The occurrence of a dental disease often leads to the removal 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, stomatitis after tooth extraction is the most common.
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 impaired speech in a patient against a background of pain. At the same time, eating and drinking cold or hot drinks become very difficult.
Dentists are classified as individual diseases of stomatitis. After tooth extraction, it can also occur for a number of reasons, both on the part of the doctor (errors in treatment) and the fault of the patient himself (improper care of the oral cavity).
Varieties of stomatitis
Depending on the type of infection, several types of lesions are distinguished. The most common are the following:
- Catarrhal stomatitis. This is the most common form of the disease. It is characterized by increased salivation, the appearance of edema of the mucosa, 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, on the mucous membranes a coating of curdled consistency is formed. In rare cases, the ability to distinguish food from taste is lost.
- Aphthous stomatitis. It develops against the background of a genetic predisposition, gastrointestinal diseases, allergies to anesthesia. The disease manifests itself with 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 a common phenomenon that also requires qualified medical attention.
Main reasons
The oral mucosa is a vulnerable spot for infections. Especially after dental procedures, when the mucous membrane is damaged and the gingival tissue is deformed. Pathological microorganisms can cause infection under the influence of the following factors:
- the absence of a blood clot at the site of the extracted tooth;
- weakened immunity;
- allergy to anesthesia and other drugs that the doctor uses during treatment.
Mistakes of patients and doctors
The human factor works always and everywhere, including in the doctor’s office. Stomatitis after tooth extraction can occur through the fault of the dentist, even with extensive experience. These are the following situations:
- the 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 rinsing 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, all its new signs appear:
- headache;
- burning in the oral cavity;
- swelling of the mucosa, cheeks and tongue;
- the appearance of erosion and sores;
- increased salivation;
- temperature rise;
- the appearance of a white or yellowish coating on the tongue;
- an increase in lymph nodes against the background of their inflammation;
- loss of appetite;
- fast fatiguability;
- gagging after eating.
If the above symptoms occur, you should immediately contact your dentist.
Diagnostic Methods
Diagnosis of stomatitis after tooth extraction is based on a physical examination of the oral cavity and a history of the patient. In the presence of white plaque, erosion and sores, the procedure does not require much time. However, in young patients, diagnosis may be difficult due to the inability of the child to talk about their feelings. Parents should be careful and monitor the state of health of the child after tooth resection.
During the examination, additional blood tests may be required to determine glucose, bacterial culture from the affected area to identify the causative agent of the disease. 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 is not particularly difficult. First of all, you should contact your dentist for help. 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 diseases of a chronic nature against the background of a decrease in 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 rehabilitation of the oral cavity.
- Treatment of affected areas with antiseptics.
- Rinse.
With an aphthous form of the disease, therapy involves the use of drugs and immunomodulators locally acting on the focus of inflammation. In case of candidal stomatitis, agents destroying fungal colonies are prescribed. With a catarrhal variety of the disease, therapy begins with the elimination of the underlying disease, which entailed the formation of ulcers in the oral cavity.
Some patients try to overcome the disease on their own and drink antibiotics. However, after some time, they notice that there are no visible improvements. 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 to completely get rid of it. However, you can stop local rashes on the oral mucosa with the help of medicines and recipes of alternative medicine.
To eliminate stomatitis, local antiseptics are usually prescribed. They are available in the form of rinses, aerosols and ointments. Particularly effective is the drug "Hexoral". Aerosol has an antimicrobial and analgesic effect. The spray is sprayed on the mucosal lesions twice a day. The procedure is best performed after a meal. Hexoral is also available in tablet form.
Special remedies are recommended for cleaning ulcerative formations. However, their healing may be slow due to plaque. Therefore, it may additionally require the help of gels to eliminate it. After cleaning the wells 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 the healing of wounds, the treatment of damaged areas with iodine helps. The procedure should be repeated for two days. Some patients prefer brilliant green iodine. In fact, such an approach is incorrect. Zelenka helps to dry the oral mucosa. It is not suitable for the treatment of an infectious-inflammatory process.
To treat ulcers and aphthae, dentists recommend oxolin ointment. However, it is important to understand that for use on the mucosa, it is best to use the preparations in gel form. Ointments do not have the proper effect, are almost immediately washed off by saliva and do not have time to be absorbed.
To summarize the above, we can present several drugs used in medical practice today for the treatment of stomatitis:
- “Viferon gel” and “Holisal 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 regeneration of the mucosa, positively affect erosive rashes in the mouth.
- Miramistin. It is 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 traditional medicine
In addition to the drug treatment of stomatitis after tooth extraction, there is a non-drug option, the effectiveness of which is often not inferior to pharmaceuticals. However, before you start using traditional medicine recipes, it is important to consult your dentist. It is important to consider that with a candidal form of the disease, they will not be useful 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. Among other popular recipes of traditional medicine, the following can be distinguished:
- 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 l of boiling water, let it brew. Rinses allow you to stop unpleasant symptoms, get rid of inflammation-causing microorganisms. The 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 can apply to the affected areas for several minutes.
- Rosehip broth. This tool is taken orally. The broth 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 exclusively traditional medicine recipes does not cure stomatitis after tooth extraction in a child or adult. Only complex therapy helps get rid of the disease and its symptoms.
Consequences of the disease
In the photo, stomatitis after removing a wisdom tooth or root unit looks quite unpleasant. However, not all patients seek medical attention 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. A person's health worsens. 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 begin immediately after confirmation of the diagnosis by the dentist.
Prevention Methods
Stomatitis is a disease characterized by relapses. Therefore, the basis of prevention is proper oral hygiene, normalization of diet, and strengthening immunity. Doctors are also advised to adhere to the following recommendations:
- 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 food from the diet. You will also have to give up tough, spicy foods. They irritate the mucous membrane, which can provoke a relapse of stomatitis after the removal of a wisdom tooth or root unit.
- Illiterate 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 the choice of a dental clinic and directly to a doctor.
If stomatitis appeared after tooth extraction, you can not self-medicate, neglect the problem. Only qualified and timely medical help can eliminate the disease.