What to do after tooth extraction due to periodontitis?

Written by Li Bao Hua
Dentistry
Updated on September 08, 2024
00:00
00:00

After tooth extraction due to periodontitis, it is necessary to promptly fit a dental prosthesis. Periodontitis generally involves significant loss of the alveolar bone, leading to tooth mobility and even loss. After extracting a tooth due to periodontitis, it is essential first to observe for three months. After three months, once the absorption of the alveolar bone stabilizes, dental prosthesis can be performed. Temporary restorative measures, such as using temporary teeth, are also an option during this period. Temporary teeth generally require fitting with a permanent prosthesis after three months, at which point the temporary teeth are discarded. After fitting a permanent prosthesis, it is important to avoid hard foods since the jawbone conditions are not ideal due to periodontitis, and chewing hard objects could accelerate the absorption of the alveolar bone. Therefore, after tooth extraction due to periodontitis, temporary teeth can be worn for three months before permanent prosthetic treatment is carried out.

Other Voices

doctor image
home-news-image
Written by Li Bao Hua
Dentistry
51sec home-news-image

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.

doctor image
home-news-image
Written by Li Bao Hua
Dentistry
50sec home-news-image

How is periodontitis treated at the dentist?

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.

doctor image
home-news-image
Written by Li Bao Hua
Dentistry
58sec home-news-image

Is periodontal disease the same as periodontitis?

Periodontal disease includes periodontitis, but periodontal disease covers a much broader range than periodontitis. Periodontium is the supporting tissue of the teeth, which includes the gums, alveolar bone, and dental cementum, so the scope of periodontal disease is very broad, while periodontitis is just a branch of periodontal disease. Periodontitis is caused by tartar, soft plaque, or dental plaque around the teeth, which if not promptly removed by teeth cleaning, can lead to congested gums or bleeding during brushing. Severe cases can cause absorption of the alveolar bone. Once destructive absorption of the alveolar bone occurs, teeth will become loose and may even fall out. It can also be said that periodontitis is a severe stage in the further development of periodontal disease.

doctor image
home-news-image
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.

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

Does periodontitis require root canal treatment?

Periodontitis is an inflammation of the tooth-supporting tissues caused by the lack of timely brushing and rinsing after eating, where food residues or soft plaque become calculus under the calcification of saliva. This condition requires tooth cleaning, which is a procedure performed around the teeth, and does not require root canal treatment. If periodontitis progresses further and bacteria from the periodontal pocket reach the root tip, it can cause inflammation around the tooth including the root tip. This may lead to a pathological condition of the dental nerve. If the root tip inflammation is caused by the retrograde action of periodontitis, root canal treatment is necessary because it affects the dental nerve. If there is no concurrent inflammation of the dental nerve, direct periodontal treatment can be performed. However, if retrograde root tip inflammation has occurred, then root canal treatment of the tooth is required.