Drainage in the gum: what is needed, how to take a photo
Drainage is installed in the gums during purulent-infectious processes. It is indicated for periostitis (flux), cysts, granulomas, cellulitis, alveolitis, after the removal of a tooth complicated by inflammation, when you need to inject medicines directly into the periodontal disease.
Drainage is a thin hollow tube made of latex, silicone or rubber. It contributes to the outflow of pus, ichor and blood. This dental instrument prevents premature accretion of the wound edges and the spread of pus.
After installation, care must be taken not to complicate healing. Dentists give patients the following 10 tips.
What does drainage in dentistry look like?
In all branches of medicine the system of outflow of inflammatory fluid from incisions, which is called drainage, is widely used. Dentistry perfectly adapted this finding to eliminate the effects of purulent wounds and fistulas in the oral cavity. It is no secret that a liquid infected with microorganisms along with pus can get into the lymphatic system and disperse throughout the body. It is fraught with heart bag disease, pericarditis, pneumonia or kidney dysfunction. Proven relationship between abnormal flux treatment and extensive heart attack.
For the first time, French surgeon Chassignac invented and applied drainage during abdominal surgery. For a long time, he was looking for an ideal material that would not get wet from the blood and pus and responded well to the antiseptic treatment. For many years it was a small tube made of natural rubber or glass, there have been attempts to use lightweight plastic.
The work of the dentist is sometimes jewelry, so new technologies have greatly improved drainage in the gums. This is not only a narrow tube of different sizes, but also the thinnest strips of latex, rubber, flexible plastic. Modern developments do not irritate the mucosa, do not cause itching and are almost not noticeable in the wound. This allows the patient to eat and speak normally.
When put drainage in the gums
Half of all visits to the dentist account for acute conditions: purulent bumps and fistula on the mucous membrane, painful flux or rupture of a cyst in the root of a tooth. A person suffers from discomfort and discomfort, complains of weakness and itching inside the jaw. An abscess often cannot break through the dense periodontal tissues and goes deep, causing even more pain.
There are several situations when a drainage is placed in the gum to remove accumulated exudate:
- periostitis of the jaw,
- severe alveolitis,
- the consequences of wisdom tooth extraction,
- the presence of purulent abscess under the molar,
- swelling and volume swelling of the mucous.
Another reason for the installation of strips in the wound is the need for constant delivery of the drug in the very middle of the gums under the periodontal tissue. With its help, the dentist conducts washing the roots of the teeth when a cyst with dangerous contents is ruptured or injects an antibiotic inside the fistulous passage. This significantly speeds up the 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 images of the jaw to determine the extent of the ulcer overgrowth and see the fistulous passages inside the bone. If the cause of the flux lies in the destruction of the tooth root, it will have to be removed. When a cyst with serous contents is formed, the dentist reams the molar and gently removes the pouch through the opening. Before continuing with further therapy, it is necessary to establish a removal system:
- the doctor injects anesthesia, trying to maximally anesthetize the inflamed area,
- with a scalpel makes a small incision of the mucous,
- a serous fluid is released into the opening, which should be removed by vacuum without pressure and pressure,
- miniature latex drainage is inserted into the wound,
- one end should “look out” and not allow the wound to heal.
A properly installed outflow system should not greatly disturb or cause increased pain in the jaw. It is felt with the tongue or finger, but does not rub the inner surface of the cheek. Ideally, the wound does not bake after the introduction of the tube. An important indicator of the qualitative work of the dentist is the improvement of the patient’s condition during the first days after the operation.
How much to keep drainage in the gums decides the doctor on the basis of images and visual inspection. 3-5 days are usually enough to completely remove the exudate. During this period, whitish and yellow pus, a blood, or translucent discharge without blotches can be abundantly out of the wound. The puffiness begins to subside and the patient feels that it becomes easier for him to close his teeth and chew food. Gradually, the redness is replaced by a normal pink shade.
For the entire time of implantation of the latex strip, the patient must observe the recommendations of the dentist: eat only powdered liquid food, drink more clean water, do not chew on solid foods and sweets. Sleep and rest lying down will have on the cheek, opposite the operated place. This will help maintain drainage and will not move it from the inflamed area. In difficult situations with a lot of pus inside the periodontal person will have to visit the doctor every day. He will wash the wound with an antiseptic and inject a dose of antibiotic into the incision.
How to remove drainage from the gums
To complete the exudate will take several days. When the small tubule is removed, the surgical incision heals. If, for any reason, it moved or fell out, you should apply for reinstallation. This is important for proper treatment of the flux: the soft tissues in the mouth quickly overgrow, and the way out to the outside for the inflammatory fluid and nodule is blocked. A painful lump again forms on the gums and accumulates a large amount of liquid secretion with pus.
Sometimes a person does not have the opportunity to visit the dentist again and the question arises how to remove the drainage from the gums yourself without consequences. If the swelling is completely gone, no fluid or blood is released from the wound, there is no high temperature, this is allowed to be done at home, observing hygiene and cleanliness. For this you need:
- Rinse the mouth thoroughly with an antiseptic solution for a few minutes to remove all bacteria and germs from the mucosa.
- Disinfect tweezers with alcohol or Miramistin.
- Before the mirror, carefully pry the strip as gently as possible and pull it towards you without jerking.
- Treat the wound with hydrogen peroxide, which is applied on a cotton swab.
Within a few days it is necessary to rinse the gums with any anti-inflammatory or anti-bacterial composition. Suitable solution of soda, sea salt and iodine, alcohol Chlorophyllipt and Cholisal. The wound can be applied ointment Solcoseryl or a thin layer of antibacterial gel Levomekol.
