The occurrence of dental disease often results in the extraction of a tooth that cannot be treated. In most cases, this procedure takes place without consequences for the patient. However, sometimes complications develop. Among them, the most common is stomatitis after tooth extraction.
Medical certificate
Stomatitis is an inflammatory process in the oral cavity, accompanied by the appearance of small sores and aphthae on the surface of the tongue, gums and the inside of the cheeks. This is a fairly common disease. It is characterized by a speech disorder in a patient against the background of painful sensations. This makes eating and drinking cold or hot drinks very difficult.
Dentists categorize stomatitis as a separate disease. After tooth extraction, it can also occur for a number of reasons, both on the part of the doctor (errors in treatment) and through the fault of the patient himself (improper care of the oral cavity).
Varieties of stomatitis
Depending on the type of infection, there are sever altypes of injury. The most common are:
- Catarrhal stomatitis. This is the most common form of the disease. It is characterized by increased salivation, the appearance of mucosal edema, the formation of a yellowish or white coating on it. Stomatitis is accompanied by bad breath, bleeding gums.
- Candidiasis stomatitis. It occurs due to the activation of fungi of the genus Candida. At the same time, the patient feels a burning sensation in the larynx, a plaque of a curdled consistency forms on the mucous membranes. In rare cases, the ability to distinguish food by taste is lost.
- Aphthous stomatitis. It develops against the background of a genetic predisposition, diseases of the gastrointestinal tract, allergies to anesthesia. The disease manifests itself by the formation of ulcers on the mucous membranes of the mouth, which is accompanied by pain and weakness.
Separately, stomatitis should be distinguished after the removal of a wisdom tooth. This is not uncommon and also requires qualified medical attention.
Main reasons
The oral mucosa is vulnerable to infections. Especially after dental procedures, when the mucosa is damaged and the gum tissue is deformed. Pathological microorganisms can cause infection under the influence of the following factors:
- absence of a blood clot at the site of the extracted tooth;
- compromised immunity;
- allergic to anesthesia and other drugs used by the doctor during treatment.
Mistakes of patients and doctors
The human factorworks anytime and anywhere, including in the doctor's office. Stomatitis after tooth extraction can occur due to the fault of the dentist, even with extensive experience. We are talking about the following situations:
- use of non-sterile instruments in the process of tooth resection;
- leaving fragments of roots in the hole;
- Incorrect tooth extraction.
After tooth extraction, the doctor always gives recommendations to the patient regarding the care of the oral cavity in the next few days. For example, the refusal of frequent rinses or palpation of a blood clot at the site of the manipulations. Neglecting these tips can lead to stomatitis.
Clinical picture
Stomatitis in the mouth after tooth extraction is manifested by a pronounced clinical picture. First, the patient has swelling of the gums, its redness, increased pain after eating. As the disease progresses, more and more of its signs appear:
- headache;
- burning in the mouth;
- swelling of mucous membranes, cheeks and tongue;
- appearance of erosions and sores;
- increased salivation;
- temperature increase;
- appearance of a white or yellowish coating on the tongue;
- an increase in lymph nodes against the background of their inflammation;
- loss of appetite;
- fatigue;
- vomiting after eating.
If you experience any of the above symptoms, see your dentist immediately.
Diagnostic Methods
Diagnosisstomatitis after tooth extraction is based on a physical examination of the oral cavity and the study of the patient's history. In the presence of white plaque, erosion and sores, the procedure does not require much time. However, in young patients, diagnosis can be difficult due to the inability of the child to talk about his feelings. Parents should be careful and monitor the he alth of the child after tooth resection.
During the examination, additional blood tests to determine glucose, bakposev from the affected area to identify the causative agent of the disease may be required. Based on the test results, the dentist prescribes therapy.
Drug therapy
After tooth extraction, stomatitis on the gums, tongue and inner surface of the cheeks is accompanied by rather unpleasant manifestations. However, for modern medicine, its treatment does not present any particular difficulties. For help, you should first contact a dentist. In rare cases, additional consultation with specialized specialists is required: a gastroenterologist, endocrinologist, immunologist, etc. A similar need arises when the course of stomatitis is accompanied by other chronic diseases against the background of reduced immunity or hormonal disruptions.
Regardless of the form of stomatitis after tooth extraction in adults and children, treatment begins with the appointment of the following procedures:
- Professional debridement.
- Treatment of affected areas with antiseptics.
- Rinses.
In the aphthous form of the disease, therapy involves the use of drugs and immunomodulators locally acting on the focus of inflammation. In the case of candidal stomatitis, agents that destroy fungal colonies are prescribed. With a catarrhal variety of the disease, therapy begins with the elimination of the underlying disease, which led to the formation of ulcers in the oral cavity.
Some patients try to fight the disease on their own and take antibiotics. However, after a while, they notice that there is no visible improvement. Stomatitis has a viral nature, so antibacterial agents in its therapy are ineffective. Antibiotics can only help with its infectious form.
How to treat stomatitis after tooth extraction? There are no drugs that can completely get rid of it. However, local rashes on the oral mucosa can be stopped with the help of medicines and traditional medicine recipes.
