The fistula burst the root under the crown. A dangerous phenomenon that accompanies inflammatory processes is a fistula on the gums: photos, causes and treatment of the pathological process.

dental fistula (fistula)- this is a hole between the gum and the apex of the tooth root (channel for the removal of pus), which is formed due to inflammation of the tooth, for example, or.

It is divided into external and internal. If pus accumulates at a distance of up to 3 mm from the surface, suppuration quickly breaks through.

As a result, a tubular formation is obtained. If the pathogens have completely left the place of suppuration, such a channel heals over time. But this is in a few cases out of a hundred.

In the rest, either suppuration does not go away, or a purulent formation deeper than 3 mm is an internal fistula that can break through in an unexpected place with unforeseen consequences. Therefore, it is better to adhere to the golden rule: “if something hurts and or swells in oral cavity, then this is the hour when you should contact the dentist.

Causes

All causes of occurrence can be divided into 4 groups:

Complication of the underlying disease - periodontitis, caries, pulpitis.
Mechanical: penetration of pneumococci, gonococci, streptococci and other pyogenic bacteria into the pulp (soft tissue of the tooth); foreign objects entering the pulp, for example, food residues through damaged enamel; periodontal deformation due to the growth of a wisdom tooth, which can cause pathogens to enter the dentin.
Poor quality treatment: poor-quality filling, prosthetics, crowning, implant installation; root perforation; entry into the pulp of hydrophobic and toxic drugs, for example, arsenium (arsenic) after temporary filling.
Failure to comply with oral hygiene standards and failure to comply preventive measures after the treatment of a particular dental disease.

Symptoms

All symptoms are classified by type:

Outer

Symptoms:

Bad smell from the mouth, even after proper care behind the oral cavity.
Unpleasant permanent aftertaste and yellowish salivation, even some time after eating.
Changing the structure of the gums - you can feel with your tongue, the hole formed or the thinnest septum behind which there is a void, if the suppuration is displaced into the periodontium or a hole in the tooth enamel, if the suppuration is displaced towards it.
Liquid release bad smell and taste when pressed sore spot.

Interior

Symptoms of an internal fistula are similar to those of other dental diseases, for example,.

Symptoms of the occurrence of an internal fistula are quite diverse: swelling on the gums; heat- in the evenings more than 38, and in the mornings not lower than 37.2 degrees, despite taking antipyretics; headaches; an increase in the tooth and or gums, possibly the tongue; increase lymph nodes.

Depending on the type, a dental fistula is accompanied by redness on the gums, tooth pain when pressed, and sometimes tooth mobility.

How to treat?

Before choosing one or another method of treating a dental fistula, however, like any other disease, the dentist conducts a diagnosis. To detect external, a visual inspection is sufficient.

To diagnose the internal - you need a dental x-ray. An x-ray is performed in any case, since a fistula may be a consequence concomitant disease.

In this case, the main attention is paid to the treatment of the disease, then the main source of infection is removed, and the treatment of the pus outlet channel is either carried out in parallel with the main treatment, or treated after the elimination of another disease, or only the fistula is eliminated as the main ailment.

Ways

The method (method) depends on the type of impact on the fistula:

medical- carried out on early stage suppuration, or when, due to the large depth of formation, it is not possible to apply other methods. Medical method is basic. It is applied as the only way treatment or in combination with other methods, because only antiseptic drugs can completely destroy harmful microorganisms in the focus of suppuration. The choice of the drug is carried out by the attending physician, depending on the effectiveness against microorganisms of this class, the patient's individual tolerance, and other factors.
Laser and ultrasound therapy. This method is used for external fistula after undergoing drug therapy. The main task is to cauterize the dentin before filling.
Surgery - at an advanced stage, when a - (benign solid formation) or a granuloma (purulent bladder) has formed at the site of the main suppuration, the breakthrough of which can develop into a gingival fistula.
Removal of a tooth- in case of impossibility of carrying out the operation without the occurrence of complications or in order to save the patient's money at his request.

If a fistula is found in a child, it is better to remove this tooth. Firstly, milk teeth fly out sooner or later; secondly, there is a risk that pus enters the stomach or soft tissues, and these are additional complications, and pain negatively affects the child's psyche.

Possible consequences

with untimely treatment of the fistula, there is a high probability of getting periodontal disease

Where is it easier for pus to blaze a path? Naturally, not through hard enamel, but through soft periodontal tissues.

