periodontal pockets.

Purulent discharge can also be a sign of periostitis (purulent inflammation of the periosteum) or periodontitis, a severe dental disease in which tissues tightly adjacent to the root cement and dental roots become inflamed. Treatment of the pathology depends on the cause of its occurrence, existing symptoms and other factors that may affect the effectiveness of therapy.

First aid at home

The treatment of any purulent processes should be carried out by a dentist (therapist or surgeon), since there is a high probability of the purulent process spreading to deep soft tissues and infection entering the systemic bloodstream. If signs of inflammation appeared on Friday evening and it is not possible to see a specialist in the next two days, you can use safe home treatment methods. Emergency care for gum suppuration in the periodontal space consists of frequent rinsing with antiseptic solutions.

The following preparations can be used for mouth rinsing:

  • "Stomatophyte";
  • "Chlorophyllipt";
  • "Hexicon";
  • "Oralsept";
  • "Furacilin".

All of them have a disinfectant effect and provide antiseptic treatment of soft tissues and mucous membranes. The main cause of purulent inflammation is the activity of pathogenic flora (mainly staphylococci and streptococcus), so the main task is to destroy pathogenic bacteria and microbes.

The most affordable drugs in this category are considered to be “Chlorhexidine” and “Furacilin”. They can be purchased in the form of ready-made solutions, and the cost of one bottle starts from 11 rubles. More expensive are Miramistin, Hexoral, Oralsept and Tantum Verde. They have different active ingredients, but the antibacterial, antimycotic and antimicrobial activity is approximately the same, so you should choose the right medicine taking into account age, existing contraindications and possible side effects.

Table. Mouth rinsing regimen for gum disease.

Indications/patient ageNumber of rinses per dayDuration of treatment
Children over 6 years old3 times a day (50 ml of solution per application)5 days
Teenagers from 12 to 18 years old4 times a day5-7 days
Adults with rotting gums4-6 times a day7-10 days
Adults with purulent abscesses4-8 times a day7-10 days
Pregnant women and nursing mothers3-4 times a day5 days
Elderly patientsIndividually, but not more than 4-5 times a day (due to the high risk of dysbacteriosis)From 5 to 7-10 days

Video: What to do if your gums are festering

Treatment at the dentist

If a patient has signs of purulent periodontitis, it is recommended to consult a dentist, since pus located deep in periodontal pockets cannot be cleaned out on your own. The doctor may prescribe surgical cleaning or medicinal applications. One of the most popular drugs for the treatment of purulent gum processes in a dental office is a combination medicine in the form of a gel “Metrogil Denta Professional”. It differs from the regular drug Metrogyl Denta in a higher concentration of active ingredients: 1 g of the drug contains 250 mg of the local antibiotic metronidazole and 1 mg of a 20% solution of chlorhexidine bigluconate.

Gel for the treatment of purulent periodontal lesions is used for placement in periodontal pockets. Before this, the doctor cleans the pocket and treats it with an antiseptic solution. The product cannot be removed. After applying the drug, the doctor isolates the application site with cotton swabs to prevent contact with saliva. You can remove tampons after 30 minutes. The procedure is carried out once a day, and the duration of therapy depends on the severity of the pathology and can range from 1 to 7 days.

Important! You can use Metrogyl Denta Professional only after removing plaque and tartar. After completing dental treatment, you should continue to use the drug "Metrogyl Denta" for 7 days, applying the product to the affected gums 2 times a day after brushing your teeth.

Video: Metrogyl Denta for gum treatment

Do I need to take antibiotics?

In most cases, antibacterial and antimicrobial drugs are necessary for purulent inflammation of the gums. This is due to the rapid growth of pathogenic flora, which begins to multiply even more actively in the purulent environment. At the initial stages of inflammation, you can limit yourself to the use of local antiseptics, but if there is no effect from such treatment, oral dosage forms of systemic action are required within 2-3 days.

Antibiotics in the form of tablets, suspensions and capsules are prescribed if the gums fester and inflammation is accompanied by the following symptoms:

  • increased temperature (above 38 degrees);
  • severe swelling around the inflamed area;
  • formation of a swelling or abscess;
  • severe pain syndrome;
  • general deterioration of condition.

