Dental granuloma, traditionally called “bag of pus at the root”, is a infection in the buccal cavity, which, if untreated can generate serious medical problems of the neighbouring or distant teeth.
How does it appear?
It is a medical condition frequently encountered, due to complicated untreated caries or incorrectly applied medical treatments. Firstly pus is produced at the top of the root, which will be encapsulated in a so called osteosclerotic membrane due to the local immunity of the body. This is a normal defensive reaction of the bone against pus. Secondly, the most problematic situation appears when the granuloma evolves towards becoming a dental cyst and continues to grow without any symptoms. It is frequently discovered too late, when the noninvasive treatments have no possitive result. The deceleration of granuloma can be done within a dentist examination, where a black spot appears around the root, the spot is surrounded by a fine white line, which is the contour of the membrane.
When discovered, any dental granuloma has to be treated immediately, for stopping the potential complications. According to the size of the cyst, the dentist will decide what kind of treatment will be followed. The most frequent one is the periapical resection, the maneuver is rather invasive (the gum is cut, the bone is pierced and after removing the pus it is sown back).