5 complications of dental avulsion that you should be aware of

5 complications of dental avulsion that you should be aware of

A dental avulsion is the removal of a tooth from the socket due to damage to the periodontal ligament that should hold the tooth in place. Dental avulsions can occur as a result of severe trauma to the mouth and face, especially the upper incisors. Usually, dental avulsion cases are found in children aged 7--14 years which are caused by injuries while playing or playing sports.

In the above age group, bone growth is still ongoing so it is very important to maintain loose teeth and the surrounding tooth structure until bone growth stops around age 21. This is important to note as the goal of treating the avulsion tooth, not only so that the tooth can be returned to its place and function again. In a tooth avulsion, the periodontal ligament is torn, causing the tooth to fall out of its socket. Blood flow to the pulp (where the nerve fibers in the tooth) are cut off, leading to the death of the pulp tissue. Due to the death of the pulp tissue, the loose tooth will no longer grow and is very susceptible to infection if left untreated. The retention of the remaining periodontal ligaments in the tooth socket affects the impact of tooth avulsion. If you maintain hydration of the ligaments, the chances of survival and recovery are high. The risk of infection in the area of ​​the loose tooth is also small. However, if the periodontal ligament is severely damaged and is not hydrated, an inflammatory reaction occurs which can further damage the tissue around the loose tooth. An inflammatory reaction can cause the bone to stick directly to the surface of the tooth root, causing the root of the tooth to be replaced by bone. This condition is referred to as replacement resorption.

Dental Avulsion Complications
Here are five dental avulsion complications you should be aware of:

 1. Color Change
After the avulsion, the teeth may turn gray or pink in color due to pulp bleeding. Color change can also be caused by a temporary resorption process so that the color change that occurs is also temporary.

2. Infection
Whenever there is dead tissue in the human body, germs can easily develop there. Pulp tissue death almost certainly occurs after the tooth has fallen out of the socket, which in turn increases the risk of infection of the avulsed tooth and surrounding tissue in the tooth structure.

3. Abscess
An abscess is a pus-filled sac caused by a bacterial infection. Tooth abscess can be found near the root of the tooth, or on the gum next to the tooth root. If left untreated, the infection from a tooth abscess can enter the bloodstream, causing fatal complications.

4. Ankylosis
The inflammatory process can cause ankylosis, which is the attachment of bone to the tissue around the teeth. Ankylosis makes it difficult for the teeth to move. When tapped, the teeth make a metal-like sound. The location of the teeth can also be seen to be lower than the adjacent teeth. In baby teeth, ankylosis prevents eruption of the permanent teeth.

5. Resorption
Tooth root absorption is the loss of cement and dentin due to absorption by bone cells, causing the tooth to become brittle and thin as its contents are lost. The absorption also makes teeth susceptible to infection and decay.

Save Tooth Loss in the following ways

Save Tooth Loss in the following ways

Tooth loss or tooth avulsion is defined as the detachment of the tooth from the socket in the gum. Permanent dental avulsions are often caused by accidents or trauma, and often occur in children aged 7-9 years. Immediate handling is very important, especially in the first 30 minutes to save a loose tooth.

Miscellaneous Handling of Dislodged Teeth
First aid measures in the field immediately after a tooth has fallen out include:

  • Find the loose tooth, hold it against the tooth crown. Avoid holding the teeth by the roots as this can cause damage.
  • If possible, return the tooth to its original position, then let the patient press it with the tongue. Immediately to the dentist for further treatment.
  • If the tooth cannot be returned to its original position, put the tooth in the milk.

1. First Handling
It is important to know how long it has taken the tooth to come out (dry time). After more than 30-60 minutes, the periodontal ligament is permanently damaged. These damaged cells cause inflammation and ultimately lead to ankylosis, which is a joint that becomes stiff due to the fusion of two bones.

2. Dry Time Less than 30 Minutes
If it is less than 30 minutes since the tooth is dislodged, the periodontal ligament is most likely still alive and will grow back. Currently the tooth is susceptible to resorption, which is absorption of the dentin layer and tooth cementum due to inflammation. To prevent inflammation, the teeth are immersed in special media that has been given antibiotics and steroids for 20 minutes. Meanwhile, the mouth and gums are cleaned. After 20 minutes, the tooth can be replanted and given a tool to maintain the stability of the tooth that was placed for 10 days.