One of the most gentle broad-spectrum drugs is Metronidazole. The drug is available in several dosage forms, but tablets are used to treat purulent periodontal lesions. You need to take them 1 tablet 2-3 times a day. The medicine is inexpensive (about 30 rubles), copes well even with severe inflammation and has few contraindications, so Metronidazole in most cases becomes the drug of choice for the treatment and prevention of periodontal inflammation. The duration of treatment is 7-10 days.

If Metronidazole is ineffective, the doctor may prescribe drugs from the group of semi-synthetic penicillins (Amosin, Flemoxin, Augmentin), macrolides (Sumamed, Zinnat) or fluoroquinolones (Ciprofloxacin).

The advantage of the latest generation of antibiotics is their short duration of use (up to 3-5 days), but they have a more aggressive effect on the gastrointestinal tract, so it is better for people with diseases of the digestive system to use tablets based on ampicillin or amoxicillin.

Important! You should not take antibiotics without a doctor's prescription. These drugs are potent drugs that can negatively affect the functioning of the nervous, vascular system, heart, liver and kidneys. Only a doctor should prescribe antibacterial medications, as well as their dosage and regimen.

What to do if an abscess grows on a festering gum?

An abscess is a purulent cavity that forms as a result of acute inflammation of soft tissue. Under no circumstances should you open an abscess yourself - this can lead to secondary infection of the gums and mucous membranes and deterioration of the patient’s well-being. The doctor opens the abscess using a special instrument, after which he cleans the cavity of pus, carries out antiseptic treatment and installs drainage for the outflow of pus and exudate.

You cannot pull out the drainage. As the wound surface heals, it will fall out on its own. If the drainage is removed ahead of time, the gums may become overgrown with pus, which will lead to a repeat infectious and inflammatory process.

Home treatment

Self-treatment without consulting a doctor is not recommended due to the high risk of progression of the inflammatory process and penetration of infection into the deep layers of the periodontium. Traditional recipes can only be used as an emergency measure before going to the dentist or as an addition to the main therapy.

Young potatoes contain a lot of starch, which has anti-inflammatory, analgesic and enveloping effects. A similar effect can be achieved using beets, carrots and other starchy vegetables. Compresses made from potatoes or potato juice perfectly draw out pus, so this recipe is considered one of the most effective for combating purulent inflammation of the gums.

To cure gums with potatoes, you need to:

  • peel one medium-sized potato;
  • grate it on a medium or coarse grater;
  • place the potato mixture in cheesecloth and squeeze out the juice;
  • Apply it liberally to a cotton swab and apply to the inflamed gum.

You need to keep the compress for 15-20 minutes. If you do this procedure 2-3 times a day, you will notice significant improvements already on the third day. For complete healing of the gums, it is necessary to continue treatment for up to 5-7 days.

Sea salt with chamomile infusion

This recipe is not very popular, but it helps to quickly cope with even purulent forms of inflammatory processes in the gums. It is prepared in two stages. First, you should prepare a decoction of chamomile flowers. To do this, pour 80 g of dried inflorescences into 500 ml of boiling water and cook for about 25 minutes over low heat. After this, the broth must be removed from the stove, left for an hour and strained. It can be stored for 5 days in the refrigerator.

To prepare the compress itself, you need to add a teaspoon of chamomile infusion to one teaspoon of crushed table salt and mix. Wrap the resulting liquid pulp in gauze and apply to the sore spot for 30 minutes. After the procedure, rinse your mouth with 50 ml of chamomile decoction. It is recommended to do such compresses 3-4 times a day. To eliminate purulent inflammation, 5-7 days of treatment are enough.

Advice! When choosing salt, it is better to give preference to an unrefined product, since the content of minerals in such salt is higher.

Cyclamen juice

The juice of this plant is a well-known folk remedy for combating sinusitis and other types of sinusitis, but few people know that it is also an excellent medicine against purulent processes in the oral cavity. The juice is extracted from the tubers of the plant. Before use, it must be diluted with water in a 1:1 ratio.