To eliminate stomatitis, local antiseptics are usually prescribed. They are available in the form of rinses, aerosols and ointments. The drug "Geksoral" is characterized by particular efficiency. The aerosol has an antimicrobial and analgesic effect. The spray is sprayed onto the affected area of the mucosa twice a day. The procedure is best performed after a meal. Hexoral is also available in the form of tablets.
Special products are recommended for cleaning ulcer formations. However, their healing may be delayed due to the presence of plaque. Therefore, you may additionally need the help of gels for itselimination. After cleaning the well from plaque, it is necessary to start using ointments to form a film on this area. It will protect the damaged mucosa from pathogenic flora and food particles.
In the case of a painful course of stomatitis, the dentist prescribes anesthetics. They allow you to reduce sensitivity, including before eating. Particularly effective are Lidocaine, Trimecaine, and Benzocaine.
For wound healing, treatment of damaged areas with iodine helps well. The procedure should be repeated for two days. Some patients prefer brilliant green to iodine. In fact, this approach is wrong. Zelenka contributes to the drying of the oral mucosa. It is not suitable for the treatment of an infectious-inflammatory process.
For the treatment of sores and aft, dentists recommend oxolinic ointment. However, it is important to understand that for use on the mucosa, it is better to use drugs in the form of a gel. Ointments do not have the proper effect, they are almost immediately washed off with saliva and do not have time to be absorbed.
Summarizing the above, we can imagine several drugs used in medical practice today for the treatment of stomatitis:
- "Viferon gel" and "Cholisal gel". These are antiseptic drugs prescribed to accelerate the recovery processes on the mucosa.
- "Actovegin gel", "Solcoseryl gel". These funds are especially effective in aphthous varieties of stomatitis. They accelerate the processes of mucosal regeneration,have a positive effect on erosive rashes in the mouth.
- Miramistin. Used for rinsing, has a pronounced antiseptic effect.
The choice of a specific drug, as well as its dosage, is determined by the doctor.
Help of traditional medicine
In addition to the medical treatment of stomatitis after tooth extraction, there is also a non-drug option, the effectiveness of which is often not inferior to pharmacy products. However, before starting to use traditional medicine recipes, it is important to consult a dentist. It is important to consider that with the candidal form of the disease, they will not bring any benefit at all. In most cases, they have an antiseptic effect. Therefore, the fungal flora is not properly affected.
On the positive side in the treatment of stomatitis after tooth extraction in adults, sea buckthorn and rosehip oils, vanillin, propolis have proven themselves. Other popular traditional medicine recipes include:
- Various infusions. As the main ingredients, you can use calendula, oak bark, St. John's wort, sage or chamomile. A few tablespoons of the dry mixture must be brewed with 0.5 liters of boiling water, let it brew. Rinses allow you to stop unpleasant symptoms, get rid of inflammation-causing microorganisms. Procedures can be repeated several times a day.
- Compresses. For cooking, you can use a mixture of chopped garlic with yogurt or raw potatoes. To prepare the last recipe, it is enough to rinse, peel and grate one tuber. After you canapply to affected areas for a few minutes.
- Rosehip decoction. This remedy is taken orally. The decoction has a positive effect on the immune system, improves the body's resistance to various diseases due to the high content of vitamin C.
It is important to understand that the use of traditional medicine recipes alone does not cure stomatitis after tooth extraction in a child or adult. Only complex therapy helps to get rid of the disease and its symptoms.
Consequences of the disease
In the photo, stomatitis after the removal of a wisdom tooth or root unit looks quite unpleasant. However, not all patients tend to seek medical help after detecting signs of the disease. Lack of timely treatment can lead to negative consequences.
Pathogenic microorganisms very quickly begin to produce toxins or poison of biological origin. Such substances, getting into the blood or stomach, poison the body. The person's he alth deteriorates. Weakness, headaches and joint pains appear, appetite worsens. The clinical picture may be supplemented by stool disorder and fever.
Other complications are possible, starting with sore throat and ending with the destruction of the jaw bones, infection of the circulatory system. That is why the treatment of stomatitis after tooth extraction should be started immediately after the diagnosis is confirmed by the dentist.
Prevention Methods
Stomatitis is a disease characterized by relapses. Therefore, the basis of prevention is proper oral hygiene, normalization of diet, strengthening of immunity. Doctors also advise following these guidelines:
- Oral hygiene should be adequate, but should not be zealous. It is enough to brush your teeth regularly and visit the dentist once a year. If carious processes or other diseases are detected, they must be eliminated immediately.
- It is recommended to remove allergenic foods from the diet. You will also have to give up hard, spicy foods. They irritate the mucous membrane, which can provoke a recurrence of stomatitis after the removal of a wisdom tooth or root unit.
- Illiterately installed braces or dentures are often the cause of sores and aphthae in the mouth. Therefore, before installing corrective systems, it is important to take a responsible approach to choosing a dental clinic and a doctor directly.
If stomatitis appears after tooth extraction, you can not self-medicate, neglect the problem. Only qualified and timely medical care can eliminate the disease.