3. After 10 Days
After the splint is removed, the dentist will check whether the implanted tooth is loose and if the tooth is still alive (vitality test). If the vitality test shows that the tooth has survived, the implant is considered successful. Evaluation in the form of dental X-rays can be done, ideally in the first, third, and sixth months. If signs of resorption are found, the inflammatory process can be stopped with root canal treatment (PSA). If it turns out that the tooth does not survive after 10 days, new blood vessel formation is almost impossible to occur so root canal treatment is required, followed by photo evaluation. X-rays.

4. Dry Time> 30 Minutes
If the tooth is out of the mouth for more than 30 minutes, periodontal ligament damage is almost certain, and resorption is likely to occur. If this occurs in children, it can affect alveolar bone growth. The best course is to temporarily replant the tooth until the alveolar bone growth is complete. Only then did the dentures be installed.

5. Apical foramen> 1.3 mm
The apical foramen is a small hole at the end of the tooth root, which is where the pulp tissue enters the pulp cavity inside the tooth. In children <9 years with a wide apical foramen, the teeth can be attempted to retain. Fluoride is given to slow down the resorption process. Within 1 week after the incident, root canal treatment should be started.

6. Apical foramen <1.3 mm
If the dry time is more than 30 minutes, plus the size of the apical foramen that is less than 1.3 mm, the result is usually not optimal and often causes ankylosis. Often it is in these cases that the teeth cannot be preserved.

7. No Tooth Found
If the tooth is not found after being dislodged, therapy will be carried out to maintain the integrity of the tooth socket. Dental implants in children are not recommended because they can interfere with the growth of the upper jaw, mandible and teeth.

These 4 Conditions Can Trigger Gum Pain

These 4 Conditions Can Trigger Gum Pain

Gum pain occurs due to gingivitis or inflammation of the gums. This condition can irritate and cause tooth loss. Inflammation of the gums begins with the formation of plaque or biofilm on the teeth. This plaque is transparent so it is difficult to see with the naked eye. Plaque consists of a collection of bacteria that stimulate inflammation by releasing inflammatory mediators.

When there is inflammation of the gums, the gums will appear swollen, reddish compared to normal gums, and bleed easily when brushing. Inflammation of the gums is generally chronic and does not cause gum pain. This makes most people realize too late and only come to the doctor after a complaint such as loose teeth.

Conditions that cause gum pain
Although most gingivitis is chronic, there is also acute gum inflammation that occurs suddenly and causes gum pain. Acute gum inflammation that causes gum pain is usually triggered by the following conditions.

1. Food impaction
Food impaction is a situation when the food we chew gets stuck between two teeth or on the gums. Generally, fibrous foods such as meat are most often impacted. The complaints you feel when you experience this are pain and discomfort at the site of the impact. The pain may disappear after a while and come back with the next meal. The pain you feel will disappear completely when the rest of the food has been removed. Apart from being sick, if this food is left idle it can cause caries. You can remove it by using a toothpick or dental floss.

2. Pericoronitis
Acute pericoronitis infection is an infection that commonly occurs in teeth that are partially erupted (growing) and partially covered by gum tissue usually occurs in wisdom teeth, or molars that are located at the tip. This causes severe gum pain that can be felt suddenly. In addition, gum pain can also appear when you close your mouth. In more severe cases, there may be limited opening of your mouth and the pain may get worse when chewing. This inflammation of the gums requires a doctor's action to overcome it, for example by removing the opposing tooth to prevent trauma. It is recommended that you rinse your mouth with normal saline or antibacterial fluids. In severe cases that cause limited mouth movement or fever, the patient can be given antibiotics.

3. Bacterial infection
Gum pain due to bacterial infection occurs in conditions of Acute Necrotizing Ulcerative Gingivitis (ANUG) or acute ulcerative gingivitis. This condition is rarely found in people with good immune system. People with immunocompromise (decreased immune system), such as people with HIV / AIDS with low CD4 cell counts and chronic malnutrition are prone to developing this condition. People with HIV are more susceptible to oral health, because HIV itself weakens the sufferer's immune system. As a result, the infection is hard to beat. According to the World Health Organization (WHO), about 40-50% of people with HIV have oral infections that can cause complications in the mouth. In this condition, the pain is generally felt at the border of the gums, accompanied by bleeding and tissue. necrosis. The pain you experience can get worse when you eat and brush your teeth. One of the hallmarks of ANUG is a mouth that smells of iron, and sometimes fever and malaise may occur.

4. Virus infection
Gum pain can also be experienced in children with primary herpetic gingivostomatitis. This disease is an infection of the herpes simplex virus type 1 which causes inflammation of the gums. The gums and surrounding mucosa that are infected will appear reddish, shiny, swollen, and may be accompanied by bleeding. 