Moisten a piece of cotton wool with the prepared solution and make a compress. It should be kept for at least 15 minutes. The procedure must be repeated 2 times a day for 10 days.

Note! Cyclamen is a plant with high allergenic properties. If during treatment a severe burning sensation, itching appears in the mouth, or a small pale pink rash forms on the surface of the gums, the use of this method should be stopped and the mouth should be rinsed generously with cold water. If allergy symptoms are too severe, you can take a Loratadine or Suprastin tablet.

Purulent inflammation of the gums is a dangerous pathological symptom that may indicate severe damage to the soft tissues of the periodontium or periodontium. It is impossible to prescribe treatment independently for such a clinical picture: improper therapy can lead to the spread of the lesion to the area of ​​the root system of the tooth. In rare cases, the infection can enter the bloodstream and cause the development of sepsis, so if there are any signs of purulent gum disease, you should consult a doctor. find out on our website.

Pus formed in or near a tooth in soft tissues, is a symptom of several diseases:

  • purulent pulpitis;
  • periodontitis;
  • periodontitis.

Causes of pus formation

The cause of diseases accompanied by purulent inflammation of the tooth is usually the following factors:

  • poor oral hygiene;
  • decreased immunity;
  • gum injuries resulting, for example, from rubbing with a too-hard toothbrush or scratching on the sharp edges of a broken tooth;
  • drug allergies;
  • toxins.

Purulent inflammation of the tooth root

Reproduction of bacteria in the oral cavity provokes the onset of pathologies such as caries, gum inflammation.

Photo 1: In the initial stages, these diseases can be virtually asymptomatic, so patients usually do not begin to treat them on time. Source: flickr (Barnicles).

Caries quickly destroys tooth enamel. In the absence of treatment or due to unskilled intervention, hard tissue (dentin) is affected until the infection penetrates into the pulp (soft tissue in the tooth cavity that contains nerve endings). Inflammation occurs in this area - pulpitis. With progression of the disease and lack of timely treatment pulpitis enters the purulent stage.

Purulent pulpitis

Pulpitis leads to metabolic disorders and weakening of protective activity pulp. An abscess occurs, i.e. Pus forms in the tooth cavity.

Symptoms of purulent pulpitis

  • throbbing pain;
  • painful reaction to hot, sour, sweet;
  • pain spreads to the entire oral cavity;
  • swelling of the mucous membrane;
  • low-grade fever;
  • general malaise.

With the development of pulpitis, pus penetrates deep into the root of the tooth and spreads into the soft tissue near the root apex (periodontium). A dental granuloma forms - a small inflammation under the root. Granuloma in case of complications leads to the development of periodontitis.

Gum inflammation

Gingivitis develops due to the proliferation of bacteria or after injury - an inflammatory process that has various forms and is accompanied by the following symptoms:

  • pain when pressing and chewing, redness, bleeding of the gums (catarrhal form of gingivitis);
  • enlargement of the gums, closing of the crowns of the teeth by the gums (hypertrophic gingivitis);
  • necrosis, discharge of pus from under the teeth, increased temperature (ulcerative necrotizing gingivitis).

If inflammation spreads to the tissue around the tooth, periodontitis occurs. With this disease, a periodontal pocket forms between the gum and tooth, and the tooth becomes mobile. If in inflammation spreads to the tissue under the root of the tooth, periodontitis develops.

Pus under a tooth

Periodontal inflammation, i.e. tissue, thanks to which the tooth root is fixed in the jaw, is called periodontitis. There are chronic and acute forms of the disease. The chronic form in some cases is asymptomatic. With a decrease in immunity, chronic periodontitis turns into acute.

Symptoms of acute periodontitis

  • At first, a throbbing or simply aching pain is felt.
  • Then swelling occurs on the cheek, the pain intensifies, and the body temperature rises sharply.
  • When you press on a tooth or gum nearby, pus comes out from under the tooth.
  • Pus may also drain from a fistula on the gum. After the discharge of pus begins, the pain becomes less.
Important! Periodontitis can lead to osteomyelitis of the jaw - inflammation of the bone marrow.