In 80% or more cases, a dental fistula develops into a gingival fistula, and these are:

The occurrence of periodontal disease.
Periodontal destruction.
Destruction of bone tissue in the jaw.
The entry of pus into the lymphatic or circulatory system.
Fistula rupture on the cheek.

Folk remedies

Dental fistula treatment folk remedies without prior consultation with a dentist is not advisable, and sometimes dangerous the following reasons:

It may not be a fistula at all.
The antiseptic action of plants is much weaker and slower than that of antibiotics.
Many plants can be allergic.
Symptoms may become dull for a while, and the pus outlet can be tightened without removing toxins.

Folk remedies should be used only in preventive purposes.

This treatment(prevention), mainly comes down to decoctions of herbs that have an anti-inflammatory effect - sage, yarrow, calendula flowers, eucalyptus leaves, etc.

These plants not only relieve inflammation, but also draw out pus. Calendula, yarrow and eucalyptus are good antiseptics.

Important:

In no case do not rinse the mouth with alcohol tinctures! Alcohol introduces most bacteria into suspended animation, and this significantly prolongs their existence.
It is better to buy herbs in special herbal pharmacies with detailed instructions and dosages, otherwise you can burn the oral cavity, or reduce the effectiveness of the plants.

Prevention

Observe oral hygiene: brush your teeth 2 times a day; rinse the mouth with herbal decoctions and or dental elixirs
The diet should contain foods that include calcium, for example, cottage cheese.
Reduce chewing load, for example chewing gum, replace frequent cleaning teeth and sucking mints.
Avoid sudden changes temperature in the oral cavity, this adversely affects the integrity of the dental enamel.
2 times a year to undergo an examination at the dentist and carry out professional cleaning teeth from plaque and stones (solid salt formations on tooth enamel).

IN dental practice there are frequent cases of fistulas on the gums, or, as they are also called, dental fistulas. This is a rather serious pathology, the treatment of which cannot be delayed. But before starting treatment, it is necessary to establish the cause of this phenomenon.

What is a fistula on the gum?

A fistula is a hole in the gum associated with a focus of inflammation located at the top of the root of one of the teeth. This is a kind of channel for removing purulent discharge from the affected focus. As a rule, the fistulous opening appears in the projection of the apex of the root of the diseased tooth.

You can determine the disease during a routine examination at the dentist, as well as with x-rays of the tooth. Radiography is performed to obtain a complete picture of the disease.

Fistula of the gums - symptoms:

toothache, aggravated by chewing or touching the tooth;
increased mobility tooth
swelling and redness of the gums above the tooth;
purulent discharge from the fistula.

Reasons for the formation of a fistula on the gum

The inflammatory process in the area of the root of the tooth, leading to the formation of a fistula, may begin due to the following reasons.

Untimely treatment of caries and pulpitis

If the treatment of caries is not carried out in a timely and proper manner, this leads first to pulpitis, and then to periodontitis. With pulpitis, the inflammatory process affects only the pulp of the tooth, but without treatment, the infection from the pulp gradually penetrates into the area of the apex of the tooth root, where a focus of purulent inflammation begins to develop.

Poor quality root canal filling

Root canal filling is usually performed in the treatment of periodontitis, as well as in preparing teeth for crowns. As practice shows, this procedure in some cases is carried out poorly. Namely, in most cases, filling is not performed to the top of the tooth root, as required.

As a result, an infectious-inflammatory process develops in the unfilled part of the canal, which gradually goes beyond the tooth and causes purulent inflammation(periodontal purulent abscess). Also, poor-quality filling may be due to the fact that the lumen of the root canals is not sufficiently densely filled with a filling substance - there are pores and voids along the canal.

Erroneous perforation of the tooth root

A tooth perforation is a non-physiological hole in a tooth that is mistakenly made by a dentist during root canal work. Such holes also cause the development of an extensive purulent inflammatory process, followed by the appearance of a fistulous canal on the gum.

Untimely eruption of the wisdom tooth

Delaying or complicating the process of teething a wisdom tooth can lead to inflammation of the gums and an increase in its size. Permanent trauma to the opposite tooth with outer side and a sprouting tooth from the inside causes purulent process and fistula formation.

What is dangerous fistula on the gums?

