Does periodontitis hurt?

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

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Written by Li Bao Hua
Dentistry
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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.

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Written by Li Bao Hua
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Can periodontitis be cured?

Periodontitis is divided into early and late stages. Early periodontitis can be cured, while late periodontitis is difficult to treat and may require tooth extraction if severe. Periodontitis is an inflammatory, destructive resorption that occurs in the periodontal supporting tissues. There are usually significant amounts of dental calculus and plaque around the teeth. The initial treatment involves removing these through teeth cleaning. After cleaning, applying medication through rinsing around the gums can be helpful, and in many cases, this can lead to a cure. Generally, early periodontitis does not involve noticeable absorption of the alveolar bone. However, in advanced stages, the formation of periodontal pockets and absorption of the alveolar or jaw bone represent severe manifestations of periodontitis. If it is difficult to maintain or restore oral health through basic treatment in such cases, tooth extraction may be necessary.

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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 Zhan Jun Yan
Dentistry
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Where to treat periodontitis?

Under normal circumstances, patients with periodontitis should seek treatment at the periodontics department of a formal hospital. Professional periodontists will perform periodontal cleaning, scaling, root planing, periodontal flap surgery, etc. on the teeth. These periodontal treatment methods can effectively remove a series of infectious substances such as tartar, plaque, and soft deposits adhered to the teeth, thereby achieving the purpose of curing periodontitis. Additionally, periodontitis requires long-term, continuous treatment. It is essential to follow the doctor's advice, revisit regularly, and have teeth cleaned every six months or annually to maintain the current condition of the periodontium and prevent further inflammation.

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Written by Li Bao Hua
Dentistry
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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.