What to do

At the first sign of gum inflammation or tooth pain measures must be taken to prevent the spread of infection. The following traditional methods are used for this:

  • Apply a piece of propolis to the sore tooth, press and leave for 20-30 minutes. Propolis disinfects well and relieves pain.
  • Apply an aloe leaf cut lengthwise to the gum.
  • Use chicory infusion to rinse.

For gum inflammation It is necessary to learn how to properly care for the oral cavity and regularly carry out hygiene procedures.

With hypertrophic form of gingivitis it is necessary to determine and eliminate the cause of the disease (allergy to medications, injury from a fragment of a decayed tooth, etc.).


Photo 2: If pus occurs in the gums, it is necessary to use antibiotics in addition to symptomatic treatment. Analgesics are used to reduce pain. Source: flickr (oliver.dodd).

When a fistula with pus forms First aid is to rinse your mouth with a soda solution, which must be prepared as follows:

One teaspoon of baking soda should be poured with a small amount of boiling water. After dissolving the soda, add water at room temperature to obtain a glass of very warm soda solution.

You should rinse as often as possible. It is necessary to ensure that the contents of the abscess under the tooth burst into the oral cavity. When the pus begins to flow out and the pain decreases, the soda solution when rinsing is replaced with a furatsilin solution.

Note! Even if you manage to get rid of the symptom on your own, you need to consult a dentist in order to avoid complications. Even in the absence of visible manifestations, an infection may remain inside the tissues.

Homeopathy treatment

Treatment of periodontitis is long-term, and its success depends on the qualifications of the doctor. To relieve symptoms during treatment and to help the body cope with the infection, it is recommended to consult a homeopath. Symptomatic Therapy with homeopathic remedies significantly alleviates the course of the disease and improves the prognosis.

DrugsPurpose

When any type of pus occurs, when the pain subsides with warm rinsing.

When any type of pus occurs, for people with pale skin and weak muscles.

With burning, sharp pain, as if from red-hot needles. In this case, the pain is not localized, wanders, and spreads to neighboring areas.
Plantago Major
For acute, unbearable toothache.

Good day, dear visitors of our site. We will discuss such a problem as pus in the gums. The phenomenon is unfortunately common. Some people develop a small abscess the size of a bead on their gums, while others come to the doctor with a face distorted by gumboil. Unfortunately, people underestimate the danger that a purulent abscess on the gum poses to the body. In especially severe cases, complications such as blood poisoning and even death of the patient are possible. Therefore, it is extremely important to consult a doctor in a timely manner for treatment.

Why does pus form?

It is worth noting that the causes of pus in the gums are so numerous that sometimes you wonder what can cause such a serious problem. If the gums above the tooth suddenly begin to swell, it is worth thinking about what caused the suppuration.


Pus in the gum - photo

Not only children can injure their gums. Adults are often injured by toothpicks and hard foods such as crackers, shelled nuts and seeds. All this leads to the fact that bacteria get inside the wound and begin to multiply unnoticed by you. Over time, an abscess forms.

Video - Purulent abscess of the root apex as a result of displacement of the pin beyond the tooth root

Symptoms

Swelling on the gums does not form instantly. First, a small formation appears, about the size of a pea or even smaller. People do not attach importance to such a phenomenon and it is completely in vain. Just as a bamboo stalk can grow almost a meter overnight, so in the same time an abscess can turn into a huge bubble the size of half a walnut, distorting the patient’s face.

The main symptoms, in addition to gum swelling:

  • weakness and general discomfort;
  • intoxication;
  • pain and boils;
  • increase in body temperature.

A blister of pus can appear anywhere. If it is in a visible place, the chances of detection are higher than if the formation is between the teeth.

If you do not pay attention in time, the purulent process can spread and develop into purulent periodontitis. To avoid the problem, use not only a toothbrush, but also floss (dental floss). Only in this case can you guarantee high-quality teeth cleaning at home.

