Swollen gums
Introduction
Introduction Gingival swelling and pain refers to the swelling and pain of the gums around the teeth, causing swelling and pain of the gums. Common causes include gum abscess, periodontal abscess, wisdom tooth pericoronitis or periapical periodontitis. The patient itself often has chronic inflammation. When the body's resistance is reduced, the weather is dry, eating spicy food, or suffering from diabetes, the original chronic inflammation is acute, and the symptoms of gum swelling and pain occur. The corresponding dental treatment is needed.
Cause
Cause
Causes of swelling and pain of the gums mainly include gingival abscess, periodontal abscess, wisdom tooth pericoronitis or periapical periodontitis, etc., the most common is the periodontal abscess caused by the disease, young people more common wisdom tooth pericoronitis. The patient itself often has chronic inflammation of the gums or periodontal tissues. When the body's resistance is reduced, the weather is dry, eating spicy food or suffering from systemic diseases such as diabetes, it will lead to an acute attack of chronic inflammation and gingival swelling. Pain symptoms.
Examine
an examination
Related inspection
Oral X-ray examination of oral endoscope
1, X-ray film inspection.
2, visual inspection.
3, percussion.
Diagnosis
Differential diagnosis
diagnosis
First, acute periodontal abscess
1. A sudden swelling of the gums on the gums, tenderness in the swollen area, fluctuating sensation, and purulent secretions.
2, there is a corresponding medical history.
3, the teeth are sensitive or loose to the percussion, may be associated with pulp symptoms.
4, there may be local lymph node enlargement.
Second, wisdom tooth pericoronitis
1. Use the probe to detect the presence of the crown of the wisdom tooth that has not erupted or is affected. The surface of the gum is congested and red, and the bleeding or pus is detected.
2, X-ray film examination, it can be seen that not all of the impacted teeth; in the chronic periarthritis X-ray film, sometimes the presence of periodontal bone shadow (pathological bone bag).
Third, gum abscess
1. The nipple and the rim of the sputum are dark red or dark red, swollen and hypertrophy, the rim of the sputum is blunt, and the gingival nipple is spherical, and it does not involve attachment.
2, periodontal examination without periodontal pocket, X-ray film without alveolar bone absorption.
3, there are generally obvious irritation factors such as food impaction or foreign body puncture into the gums.
Fourth, acute apical periodontitis
1, check the teeth have sputum or non-sick disease, pulp no vitality, pain (+) ~ (++), loose I °, vertical loosening can be more obvious.
2, spontaneous pain and bite pain, may be associated with low heat, fatigue and other systemic symptoms.
3. The mucous membrane of the apical area is swollen and has a hemispherical bulge.
Disease identification
It is important to note that periodontal abscess should be distinguished from gingival abscess and gingival swelling caused by acute apical periodontitis.
1, gingival abscess
(1) The site abscess is limited to the nipple and the gingival margin, and does not involve attachment sputum.
(2) History without history of periodontitis.
(3) Check the toothless bag, X-ray film without alveolar bone absorption.
(4) Inducing factors Generally, there are obvious irritants such as foreign bodies piercing the gums.
2, acute apical periodontitis caused by swelling of the gums
