Dealing with and Preventing Dental Fistulas

Dealing with and Preventing Dental Fistulas

The dental fistula is a quite common development that may be the result of many different dental problems. These are small, pimple-like holes in the gums that usually indicate an infection, abscess, or other dental problem. They might lead to more serious problems if left untreated. The causes of dental fistulas, their signs and symptoms, and the applied treatment methods all combine to make this aspect of oral health very important.

What are Dental Fistulas?

A dental fistula is basically a channel or an abnormal passage that has formed from the gum surface to the root of a tooth. These are generally small openings, merely some millimetres in diameter, and may just appear as a small, pimple-like bump on the gum. A dental fistula acts to indicate that there might be another infection or abscess underlying it that might further develop into serious complications if not treated accordingly.

Causes of Dental Fistulas

Dental fistulas may be the result of a variety of factors, including:

1. Tooth Abscess: Inflammation of the pulp of the tooth that results in collection of pus at the root or in the gum around the base of the tooth due to neglected cavities, cracked or chipped teeth, trauma to the tooth.
2. Gum Disease: More generally considered periodontal disease, it can cause a fistula due to inflammation and an infection in the gums.
3. Impacted Wisdom Teeth: When impacted or partially erupted, wisdom teeth could result in fistula as a result of the development of the inflammation and infection of gum tissue surrounding it.
4. Trauma: When there is trauma to the mouth or teeth, laceration of gum tissue may be caused which, in turn, can lead to the formation of fistulae.

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Symptoms of Dental Fistulae

The dental fistulae are comparatively easily recognizable as they manifest on the gum as small pimple-like protrusions. Other characteristic symptoms include the following:

•  Bad taste or odour in mouth
•  Pain or discomfort at site
•  Swelling of the gum tissue
• Inflammation or redness on the gum tissue

Some of the dental fistulas may even release pus or some other fluids, of course with a very bad smell.

Diagnosing Dental Fistulas

Usually there is no problem with the diagnosis of a dental fistula, as it can be easily diagnosed just by observation. The dentist may even take x-rays, to identify the cause of the dental fistula and also to check whether the fistula has caused any damage to the tooth and the adjacent bone.

Dental Fistulas Treatment

Treatment of dental fistula depends upon the cause of the fistula. Sometimes, the fistula may heal by itself after treating the underlying infection or abscess. Treatment may include—

1. Root Canal Treatment: In cases when the fistula is caused due to a tooth abscess, your dentist will ask for a root canal treatment to remove the infected pulp and seal the tooth.
2. Extraction of Tooth: If the damage to the tooth is too much and it is irretrievable, your dentist will recommend extraction of the tooth.
3. Gum Surgery: This process is done in some cases where surgery is conducted for the removal of fistula and for the treatment of the fundamental gum disease.
4. Antibiotics: Your dentist will prescribe antibiotics to clean an infection and to let the area heal on its own.

While one cannot avoid all dental fistulas, these are some ways to reduce your risk for it: 

1. Good oral hygiene: This will prevent caries and periodontal disease frequent causes of dental fistulas.
2. Visit Your Dentist Frequently: Regular checkups and cleanings can detect and treat dental issues when they initially come up, prior to their creating a fistula.
3. Take Care of Dental Problems as Soon as Possible: In case of any type of toothache or swollen gum problem, you must visit your dentist as quickly as possible so that fistula may be avoided.
4. Wear a Mouthguard: During the course of contact sports, wear a mouthguard to protect your teeth and gums from injury.

Also Read: Things You Should Know About Dental Insurance

Conclusion

Dental fistula is a quite common process that can be a consequence of different dental issues. Though not usually painful, dental fistulas are a sign that an abscess or underlying infection may be present and should be treated promptly. Hence, the more serious complications can be avoided by knowing the causes and symptoms of dental fistulas, and taking measures to prevent them. Thus, you will avoid entertainment and inconveniences caused by it and ensure good oral health. If you feel you may have a dental fistula, you should seek your dentist as soon as possible for evaluation and a plan for treatment.

Faqs

• 1. Can a dental fistula clear itself?

  A dental fistula may clear on its own in some instances, following the resolution of the initial infection or abscess. However, continued treatment may be required if the fistula persists.

• 2. Is a dental fistula painful? 

  Not all dental fistulas are painful. However, some may be linked with discomfort or pain. If there is any pain or swelling around the fistula, then see your dentist without delay.

• 3. Can a dental fistula recur after treatment?

  Yes, it is possible for the dental fistula to recur after treatment if the cause is not correctly attended. Follow-ups with regular dental checkups and good oral hygiene will help prevent recurrence.

• 4. Can a dental fistula cause other health problems?

  If not treated, then the fistula of the tooth can further develop into severe complications by spreading the infection into other body parts. Therefore, it is necessary to take treatment on time to avoid such problems.

• 5. How is a dental fistula prevented?

  While it might not be easy to completely avoid dental fistulas, good oral hygiene, visiting your dentist regularly, and addressing dental problems as soon as possible may help reduce the risk.

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