Symptoms to watch out for:

A channel may form on the gum, through which the body independently removes accumulated pus. Removing it removes it, but the inflammatory process itself does not disappear. Often this indicates that the patient has either periostitis in chronic forms.

Sometimes an abscess can be confused with a cyst. The latter is no less dangerous. If it is not removed in time, bone destruction begins around it.

Purulent inflammation of the gums in pregnant women

A pregnant woman in itself is a big problem for doctors. Numerous changes in the body, hormonal surges, etc. lead to a number of negative consequences. Often during pregnancy, gums become inflamed. The process can also occur with the formation of pus in the gum pockets.

The mucous membrane is much less protected during this period. It is easy to injure and become infected. Therefore, women need to be extremely careful. No rough food, toothpicks or anything else.

Troubleshooting

Many patients, faced with such a problem as pus in the gums, simply do not understand what to do. If the disease occurs in a woman, child, or teenager, fear of visiting a doctor is common.

Someone starts looking on the Internet for articles about how to pull out and get rid of the problem at home with the help of some folk remedies and miraculous recipes that promise healing in one day. All this is natural. After all, a frightened person is rarely able to think sensibly.

Professional treatment comes down to the following scheme:

  • anesthesia of the gum area in which suppuration has formed. This is usually an injection of an anesthetic drug;
  • making an incision in the gum (if necessary, in the periosteum);
  • removal of pus;
  • installation of drainage on the gum;
  • elimination of the inflammatory process with medications;
  • use of antibiotics.
  • removal of drainage;
  • suturing the gum.

Pus in the gums - treatment

Even after removing the pus, swelling persists. It is also caused by the trauma that the gums received during surgery. A compaction appears at the site of suppuration, which persists for several weeks. If the operation was performed on a child, the doctor tries to preserve it. It is removed only under special indications.

It is important not only to remove the pus and eliminate the main symptoms, but also to provide subsequent treatment and support for the body. For this, not only antibiotics are used, but also physiotherapy, vitamins, and restoratives.

Pus in the gums of a child - treatment

If for some reason you cannot get to the dentist, follow these simple recommendations:

  • do not try to squeeze out the pus;
  • do not heat the gums, this will cause severe inflammation;
  • rinse your mouth with antiseptic solutions;
  • if there is chamomile, calendula, sage, and other herbs in the house, do not neglect rinsing;
  • Smoking and drinking alcohol-containing drinks are prohibited during treatment;
  • antiseptic solutions are effective;
  • Avoid foods that are too rough, hot or cold;
  • Use a toothbrush with not too hard bristles.

Some people believe that they should not brush their teeth during this period. This only causes bacteria to spread even faster. There is also no point in just taking painkillers. They do not affect the course of the process in any way. The inflammation will not go away on its own and the pus in the gum will not be removed without the help of a doctor.

If the cause of the abscess is periodontitis, you will have to undergo root canal treatment. In cases where the cause is periodontal disease, it is necessary to thoroughly clean the teeth of plaque and tartar. Otherwise, you will simply relieve symptoms temporarily. If periodontitis is suspected, an x-ray should be taken to ensure that the suspicion is correct.

If there is a cyst/granuloma at the root apex, it is most effective to perform a resection and remove the affected area along with the neoplasm. The operation is performed under anesthesia and will take about an hour.

If pus in the gums appears due to periodontitis, treatment also begins with a diagnostic examination - a panoramic radiograph.

Treatment options depend on the extent of the pus. If the process involves 1-3 teeth, the doctor removes deposits and rinses the periodontal pockets with antiseptic agents. If the need arises, the teeth are depulped. Anti-inflammatory drugs are used. In cases where many teeth are affected, we are talking about chronic periodontitis in the acute stage. Its treatment is carried out in the traditional way.

Video - Removing pus from the gums

Many people make warm compresses and hot rinses, and tie a woolen scarf around their cheek. This causes the abscess to grow in size and burst like a balloon. It’s even worse when a person tries to open it themselves, clean the gums, etc. The risk of causing an even more dangerous infection is extremely high.

Any rinsing should be at room temperature, otherwise you can only harm yourself.

