Can periodontitis be treated by teeth cleaning?

Written by Li Bao Hua
Dentistry
Updated on September 22, 2024
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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
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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 Fang Xiao
Dentistry
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What are the symptoms of periodontitis?

The main symptoms of periodontitis include: 1. Inflammation of the gums, which may present as bleeding, swelling, and a soft texture. Patients may experience bleeding while brushing their teeth, biting into hard objects, or even spontaneously. 2. Formation of periodontal pockets, where ongoing inflammation can lead to the development of periodontal pockets, resulting in the loss of periodontal attachment and causing bad breath. 3. Resorption of the alveolar bone, which can lead to weakened chewing capability. 4. Loose teeth, shifting of teeth, or even tooth loss, accompanied by secondary jaw trauma, gum recession, increased space between teeth, weakened chewing capability in the molars, fan-shaped spreading of the anterior teeth, periodontal abscess, food impaction, root caries, tooth sensitivity, etc. Therefore, it is important to maintain oral hygiene by brushing teeth morning and evening, rinsing after meals, and regularly visiting a dental department at an accredited hospital for teeth cleaning and periodontal care.

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Written by Peng Ting
Dentistry
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What are the symptoms of periodontitis?

Periodontitis is caused by the invasion of plaque and bacteria into the periodontal supporting tissues, including the gums, periodontal membrane, dentin, and alveolar bone, leading to chronic inflammation and destruction of these tissues. Healthy gums are pink in color, thin at the edges, and tightly adhere to the tooth surface; they are also tough and not prone to bleeding. When periodontitis occurs, there is a significant accumulation of tartar on the tooth surface. This tartar irritates the gums, causing them to become red and swollen, soft in texture, and prone to bleeding upon contact. Periodontal pockets may form, and in severe cases, pus may exude from these pockets. The absorption of the alveolar bone and loosening of the teeth can eventually lead to tooth loss.

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Written by Wang Peng
Dentistry
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What should I do if my face swells from periodontitis?

If periodontitis has already caused facial swelling, active treatment can be targeted at the periodontitis. First, if there are large deposits of tartar on the crown of the tooth, these should be removed using ultrasonic cleaning to eliminate the tartar and suppress the proliferation of anaerobic bacteria. Then, manually scrape the tartar, diseased bone, and granulation tissue attached to the root surface of the gums and thoroughly rinse with hydrogen peroxide solution. If an abscess has already formed in the periodontal area, it needs to be incised under local anesthesia, then drain it using a rubber strip, and treat with systemic antibiotics such as cephalosporins or nitroimidazole drugs to alleviate the patient’s condition.

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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.