Left unattended by long time a fistula on the gum threatens with the appearance of negative consequences:

Treatment of a fistula on the gum

To date, for the treatment of dental fistula, many modern methods: laser exposure, electric cauterization, ultrasonic method etc. In without fail appointed drug therapy, namely, the fistula on the gum is treated with antibiotics and. If a dental fistula has severe form then surgical treatment is indicated.

Dental fistula is a cavity located on the surface of the gums, which is filled with pus.

Most people try to cope with such an ailment on their own, but this should not be done.

To fix this problem, you must definitely contact your dentist.

In most cases, fistulas appear due to poor-quality dental treatment.

If the cavity is not completely cleaned and it is already sealed with a filling, then bacteria can multiply under it. Gradually, the tooth begins to collapse and a focus of inflammation appears, emerging on the gingival surface in the form of a fistulous formation.

This problem can be caused by inexperienced dentists with insufficient practice, for example, the doctor, while cleaning the canals, did not see that the tooth had crooked roots. Such teeth require more careful processing, and the specialist applied the usual processing to them, as a result of which a small void formed above the filling. More experienced doctors take an x-ray of a diseased tooth in order to immediately identify existing problems.

The symptoms of this disease are pronounced:

A certain area on the gums begins to itch, and when you press it, pain appears
visibly swollen and reddened
When a piece of food (especially hot, cold or sweet) gets on the tooth, pain occurs
The tooth may loosen in the gum
Localized pustules appear in the gum area, which leads to an increase in body temperature

If at least one of the symptoms listed above is observed, a mandatory visit to the dental office is necessary. This will prevent the occurrence possible problems in future.

Treatment methods for the disease

Before treating a gingival fistula, the specialist will definitely send the patient for an x-ray of the tooth. This will help to fully assess the disease, as well as see how the fistula has grown on the surface. In no case should you start the treatment of such a disease, because infectious inflammation will penetrate deeper into the gum tissue over time. It is recommended to first completely cure, clean the cavity and seal it with a filling.

Dental fistula is the result of poor dental treatment

After that, it is recommended to treat with antibiotics. Together with them, the patient in most cases will be offered the use of drugs with antihistamine action to prevent the occurrence of possible allergic reactions.

In order to remove inflammation and swelling on the surface of the fistula, dentists advise using special salt-based baths (1 tsp per glass warm water). As local treatment gels or with antibacterial effect are used.

If the case is too advanced, dentists have to completely remove the damaged tooth and then scrape out the fistulous cavity with pus. This is done in order to prevent the spread of infection in the gum tissue.

After that, the patient needs to visit the doctor's office several times. The specialist will act with ultrasound or a laser on the gum area that has been operated on. Such methods, together with medication treatment, will help to remove bacteria in the affected area much faster, and, therefore, accelerate healing.

Folk recipes

In the treatment of dental fistula, you can resort to the help of traditional medicine. But this therapy should be carried out after consulting a dentist.

With the help of such recipes, you can limit the spread of the focus of infection, alleviate pain in the affected area. These methods are best used in parallel with drug treatment.

The following compounds have a good anti-inflammatory effect:

Infusion based on eucalyptus or yarrow. With such means, it is necessary to rinse the oral cavity, briefly retaining the liquid in the area where the inflamed area is located (it can be used for children). It is recommended to carry out such procedures at least 5 times a day. Only in this case they will have the necessary antiseptic effect and promote the healing of the gingival fistula.
Propolis is considered an effective remedy for such a problem. alcohol tincture diluted in water (3 drops per 0.5 cup of warm water). It should be remembered that this composition can not be used by children.

Unpleasant consequences of the disease

Oral hygiene is the key to dental health

The occurrence of a fistula on the gum can lead to a variety of consequences.

Here everything will depend on when exactly the patient turned to a specialist. If this happened at a very early stage, then the outcome of therapy will be favorable.

After the dentist thoroughly cleans the canals and changes the filling, the tooth can be saved. But in order for the recovery to be complete, long-term therapy may be needed.

If the patient constantly postpones a visit to the dentist, this can cause the following problems:

tooth loss
the appearance of a constant source of infection in the mouth
organism
the occurrence of carious formations on adjacent teeth
the appearance of a focus of inflammation on nearby gum tissues

In order to avoid such problems, it is necessary to seek the help of a professional dentist.