If problems begin after visiting a doctor, you need to seek re-examination. A poorly sealed canal and other problems often lead to extremely negative consequences.

Traditional methods and their dangers

Methods for treating pus in the gums at home with folk remedies:

MeansApplication

Propolis is quite often used in folk medicine because of its anti-inflammatory and antibacterial properties. To cure purulent ulcers or abscesses in the mouth, you need to mix 10 g of crushed propolis and 100 ml of oil (preferably olive). Heat the prepared mixture slightly over heat, stirring occasionally, then strain through cheesecloth and cool. Lubricate the affected gum area with the resulting ointment 2 times a day.

The root of this plant helps in treating an inflamed wound in the gum. Application is quite simple: you need to chew the root in the morning on an empty stomach, then apply a compress from the crushed plant to the purulent lesion.

Even in childhood, we were taught to treat various wounds with the help of plantain leaves. This unique plant helps with various abscesses, inflammations and suppurations in the oral cavity. Simply apply a washed plantain leaf to the resulting wound.

This plant grows in almost every home, but many use it for decorative purposes rather than for medicinal purposes. A more mature plant has anti-inflammatory, cleansing and disinfecting properties. To treat, cut off the peel of the aloe leaf and squeeze the juice from the remaining part. Regularly treat the affected gum with the resulting juice.

To prepare the infusion, pour 200 ml of boiling water into 2 tbsp. l. plants and leave for 20-30 minutes. The liquid is then strained through cheesecloth and used as a rinse solution. You can also treat the surface of the gums with this infusion.

Due to its antioxidant content, green tea has an astringent and anti-inflammatory effect on the body. Just brew a mug of strong tea and rinse your mouth 2-3 times a day.

There are so many recipes you can't find on the Internet. All of them are presented as ancient and simply miraculous. But let's figure out how safe and effective such methods are. One of the proposed options suggests rubbing a mixture of a teaspoon of sea salt and two teaspoons of natural honey into the sore area of ​​the gum. In this case, you get two negative aspects at once - mechanical damage to the gums from salt crystals, and the entry of sugars that make up honey into the wound. That is, you first prepare favorable conditions for the bacteria, and then you also feed them.

Chamomile, calendula, and other infusions and decoctions will not harm you, but they will not eliminate the source of the problem. As already written above, their temperature should be at room temperature, otherwise you will only make things worse. Products based on eucalyptus, propolis, and aloe are more effective and non-hazardous. But before you start such experiments on yourself, consult a specialist. After all, no one can force you to undergo forced treatment.

Dear readers! If you have pus in your gums, contact your dentist immediately. Any delay is fraught with complications!

Video - What is an abscess?

The occurrence of foci of inflammation on the gums requires a mandatory visit to the doctor, since it may be a consequence of the development of periodontal abscess. What is the cause of this disease, and how to avoid its complications?

The presence of an inflammatory process in the gums can be detected already at the stage of its early development.

This is evidenced by:

  • the appearance of minor pain during eating and hygiene procedures;
  • the presence of slight bleeding when brushing your teeth daily;
  • discharge of a small amount of pus when pressing on the gum at the root of the tooth.

The progression of the disease leads to the formation of severe suppuration in the gums. Its size can increase sharply in a fairly short time and contribute to the spread of infection.

In this case it is observed:

  • deterioration of health, accompanied by an increase in body temperature;
  • a significant increase in pain that appears voluntarily or when touching the inflamed part of the oral cavity;
  • the occurrence of swelling of the soft tissues of the face on the side on which the abscess developed;
  • noticeable loosening of one or more adjacent teeth.

Causes

Timely identification of the causes of inflammation will help to avoid mistakes when choosing a treatment program and will contribute to its effectiveness.

Photo: Periodontal abscess can be caused by gum inflammation (left) or trauma (right)

What are the main reasons for the development of periodontal abscess?