It is better not to risk it and not to look for a way to get the drainage out of the gum, but to entrust further treatment to a specialist. In addition to the treatment of wounds and holes after tooth extraction, it is necessary to establish the cause of the formation of pus. A person is selected for a broad spectrum complex antibiotic: Lincomycin, Amoxiclav or Doxycycline. If the inflammatory process is accompanied by intolerable pain and itching, you can drink analgesics such as Tempalgin, Ketanov or Ibuprofen. If you follow all the recommendations of the dentist, the inflammation will quickly stop and you will not need to reinstall the latex strip.
Characteristics of dental drainage
Drainage or desiccant is a device placed in the postoperative incision of the gums. It serves to prevent the accumulation of blood or pus in a wound, to ensure the outflow of these biological fluids to the outside.
One end of the drying system is placed in the deepest area of the incision, the other end goes into the oral cavity. Blood, pus, exudate (fluid resulting from inflammation) do not linger in the wound area, but flow out of it. This principle allows you to prevent the spread of infection throughout the body and avoid serious complications:
What does dental drainage look like?
Most often, the device has the form of a rubber strip. It is cut from sterile latex and treated with an alcohol solution, chlorhexidine or hydrogen peroxide. This procedure allows you to achieve the sterility of the rubber dryer, that is, completely destroy any kinds of microbes on its surface.
Less commonly, the dental insert is made from a polymer (PVC) tube of small diameter (up to 3-5 mm). Such a structure allows fluid or pus to actively flow from the wound without accumulating inside it.
It is extremely rare to use small sterile gauze for draining. Such drainage requires daily processing of the incision and inspection, and is installed in the gum only in the hospital for heavy operations.
Why and when it is done: when do they cut the gum?
Drainage in the gum area is established in cases when a person has an inflammatory disease of the dental system, most often it is flux (or periostitis) - an infection of the periosteum covering the upper and lower jaw and just under the gum.
When the flux accumulates pus in the bone, there is severe swelling, body temperature rises, and the state of health worsens. To help the patient, the doctor cuts the gum and places a drainage into it, through which pus will flow out.
Very often, drainage is used after the removal of the upper and lower molars of the last (or wisdom tooth). The operation of their extraction is often traumatic, and the teeth themselves are located near the important anatomical structures - the maxillary (maxillary) sinus, mandibular canal, and peripharyngeal space.
Therefore, after the removal of the molars, the drainage is placed for preventive purposes - to prevent the accumulation of blood in the postoperative wound and its subsequent suppuration. The method also allows you to reduce the size of the hematoma in the cheek and avoid swelling of the face on the first and second day after the operation.
Contraindications to the installation
Dissection of the gums cannot be done if the patient has diseases that cause a violation of blood coagulation (hemophilia). This method of treatment is used with caution while taking drugs Thromboc-Ass, Aspirin, Warfarin. In all these cases, there is a danger of bleeding from a staged open wound, and a desiccant can only worsen the condition and increase blood loss.
Relative contraindications are diseases of the cardiovascular system in the acute period - hypertensive crisis, myocardial infarction, stroke, angina. In these cases, the patient is transferred for treatment to a physician by a general practitioner, and surgical treatment and installation of the structure are delayed until the general condition is normalized.
Installation is carried out according to a strict algorithm:
- Before the operation, the dentist takes x-rays of the necessary area of the jaw to accurately determine the source of the problem - suppurative inflammation, abscess, or the location of the tooth in the jaw.
- Conducted local anesthetic anesthetic solution. The doctor is obliged to choose a drug that does not cause allergic reactions in the patient.
- 10-15 minutes after the injection of the anesthetic, a gum incision is made with a scalpel.
- Pus or inflammatory exudate are released outside. The wound is thoroughly washed with an antiseptic solution - Chlorhexidine, Furacilin or Iodinol.
- After the gum is cut, a strip or tube of the drainage system is inserted into the incision. One end is in the wound, and the other end goes into the oral cavity. A latex graduate should not rub his cheek, cause discomfort or discomfort.
- To prevent spontaneous falling out, the liner is sewn to the gum with absorbable material - Catgut, Vicryl.
In the photo, the drainage process and the end result is the established drainage in the gum.
Possible complications: what to do if the drainage fell
After installing drainage, some patients may experience complications. The most frequent is an allergic reaction to the material from which the dryer is made - latex, polyvinyl chloride, less often - to the antiseptic with which the drainage was treated - alcohol, Chlorhexidine, Miramistin.
Usually, before applying this method of treatment, the doctor asks the patient about the presence of an allergy to any drugs.
Sometimes a person does not know about the presence of hypersensitivity on latex or alcohol, then a few hours after installing the device there is a strong itching and burning sensation in the wound. Edema after surgery on the gum may increase, and the discharge from the wound becomes larger, the person will constantly feel an unpleasant taste in the mouth.
Sometimes after installation, the drainage drops out of the gum itself. In such cases, it is recommended to seek advice from your doctor. Further actions will depend on the initial severity of the disease, as well as how long after the operation the desiccant fell:
- if the swelling and inflammation of the gums were not pronounced, and the desiccant separated from the gums after 24 hours or more from the moment of its installation - most likely, nothing needs to be done, the desiccant has already performed its function,
- if the disease was serious, the operation was traumatic, and the tube fell out an hour after it, then you will need to come to the dentist’s office and re-install the drying element in the gum.
