Periodontitis

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Written by Li Cui
Dentistry
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Can third-degree periodontitis be cured?

Periodontal disease is generally caused by long-term accumulation of bacteria, dental calculus, and plaque, which gradually stimulates chronic inflammation. Periodontal disease leads to inflammation around the tooth roots and results in the resorption of the alveolar bone, eventually causing the teeth to loosen and fall out. It is recommended that patients with periodontitis seek timely treatment to prevent the condition from worsening, which could complicate the treatment process. For those diagnosed with stage three periodontitis, treatment is generally still effective. Therefore, it is advised that patients promptly visit a hospital and follow the specific treatment methods prescribed by their doctor to effectively treat periodontitis.

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Written by Li Bao Hua
Dentistry
1min 3sec home-news-image

Is gum recession the same as periodontitis?

Gingival recession is not true periodontitis. Periodontitis is an inflammation of the periodontal supporting tissues, primarily clinically manifested as gingivitis or periodontitis. Gingivitis is an early stage of periodontitis, characterized by bleeding during brushing or eating, disappearance of the normal shape or state of the gums, and symptoms such as red and swollen gums, pus discharge, and disappearance of the papillae. The presence of dental calculus, soft plaque, and bacterial plaque around the teeth are stimulants, suggesting these are indicators of periodontitis. Gingival recession may be a temporary phenomenon due to reasons such as occlusion. Severe gingival recession can cause exposure of the tooth root surfaces, leading to sensitivity of the roots. If periodontitis has already caused the teeth to become loose, it is necessary to promptly proceed with guided bone regeneration.

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Written by Fang Xiao
Dentistry
1min 18sec home-news-image

Is periodontitis stage two serious?

Periodontitis stage two indicates that the resorption of the patient's alveolar bone has reached a certain degree, necessitating systemic periodontal treatment at an established hospital's dental department. In severe cases, periodontal surgery may also be required. Periodontitis is a chronic inflammatory disease caused by microorganisms accumulating around the teeth, eroding the ligaments, alveolar bone, and dentin around the teeth. Stage two periodontitis indicates a certain degree of alveolar bone resorption, resulting in the loss of attached gingiva and alveolar absorption. The patient's teeth may exhibit some mobility and potential shifting. Systemic periodontal treatment at an established hospital's dental department is required, including supragingival cleaning, subgingival scaling, root planing, and, in severe cases, periodontal surgery. Therefore, it is important to maintain oral hygiene, brush your teeth morning and evening, rinse after meals, use the internationally recognized Bass method of brushing, avoid spicy and stimulating foods, and eat fresh vegetables and fruits regularly.

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Written by Li Bao Hua
Dentistry
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Should periodontitis teeth be extracted or not?

Whether to extract a tooth affected by periodontitis depends on the condition of the periodontitis. In the early stages of periodontitis where there is no absorption of the alveolar bone, and the inflammation is limited to the gums, symptoms may include bleeding gums, red and swollen gums, or pus from the gums. In such cases, it is possible to preserve the tooth after basic treatment. This means that after cleaning the teeth and removing dental calculus, and applying medication to the gums to control inflammation, the tooth can be preserved. However, if the periodontitis is severe and there is significant absorption of the alveolar bone along with loose or falling teeth, it is difficult to preserve the teeth, and extraction may be necessary.

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Written by Li Bao Hua
Dentistry
59sec home-news-image

How is periodontitis treated?

Periodontitis is an inflammation of the periodontal supporting tissue, often caused by not brushing or rinsing promptly after eating. Food residue accumulates around the gums, which over time can cause bleeding gums or bleeding during brushing. Severe cases may further develop into periodontal pockets, where dental calculus appears, potentially leading to loose teeth, tooth loss, or even absorption of the alveolar bone. Therefore, the basic treatment for periodontitis involves controlling plaque and eliminating inflammation. This can be achieved through ultrasonic cleaning, which is essentially teeth cleaning to remove dental calculus, followed by rinsing and medicating around the gums to improve their condition. In severe cases, periodontal scaling may be necessary. Thus, treatment of periodontitis is divided into basic treatment and maintenance treatment, with maintenance following the basic treatment phase.

