A fistula on the gum is one of the most common complications of chronic periodontitis. It is considered a dangerous and unpleasant dental disease that requires not 1-2 treatment sessions, like caries, but a long-term rehabilitation course and identification of the causes that initiated the disease.The causes of gingival fistula on the gum are the channel that connects the infection site located in the upper part of the tooth root and the gum surface. It is through this channel that the pus accumulated in the area of inflammation is removed.There are three main causes of gingival fistula:- Not carried out during caries treatment. The editorial board warns that if you delay treatment, the disease will turn into pulpitis, and the lack of treatment in general threatens periodontitis. You need to know that inflammation in pulpitis occurs only in the pulp of a carious tooth, if you do not take timely action, the infection from the pulp will penetrate beyond the boundaries of the tooth, namely into the tip of the dental root, and purulent inflammation (periodontal abscess) will begin to develop. It is this pus that causes the formation of a fistula. When a fistula appears, there is no swelling or acute pain, because the pus is drained. Swelling on the gums and pain, on the contrary, are harbingers of the disease.- Poorly sealed root canals of the tooth. Canal fillings are performed after the tooth pulp has been removed during the treatment of pulpitis and periodontitis. If the channels are not sealed to the very tip of the tooth root, an infection will develop that will go beyond the tooth and cause purulent inflammation.- Tooth perforation. The term "perforation" in dentistry refers to a non-physiological hole. It may occur in a situation where, during the treatment of the root canal or the installation of a pin in the root of the tooth, the dentist has made a hole in the root wall. Such perforations (holes) also serve as a factor of purulent inflammation and fistula on the gum.Treatment of gingival fistula is a reminder that when treating a fistula on the gum, the cause of its appearance must be taken into account.Depending on this, treatment is prescribed.:- Fistula in periodontitis (previously untreated tooth). To eliminate the fistula, it is necessary to cure periodontitis. The editorial board reminds: with periodontitis, a purulent abscess develops in the area of the tip of the dental root due to the presence of infection in the root canals. The infection can be removed only by removing the infected inflamed pulp from the tooth, after which the root canals are filled. The number of visits to the doctor depends on the amount of inflammation in the area of the root tip.- The development of a fistula with poor-quality filling. In such a situation, first of all, the channels are sealed. Then the dentist leaves anti-inflammatory drugs in them for a long time. As soon as the inflammation is eliminated, the channels will be sealed again. The sealing procedure is very complicated, especially when there is a pin on the tooth or a crown is present. It is quite understandable that a new crown should be made after the treatment, and this is a financial cost. An attempt to remove the pin from the canal carries the risk of a root fracture and subsequent tooth extraction. Therefore, when the canal is not sealed only at the very tip of the root, resection of the root tip must be performed. The essence of this operation is to cut off the under-sealed tip from the root of the tooth and remove the purulent sac along with it. The operation takes from half an hour to 60 minutes, is absolutely painless and non-traumatic.- Tooth perforation and its treatment. The treatment of perforations is successful if the dentist has not hidden his mistake and has started to eliminate it in a timely manner. Otherwise, the tooth will just have to be removed.Prevention of gum fistula is always easier to prevent than to cure. For this, dentists have developed preventive recommendations, compliance with which will reduce the risk of gum fistula formation.The editorial board recommends:1. visit the dentist 2 times a year; 2. prevent the development of caries; 3. monitor oral hygiene; 4. regularly remove dental deposits in the clinic;5. normalize the diet and follow a healthy lifestyle. 1XBET fait partie des bookmakers préférés des joueurs francophones. En effet cette plateforme propose une offre très intéressante à destination de ces derniers, notamment auprès des joueurs résidant en Afrique. Le code promo 1xbet bonus exclusif entre cela pour le sport jusqu'à 230% à 169 000 XOF, ou le casino jusqu'à 1950 € . C’est la première question qui revient chez les joueurs francophones souhaitant s’enregistrer sur 1XBET : comment ouvrir un compte et à propos d'où entrer codepromo 1XBET qui fonctionne?