What you can do yourself
In case there is no time to appear a day after the operation to a doctor and remove the drainage, you can remove it yourself:
- Wash your hands thoroughly with soap, rinse mouth with distilled water.
- Take clean tweezers, and carefully wipe the tips with alcohol. As a disinfectant, you can use vodka or cologne.
- Grab the graduate edge of the mouth, loosely lying in your mouth, with tweezers and gently and gently pull it towards you.
- The wound for 20 minutes must be closed with a sterile gauze cloth.
With the appearance of pain after surgery, it is allowed to take pain pills (Ketanov, Pentalgin, Nise) for 3 days. Mandatory is a course of antibiotic therapy for 5-7 days. Drugs for treatment and their dosage is prescribed strictly by the dentist.
After removing the drainage from the gums, the wound will heal in about 7-10 days. To speed up tissue regeneration, you can rinse your mouth with grass solutions (chamomile, oak bark, calendula).
What is drainage
Drainage in the gums has been performed by surgeons for many decades. It is a tube of dense materials and its role in the treatment of diseases of the infectious nature can not be overestimated.
The invention was invented by a surgeon from France - Chassagnac. To create the construction, the doctor used glass and rubber. Using such a device, doctors could remove excess fluid from the inflamed tissue, the remaining necrotic masses. To achieve the desired effect, the doctors left the tubes in the patient's body for several days.
And now surgeons use drainage during operations. However, the appearance of the devices has undergone significant changes: the tubes have become smaller and thinner in size, and modern materials are used to create them. External drainage has changed, but all its functions have been preserved. It does not give prematurely a cut in the gum, promotes rapid removal of pus, suckling, and necrotic masses from the affected areas, helps drugs to reach the deeper layers of soft tissues.
Drainage is left in the mouth until the tumor subsides. This symptom indicates a complete cleansing of the affected area. For the early recovery of the wound in the postoperative period, it will be necessary to use special ointments, gels and solutions for rinsing the oral cavity.
To create a modern drainage using latex and rubber materials. Due to this, the patient almost does not feel discomfort when eating. Waterproof materials are firmly held in the gums and do not allow tissues to tighten. A small portion of the tube remains on the outside of the gums. Through it, pus is excreted unnoticed by the patient.
When the procedure is assigned
Drainage is necessary to remove pus after a gum is cut or to remove a tooth. The passage of pus through a rubber tube is called the drainage process.
The procedure has 2 main objectives:
- complete elimination of purulent exudate,
- prevention of gum healing.
In saliva, there are special substances that stimulate the regeneration of damaged soft tissue. Because of this, pathogens can remain inside the gums, not having time to go out with the necrotic masses. The condition provokes a repeated exacerbation of inflammatory processes. In addition, epithelial cells are characterized by rapid division, which also contributes to the speedy healing of the wound after excision of the gums.
Для полного выхода экссудата из раны необходимо замедление заживления эпителия. Приспособление ленточного или трубочного типа не позволяет краям раны сойтись раньше времени.
How much is the drainage? The surgeon can answer this question after assessing the state of the gums in the postoperative period. The device is removed after the disappearance of signs of edema and inflammation of soft tissues.
If you remove the tube ahead of time or do not install it at all, the exudate will spread to nearby tissues and subcutaneous fatty tissue. The condition can cause dangerous infectious complications that entail health problems, even death.
How long does the drainage stay after the gum incision? On average, this period is 1-2 days. The term may be extended after removal of abscesses and phlegmon up to 1 week. If the infectious-inflammatory disease is accompanied by fever, then usually after the installation of drainage, this symptom disappears after a few days.
Installation is used not only after the incision of the gums, but also after the removal of the tooth. Extraction in the first few days is also dangerous for the development of infectious complications. Installing a branch pipe reduces the risk of negative effects and prevents infection of the gums.
The scheme is also used to accelerate the delivery of drugs to the pathological focus. This method simplifies the treatment of soft tissues located in hard to reach places.
In the event of the first signs of an abscess or flux, consult a doctor immediately. Methods of modern dentistry allow you to quickly and painlessly cope with the problem, while traditional medicine and self-medication can only aggravate the course of the disease.
Stages of drainage
The procedure can be performed only by a specialist. Trimming the gums and installing the rubber tube occurs in several stages:
- Examination of the oral cavity by a dentist.
- Conducting an X-ray image, which allows you to determine the depth of the tumor and the degree of its prevalence on neighboring tissues.
- The introduction of an anesthetic drug in the problem area. Does it hurt to cut the gum? The procedure is accompanied by significant discomfort, so anesthesia is used to minimize pain.
- Resection of the seal with a scalpel.
- Cleaning purulent cavity using antiseptics.
- Fixation of a rubber tubule for removal of pus.
In severe cases, the drainage is left in the oral cavity for 3-5 days, until the tumor subsides, and the ichor stops leaking from the wound. Drainage can fall out by itself or a doctor removes it. If the swelling and inflammation persists 5 days after the intervention, you should immediately contact your dentist.
What to do when a drainage falls?
What to do if the installation fell out of the gums ahead of time? The answer to the question depends on the characteristics of the clinical case. If the edema is asleep and the patient is not bothered by pain, then you can not go to the clinic to reinstall the device. It is impossible to remove the drainage from the oral cavity on your own even with the complete disappearance of the problematic signs.
Among the reasons for the self-fallout installation should be noted:
- active rinsing of the mouth and thorough cleaning of the teeth,
- wrong fixation of the structure above the tooth.
Reinstallation is required if the gum is still sore after the rubber tube falls out. It is better if the procedure for installing the system will be carried out by the doctor in the clinic. Only in rare cases, experts allow patients to remove the drainage themselves when the signs of edema and inflammation disappear.