  1. Periodontal inflammation. It is a consequence of the separation of gum tissue and exposure of the neck of the tooth. As a result, a periodontal pocket is formed, in which harmful bacteria often accumulate, causing the development and spread of infection. Intensive formation of periodontal pockets is promoted by:
    • Periodontitis. The appearance of a focus of purulent inflammation at the apex of the tooth root occurs in cases of poor-quality root canal filling in the dental office, as well as in cases of advanced caries or pulpitis.
    • Gingivitis. Inflammation of the gums is a consequence of the accumulation of pathogens due to poor oral hygiene, especially if accompanied by improper orthodontic treatment.
    • Periodontitis. Trophic damage to gum tissue contributes to the destruction of dental cells and subsequent loosening and loss of teeth. It can be the result of hereditary diseases, decreased immunity, and poor oral hygiene.
  2. Injury. Damage to the soft tissues of the oral cavity is also fraught with the development of periodontal abscess. The reasons for this may be:
    • Carrying out the procedure of brushing your teeth with a toothbrush that is too hard;
    • careless use of toothpick or dental floss;
    • a poorly installed crown that hangs over the gum and constantly injures it;
    • the presence of broken teeth, the fragments of which contribute to damage to the gums.
  3. Periostitis. This is an acute inflammatory process of the periosteum, which occurs when an infection enters the blood and lymph from an untreated carious tooth.

Video: acute purulent infection

What to do if there is pus in the gum

The development of a periodontal abscess is fraught with a host of complications: from blood poisoning to death.

Most experienced dentists strongly recommend that their patients refrain from self-medication. In questions about how to remove pus and prevent re-infection, it is better to seek the help of qualified specialists.

Treatment in dentistry

Treatment of the disease begins with a thorough examination in the dental office.

Before removing the pus, the doctor determines the causes of the development of the inflammatory process and the optimal ways to eliminate it. If necessary, dental plaque is removed, as well as tartar and food debris from under the gums (curettage).

All subsequent therapeutic procedures are carried out in two stages.

  1. Cleaning gums. An abscess is opened surgically to remove accumulated pus.
  2. Anti-inflammatory therapy. Taking antibiotics will help suppress the inflammatory process and prevent its further development. Under no circumstances should you start taking anti-inflammatory drugs on your own.

Photo: Drainage of an abscess - externally and through a periodontal pocket

Monitoring the course of the disease and prescribing medications should be carried out by an experienced doctor!

Treatment with folk remedies

The use of traditional methods of treating periodontal abscess is relevant:

  • to reduce pain when it is not possible to immediately get an appointment with a dentist;
  • to accelerate the regeneration of gum tissue after the opening of suppuration;
  • to prevent the occurrence of abscesses in the presence of risk factors.

This method includes the use of lotions and rinses using cheap and affordable products that can be found in almost every home.

  • Soda. Baking soda rinse solution. It is made at the rate of 1 teaspoon per glass of boiling water. It has anti-inflammatory properties and is used when it is impossible to immediately consult a specialist.
  • Ice. For the same purpose, in case of severe pain and swelling of the cheek, cold can be applied to it. It will stop inflammation and reduce pain. It is also possible to take drugs from the group of analgesics available without a prescription, such as tempalgin, pentalgin and paracetamol.
  • Hydrogen peroxide. Rinse solution made from hydrogen peroxide (concentration 3%) and water in a 1:1 ratio. It disinfects the oral cavity and prevents the increased development of pathogenic bacteria. The rinsing procedure is carried out once every two days. It is also perfect for home treatment after surgical opening of the gums.
  • Tea. Freshly brewed loose leaf green tea has anti-inflammatory properties. Pour a teaspoon of tea into a glass of boiling water and brew for 5 minutes.
  • Chamomile. Chamomile, due to its pronounced antiseptic properties, is used to prepare a medicinal decoction. To do this, pour boiling water over two tablespoons of chamomile and let it brew, filter for rinsing.
  • Aloe. An aloe leaf (at least two years old) is cut in half and the juicy side is applied to the inflamed part of the gum.

Important: the use of folk remedies cannot replace high-quality medical intervention. In addition, treatment with traditional methods requires following precautionary measures.

