Is acute apical inflammation antiphlogistic OK?

summary

Acute periapical periodontitis is a series of reactions from serous inflammation of periapical periodontal ligament to suppurative inflammation of periapical tissue. It can develop into localized osteomyelitis of alveolar bone, and even osteomyelitis of jaw bone in severe cases. Is acute apical inflammation antiphlogistic OK? Let's talk about it

Is acute apical inflammation antiphlogistic OK?

In acute periapical necrotizing pulpitis, whether in serous or suppurative stage, the main contradiction is the accumulation and diffusion of periapical exudate or pus. The ideal way of drainage is to open the drainage channel of the pulp cavity artificially, so that the exudate or pus can be drained through the root canal, so as to relieve the pressure of the apex and relieve the pain. In order to prevent food impurities from blocking the drainage channel, an iodine tincture ball is placed in the hole.

Inflammation for 4-5 days, mainly for subperiosteal or submucosal abscess, incision and root canal opening can be carried out at the same time. The position of incision is opposite to the abscess, parallel to the vestibular sulcus. For acute periapical periodontitis caused by root canal trauma, chemical stimulation of sealing drugs and poor root canal filling, how to remove the contents of root canal, seal anti-inflammatory and analgesic drugs for several days, and wait for routine treatment after the acute stage to avoid external pollution or reinfection.

The treatment of acute periapical inflammation should be careful. If it is caused by trauma, it can be cured by adjusting occlusal grinding to eliminate traumatic occlusion. Acute periapical periodontitis caused by apical foramen pulpitis can be removed under anesthesia. On the one hand, it can reduce the function and promote the healing; On the other hand, it can reduce the chance of vertical folding.

matters needing attention

Avoid tooth injury, keep oral hygiene, develop good habit of brushing teeth sooner or later. In addition, if the tooth is inflamed, you should go to the stomatological hospital in time and actively receive treatment. Taking anti-inflammatory drugs can not solve the fundamental problem, so it is not good to delay the illness.