Periodontitis versus parodontosis

There are still dental professionals who use the old and wrong name for a periodontal disease – parodontosis. The correct name is periodontitis. – In former times bacteria couldn´t be proven because of wrong techniques-this was called parodontosis. In the last 25 years it is known that inflammation of the periodontum is caused by bacteria, […]

Gums as a reflection of our overall health!?

Gums as a reflection of our overall health? YES AND NO! Over and over again we read scientific and non scientific journals about vitamin deficiency and the consequences from it. As a result many people choose to take homeopathic medicine –a mistake most of the time! – 99% of gum diseases are attributed to plaque […]

Most common reasons for periodontitis

  – - – - – - – Most common reasons for periodontitis The most common reasons of pariodontitis are: Plaque accumulation due to poor oral hygiene, overhang restorations, ill fitting crowns Malocclusion Stress      Smoking Systemic disease such as diabetes, adverse pregnancy outcomes Fortunately all these factors are easily controlled by; Optimizing tooth brushing, by […]

Oral Rinses – are they useful in the menagement if Periodontitis?

 Is an oral rinse beneficial for patients with periodontitis? YES! An oral rinse is a useful purchase, unfortunately some doctors think it is not useful-with the argument that bacteria leaks into the periodontal pockets. That is incorrect for two main reasons; The bacteria moves only due to extensions Bacteria are harmless on their own. They are destructive only in mature plaque, causing a cavity or a […]

Periodontitis and saliva test-is it useful?

Periodontitis-saliva test? Yes and no! Our last discussion was about lasers, today we want to inform you about the saliva test. It is a common practice for some dental professionals to require that the patients with periodontal disease to undergo expensive saliva test prior to their therapy.    Congratulations! Now the patient knows that there […]

Dental fistula

Posted by Dental News Team am 11, Dec - 2009

Fistula operation – yes or no?

Yes!

A fistula in the mouth is the body’s reaction to a chronic infection. A fistula can appear just about anywhere in the body, either bone or tissue (e.g. muscles and inner organs).
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Like the Latin said – “Ubi Pus, ibi evacuvave” – wherever you find pus, empty it out!

Doctors are not the only ones who act according to this principle, our body does too! Imagine you have a chronic infection somewhere in your body – for example the bone around the dental root (e.g. due to a badly performed root canal). Pus starts to form, which the body tries to get rid of, the medical term being abscess. The tissue around this bubble of pus  – the abscess – is destroyed, forming a path of pus towards the inside of the mouth.

fistelFistula:
If the inflammation is not treated, the pus turns into a fistula. As the body tries to „minimize“ both the infection and the extent of the pus, it constructs a special type of granulate tissue around the pus … forming a fistula, protecting the tissue around it while the pus empties out.

A fistula is basically a kind of artificial garden hose made by our body to get pus out of a wound – and in this case into the mouth. You usually notice a bump on your gums, and when you press it, pus comes out!

A fistula on the gums is always a sign that something is wrong, and it should not be left untreated, because the infection will spread and continue to destroy bone, the dark spot on the x-ray!

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Here you can find out how to read an x-ray!

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  1. Karen Borek says:

    Dear Sirs,
    Thanks. This is what I have, and I want to an endodontist for a retreated old root canal from about 40 years ago. Should I have gone to an oral surgeon? Do these fistulas ever heal up after retreatment of root canal? I took penicillin for two weeks. After the retreatment a couple of days ago, the fistula remains, but the swelling and discoloration have gone way down.
    Best Regards,
    Karen Borek
    karenbor@sas.upenn.edu

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