In the early days, small bumps appear in large quantities on the gums, surface of the oral cavity, or the tongue. After 24 hours the flex will burst, forming a wound that causes pain. Apart from gum disease, children can also experience fever and feel weak.

These are the causes of cavities that you need to avoid

These are the causes of cavities that you need to avoid

You have often heard about the prohibition of consuming sugary foods or drinks because they can cause cavities. But you know, the direct cause of cavities is not really sweet?

Tooth cavities can be caused by many factors that influence each other. In addition, there are many risk factors that can lead to tooth decay. Here is a further explanation of the causes of cavities, so that you better understand this very common disease.

Causes of cavities that you need to recognize
Plaque is the main factor that causes cavities. Dental plaque is a sticky substance that sticks to the surface of the teeth. Plaque is a combination of bacteria, saliva, acids, and food scraps. When you eat sugary foods or drinks and don't clean them properly, the leftovers can build up and stick to the surface of your teeth. By the bacteria present in the oral cavity, the remaining sugar will be converted into acid, which will form on the surface of the teeth as soon as you eat or drink. Slowly but surely, the acid contained in plaque will erode the outer surface of the tooth (enamel). If your teeth are not cleaned regularly or how you brush your teeth is wrong, then plaque will still stick to the teeth and continue to erode the surface of the teeth. The plaque can appear all over the tooth surface and will disappear after you brush your teeth. However, sometimes there are areas of the teeth that are difficult to clean, such as between the teeth or in the grooves on the upper surface of the molars. Because of this, cavities generally form in both areas. In addition to damaging the surface of the enamel, the bacteria on the plaque will continue to eat away at the tooth to the layer underneath, namely the dentin. When the cavity has reached the dentin, that's where the pain will arise. Bacteria can also spread further to the layer of the tooth beneath the dentin, which is the location of the tooth nerve, and can cause the tooth nerve to become infected to death.

Risk Factors for Cavities
Everyone has a risk of having cavities. However, the factors below can increase this risk.

1. Location and arrangement of teeth
As mentioned above, cavities generally occur in the molars. Because on the surface of the tooth, there are many grooves that are difficult to reach by a toothbrush. In people with crowded teeth, the risk of cavities also increases, because many areas of the tooth are covered by other teeth, making it difficult to clean.

2. Sweet Foods and Drinks
Sweet foods and drinks such as ice cream, candy, soda, or honey, can stick to the surface of the teeth for a long time. This is because these foods and drinks have a sticky consistency, making it more difficult for saliva to remove them as a natural tooth cleaning mechanism. Sugar is also the main food for bacteria that cause cavities. These bacteria will continue to produce acids that can damage teeth.

3. Habits of Eating Before Bed
In babies and children, drinking milk before bed without cleaning it first after finishing, is a habit that can cause cavities. The remains of milk that are not cleaned during sleep will be turned into acid by bacteria that cause cavities.

4. How To Brush Your Teeth Wrong
If you are not diligent in brushing your teeth after eating, plaque can build up on the surface of your teeth. You also need to pay attention to how to brush your teeth properly, so that your teeth can be cleaned perfectly.

5. Dry Mouth
Dry mouth is caused by a lack of saliva in the oral cavity. In fact, saliva plays an important role in preventing cavities. Saliva has a function as a natural cleanser in the oral cavity.

6. Certain Diseases
Diseases such as gastroesophageal reflux disease (GERD) or eating disorders can also be risk factors for cavities. In people with GERD, stomach acid can rise into the oral cavity, causing the oral cavity to become acidic. Likewise with eating disorders such as anorexia or bulimia.

Recognizing the causes of cavities and risk factors can make you more careful in maintaining healthy teeth and mouth. Don't forget to regularly check the condition of your teeth and mouth to the dentist, at least every 6 months.

Mouth Feel Dry? Beware of the Cause and the Result!

Mouth Feel Dry? Beware of the Cause and the Result!

Dry mouth is not a serious problem. That's what most people think. For a moment this condition feels like something trivial, but in fact, if the lack of saliva in the oral cavity occurs continuously, it could be a sign of something serious.

