Dentistry: What to do if you have a root infection? | Wizard | We in Bavaria | BR television | TV

If the “root of the tooth” is inflamed, the root itself is not actually affected, but the most sensitive part of the tooth: tissues deep insideso called Pulp. This is usually extremely painful.

Symptoms of tooth root inflammation

The initial symptoms are significant hypersensitivity to Cold and especially also on heat. Also typical pain and feeling of pressure on an inflamed tooth. These occur only at the beginning in case of provocation up, about take a bite or when tapping on the affected area. Once the pulp inside the tooth becomes inflamed (“pulpitis” in professional jargon), pulling a throbbing, severe constant pain.

Pay attention from the very beginning the following symptoms:

  • increased sensitivity to heat or cold
  • swelling and redness
  • The neck of the tooth is exposed due to receding gums
  • Formation of pus or fluid on the gums, associated with bad breath
  • weakening of the immune system
  • swollen lymph nodes in the neck, especially on the affected side


If you experience the described symptoms, you should Definitely go to the dentist’s office. Cold compresses and painkillers are recommended at best as temporary measures to relieve acute pain, but they are not helpful.

How does tooth root inflammation occur?

In rare cases, inflammation can be caused by mechanical triggers be caused by, for example, a blow on the tooth or teeth grinding.

Mostly though dental caries the cause of tooth root inflammation. There will be tooth decay bacteria he didn’t fight earlydestroys the tooth layer by layer until they get inside:

Above holes in tooth enamel bacteria get inside zahnmark (pulp) and spreads in the area tooth root where they die from Bother can attack. Tooth decay bacteria penetrate deeper root canalsthey can burrow through the root tip jaw damage and get further whole organism spreading.

  • septic abscess
  • loss of tooth stability due to bone loss
  • tooth loss
  • Flushing bacteria into the blood and immune system, leading to (chronic) diseases of the organism it can lead to, for example, pericarditis

Importance of pulp:

Pulp (from Latin “flesh”= meat) inside the tooth contains blood vessels and nerves the tooth and extends to the root. It is protected from damage and direct impact by the hard dental pulp. It is also your job to take care of the tooth mechanical and thermal stimuli in the form of pain in the brain forward.

When the pain stops

Hear the pain of a root infection suddenly upit may happen that the nerve of the tooth is so severely damaged that the perception of pain is interrupted – the tooth is “untilSometimes the pain also subsides, because the purulent focus of inflammation and Drainagehas a built-up so-called fistula and who escape the pressure be able to However, the inflammation remains.

Also in already advanced nerve damage can inflammation of the root of the tooth without pain Disappear. of Zahn then he can dieThis inflammation becomes chronic and spreads uncontrollably spreading. chin and face to swell (typical “fat face”) and the pain radiates to other areas of the head.

Risk factors of tooth root inflammation

malnutrition or specific Diseasessuch as diabetes or cancer, as well as a impaired immune system may promote the development and progression of dental caries. Other risk factors are:

  • insufficient dental care and high sugar consumption
  • root malformations
  • Wound healing disorders
  • Misaligned teeth (growing very crooked or lying close together)

The dentist thus diagnoses inflammation of the root of the tooth

Because inflammation of the root of the tooth can only be recognized indirectly, a preliminary speech about the type, duration, intensity and trigger of symptoms. For this purpose, the dentition and the affected tooth are examined in detail researched. AND cold test or a electrical stimulus indicate whether the tooth is still vital or has already died. AND X-ray photo it shows whether a cause can be identified, such as decay under a filling or crown, and whether inflammation is already present spread to the bone cap.

Treatment of tooth root inflammation

Treatment options depend on the type and progression of the root infection. The goal is remove the source of inflammation and Sealing the root canal so that it is resistant to bacteria.

First tooth surface cleaned up and decaying stains removed. In addition, the mouth with antibacterial effective solution flushedto prevent the spread of germs when opening the tooth. Accompanying can medicines such as anti-inflammatory drugs or antibiotics.

root treatment:
The standard procedure is root canal treatment. The tooth becomes local amazed and then over the crown of the tooth reamedThat inflamed tissue away may be. By measuring the electrical resistance, the dentist can determine the exact root length determine.

Die root canals are used with special tools (files) cleaned up and with an antibacterial solution flushed so that they are free of bacteria and the inflammation is stopped. The cleaned root canals are then treated a root filling paste sealed. The filling may still be temporary. Because only when the tooth completely without symptoms is, will be in another session die definitive filling brought is checked using radiographs.

Root tip resection:
in persistent complaints or ongoing chronic inflammation, a so-called root tip resection may be necessary. This is one surgeryat which a a piece of root tip and possibly inflamed tissue in the bone away is happening If necessary, too parts of the root canalswhich could not be reached before, from the root tip sealed.

If this method also fails, tooth removed will.

This way you can prevent tooth decay

Look for one in the first place good oral and dental hygiene. Net you at least teeth twice a daypreferably in the morning and evening after meals. Also clean the back teeth and the inner surfaces of the teeth, which are often neglected. Clean them up interdental spaces at least once a day with dental floss or interdental brushes. Use one now and then Mouthwash. And visit regularly dentist.

“Problem areas or incipient decay are difficult to identify for a layman at first. On the other hand, a dentist can recognize them in time and treat them appropriately. That’s why I recommend going to the dentist every six months to have your teeth professionally cleaned and checked.”

Dr. Dietmar Hellebrand

Stay healthy” wishes Dr. Dietmar Hellebrand and “We in Bavaria”!

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