Prevention measures

To avoid the appearance of a dental fistula, you must follow simple and effective rules:

You need to carefully monitor oral hygiene. This means brushing your teeth twice a day, or better, after every meal. In addition, the use of dental floss is mandatory. This tool will help to quickly get rid of food debris in the interdental spaces, and, therefore, prevent the occurrence of caries.
You should regularly visit the dental office for preventive examinations.
It is necessary to treat all teeth in a timely manner if there are suspicions of.
It is also important to choose a reliable and experienced specialist. It is best to choose dentists with extensive experience and positive reviews patients.

Only with the help of such a competent approach can one maintain health and never know what dental diseases are.

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Any disease affecting the teeth or gums requires an urgent visit to the dental clinic. Only a doctor is able to correctly diagnose and, if necessary, carry out the necessary treatment.

It is almost impossible to independently determine the nature of pain or inflammation in the oral cavity without appropriate preparation.

With special seriousness, it is necessary to take such an education as a fistula. Only a dentist can determine the cause of the disease, its nature and possible ways treatment. If the patient postpones a visit to the doctor for a long time, he may even lose one of his teeth.

Fistula is a disease that has inflammatory character. It looks like a hole or a bag on the gum. In fact, this is a channel inside the gum, which connects its surface and suppuration in the area of the tooth root.

On it, the resulting fluid and purulent masses are discharged from the focus of inflammation. In the vast majority of cases, it can be detected with a simple visual inspection with the naked eye.

A fistula is formed on the gum due to the growth of connective tissues (granulation). As a result, the healing process becomes more difficult. inflamed root or nerve of the tooth. What causes infection, rapid reproduction pathogenic bacteria and suppuration.

With a prolonged course of the disease, growing granulation disrupts the mucous and bone tissue of the gums. Pus begins to flow onto its surface, a fistula forms.

Apart from the obvious ones, this dental disease has other symptoms:

Most accurate diagnosis allows you to put the use of x-ray equipment. But in most cases, you can confine yourself to a simple inspection.

Disease classification

In the photo, an external fistula on the gum

A fistula on the gum can be external or internal:

Education outer shape the patient, as a rule, discovers independently. This is usually the reason for visiting the dentist.
Interior It is extremely difficult to diagnose by visual examination. An X-ray is needed to detect it. internal flow disease is inflammation, the formation of a focus of infection at the root of the tooth before the fistula tube (fistula) reaches the gum surface. Self patient detect inner shape disease cannot.

Where is the reason?

The fistula, as a rule, appears in the area of the diseased tooth. The causes and nature of the course of the disease can be different.

But in any case, the appearance of fistulas is preceded by some inflammation and the formation of a purulent area on the root of the tooth. Subsequently, suppuration breaks through to the surface of the gums through the resulting fistula.

Even if the tooth looks quite healthy or has recently been treated, the appearance of a fistula clearly indicates some kind of inflammatory process inside the gums.

The reasons for the formation of a fistula are usually:

Necessary explanations:

If treatment caries was performed insufficiently, the disease can progress and lead to inflammation of the dental nerves and take the form of pulpitis. Without proper treatment, it flows into periodontitis. With pulpitis, infection occurs, inflammation directly nervous tissue tooth. If treatment is not carried out, this can lead to the complete death of the dental nerve and the spread of inflammatory processes deeper - to the tooth root. As a result, periodontitis appears - inflammation, the formation of pus on the top of the tooth. Subsequently, a channel is formed - a tube through which pus from the focus of infection enters the surface of the gums, forming a fistula.
Statistics show that the percentage poorly sealed canals in the treatment of teeth reaches 65-70%. The main mistake is insufficient filling depth. As a result, an empty area remains at the top of the root. Such cavities are a favorite breeding ground for bacteria and infection. Over time, the affected area grows beyond the limits of the tooth root and a cavity forms in its apex with the formation of pus, and then a fistula.
In case of careless cleaning of the dental canal it may be accidentally damaged. As a result, a non-physiological hole is formed. Without timely filling, it can cause inflammation, the formation of purulent masses and the appearance of a fistula.
very often before a certain moment cyst on top of tooth root does not manifest itself in any way, therefore it is not diagnosed and not treated. But upon the occurrence of some unfavorable conditions, for example, a decrease in immune protection organism, cystic formation may inflame. When enough pus forms, it begins to look for a way out. This is how a fistula forms on the gum.
It is rare for anyone without some discomfort. In difficult cases, the process is delayed for a long time, the gum in its area becomes inflamed and swollen. As a result, it is injured by a growing tooth with inside and located opposite - from the outside. In this place, an accumulation of pus occurs, and then a fistula appears.
The cause of the fistula may be granuloma- accumulation of fluid and pus in the soft tissues of the gums around the tooth. If timely treatment is not carried out, the inflammatory process can lead to the formation of a fistula.