Cause the mouth feels dry
A dry mouth can have many effects, from the harmless to the most alarming. The cause of dry mouth needs to be explored in detail so that there is no mistake in handling it. Dry mouth can be triggered by one particular drug, such as antihistamines for allergies, depression medication, and so on. Use of narcotics, drinking alcohol, and smoking can also contribute. If you are undergoing chemotherapy, it is possible that chemotherapy drugs can also cause dry mouth. In certain cases, damage to nerves or certain diseases can cause this condition, such as diabetes, stroke, HIV / AIDS, Alzheimer's, and so on. Likewise with sleep disorders, such as snoring, sleep apnea, breathing through the mouth, and so on. Sometimes, dry mouth can be caused by other things, such as the use of lipstick that sticks to the teeth, and not drinking enough water. In addition, this condition can also be caused by an immune system disorder called Sjogren's syndrome.

The consequences that can be experienced
Don't underestimate the dry sensation of your mouth! Apart from being annoying, dry mouth can cause other problems, such as sores in the mouth or in the corners of the mouth, difficulty in chewing and swallowing, bad smelling mouth, and dry lips. These conditions not only cause minor disturbances, but can also cause irritation. serious, such as increased dental plaque, tooth decay, cavities, gum disease, and fungal infections in the mouth. While dry, the mouth seems unable to cause any damage to teeth, but dry mouth can decrease the production of saliva which is a natural tooth cleaner. . A decrease in saliva production can increase the risk of tooth decay and gum disease.

Symptoms of a dry mouth
Dry mouth is sometimes harmless and can be treated by drinking water. However, you need to watch out for dry mouth that doesn't go away with the following symptoms:

  • Bad-smelling breath
  • Difficulty chewing, speaking, and swallowing
  • Difficulty using dental care
  • Changes in the sense of taste
  • Thick, stringy saliva
  • Dry, painful, hoarse throat
  • Dry and sticky taste in the mouth
  • Dry and squiggly tongue

Check the cause of dry mouth

The doctor will find out the cause of the dry mouth before providing appropriate treatment for the sufferer. In addition to examining the mouth and asking about medical records and medicines being consumed, the doctor may perform other examinations, such as:
  • Imaging tests to view the salivary glands
  • Blood test
  • A test to measure the level of saliva produced
  • Removal of tissue from the salivary glands in the lip to check for Sjogren's syndrome (biopsy)

Is there a way to deal with dry mouth?
A dry mouth that causes discomfort should be checked by a doctor immediately so that you can get the right treatment. The doctor will give you drugs to increase saliva production or products that can replace saliva. However, you can try to do certain things to reduce the sensation you feel. Consumption of alcohol, caffeine, and certain drugs that trigger the side effects of these conditions should be avoided because they can worsen oral conditions. Mouthwash and toothpaste that contain alcohol also need to be avoided. Chewing gum or sugar-free gum can be relied on to stimulate the production of saliva in your mouth. Water consumption should not be forgotten, try to be able to consume enough water every day. When chewing, you can mix food with gravy, sauce, etc. to make the food more moist and mushy to eat. Avoid foods that are high in sugar and salt, and dry. Eat foods that are not hot. Breathe in using your nose, because breathing through your mouth can make your mouth feel even drier. You can also turn on a humidifier to add humidity to your bedroom.

Hopefully the tips above can help reduce dry mouth conditions. However, if the dry mouth problem you experience does not go away or gets worse, consult a doctor immediately.

Causes of festering gums and the right way to overcome them

Causes of festering gums and the right way to overcome them

THEBOEGIS.COM - Have you ever experienced festering gums? This condition generally appears accompanied by swelling and other preceding symptoms, such as cavities and tartar buildup.

Although it is quite often experienced, not many people really understand the causes of this one gum disorder. In fact, the treatment for festering gums can be different for each person depending on the initial cause.

The cause of the gums to fester

The common cause of festering gums is when a person has a bacterial infection. When you have an infection, bacteria in the oral cavity will continue to grow and result in a buildup of fluid, or what is commonly called pus.
Over time, this buildup will make your gums look swollen. This condition is called an abscess. When the gums can no longer hold the pus, the abscess can burst. Pus can also leak out, through the gums and teeth.
Here are some conditions that can cause a buildup of bacteria that causes festering gums.


1. Poor oral and dental hygiene
If you do not maintain proper oral and dental hygiene, plaque buildup will occur. Plaque on the teeth that is left unchecked will eventually harden and become tartar.
Tartar can cause inflammation in the gums and other supporting tissues of the teeth, which is known as periodontitis. If not treated immediately, periodontitis can cause a gum infection called a periodontal abscess.

