Why do teeth become inflamed and painful?

Dec 09, 2022 Source: Cainiu Health
Dr. Zhang Liwen
Introduction
Tooth inflammation and pain may be caused by conditions such as periodontal abscess, gingivitis, or periapical periodontitis. Treatment should be based on the underlying cause. Generally, when periodontitis progresses to an advanced stage and periodontal pockets form, localized suppurative inflammation develops. The pus cannot drain properly, which may also lead to decreased immune function and systemic diseases.

Teeth may become inflamed and painful due to conditions such as periodontal abscess, gingivitis, or apical periodontitis. Treatment should be based on the underlying cause.

1. Periodontal Abscess

This usually occurs in the advanced stages of periodontitis when periodontal pockets form, leading to a localized, pus-forming inflammation. The pus cannot drain properly and may contribute to reduced immune function or systemic diseases. Under medical guidance, medications such as amoxicillin capsules, spiramycin tablets, or erythromycin tablets may be prescribed for treatment.

2. Gingivitis

Common causes include local plaque buildup, poorly fitted restorations, food impaction, tooth misalignment, or crowding. Some patients may experience local symptoms such as itching, swelling, or pain in the gums. Under medical supervision, drugs like amoxicillin capsules or piperacillin tablets may be used for treatment.

3. Apical Periodontitis

This is typically caused by bacterial infection or physical irritation. Patients often experience spontaneous pain and pain upon biting, which can lead to swollen and painful teeth. Under a doctor's guidance, medications such as metronidazole tablets, cephalosporin tablets, or ibuprofen sustained-release capsules may be used for treatment.

In addition, tooth inflammation and pain may also result from dietary factors. It is important not to arbitrarily increase medication dosage and to remain aware of potential drug side effects.

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