An independent procedure is carried out taking into account the rules:
- Wash hands thoroughly with soap.
- The oral cavity is treated with antiseptic solutions.
- The tape or tubule is removed in front of the mirror. Grabbing the free edge of the material with your thumb and forefinger.
The procedure is accompanied by a slight soreness and loss of blood. All of these symptoms are normal. Interrupt treatment immediately after the installation of the tube is impossible.
How to rinse your mouth? For this purpose, suitable Miramistin, chlorhexidine solution, hydrogen peroxide solution. The procedure is necessary to prevent the recurrence of the problem.
An abscess or gum flux is treated comprehensively. With the help of drugs alone, you cannot cope with the pathology. Therapy should include the installation of drainage, local treatment of the affected area and physiotherapy procedures carried out after the opening of a purulent focus.
The timing of the healing incision
How long will the gum heal after removing the drainage from it. On average, tissue regeneration takes 1-2 weeks. The process largely depends on the complexity of the previous operation and the individual characteristics of the patient. For example, in older people, wounds heal longer. This fact is explained by the slowing down of metabolic processes with age.
It may take more than 6 months to fully regenerate the gums. The process of wound healing after the opening of the abscess takes place in several stages:
- the formation of a blood clot that protects the wound from the introduction of pathogenic microorganisms,
- formation of new granulation tissue (within 3-4 days from the moment of intervention),
- maturation of the new epithelium (7-10 days after the opening of the purulent focus),
- soft tissue regeneration
- formation of young bone tissue.
After the surgery, the dentist gives the patient a number of instructions that allow to maintain drainage in the gums and to avoid the development of complications after the intervention. In the first 3-4 hours after the procedure it is forbidden to consume food. During treatment, it is desirable to redistribute the chewing load on the healthy side of the jaw. Doctors also advise to give preference to diet products.
In the postoperative period, it is necessary to eliminate increased physical exertion, to refuse to visit saunas, pools and baths. It is also important to give up bad habits - smoking and drinking alcohol.
Why put drainage?
In dentistry, drainage is used in the following cases:
- for tissue healing after removal of a problem tooth,
- with alveolitis,
- after opening the flux,
- when an abscess or cyst is formed,
- for the introduction of drugs directly into the wound.
The patient does not need to worry if his gum was cut and a drainage system is installed. Drainage is used to remove purulent exudate and ichor. If the drainage is not established, the opened focus of infection after purification will be delayed rather quickly, but if the inflammatory process is not stopped, the formation of purulent masses will begin again. In such a case, a new operation will inevitably be required.
What time is the drainage put on?
Typically, drainage is in the gums for 2-4 days. At this time, the patient is taking antibiotics and antiseptics. If a patient has a swollen cheek and edema does not disappear even after 3-4 days after drainage, consult a dentist (we recommend reading: what to do if your cheek is swollen after a tooth extraction procedure?). After examining the patient, he will either remove the tube and re-clean the wound, or leave the drain for another few days. Thus, the question of when to remove drainage is very individual.
What if the tube fell out?
If the drainage has fallen, the patient should immediately consult a dentist. Independently returning the drainage system to the gum can lead to wound infection and serious complications.
The doctor will examine the oral cavity and assess the situation. The absence of edema after the precipitation of the drainage system indicates the end of the outflow of pus - in this case you will not need to reinstall it. If the tumor does not subside, the dentist will install the system in the gum again. The reasons that can trigger the drainage tube loss include:
- wrong brushing technique,
- excessive amount or rinsing intensity,
- errors in the process of fixing the tube.
To preserve the drainage tube throughout the entire required period, the patient must adhere to certain rules. These include:
- ingestion of liquid and ground food,
- drinking clean water
- resting on the cheek opposite the affected place
- exclusion from the diet of solid foods and sweets.
When will the incision heal?
Patients who are preparing to install a drainage system are always interested in how much the gum heals after an incision (see also: how long does the gum normally heal after tooth extraction and how long does it hurt?). On average, 1-2 months after a gum incision, it is delayed. It may take up to half a year to complete tissue repair. The process of healing the incision involves several steps:
- blood clot formation after surgery,
- maturation of new granulation tissue within 3-4 hours,
- epithelization for 7–10 days,
- wound regeneration 14–21 days after dissection,
- formation and compaction of young bone tissue for 2–4 months,
- fusion of tissue with jawbone after 5–7 months.
Dentists after the operation give recommendations, the observance of which promotes the healing of tissues as soon as possible. The most effective rules include:
- Postoperative diet. Many doctors emphasize how much time you can eat after tooth extraction and dissection of gingival tissue (we recommend reading: how many hours after tooth extraction can you eat?). Dentists are allowed to eat food no earlier than in 3-4 hours. Doctors also talk about the benefits of diet during this period.
- Postoperative mode. Dentists strongly recommend that the patient eliminate physical activity, trips to the sauna and gym after he made the incision. It is also necessary to stop smoking and drinking alcohol.
Contraindications and complications of the procedure
Dentists exclude the procedure only in the most extreme cases. Contraindications include:
- disorders of the lymphatic system and blood clotting,
- predisposition to the occurrence of an allergic reaction to anesthetics.
Non-compliance with medical recommendations, the presence of infection or reduced immunity entails complications. If a patient has a swollen cheek, pains have arisen, the temperature has increased or bleeding has opened after the gum has been cut and the drainage system has been installed, he should immediately contact the dentist.