2. Cavities
Cavities are ideal entry points for bacteria. Bacteria can enter the teeth, then go to the end of the roots. If a cavity is not treated immediately, the buildup of bacteria in it will trigger the formation of a tooth abscess at the end of the root, and cause the gums to fester.


3. Wisdom teeth grow sideways
Wisdom teeth that grow sideways can indeed be the source of the problem. Besides being able to trigger toothache, this condition can also trigger the gums to fester. The reason is, when wisdom teeth grow sideways, the open gums can become an entrance for bacteria.
These bacteria can cause you to develop an infection called pericoronitis. That is why, when wisdom teeth grow sideways, you can feel swollen gums, fever, and even festering gums.

4. Weak immune system
Some people can experience a weakened immune system due to treatment procedures such as chemotherapy, use of steroid drugs, and certain diseases, such as diabetes. This makes the body more susceptible to bacterial attack, including bacteria that cause festering gums.

Symptoms accompanying purulent gums 

Many other dental diseases can progress to be severe, without any particular symptoms. However, this does not apply to purulent gums. The appearance of purulent gums is generally accompanied by other symptoms such as severe pain, redness in the gums, and swelling.

Other symptoms that can be recognized include:

  • Sensitivity to cold and hot stimuli from food or drink
  • Pain when chewing
  • Difficulty swallowing food
  • Swelling on the cheeks
  • In some cases, there are loose teeth
  • There is a bad taste in the mouth due to the pus seeping out
  • Fever

How to deal with suppurating gums
One way to deal with suppurating gums is to do root canal treatment
Only a dentist can treat gums with pus. Therefore, you are not advised to treat festering gum conditions at home. Unlike when you have other bacterial infections that can rely on the body's defense system to fight the cause of the disease, treatment such as taking pain relievers and warm compresses will only temporarily relieve this condition.

Some of the ways that the dentist will deal with suppurating gums are through: 

• Root canal treatment
If the festering gums are caused by a large cavity, then the treatment that can be done to treat this condition is root canal treatment.
Root canal treatment is a root canal cleaning procedure to remove tooth nerves that have died due to bacteria. In this treatment, the root canal will then be filled with a special material that can help remove bacteria, so that the abscess can deflate.

• Gum curettage
If the gum festering is caused by periodontitis, the doctor may perform a gum curettage procedure. But before that, the doctor will suck the pus from the swollen gums. After that, with a special gum curette, the doctor will remove the damaged gum tissue due to infection.
The doctor will also clean the tartar (tooth scaling) until the dirt that sticks from the crown to some of the roots of the teeth is gone.

• Minor surgery
If the abscess in the oral cavity is large enough, the doctor can perform surgery by making a small incision in the swollen gum as a way out of the pus. Prior to this procedure, the doctor will give you a local anesthetic so that the area around the gums that is swollen and suppurating can be immune.

• Administration of antibiotics
Antibiotics are provided as a companion treatment, in order to accelerate the healing of suppurating gums. In addition, giving this drug will also help relieve your condition which has an infection.
Apart from antibiotics, pain relievers and anti-inflammatory drugs can also be prescribed following other purulent gum treatment procedures to relieve pain and help treat swollen gums that are infected.

• Tooth extraction
In severe conditions, the doctor will remove the tooth which is the source of the bacterial infection. During the extraction process, pus will come out along with blood. The dentist will clean the area of ​​the extraction with a special liquid so that no more bacteria are left.

What happens if the suppurating gums are not treated immediately?
If not treated promptly, festering gums can cause various complications. The infection that occurs can spread to the face and jaw. In fact, in severe conditions, the infection can spread to the neck area.
The most severe complication that may occur from suppurating gums is sepsis. Sepsis is a bacterial infection spread throughout the body and can cause disturbances in vital organs, thus threatening life. However, this condition is very rare.

How to prevent gum festering
brushing your teeth regularly can help prevent the gums from festering
Festering gums is a condition that is very likely to be prevented. To prevent gum festering, here are some steps you can take.

Brush your teeth regularly. Brush your teeth at least twice a day, after breakfast and before bed.
Floss your teeth. Dental floss or dental floss will help clean between teeth that are not reached by the brush.

Eat healthy foods. Reduce consumption of sweet and sticky foods because they can increase the risk of cavities. 

Check your teeth regularly. Go to the dentist at least every six months so that dental diseases can be detected and treated immediately, before they become severe.

When the festering gums have started to occur, it is a sign that the damage to the teeth or other areas in your oral cavity has been severe enough. Immediately check the condition of the festering gums before dangerous complications occur in the teeth and gums and other areas of the oral cavity.