Granuloma. What do we need to know?

Granuloma is a formation that forms as a result of a chronic infection, most often around the tips of the roots, after the infection has passed through the canals of the tooth. Granuloma is more often due to failed root canal treatment of a tooth, chronic trauma or past asymptomatic inflammation of the nerve of the tooth. A granuloma is the body’s attempt to heal itself and enclose the infection in a sort of sac so that it does not spread throughout the body. Periodontitis is an infectious disease in which the infection involves the tissues and bone at the base of the root of the tooth.

Very often, granulomas develop without pain and symptoms and are discovered quite by chance on X-rays.

Treatment involves complete removal of inflammation. The main goal of the dentist is to affect the inflammation from the specific area, and it is best to approach through the root of the tooth, i.e. to do the so-called endodontic resection of the root canal. Thus, the initial phase of acute periodontitis can be avoided only by cleaning the canal, antiseptic washing and placement of a temporary filling. In the event that endodontic treatment and prescribed medications do not give a good result, surgical treatment is required.

It is essential in the treatment of granulomas to visit a dentist with sufficient experience in this field who has special dental equipment.

Something we emphasize a lot after treatment of periodontitis (granuloma) in the Dr. Boneva dental center is compliance with all prescriptions related to oral hygiene care and periodic examinations until we make sure that the periodontitis is completely cured.