When an immediate visit to the doctor is not possible, the patient can use antiseptic agents that will help temporarily get rid of the pain and relieve swelling. You can often rinse your mouth with a warm water solution of soda, salt and iodine, Chlorhexidine, Miramistin, Chlorophyllipt or lubricate the affected area with anti-inflammatory gels, such as Solcoseryl (we recommend to read: how to rinse the mouth after tooth extraction?). It must be remembered that rinsing in the presence of a drainage system in the mouth should not be too intense.
Dental drainage in the gums
Dental drainage is a tool used by dental surgeons, periodontists to pump out pus, blood, and serous discharge from the periodontium. Previously, such a medical device looked like a tube made of moisture resistant synthetic material (rubber, silicone). Today, drains of various forms are made of latex and rubber.
I believe that you can still save a lot on visits to the dentist. Of course, I'm talking about teeth care. After all, if you carefully care for them, then before the treatment can really not get the case - is not required. Microcracks and small caries on the teeth can be removed with a regular paste. How? The so-called filling paste. For myself, I highlight Denta Seal. Try and you. Dental drainage is used to pump out pus and blood from the periodontal
When you need drainage
In order to free periodontal tissues from fluid accumulation, the doctor makes an incision, inserts a piece of moisture-resistant material into it so that a free edge remains outside. This tab does not allow the incision to tighten, contributes to the withdrawal of accumulated fluid out.
This is how the drainage procedure literally looks.
Special medical device in the gums set in the case of periostitis (flux). Its signs are swelling of the tissues of the patient's tooth, swelling of the cheeks. Other cases where a medical device is installed:
- when tooth extraction is accompanied by problems, drainage is needed so that the wound heals,
- with alveolitis,
- when the need to regularly inject the medication,
- the presence of an abscess, cyst, formations near the root of the tooth.
How to install
The doctor can cut the gums, install latex and rubber strip / tube. Not everyone shows the procedure, if there are problems with blood clotting, it is better not to carry it out.
First, the doctor makes a local anesthetic, knowing in advance if there is any allergy to the medicine. The procedure does not cause discomfort, is carried out quickly and accurately.
Afterwards, the doctor makes recommendations on the treatment of the oral cavity, the features of the drainage functions.
The drainage procedure does not cause discomfort, it is carried out quickly and accurately.
Without such an insert, pus in periodontal tissues can provoke sepsis. Therefore, you should not be afraid of the procedure - sometimes it saves a person’s life. The phased implementation of the procedure is reduced to the points:
- Examination of the oral cavity, identifying foci of infection, ulcers.
- X-rays will show where the cavity with purulent contents is localized and how deep. In the picture the doctor will see the pathology, the condition of the roots of the teeth.
- Anesthesia is performed on the selected area.
- The swollen area is dissected with a scalpel.
- The open cavity is cleaned of pus, washed with antibiotic / antiseptic.
- A medical device is fixed (a strip of latex, rubber).
How much should drainage in the gum stand?
The periods of stay in the tissues vary depending on the severity of the pathology, the extent of the lesion. It takes 3-5 days to clean the cavity. This will be noticeable, the purulent contents and blood will stop flowing from the incision. Sometimes the medical device drops out on its own, you need to remove the plate yourself or visit a doctor.
On average, drainage in the oral cavity is 3-5 days
When the doctor allows the patient to pull out a medical device, he explains what needs to be done and how. After a time that can be understood by signs, should the patient follow the instructions?
- wash your hands with soap
- to disinfect the oral cavity in order to minimize infection of the wound, rinse it with an antiseptic,
- stopping in front of the mirror, you need to open your mouth, pull the free edge of the drainage, holding it between your fingers or tweezers - as convenient. If you have to wield tweezers, you need to dip it in alcohol. When draining the drainage from the gums, pain, slight bleeding is possible,
- A few more days, the mouth is disinfected with Chlorhexidine, Miramistin.
Do you feel anxious about visiting a dentist?
The important point is that if the bleeding does not stop within 2 hours after removal of the drainage, you need to consult a doctor, this will be a sign of damage to the vessel, a developing complication.
What to do if drainage falls?
Drainage in the gum is placed for several days, until pus, blood begins to separate from the wound.
Sometimes the medical device drops out on its own, if it was incorrectly fixed, or the patient has actively rinsed the oral cavity, or the inflammation was severe.
The latter case is connected with the fact that after the relief of the inflammatory process, the tissues return to their initial dimensions; in a large section, the medical device simply does not linger.
If the drainage fell, the tumor grows, the tooth hurts, you need to go to the doctor - he will install the material again to stop the accumulation of exudate. If the edema is asleep, the tooth does not hurt, there is no need to carry drainage, you can leave it for a couple of days to control the situation. If the condition improves, then everything is in order.
It is impossible to establish a medical device on your own, as this threatens to infect a wound with repeated flux. After removing the drainage, it is necessary to rinse the mouth with an antiseptic to prevent harmful bacteria from getting into an open wound.
When the mucosa is delayed, we can assume that the treatment is over.
What does gum drainage look like?
If you are planning on implanting or removing a cyst, be prepared for the dentist to cut the gum. When an uncut or incompletely cut wisdom tooth is removed from the gums, the incision is also inevitable.
After surgery, complications are possible in the form of edema, bleeding, aching pain. The reasons are reduced immunity, the presence of infection in the mouth or improper care in the postoperative period. Therefore, the best thing you can do is to remember and follow all the recommendations of the doctor.
