Periostitis (gumboil)

It was spoken, spoken and will be told – the stomatologist needs to be visited not because already ached and to prevent a disease. Unfortunately, we neglect the health, consciously putting sometimes ourselves on a thin side between life and death.

Periostitis we will begin the description of a disease not with traditional definition. The periostitis – especially at late stages is a disease which demands the emergency operational help of the stomatologist, and in certain cases and the maxillofacial surgeon. If in time opening of abscess is not made and pus, inflammatory process is not evacuated, getting into the general blood stream, can lead to sepsis (the general blood poisoning) and by a lethal outcome. Realities which we neglect are that.

Periostitis (national and household definition – gumboil) – a periosteum inflammation. The progressing transition from the inflamed periblast to other layers of a bone (osteoperiostitis) is characteristic of it.

Periostitis etiology

In stomatology as well as everywhere, all inflammatory processes are, as a rule, interconnected and often develop one into another. Lead to a periostitis:

• effects of inflammatory diseases of teeth – the started pulpitis or periodontitis can pass into a jaw periostitis, and the periostitis of tooth will provoke undertreated caries;
• wounds of soft tissues or open fractures of a jaw;
• hits of an infection through lymphatic or circulatory systems. It is peculiar, most often, for children's age, for example, at tonsillitis, etc. infectious diseases
• complications after an odontectomy, as a result of overcooling or quinsy, flu, etc. They can also provoke a jaw periostitis.

Characteristic symptoms of a periostitis

The first symptom of a disease is small puffiness of a gingiva. Further there is an increase in puffiness, and together with it the sensation of pain increases.

The following stage which accompanies an acute periostitis, – the abscess (a purulent inflammation of fabrics) which is the main reason for front hypostases. For a periostitis in an upper jaw puffiness in infraorbital area, is characteristic of a mandible – hypostasis of submaxillary area. Body temperature rises to 38 °, pain extends in a temple, in eyes and ears.

In certain cases the periostitis of a jaw is followed by emergence of the fistular course through which pus comes to light. The periostitis in such manifestation is dangerous that pain ceases, and it can serve as the reason for the patient to ignore a campaign to the doctor. What, in turn, leads to development of a chronic periostitis. In time not stopped infection extends to the next fabrics and afterwards is expressed as osteomyelitis or abscesses.

Classification of types of a periostitis

• Simple periostitis – the aseptic inflammatory process accompanied with a hyperemia, an insignificant thickening and infiltration of a periosteum. As a rule, arises after blows, changes, bruises (a traumatic periostitis). Pain and swelling local. The inflammation passes independently. But, it can sometimes lead to development of osteophytes (outgrowths on a bone tissue), to emergence of fibrous growths, i.e. to pass into an ossifying periostitis
• Ossifying periostitis – the form of a chronic inflammation of a periosteum developing at long irritations of a periosteum. It is characterized by education from an inside layer of a periosteum of a new bone. Process is followed by an inflammation of surrounding fabrics.
• The fibrous periostitis – at gradual development proceeds chronically. Arises because of long mechanical irritations. Development of fibrous fabrics can lead to superficial destructions of a bone.
• The purulent periostitis – is result usually of infection at periosteum wounds. Is followed by purulent osteomyelitis. In the started state leads to a necrosis of a surface of a bone and peeling of a periosteum. Process can independently stop in the development (pus break) or to pass to surrounding fabrics
• Serous albumniozny periostitis - the periosteum inflammation which is followed by formation of exudate. If exudate in the form of a cyst is under a periosteum, there is its flaking and a gradual necrosis of a bone. Development of this form of a disease can be both acute, and chronic.

Treatment of a periostitis

How the periostitis proceeds, treatment is performed by two methods – conservative and operational. Use of any of methods is caused by severity of a disease, its form and development. If the periostitis of tooth is accompanied by inflammatory process, then is the most optimum – an operative measure. The stomatologist the cut of an affected area becomes, the drainage for pus outflow is entered. In case the acute periostitis is caused by a painful tooth, then tooth is extracted.

In addition to the described actions of the patient has to receive anesthetics and antibacterial drugs, a physiotherapeutic course. Pain in the field of an inflammation is taken off as well by a cold compress.

The periostitis which treatment is carried out in time effectively and correctly, as a rule, does not give by-effects. The absolute recovery comes within a week (up to 7 days).

Prevention of a periostitis

The prevention of a periostitis of a jaw is carried out by the same ways and means, as well as prevention of all diseases of teeth. Treat preventive actions: care of an oral cavity, use of water and food vitamin-rich, etc. mineral substances. Besides, it is necessary to begin and finish timely treatment of a disease of teeth, for example, of caries or a pulpitis.

Do not forget also the most important – systematic visit and surveys at the stomatologist who will notice in time and will prevent development of a disease.