Parulis in the mouth is painful and very nasty process that gives complications on the mucous membrane. Pus and inflammatory fluid are accumulated in the gums, leading to severe swelling and discomfort. The disease often ends with infection of the internal organs and other problems. In order to exclude them, the dentist tries to entirely remove exudates with bacteria with a special drainage on the gums.
French surgeon Shassinjak was the first who invented and applied the drainage during abdominal operation. He has long searched for an ideal material that does not get wet from blood and pus and respond well to the treatment with an antiseptic. For many years it was a small tube of natural rubber or glass, there were attempts to apply light plastic.
Dentist work sometimes is jewelry, so new technologies greatly improved the drainage in gums. It is not only a narrow tube of different sizes, but also delicate strips of latex, rubber, flexible plastic. Modern developments do not irritate mucous membrane, do not cause itching and they are barely visible in the wound. This enables the patient to eat and speak normally.
When put drainage in gum?
Half of all references to dentist falls on acute conditions: purulent bumps and fistula on mucous membranes, painful parulis or cyst rupture in the tooth root. People are suffering from discomfort and unpleasant sensations; complain of weakness and itching inside jaw.
There are several situations when put drainage tube in gums to remove accumulated exudates:
the effects of removing the wisdom tooth;
the existence of purulent abscess under multi-cuspid tooth;
swelling and edema of the mucous membrane.
Another reason for sinus drainage in gums is the need for continuous drug delivery in the middle of the gum under the periodontal tissues. With its help the dentist carries out washing the teeth roots at cyst rupture with harmful content or introduces antibiotic inside the fistulous tract. This significantly speeds up treatment and reduces the risk of infection of the internal organs.
How to install drainage?
Usually before such an operation the doctor makes several detailed panoramic shots of jaw to determine the extent of the abscess and to see fistulous tracts inside the bone. If the reason of appearing parulis lies in the destruction of the tooth root, it will be necessary to remove it. If the cyst is formed with serous content, the dentist drill multi-cuspid tooth and gently removes the bag through the hole formed. Before to proceed to further therapy, it is necessary to install the drainage system:
a physician gives a jab with anesthesia and works hard trying to fully relieve pain on the inflamed area;
he makes a small incision of mucosa using a scalpel;
serous fluid goes out in the formed hole and it is necessary to remove it by vacuum means without pressure;
a miniature latex drainage is inserted in the wound;
one end has to peep out and not let the wound to heal.
Correctly installed system should not strongly disturb or cause increased pain in the jaw. A patient can feel it with the tongue or a finger, it but doesn’t rub the inside surface of the cheek. It is ideal if after the introduction of the tube the wound does not burn. The important indicator of dentist’s quality work is the improvement of the patient’s condition within the first 24 hours after surgery.
How much time to keep the drainage tube in gum? The physician decides this issue on the basis of sonogram images and visual analysis. It is usually enough to 3-5 days for complete removal of exudates.
For the duration of implantation of latex strip, the patient must comply with the dentist’s recommendations: eat only liquid food, drink more water, and do not gnaw solid food and sweets. Sleep and relax lying on the cheek opposite to surgically operated area. This will help to keep the drainage and does not move it from the inflamed area.
How to remove the drainage from gums?
The full release of exudates will take several days. When little tube is removed, the surgical cut heals. If for any reason it has moved or dropped out it is necessary to ask for reinstallation. It is important for the correct treatment of parulis: soft tissues in the mouth quickly overgrow, the inflammatory and serosanguinous fluid cannot go out. Then a painful bump is formed again on the gum and a large amount of liquid secretion with pus is accumulated.
Sometimes the person does not have the possibility of visiting the dentist again, and the question is how to remove the drainage from gums without consequences. If the swelling is completely gone, there are no fluid or blood in the wound or high temperature, it is allowed to do this at home following oral hygiene. To do this, it is necessary to:
Thoroughly rinse the cavity with a solution of antiseptics for several minutes to remove all bacteria and microbes in mucous membrane.
Disinfect the tweezers with spirit or Miramistin.
In front of the mirror it is necessary to gently catch up the strip and pull it without a hitch.
Treat the wound with hydrogen peroxide, which put on cotton wool ball.
Within a few days it is necessary to rinse gums with any anti-inflammatory or antibacterial solution. Soda solution, sea salt and iodine solution, Chlorophyllin and Holisal are suitable. In the morning it is necessary to apply ointment of Solcoseryl or a thin layer of antibacterial gel of Levomekol.
It is better not to risk and not look for a way to pull the drainage from gums, and entrust the further treatment to a specialist. In addition treat the wounds and holes after tooth extraction, it is necessary to define the cause of pus formation. A broad spectrum antibiotic is picked up to a particular person: Linkomicin, Amoxicillin or Doxycycline. If the inflammatory process is accompanied by unbearable pain and itching, it is necessary to drink analgesics like Tempalgin, Ketanov or Ibuprofen.
With all of dentist’s recommendations, the inflammation quickly stops and reinstalling of the latex strip is not necessary.