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Li Bao Hua
Dentistry
About me
Joined the Communist Party of China, graduated from Jiamusi University in 2007 with a Bachelor's degree in Stomatology. Continued to pursue a Master's degree in Stomatology at Jiamusi University in the same year, graduating in 2010. Engaged in scientific research, published nearly ten articles from 2010 to the present, participated in the completion of four projects sponsored by the Provincial Health Department, of which one has been completed and three are in progress. Contributed to one book, and taught undergraduate courses in pediatric dentistry and preventive dentistry. Recognized as an outstanding experimental teacher at Jiamusi University in 2015.
Proficient in diseases
Children's dental caries, pulpitis, periapical disease, tooth trauma, etc., including prevention of childhood milk tooth caries and sealant application on permanent molars.
Voices
Do you need to get your teeth cleaned for periodontitis?
Periodontitis is caused by the progression of gingivitis, where food debris or soft plaque around the teeth calcifies into tartar due to saliva, leading to further infection and disease of the periodontal tissues. This condition is known as periodontitis. The fundamental treatment for periodontitis involves removing the irritants, which means removing the tartar through teeth cleaning, followed by further treatment. After the tartar is removed, treatment can involve applying medication to the gums or performing bone graft surgery on the alveolar bone to aid in the recovery from periodontitis. Therefore, the initial step in treating periodontitis is teeth cleaning, which is also the first basic phase of treatment. After cleaning, medication is applied, followed by the maintenance phase for the teeth.
Does pulpitis require dental fillings?
Pulpitis requires dental restoration. Pulpitis, caused by bacterial infection reaching the dental nerve, manifests as severe pain, including sensitivity to hot and cold, nocturnal pain, and diffuse pain that cannot be localized. Typically, pulpitis in one tooth can cause pain in the adjacent upper and lower teeth on the same side, making it difficult to pinpoint the exact tooth responsible. Before performing dental restoration for pulpitis, treatment of the tooth is necessary. This includes removing the infected dental nerve, followed by medication within the root canal and controlling the inflammation. Afterward, the root canal is filled. Thus, root canal treatment is required before dental restoration can proceed in cases of pulpitis.
The difference between periodontitis and gingivitis.
Gingivitis and periodontitis are distinct conditions, with gingivitis being an early stage of periodontitis. If gingivitis is not treated in time, it can progress into periodontitis. The difference between gingivitis and periodontitis lies in the formation of periodontal pockets. During the stages of gingivitis and periodontitis, periodontal pockets are categorized into true and false pockets. During an outbreak of periodontitis, true periodontal pockets form due to the loss of alveolar bone, whereas the pockets during the gingivitis stage are false pockets, formed by the overgrowth of gum tissue. Once true periodontal pockets are formed, there is either loss or destructive resorption of the alveolar bone. Therefore, the crucial difference between gingivitis and periodontitis lies in whether there is destructive resorption of the alveolar bone, which fundamentally distinguishes the two conditions.
Can pulpitis be cured?
Pulpitis is caused by the further development of caries, which allows bacterial infection to reach the pulp tissue, causing an inflammatory reaction. Caries is just a bacterial infection of the hard tissues of the teeth. If it is stopped in time, that is, by drilling to remove the infected part and filling the tooth, it is very difficult for pulpitis to occur. If the bacteria are not removed in time with a drill, further infection can cause inflammation of the tooth nerve, resulting in symptoms of pulpitis, including obvious pain from cold, heat, acidity, and sweetness stimuli, nighttime pain, and worsening with temperature stimuli. Pulpitis requires dental treatment, including nerve devitalization, medication after nerve death, and ultimately root canal filling. This means that a complete root canal treatment is needed to cure it.
Pulpitis has no time to treat.
