How is periodontitis treated at the dentist?

Written by Li Bao Hua
Dentistry
Updated on September 09, 2024
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The treatment plan for periodontitis and caries requires first taking an X-ray to understand the severity of the periodontitis. If the periodontitis is not severe and is merely inflammation of the gum tissue, characterized by red, swollen gums, pus discharge, or bleeding, this situation can be addressed by dental cleaning to remove local irritants, followed by medicated rinsing around the gums to improve inflammation. If the periodontitis is more severe, involving absorption of the alveolar bone, then guided bone regeneration procedures are necessary. After basic treatment of the periodontitis, the teeth enter a maintenance phase, requiring regular follow-up visits.

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Written by Li Cui
Dentistry
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Symptoms of periodontitis pain

When a patient suffers from periodontitis, it means that the periodontal tissues are in an inflammatory phase. The inflamed gum tissue may exhibit symptoms such as redness, pain, and a relatively soft texture. Touching it may cause bleeding. Some patients may experience pus discharge and loosening of teeth, which are common symptoms of periodontitis. As the condition progresses, the spaces between teeth may increase, eventually leading to shrinkage of the gum tissue, loosening of teeth, or even tooth loss. Therefore, it is recommended that patients with periodontitis seek timely medical attention at a reputable dental hospital and take appropriate measures. Additionally, it is essential for patients to maintain correct tooth brushing methods and develop proper oral hygiene habits in their daily lives.

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Written by Fang Xiao
Dentistry
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Does periodontitis use infusion tubes?

Gingivitis infusion therapy does have certain effects. This is because infusion mainly consists of antibiotics that can treat inflammation and alleviate symptoms; however, this effect is primarily temporary. For a thorough treatment, it is necessary to visit a professional dental department at a regular hospital for systematic periodontal treatment, including supragingival cleaning, subgingival scaling, and root planing. Alternatively, without infusion, you can use periodontitis drugs under the guidance of a doctor, such as anti-inflammatory drugs like Metronidazole, Tinidazole, and Ornidazole. Regular oral hygiene is crucial: brush your teeth in the morning and evening, rinse after meals, and regularly visit the dental department at a recognized hospital for periodontal maintenance. Only by doing so can the inflammation of the periodontium be controlled. (Use of medication should be under the guidance of a physician)

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Written by Li Cui
Dentistry
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Is periodontitis grade II serious?

The patient suffers from periodontitis and is in the second stage. At this point, it is recommended that the patient promptly undergo dental treatment. This can effectively alleviate symptoms and control the disease progression. It may not achieve complete cure, but it can prevent the further development of gingivitis, control the condition, and prevent some gum recession. If treatment is not administered, it may worsen and lead to loose teeth, so it is advised that patients take timely control measures. Additionally, patients should avoid eating spicy and stimulating food, as well as overly hot or hard food that can long-term irritate the gum tissue. Regular brushing in the morning and evening, rinsing the mouth after meals, and using dental floss to remove food residue in the mouth can help treat periodontitis.

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Written by Li Bao Hua
Dentistry
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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.

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How is periodontitis caused?

Periodontitis is a destructive inflammatory condition of the periodontal supporting tissues. The primary initiating factor of periodontitis is dental plaque, which occurs due to not brushing or rinsing promptly after eating. Over time, soft deposits accumulate around the teeth, which can calcify into tartar. The tartar contains a large amount of biofilm, such as the dental plaque biofilm, which can damage and cause bleeding or congestion in the gingival tissues, manifesting as bleeding when brushing teeth or eating. If gingivitis is not treated in time, it may lead to periodontitis. Periodontitis is also related to other systemic factors, such as genetic factors or smoking, mental stress, etc. Sometimes, discoloration of the tooth surfaces or food impaction can also cause periodontitis.