As a rule, swelling occurs after the removal of a wisdom tooth with a gum incision. This is a typical reaction of the body to surgery. However, in some cases, the tumor reaches a gigantic size, much swelling cheek or lip. This is a clear sign of alveolitis (inflammation of the hole), in this case, an urgent need to visit the attending physician!
Raising the temperature to 37–37.5 degrees is also considered normal. However, if the thermometer shows more than 38 degrees, then, most likely, the inflammatory process has begun. Нужно обратиться к врачу, который проводил операцию. Возможно, вам назначат курс антибиотиков.
Боль возникает сразу после окончания действия анестетика (спустя час-полтора). Soreness is a reaction to nerve damage with a surgical scalpel. In order to relieve the condition for a while, it is recommended to take a Ketanov, Pentalgin or Analgin tablet. The pain will gradually subside after 3-4 days.
Excessive bleeding may occur due to damage to the vessel during anesthetic injection, increased capillary fragility, or high blood pressure in a patient.
What is stopping the bleeding? Immediately after the gum is cut, the doctor puts on a hemostatic sponge and, when the bleeding stops, sews up the wound.
But if that doesn't help, call an ambulance.
Flux is an inflammation of the periosteum (dense tissue covering the jaw bone). Such a complication is a consequence of infection of the gums, after which the infection penetrates deeper, affecting the periosteum. In the area of inflammation pus accumulates and a painful bump is formed. When the flux is done, a relaxing incision of the gums (opening of the abscess) is established and drainage is established for the outflow of purulent exudate.
How gums heal
After surgery, the links between tissues and cells are broken. The healing process is the formation of new physiological and anatomical connections between them.
- The formation of a blood clot - is formed 5–10 minutes after the operation and serves as a protective barrier against infection and harmful microbes.
What to do after the procedure
- when you arrive home, you just need to lie down and rest,
- Do not eat or drink for 3 hours,
- you should not open your mouth too wide for 3 days after the operation, as well as eat hard and hot food,
- limit emotional and physical stress
- hot baths, use of the sauna, gym sessions are prohibited,
- It is desirable to completely stop smoking and taking alcohol during the week.
Remember: in no case can not apply hot compresses, cauterize the wound with alcohol, iodine or brilliant green. It will only get worse!
The dentist-surgeon can prescribe wound healing and antimicrobial ointments (Holisal, Solcoseryl, Stomatofit, etc.). To strengthen the overall immunity can be taken immunomodulatory agents and multivitamin complexes.
How to rinse the gum after the cut?
Any rinse should be done strictly according to doctor's prescription. Usually, the doctor recommends rinsing the mouth with saline solution, chamomile decoction, calendula or sage (room temperature), they have a powerful anti-inflammatory effect.
Also, ready-made antiseptic solutions from the pharmacy - Chlorhexidine or Miramistin.
If you feel that inflammation of the gums has started after the operation, or you have noticed a discharge of pus, do not postpone the visit to the dentist! In case of emergency, you can contact the duty doctor of the public clinic, he takes even at night. You will find the nearest institution on our website.
We also suggest that you familiarize yourself with materials about complications after implantation.
Hello, dear experts. The question is, I think banal, but still, I would like to hear the answer from people specializing in dentistry. Three days ago I had a tumor.
Two days ago, the causative tooth was removed, making an incision and installing drainage of the gums. The doctor said to extract the drainage on their own in two days, that is, today.
Please tell me whether to extract it yourself? If so, is this a painful process? How to prepare, what to do in advance, etc. Thank you for your attention.
The dentist answers the question: - drainage in the gum
Hello! If your doctor has told you to do this without the help of others, it means that it can and should be done. Drainage removal procedure causes minor discomfort and does not require any preparation. Nothing special to do. Remove small pebbles need a quick movement. Good luck! Not bad at all!
Drainage on the gum
Today, they made an incision in my gum to release excess blood from the bruise, after which they put rubber drainage. In the evening, while eating, this drainage moved out and it was impossible to return it to its place, so I had to throw it out.
Should I go to put a new drain tomorrow?
Hello. Call back to the clinic. Tell about your health physician. He beheld your situation. He will give a better answer than me.
Because you told me about the situation very little. May be confused periostitis and bruise ...
Indications for installation
Most often, a drainage drainage in the gum dentists install with periostitis, which is popularly called flux. Its characteristic signs are known to everyone: edema appeared near the diseased tooth, cheek swollen. There are other indications for the use of this device:
- for quick healing of the hole after a complicated tooth extraction and for manifestations of alveolitis (we recommend reading: how to rinse your mouth for quick healing of the hole after tooth extraction?),
- the need for regular introduction of medication into the gum cavity,
- the presence of various formations at the root of the tooth - cysts, abscesses.
Features of the gum drainage procedure
In order for the drainage procedure to be successful and give the desired effect, the specialist must perform it. Measures to cut the gums and install the latex strip include the following steps:
- Examination of the oral cavity, sensing.
- X-ray, which will show the depth and localization of the cavity filled with pus. This procedure is the most informative - the doctor will see the condition of the roots of the tooth, in time detect the pathology.
- The introduction of anesthesia in the affected area.
- Perform tumor dissection with a scalpel.
- Mechanical cleaning of the cavity where the flux arose, the use of an antibiotic or antiseptic,
- Fixing latex strip.
As a rule, a device for removal of fluid is installed for a period of 3-5 days, until blood or pus from the incision stops flowing. In some cases, the tube or strip falls out by itself, sometimes the doctor decides to remove it. If the tumor does not subside longer than five days, it is worth re-seeking medical attention.
Is it possible to remove the drainage yourself?