When deciding what to rinse your mouth with during inflammation, you should make sure in advance that there are no allergic reactions to one of the products used. It would not be superfluous to discuss its feasibility with your doctor.

When carrying out the rinsing procedure, it is necessary to cool the solution to room temperature. Using a solution that is too warm may increase inflammation. For the same reasons, contrary to popular misconception, you should not heat a sore spot.

The child has

The presence of suppuration on the gums of a child requires immediate attention to the dentist.

The children's immune system is not yet sufficiently developed, and the appearance of an abscess threatens the rapid spread of infection throughout the body.

Photo: Lump with pus on a child’s gum

The infection, in turn, promotes the absorption of toxins into the blood that can cause a number of dangerous diseases: from acute allergic reactions to bronchial asthma.

Even if, as a result of a break in the soft tissues, pus comes out of the gums, the most that can be done at home is to rinse the child’s mouth with a solution of salt and soda (one spoon of each product per glass of water). But it is better to immediately contact a specialist.

It is especially important to visit a dentist if an abscess appears on the gum of a baby tooth. This situation requires its immediate removal, otherwise progressive inflammation will cause the death of the molar rudiments.

If a child develops a periodontal abscess at the base of a molar, treatment is carried out according to the same scenario as in adults.

Complications

Complications from periodontal abscess can occur:

  • as a result of a negligent attitude towards the disease;
  • during and after surgical autopsy.

In the first case, infection may spread, as well as significant loosening and loss of healthy teeth.

Insufficient treatment for periodontal abscess can contribute to the transition of the disease to its more complex condition - phlegmon.

This is an acute, extensive inflammatory process that affects soft tissue, is difficult to treat and requires mandatory hospitalization.

Opening an abscess can be difficult:

  • the extensive size of the tumor, which requires the installation of a drainage tube for the outflow of purulent masses;
  • unstable physical condition of the patient caused by low immunity.

Complications after surgery include bleeding and recurrence of the abscess.

The risk group includes patients with chronic diseases of internal organs, having bad habits or long-term use of laxatives and sleeping pills, insulin, tranquilizers, etc.

Prevention

Preventive measures to prevent the formation of ulcers on the gums include:

  • complete oral hygiene;
  • using a soft toothbrush to avoid injury to the gums;
  • regular self-examination of the condition of periodontal pockets;
  • periodic sanitation in the dentist’s office (at least once a year);
  • timely treatment of carious teeth, as well as gingivitis, periodontitis and periodontal disease;
  • giving up bad habits (alcohol, smoking, drugs);
  • proper nutrition (no overeating).

Photo

There is a change in the color of the mucous membrane, as well as the presence of visible swelling of the soft tissues from the side of the inflammation.

The appearance of a periodontal abscess is always unexpected. When an abscess is discovered on the gum, many questions arise.

Is it possible to squeeze it out?

No. Removal of pus should be carried out by an experienced doctor, who should be contacted as soon as possible. Attempts to draw out purulent masses on your own may be ineffective and fraught with complications.

In addition, there is a risk of introducing and spreading a new infection. Before visiting the dental office, you can rinse your mouth with a saline solution, but it is better not to delay it.

What to do if pus comes after tooth extraction?

The appearance of pus in the area of ​​the hole left after an extracted tooth is a consequence of its infection and requires contacting a dentist.

What could be the reason?

  • Neglect of doctors' recommendations for oral care after surgery.
  • The absence of a blood clot in the cavity formed after tooth extraction, preventing the penetration of pathogenic organisms.
  • Decreased immunity.
  • Incorrect tooth extraction technique.
  • The presence of a foreign object in the wound cavity. This could be a fragment of a cotton swab, a splinter of a tooth, etc.

If it is not possible to immediately visit the dental office, rinsing can be done. To do this, use a solution of furatsilin (1 tablet per glass of water), as well as decoctions of chamomile, sage or calendula.

But even with a pronounced improvement in physical condition, it is necessary to consult a specialist.

Video: alveolitis after tooth extraction

As you can see, pus in the gums can become a serious problem. However, you should not panic ahead of time. Timely treatment will minimize the risk of complications of the disease and its relapse.