What should I do if my front tooth falls out due to periodontitis?

Written by Li Bao Hua
Dentistry
Updated on September 15, 2024
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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.

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Written by Fang Xiao
Dentistry
1min 16sec home-news-image

Does incision and drainage for periodontitis hurt?

When there is excessive pus, an incision and drainage needs to be performed. Periodontitis is a pathological condition of the dental supporting tissues caused by both dental plaque and tartar, resulting from poor oral hygiene, incomplete brushing, and the accumulation of dental plaque and tartar, which irritates the gum tissues and causes inflammation. If there is excessive pus, it is necessary to go to a regular hospital's dental department for incision and drainage. The procedure can be performed under local anesthesia, which is painless. The area is repeatedly rinsed with hydrogen peroxide and saline, treated with iodine glycerin, and oral medications such as cephalosporins and metronidazole are taken. Use compound povidone-iodine solution for mouth rinsing. Once the inflammation is controlled, systematic periodontal treatment can be performed, including supragingival cleaning, subgingival scaling, root planing. Regular oral hygiene should be maintained, brushing teeth in the morning and evening, rinsing the mouth after meals, and learning to use dental floss sticks. (Medication should be used under the guidance of a physician.)

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Written by Li Bao Hua
Dentistry
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What department should I go to for periodontitis?

Patients with periodontitis should seek treatment in the periodontal department. If there is no periodontal department available, they can visit the department of oral medicine, or the department of stomatology or otolaryngology. Periodontitis is an inflammation of the periodontal support tissues, including gingivitis and periodontitis, with gingivitis being the early stage of periodontitis. It mainly occurs due to not brushing or rinsing promptly after eating, leading to the accumulation of food residues around the teeth. This condition requires timely teeth cleaning to remove these residues, otherwise, it could cause bleeding during brushing or eating and may further develop into periodontal pockets, leading to the appearance of periodontitis. Periodontitis might also involve the loss of alveolar bone support tissues, which requires timely dental cleaning followed by medication or a guided bone regeneration procedure.

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Written by Li Cui
Dentistry
1min 33sec home-news-image

What part of the body is moxibustion applied to for periodontitis?

Gingivitis generally occurs because the teeth surface of patients accumulates dental plaque and tartar over a long period, which causes the gum tissue to be in a chronic state of inflammation, eventually leading to periodontitis. Therefore, it is advised that patients with periodontitis primarily focus on timely cleaning of the dirt attached to the surface of the teeth. If not removed, it will continuously cause progressive irritation to the periodontal tissue, leading to chronic inflammatory changes in the entire dental tissue. If treating periodontitis, the first step should be the removal of the attached substances from the dental tissue, which can effectively eliminate dental plaque and tartar in the periodontal area, and is quite effective in treating periodontitis. Since these substances cannot be eliminated, the treatment generally does not achieve very good results. Thus, when patients suffer from periodontitis, moxibustion treatment is generally not employed, as it cannot remove the dental plaque and tartar on the teeth and does not serve a significant therapeutic effect. Hence, if patients want to effectively manage periodontitis, they must start with some cleaning of the gums. Patients can remove dental plaque and tartar through professional dental cleaning, then take some anti-inflammatory medication, and be vigilant about oral hygiene in daily life. Regular follow-ups are recommended to keep periodontitis under control.

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Written by Li Bao Hua
Dentistry
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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.

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

Can teeth be extracted with periodontitis?

Teeth should not be extracted during a periodontitis flare-up, as it may involve symptoms like swollen gums, pus discharge, or the presence of inflammatory processes in the periodontium. Extracting teeth during such a flare-up could lead to the systemic spread of the inflammation, potentially causing severe conditions such as bacteremia or sepsis, and even life-threatening situations. Periodontitis involves the resorption of the supporting periodontal tissues. If periodontitis can be managed by cleaning the teeth to remove local irritants, or through guided bone regeneration, and if the teeth can be preserved, it is generally best to avoid extractions. Teeth that can be preserved should be retained. However, if the periodontitis has caused severe lesions and the teeth cannot be preserved, showing signs of looseness or are even on the verge of falling out, extraction should only be considered after the inflammation is under control.