Em muitos tratamentos de canal, podem aparacer as famosas FÍSTULAS.
Fístula nada mais é do que o caminho realizado pelo organismo no osso, para eliminar o PUS presente nas lesões periapicais.
O PUS pode ser eliminado por algumas vias de drenagem:
- Via canal durante o tratamento de canal (numero 1 na figura)
- Via ligamento periodontal (numero 2 na figura)
- Via corrente sanguínea
- Via Fístula
Devido alguns fatores, essas vias de drenagens estão fechadas, ou seja, o pus nao poderá sair via canal, em dentes sadios nao podem sair via ligamento periodontal, então o organismo sabiamente cria uma via de drenagem, ou seja, a FÍSTULA, aparecendo uma bolinha vermelha na gengiva.
O dentista furando essa bolinha vermelha, ou o próprio paciente, haverá eliminação da coleção purulenta não comprimindo assim terminações nervosas presentes no OSSO, eliminando a dor.
Antibióticos poderão auxiliar no tratamento, como a amoxicilima OU a clindamicina em casos de alergia a penicilina. (vide dor pós tratamento endodôntico).
27 comentários:
Your blog keeps getting better and better! Your older articles are not as good as newer ones you have a lot more creativity and originality now keep it up!
Olá. Tenho uma dúvida qto ao procedimento no caso de fistula sem quadro de dor. Cirurgia ou canal?
Obs. Enviei um email para vcs.
Abraço;
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