Pulpitis needs to be treated as soon as possible. If pulpitis is not treated in time, it will worsen, and bacteria will further infect, reaching the apical area and causing apical periodontitis. Severe apical periodontitis may involve destructive resorption of the apical area and the alveolar bone, and inflammation may discharge pus through the mucous membrane or skin. Clinically, symptoms such as abscesses or space infections may occur, which is quite severe and can even cause systemic septicemia. Therefore, pulpitis needs to be treated as soon as possible. The treatment of pulpitis involves removing the infected dental nerve, medicating the root canal, and performing root canal filling, that is, a complete root canal treatment.
Does periodontitis hurt?
Periodontitis is a condition that involves pain symptoms. It is an inflammation of the periodontal support tissues, including gingivitis and inflammation of the alveolar bone. In the early stages of periodontitis, the gum tissue is swollen and congested, leading to bleeding when eating or brushing teeth. This is mainly caused by irritants around the teeth such as tartar and dental plaque. This condition can be improved by dental cleaning, during which there might be minor discomfort. In the advanced stages of periodontitis, there is resorption of the alveolar bone, which may be surrounded by inflammation, also causing pain. Timely dental cleaning and manual scaling followed by guided regeneration of the alveolar bone are necessary. With timely treatment, the pain symptoms can be controlled.
How to deal with the pain from molar pulpitis?
Pulpitis in molars can be painful and requires dental treatment. During the treatment of pulpitis, the first step is to use a drill to remove the infected dentin and bone. If the dental nerve is exposed and the inflammation of the pulp is severe, a nerve-killing treatment can be conducted. In cases of acute inflammation, it is necessary to first open up the tooth. Once the inflammation subsides, nerve-killing treatment can proceed. Otherwise, the pressure is too great and the pain may intensify. If the pain is unbearable during the drilling process in the treatment of pulpitis, local anesthesia can be administered to the tooth. Once the anesthesia takes effect, the pain will be significantly less during the drilling stage.
What should I do if my front tooth falls out due to periodontitis?
Periodontitis has caused the loss of a front tooth, necessitating prompt dental restoration. After the loss of a front tooth due to periodontitis, it's important first to check whether there has been any resorption of the alveolar bone. If the alveolar bone is normal and shows no signs of inflammatory resorption, dental restoration can proceed directly. If the condition of the alveolar bone is favorable, an implant can be considered. During implantation, a single tooth is implanted, allowing for direct restoration with a porcelain crown without the need to grind the adjacent healthy teeth. However, if opting for a bridge, it may be necessary to grind the adjacent healthy teeth to support the bridge, meaning that at least three teeth would need to be involved in the restoration.
You should go to the dermatology department for cheilitis.
Cheilitis should be treated in the department of oral mucosa. Cheilitis is a general term for diseases that occur on the lips and is a type of inflammatory reaction. There are many classifications of cheilitis; by the speed of the disease's development, it can be divided into acute cheilitis and chronic cheilitis, with acute cheilitis often being an acute inflammatory reaction of the lips caused by allergies. If classified by clinical symptoms, cheilitis can be categorized into eczematous cheilitis, erosive cheilitis, and exfoliative cheilitis, which may involve white scaling on the lips. Cheilitis can also be classified based on its cause, including granulomatous cheilitis, benign lymphoproliferative cheilitis, and hypersensitivity cheilitis, and it can also be related to systemic diseases. Cheilitis, a disease that occurs on the lips, has a relatively high incidence rate.
The Hazards of Gingivitis
Gingivitis refers to an inflammation of the gum tissues, commonly caused by not brushing teeth in time after eating, accumulation of food residues or dental plaque around the teeth, which over time forms tartar due to the calcification by saliva. This long-term irritation to the gum tissue leads to bleeding gums, including bleeding while eating or brushing teeth. It is necessary to get a timely dental cleaning, otherwise it can lead to periodontitis or even result in loose teeth, and potentially tooth loss. Therefore, the harm caused by gingivitis is significant. Once gingivitis occurs, it requires timely dental cleaning to remove tartar and other irritating factors to alleviate symptoms of gum bleeding, allowing the gums to return to a normal, healthy state.