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Written by Li Bao Hua
Dentistry
1min 1sec home-news-image

What are the symptoms of periodontitis?

Periodontitis stems from the further development of gingivitis, sharing many symptoms, including gum redness, congestion, and pain when eating. Additionally, periodontitis can cause teeth to become loose, and in severe cases, lead to tooth loss. There is also the presence of a periodontal ligament condition. Generally, gingivitis corresponds to a pseudo periodontal ligament while periodontitis involves the actual periodontal ligament due to the resorption of the alveolar bone—this distinction is crucial in differentiating gingivitis from periodontitis. Periodontitis features true periodontal ligament formation concurrent with the resorption of the jawbone. Dietary precautions for periodontitis include avoiding hard foods and not chewing hard objects to prevent resorption of the alveolar bone in the root apex area.

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Written by Li Bao Hua
Dentistry
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Can periodontitis be cured?

Periodontitis is a serious condition that develops if gingivitis is not treated promptly. Mild periodontitis can be cured. If periodontitis is detected early, it can be controlled by dental cleaning, removing dental plaque, food residues, tartar, or soft deposits around the teeth, and then rinsing and medicating the gum tissue. If periodontitis further progresses to cause partial absorption of the alveolar bone, this stage can also be treated by guided bone regeneration to cure periodontitis. If severe, with extensive absorption of the alveolar bone and significant loosening of the teeth, it is very difficult to cure.

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Written by Li Bao Hua
Dentistry
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Does periodontitis need treatment?

Gingivitis is an inflammatory reaction of the tissues surrounding the teeth, clinically manifested as gingivitis or periodontitis. Symptoms include bleeding while eating or brushing teeth. Periodontitis needs to be treated early and can be managed by dental cleaning to remove local irritative factors. Dental calculus is divided into supragingival calculus and subgingival calculus. Supragingival calculus can be removed by dental cleaning, while subgingival calculus requires subgingival scaling. Early treatment of periodontitis can preserve the teeth; if not treated promptly, periodontitis may further lead to the resorption of the alveolar bone, requiring tooth extraction in severe cases.

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Written by Li Bao Hua
Dentistry
52sec home-news-image

Can periodontitis be treated by teeth cleaning?

Periodontitis can certainly be treated with teeth cleaning. Periodontitis develops further from gingivitis, which occurs when food residues accumulate around the gums due to not brushing and rinsing promptly after eating. This long-term irritation causes the gum tissue to become congested, swollen, or even suppurative. As gingivitis progresses, it can lead to periodontitis, an inflammation of the tissues surrounding and supporting the teeth. If periodontitis is not treated promptly by cleaning the teeth and removing local irritants, it can eventually cause the teeth to become loose and, in severe cases, lead to tooth loss. It is advisable to seek early treatment from a periodontal specialist for periodontitis.

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Written by Li Bao Hua
Dentistry
1min 1sec home-news-image

Is cleaning teeth useful for periodontitis?

Periodontal cleaning is useful and necessary for gum disease. Cleaning for periodontal disease is a basic treatment method. Gum disease results from the progression and severity of gingivitis, which occurs when teeth are not adequately cleaned after brushing or mouth rinsing is not done promptly after eating. Food residues or plaque accumulate around the gums, causing prolonged irritation, congestion in the gum tissues, or bleeding during eating, which are also the earliest symptoms of gingivitis. This can further lead to the formation of tartar, which attaches to the root surfaces above and below the gums, known as supragingival and subgingival tartar, respectively. Subgingival tartar poses a greater risk as it may lead to the resorption of the alveolar bone. Therefore, it is essential to remove local irritants through dental cleaning in treating periodontitis, followed by subsequent treatments.