Some dentists allow the patient to get rid of the drainage on their own. As a rule, the procedure is performed after a few days in the absence of the possibility of visiting the doctor. To remove the tube or strip yourself, proceed as follows:
- wash hands thoroughly
- disinfect the oral cavity - rinse with an antiseptic solution,
- standing in front of the mirror, grab the free edge of the tube or strips, remove it from the gums.
Minor bleeding and pain may occur. After removing the latex strip, it is necessary to rinse your mouth for several days. You can use these drugs:
- Hydrogen peroxide solution (1 tablespoon per glass of water).
Gum healing time after incision
If it took to cut the gum, how long does it usually heal? After purulent inflammation and surgery, periodontal tissue may be disturbed and hurt for quite some time.
According to various reviews of the dentist’s patients, complete healing can be expected only after 1-2 months. If during treatment there were any complications, this period may be longer.
Also, the process may be delayed if a wisdom tooth was removed from the problem gums.
For the qualitative treatment of purulent inflammation, the doctor often prescribes antibiotics. If you ignore the doctor's prescriptions or do not fully comply with the prescriptions, complications are possible.
When is gum drainage needed?
The main indication for installing a bypass system on the gum is the presence of flux resulting from periostitis. This disease, characterized by inflammation in the periosteum of the tooth, leads to redness and swelling of tissues. When late treatment in the place of inflammation pus accumulates, it becomes noticeable and quite painful.
The patient often has an increase in body temperature and a sharp increase in pain when pressing on the tooth. Flux treatment is carried out by complex actions:
- taking antibiotics and anti-inflammatory drugs to eliminate the infection,
- local application of gels and rinsing of the oral cavity with antiseptic solutions for removing puffiness,
- use of anesthetics for pain relief.
If the doctor diagnoses the rapid development of inflammation, the flux undergoes an autopsy for the outflow of pus. The site of the operation is treated with antiseptics, and then drainage is installed on it. Such actions lead to the improvement of the patient's condition in the first hours after the procedure.
Features of the installation of drainage on the gums
Drainage in the gum is established directly into the inflamed tissue through a surgical incision. It is not taken out until the outflow of pus is completely stopped, which indicates the cessation of the development of inflammation.
Important! Installation of a drainage system after surgery is mandatory. Otherwise, the wound will quickly grow with new tissues, and in its place re-inflammation will develop.
Purpose of drainage
This practice has been used in dentistry for a long time.
The first drains were installed in France: they looked like glass or rubber tubules and were designed to remove excess fluid from the patient's mouth and eliminate the effects of purulent processes after performing dental procedures. Adaptations were required to put in fresh cuts in the gums for a short time.
Today, the drainage has been modified and improved, the principle of their work remains the same. Main functions:
- after cutting the gums do not allow the wound to drag on
- pus and suckling are removed,
- thanks to them, you can inject the medicine into the wound.
In time not eliminated, the liquid infected with bacteria can spread the infection throughout the body.
In medicine, there are cases when the consequence of not completely cured flux became pneumonia or a heart attack. When the affected area begins to heal and cleanse, and the swollen gum begins to return to its normal appearance, the doctor removes the drainage. After that, the patient can use the ointment to accelerate the tightening of the wound.
Modern drainage looks like a thin wire. They make it of two materials: latex or gum in the gums keep well in the damaged place, prevent its overgrowth, help to remove purulent discharge and do not cause discomfort (no irritation and itching). The patient can fully eat and talk.
Indications and contraindications
Such an operation is required in certain cases:
- Inflammation of the gums, flux.
- Contact with open wound infection.
- Severe wound healing after problematic tooth extraction.
- The need for the introduction of drugs into an open wound.
- Detection of benign growths in the rhizome of the tooth.
- Complications after wisdom tooth is removed.
Flux - the indication for the installation of drainage
There are individual cases in which drainage is prohibited. The procedure is excluded for patients with poor blood clotting and those who do not tolerate anesthesia.
Technical description of the operation
Drainage should be done only by a specialist.
- Fixing the installation site, he makes an x-ray.
- Make an anesthetic injection, after excluding the possibility of an allergic reaction. The dentist, before cutting the affected gum with a scalpel, treats it with antiseptics.
- In order to ensure the outflow of fluid is installed a strip of latex.
- Depending on what action preceded the installation of drainage, there is a need for further activities. After the removal of the tooth, there is no need for another dissection of the soft tissues, it is enough to get drainage into the open cavity.
- Usually strip put for 5 days. If during this period the inflammation does not pass and the wound does not clear, the drainage cannot be removed. When the process is delayed, a return visit to the dentist is necessary.
Installation scheme of drainage strips
Professionally installed design should not cause discomfort and interfere with living a full life. He should not feel drainage in the gums. All discomfort should disappear the next day after surgery. It is necessary to follow certain rules for several days after cutting a part of the gums and placing the tube:
- do not eat solid food
- do not eat too hot or cold dishes,
- drink more fluid.
Ability to remove yourself
If there is a need to remove the drainage, you can do it yourself. Sometimes it disappears without outside intervention. Be sure to pre-wash your hands and use a disinfectant, including for the oral cavity.
It will be more convenient to use a mirror. Pull the edge of the strip and, with gentle movements, pull it out. Sore spot wipe with hydrogen peroxide. The action will be accompanied by pain and bleeding.
If complications arise, treat the oral cavity with antiseptics for some time.
Type of drainage in the gums
Continuing bleeding suggests that you have touched an important vessel. Ask your dentist for help.
