Tooth Granuloma: Causes, Symptoms, Diagnostics, and Treatment

Tooth Granuloma: Causes, Symptoms, Diagnostics, and Treatment

Tooth granuloma (cyst) is a complication caused by untreated caries (periodontitis, pulpitis) or mechanical injury. Caries decays the enamel. The infection penetrates the pulp, and then spreads further to the tooth root, causing purulent granulomas. Periodontal tissues are inflamed in the form of a rounded sac (nodule) up to 5 mm at the apex of the tooth root. Granuloma is the nidus of infection, which may result in inflammation of the bone tissue around the affected tooth.

How granuloma appears

Granuloma appears in the result of chronic granulomatous tissue inflammation and microbes, surrounding the tooth root. Inflammation destroys healthy tissues, replacing them with granulations. All this leads to granuloma appeared under the tooth.

Further, the inflammation spreads and increases. The central cells die soon without oxygen and nutrients. Tooth root granuloma turns gradually into a cyst filled with pus.

Disease symptoms

Infectious granuloma is asymptomatic for quite long. Usually, the disease is revealed unexpectedly during a routine examination at the clinic (after an X-ray procedure).

Under stress, in chronic diseases aggravation or at hypothermia, the following symptoms may occur:

  • Enlarged lymph nodes.
  • Severe toothache.
  • Sensation of the tooth increased in size.
  • Enamel darkening.
  • Temperature.
  • Pain or discomfort when touching the dental crown while chewing solid food.
  • Swelling and redness of the gums.
  • Swelling on the outer surface of the jaw near the affected tooth.

At the last stage of the disease, inflammatory granuloma leads to permanent acute pain, gum redness, and swelling. Purulent exudate bitter-tasted and foul-smelling leak out of the fistulous tract in the inflammation area​​.

At first signs, you should immediately contact your dentist to start treatment. If the tooth granuloma is not cured in time, it may lead to complications in the future.

Granuloma diagnosis at our clinic

Tomography (3D image) is recommended for a final diagnosis of teeth root granuloma.

When a contoured dark rounded area adjoined the apex of the tooth root is seen in the image, it can be stated that this is a granuloma.

How we treat tooth root granulomas

Neglected granuloma on the gum results in soft tissues suppuration and tooth bone decay. Possible complications may cause inflammation of the heart muscle, kidneys, sepsis. Treatment should not be postponed. Otherwise a tooth can be lost, or health state, in general, be damaged.

At our clinic tooth granuloma is treated in 2 ways:

  • Therapeutic (antibiotics, cleaning of tooth canals).
  • Surgical (removing dental granuloma with an apex (resection) or with a root (hemisection)).

We try our best to preserve the tooth and restore aesthetic and chewing functions using composite materials and dental crowns. The bad tooth is extracted in exceptional cases.

Denta Vita Clinic doctors have extensive experience in tooth cysts treatment. We often use therapeutic methods to stop suppuration, to make granuloma dissolved.

If you experience discomfort while eating or suspect the disease, come to our clinic. We are always ready to help you. Schedule an appointment by phone in advance.