How does a fistula form on the gums and the basics of its treatment:

Surgical treatment is the main solution

The photo shows an internal bone fistula from a cyst in the periodontium

At the moment when the fistula of the tooth appears on the surface of the gums and the pus gets out, the patient feels a sudden relief. Pain are significantly reduced, and the person thinks that there has been an improvement.

That is why the visit to the dentist is most often postponed and the disease is complicated. What can be done when a fistula appears in the mouth?

The neglected form is very difficult to treat therapeutic methods. Without timely treatment the inflammatory process and suppuration affects the periosteum. In this case, it is no longer possible to delay, it is necessary emergency measures for the speedy removal of pus and the ability to save adjacent teeth.

resort to surgical operation and accidental perforation of the root of a tooth during cleaning with instruments. Surgery used in the formation of a fistula on a tooth covered with a crown. It is usually more difficult to disassemble the installed structure than to remove the fistula through the opened gum.

The affected tissues are removed by scraping, after which the canal is treated with a laser. The treatment does not end there and the patient continues it independently in accordance with the recommendations of the doctor.

Treatment at home

Only a dentist can choose the best way to treat a fistula. And then for sure to determine whether it is enough drug treatment he can only after examination using x-rays.

Whatever treatment is chosen, it must begin with the removal of the cause of the problem. To do this, the dentist opens the diseased tooth, and the inflamed canals are thoroughly cleaned. Then the resulting cavity is thoroughly washed and disinfected.

The medicine is placed in it in the form of a paste and a temporary filling is placed. Subsequently, the canals of the tooth are sealed, and a permanent filling is placed.

In addition, at home, the treatment is supplemented by rinsing the mouth. medicinal solutions or decoctions of herbs.

For this, Furacilin, Chlorhexidine and Miramistin can be used. Treatment must be supplemented antihistamines(Tavegil, Erius).

Folk recipes

The use of decoctions and ointments from medicinal herbs cannot eliminate the cause of the fistula or lead to it complete cure. But they are excellent anti-inflammatory agents. They can be used before visiting the dentist to relieve inflammation and swelling, or after for the purpose of speedy healing.

How to cure a fistula in the mouth without the use of chemistry and surgery:

Complete disposal of the fistula is impossible without eliminating the root cause of its appearance. A visit to the dentist is inevitable. Delaying it can only complicate, aggravate the situation and lead to tooth loss.

Methods for treating a fistula on the gums folk methods and antibiotics.

Fistula on the gums is an ailment that occurs quite often. It usually occurs over teeth that are affected by caries. The most common cause of fistulas is the untimely treatment of pulpitis and caries.

What is a fistula on the gum, what does it look like?

The ailment looks like a red inflamed dot above or below the gum, in the area of \u200b\u200bthe beginning of the root. The fistula does not form where healthy teeth. Usually an abscess occurs where there is caries or under a filling, a crown. In the absence of treatment of caries, it develops into pulpitis, and then into periodonitis. Inflammation spreads from the pulp to the canals in the root of the tooth. The infiltrate comes out through this fistula.

You can independently detect a fistula. Before its appearance, the gum swells, a place of accumulation of pus is formed. Further, the pain subsides, as the pus finds its way out through the gum. A red dot is formed from which pus may ooze.

Fistula on the gum

Purulent fistula on the gum: symptoms and causes

Purulent fistula - swelling on the gums in the area of the root of the tooth, which breaks through, forming an outlet for pus. It is at this time that the fistula is most painful. During this period, the gum has not yet broken through, which causes pain and pulsation in the area of inflammation. After the gum breaks, the pain will decrease.

Fistula causes:

Poor treatment of caries and pulpitis
Damage to the root of the tooth during treatment
Cyst inflammation
Lack of caries treatment

What is the fistula on the gum dangerous, what can be the consequences?

It doesn't just look ugly and cause a lot of pain. If left untreated, you can lose a tooth, but this is not the worst thing. There are very deplorable consequences, if the fistula is not treated.