Rinse the doctor will prescribe
If drainage fell
Premature prolapse of it while the tumor is still progressing is not normal. The doctor could fix the device badly. Urgently go to him to restore drainage and do not try to correct the situation yourself. You run the risk of infection in a wound that has not yet healed.
If you are sure that the edema is asleep and a sufficient amount of time has passed, do not worry. Just watch some time for the condition of the affected area.
There is nothing difficult in the procedure. It is enough to observe the rules of oral hygiene after the drainage has been supplied to you, and then problems should not arise.
Dental drainage in the gums
In modern branches of medicine, the process of constant outflow of inflammatory fluid from a wound or a hollow organ with the help of special devices is widely used. Such a system is called drainage.
In dentistry, this system is used to treat inflammation or after operations in the oral cavity. Drainage in the gum is used for pumping purulent fluids, blood and serous secretions.
What to do if drainage fell
Drainage from the wound may fall ahead of time for the following reasons:
- too frequent and active rinsing of the mouth,
- aggressive teeth cleaning
- wrong fixation in the wound,
- with severe inflammation, when the tissue returns to its former size during healing, and the device cannot be kept in section.
After falling out, you need to consult a doctor, who must determine the need for re-installation. If the tooth starts to hurt, the temperature rises, the tumor begins to grow and other discomfort occurs, then you should consult a doctor immediately.
If the edema is asleep, the tooth does not hurt, the temperature is normal, and before the drainage comes out, the wound stops, then you can watch your condition for two days. If there is no deterioration, then it is not necessary to consult a doctor.
Drainage can not fall, and move. Moreover, the process of normal wound healing is impaired, which can also lead to complications. If after brushing your teeth or rinsing you experience pain, swelling increases, and the temperature rises, then you should consult a doctor.
Is it possible to remove drainage yourself
Duration of drainage is determined by the degree of damage and the severity of the pathology. Determine the time of removal should be a doctor. The main indicator of incision healing is the cessation of blood leakage and purulent discharge from the wound.
Removal of implanted drainage is carried out by a doctor. If a visit to the doctor is not possible, the patient can remove the drainage by himself. Before this, we must make sure that the healing process is over, there is no blood or purulent fluid released from the wound, the tumor has completely gone, the body temperature is at the normal level.
To remove drainage yourself, it is more convenient to use tweezers. Sequencing:
- wash hands thoroughly
- rinse your mouth with an antiseptic solution for a few minutes,
- tweezers disinfected with alcohol or miramystin,
- open the mouth in front of the mirror, clamp the drainage edge with tweezers and pull tightly, but without a jerk,
- to treat the wound swab with hydrogen peroxide.
When a tube or strip is pulled out of the gum, pain and slight bleeding is possible. For several days, you should rinse your mouth with anti-inflammatory or antibacterial composition.
Suitable for rinsing:
- hydrogen peroxide solution,
- solution of soda, sea salt or iodine.
For better healing, a thin layer of antibacterial gel can be applied to the wound. Можно использовать мазь Солкосерил.
Важно внимательно следить за состоянием раны в течение последующих двух суток. In case of pain, an increase in the tumor, an increase in temperature, immediately consult a doctor to avoid complications.
How to carry out the drainage of the gums?
The drainage procedure should be carried out by a qualified dentist, only so it will be effective.
Installation of the construction takes place in several stages:
- First, the oral cavity is examined and probed, the affected areas are set,
- To accurately diagnose and determine the location of purulent inflammations an x-ray is taken
- Anesthesia Insertion
- The dentist will make an incision in place of the tumor with a scalpel,
- The doctor puts on a hemostatic sponge,
- Flux cavity is mechanically cleaned using antibiotic and antiseptic,
- The drainage design is established.
After installation, a slight soreness may remain, therefore it is recommended to take a Ketanov or Pentalgin tablet. A device for draining excess fluid remains in the gum for several days (2-5).
The drainage system can not be removed until the suture and pus stop dripping from the affected area. Sometimes it happens that the drainage structure falls out by itself, and sometimes it is removed by a dentist. If the tumor does not disappear after five days, you should contact the doctor again.
Features of drainage during wisdom tooth extraction
Dental drainage is necessary when incisions were made after the wisdom tooth was removed. In this case, doctors often stitches and install a drainage device. Drainage not only facilitates oral hygiene, but also allows you to enter the necessary preparations into the wound.
A complex of tubules is necessary for the continuous removal of pus, since after the operation a single procedure for the removal of inflammatory infiltrate is not enough.
How to remove the drainage yourself?
Some doctors allow patients to remove the drainage in the gums on their own, but you should prepare. The removal procedure is carried out after a few days in those cases where it is not possible to visit the dentist.
- First of all, you need to wash your hands thoroughly with soap,
- The oral cavity must be disinfected with an antiseptic solution,
- To extract the drainage, you need to grab the free edge of the strip and pull.
There may be minor bleeding as well as soreness. After extraction of drainage, the mouth must be rinsed for 3-5 days. For disinfection it is fashionable to use Miramistin, Chlorhexidine and hydrogen peroxide solution.
If the bleeding after removing the strip does not go away within 2 hours, then an important vessel was probably damaged. It is necessary to immediately seek help from a specialist.
Attention! Independently remove the drainage is possible only with the permission of the dentist.
What if he fell out?
Excessive bleeding may occur in cases where the structure was removed prematurely. Then you need to attach to the place where the tooth was a cotton swab and stop the blood. If the design fell out of the damaged area, it is necessary to consult a doctor.
Reinstallation is assigned depending on the state of edema after removal. If there is still a lot of pus, then the drainage must be carried out again.