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Dental lesions occur in the soft tissue surrounding the teeth and/or in the nerves that are connected to the jawbone through the tooth structure at the point of nerve ends. Those are tooth’s parts that are hard to see with the naked eye. That’s why regular dental checkups are important.
In the forehead and upper jaw, we can only easily see the front parts of the front teeth. Although it is possible to check the back of the teeth in the lower jaw, it is difficult to see the back of the teeth in the upper jaw.
However, it is necessary to check the jawbone, soft tissues, nerves, and tooth roots that we can only monitor with imaging devices in the area extending from the point where the teeth meet with the gingiva in 360 degrees to the root of the tooth. That is because it is highly possible for a lesion to occur in such tissues for any reason.
Moreover, dental lesions may not cause pain. Chronic dental lesions are usually not noticed by the patient and unfortunately can lead to results even extending to tooth loss.
A lesion is defined as the formational degradation and alteration of an organic structure. A tooth lesion is what we call structural degradation in tissues that allows the tooth to survive healthily and harms teeth in the long run.
It can occur in the gingiva, tooth root, and anywhere in the jawbone. Since they usually cause pain and abscess, it is observed that most of the people who seeks a dentist with jaw pain complaint have a tooth lesion. These are what we call acute dental lesions and they appear suddenly with severe pain.
There are also chronic dental lesions that begin with mild pains then go unnoticed as they do not disturb much. Patients learn that they lived for a long time with a lesion in their mouths only after they see a dentist.
After reminding that general health problems such as high fever, severe upper respiratory tract infections, and blood poisoning may cause dental lesions, we can explain why dental lesions occur in detail in terms of oral health and tooth use:
When the advanced tooth cavities reach the tissue which we call dental pulp, where the nerves that keep the tooth alive, that causes lesions in tooth roots and gingiva.
When a lesion occurs in the nerves due to a cavity first an antibiotic treatment is applied, the lesion is drained then the nerves are removed, and root canal treatment is applied. The tooth then is cleaned and filled.
The lesion may recur after root canal treatment due to reasons such as nerve remaining in the canal and air exposure in the tooth root. The reason why we wait a week or ten days before the tooth is filled after the nerves are removed is to prevent the formation of a lesion.
These are tooth lesion cases that start with discoloration in teeth after traumatic events such as falling, hitting, or damaging the tooth with a sharp object. The same situation might occur
after tooth cracks.
Wisdom teeth embedded in the jawbone usually form a lesion. These lesions do not cause disturbance most of the time. They generally go unnoticed unless they emerge. The types which cause sudden painful and abscessed attack phases before settling again are removed by surgical operation.
Food waste that accumulates in the tooth and gingiva and high acidity in the mouth provides an adequate environment for lesion formation.
Jaw clenching causes pressure to the tooth roots. These small impacts from the tooth root to the jawbone, easily causes tooth lesion when they are persistent.
Teeth grinding while causing pressure from tooth roots to jawbone also causes gingiva deformation in the area around moved teeth. Among the conditions that cause tooth lesions, we could say that teeth grinding is one of the most common causes.
The most encountered version of it is the lesion in a tooth root due to inflammation in the nerves due to tooth cavity and dentists are generally consulted with symptoms such as pain, abscess, and swelling on the cheek.
Tooth lesions that are caused by embedded wisdom teeth or due to other reasons, while causing mild pains sometimes, generally go unnoticed as they do not show symptoms that would disturb the patient.
It is important to visit the dentist regularly, as dental lesions can only be detected by a dentist’s examination. One or more of the following symptoms may indicate a tooth lesion in your mouth:
Lesions are degradations that may harm the general health of the body if they enter the bloodstream. It is known that tooth lesions that are left untreated for a long time might cause serious consequences that might even affect cardiovascular health. Therefore, it should not be neglected.
If the tooth lesion is not treated, it causes gingival recession and gingival diseases. Gingiva recession is one of the most difficult oral health problems that lead to tooth loss.
Tooth lesions that occur in the roots of the teeth can form cysts in the jawbone and cause structural deformation of the bone.
Treatment of dental lesions varies on the place and cause of the lesions.
In dental lesions caused due to cavities; the cavity is treated with root canal treatment after medical treatment, and the lesion is drained with medicine. With the disappearance of the dental cavity, the lesion heals in a short time.
In the treatment of lesions that occur due to other reasons in the jawbone, tooth roots, or gingiva, surgical treatments are used alongside medical treatment and there are different approaches to those.
It is a manual approach mostly used in the treatment of soft tissue lesions. After the dental lesion is cleaned by the dentist, the treatment is completed within a week or ten days with the antibiotic medicine treatment.
Anesthesia by a needle is not a painful application and is the most effective way to treat superficial or near-superficial lesions.
In the treatment of closed lesions that are caused by embedded wisdom teeth or in the deeply seated tooth lesions at any point at the jaw bone the soft tissue and/or bone is opened by surgical application and the lesion is cleaned that way.
Dental lesion surgeries by surgeon dentists are performed under local anesthesia. The patient experiences no pain during the application. Lesions that are passed down to the bone are somewhat more serious operations. Soft tissue and wisdom tooth lesions heal in a short time after surgery.
After the dental lesion surgery pain, swelling, mouth bleeding is expected. Depending on the place of the lesion and the intensity of the swelling the severity of the pain after the operation and healing duration differs on the case.
Usually, after the first day, the patient is greatly relieved by the effect of the drugs.
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