Consequences of a fistula:

Damage to healthy teeth
Bone destruction
Nerve and ear damage
Need for tooth extraction

If there is a pin in the gum, then most likely it must be removed during treatment. Often, canals are unsealed. If this is not done, the infection will spread not only to the soft tissues, but also to the bone. In this case, you will have to be treated by a surgeon for a long time.

Fistula on the gum antibiotic treatment, what?

For the treatment of fistula antibiotics choose drugs a wide range actions. In this case, the health of the patient must be taken into account. It is worth noting that if you notice inflammation above the root of the tooth and decide to take antibiotics, then after a while the problem will return. It is necessary to remove the source of inflammation and reproduction of microorganisms. That is, it is worth curing the tooth by cleaning the canals from pus and sealing them.

List of antibiotics:

Doxycycline
Ceftriaxone
Penicillin
Gentamicin

Treating a fistula at home is not recommended. Only a doctor can determine the severity of the disease. The fact is that pathogenic microorganisms can affect bone tissue, so the doctor prescribes an x-ray. This is to determine the degree of infection.

Treatment at home:

Rinse Happy Lore. The medicine contains an antibiotic that kills bacteria.
Let's take some antibiotics. These are broad spectrum drugs.
Warming up for quick discharge of pus

Fistula on the gum: folk remedies

IN traditional medicine There are many remedies that will help get rid of the fistula.

Folk recipes:

Mummy. Dissolve the product plate in boiled water. You should be able to dark water. Soak cotton wool with it and apply it on a sore spot for 20 minutes.
Eucalyptus. To prepare the medicine, chop the leaves and pour vegetable oil. Strain and saturate cotton wool with fragrant liquid. Apply to the affected area for 30 minutes.
Aloe. Peel and chop a few aloe leaves. It needs to be porridge. Apply a little of the product to cotton wool and place it in the area of suppuration. The exposure time is a third of an hour.

How to cure a fistula on the gum than to rinse?

For the treatment of fistula, decoctions of herbs are used, which are distinguished by healing and antibacterial properties.

Chamomile. Pour a spoonful of flowers with 220 ml of boiling water. Cover the container with a lid and let it sit for 15 minutes. Strain the broth and cool to room temperature. Use as a rinse three times a day.
soda and iodine. This solution is used to treat many dental ailments. Need 10 g baking soda dissolve in a glass of warm boiled water. Add a few drops of iodine. Rinse your mouth with the resulting solution.
St. John's wort. Pour a spoonful of dry grass into a saucepan and pour in 230 ml of boiling water. Boil 2 minutes. Strain and cool to room temperature. Use for rinses.

Fistula in a child on the gum of a milk tooth in a child: what to do?

In children, a fistula often occurs, and it is not always associated with tooth decay and the appearance of inflammation at the root. Babies often get gum disease due to the fact that they put dirty fingers and toys into their mouths. Usually, rinsing is used to treat children.

Gargles for the treatment of fistula in children:

Miramistin
Chlorhexidine
Betadine

Antiseptic ointments can be used: Solcoseryl, Asepta, Metrogil denta.

Fistula on the gum during pregnancy, how to treat?

During pregnancy, a visit to the doctor should not be postponed. This is fraught with consequences, because inflammation can spread. Some of the bacteria from the mouth can enter the stomach and blood. This can cause illness in a child.

A fistula during pregnancy is treated by opening the canals by cleaning them. Then the doctor puts a temporary or permanent filling. May be appointed local funds in the form of ointments or rinses.

This occurs when a dentist uses non-sterile instruments. First, inflammation and swelling of the gums occurs at the site of the pulled out tooth. Next, an abscess appears. After a while, pus will begin to ooze. If the gum continues to hurt, you need to contact the surgeon. He will cut open the abscess and install a drain. In this case, antibiotics and rinses are prescribed.

Can a fistula on the gum go away on its own?

No, the inflammation may subside, and the pus stops oozing, but any fistula is an outlet for pathogenic microorganisms that multiply in the canals of the tooth. Over time, the pain disappears, but caries grows, the disease worsens. Only after cleaning the canals and filling them can we talk about the treatment of the fistula.

The fistula will pass by itself after cleaning the canals and installing a seal. You may need the intervention of a surgeon to clean the soft tissues with the installation of drainage. Along with this, antibiotics and rinses are prescribed.

Fistula on the gum - serious illness which can lead to tooth loss and even jaw arthritis. Sometimes this disease causes inflammation of the trigeminal nerve.