What department should I go to for periodontitis?

Written by Li Bao Hua
Dentistry
Updated on September 08, 2024
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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 Bao Hua
Dentistry
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Do you need to get your teeth cleaned for periodontitis?

Periodontitis is caused by the progression of gingivitis, where food debris or soft plaque around the teeth calcifies into tartar due to saliva, leading to further infection and disease of the periodontal tissues. This condition is known as periodontitis. The fundamental treatment for periodontitis involves removing the irritants, which means removing the tartar through teeth cleaning, followed by further treatment. After the tartar is removed, treatment can involve applying medication to the gums or performing bone graft surgery on the alveolar bone to aid in the recovery from periodontitis. Therefore, the initial step in treating periodontitis is teeth cleaning, which is also the first basic phase of treatment. After cleaning, medication is applied, followed by the maintenance phase for the teeth.

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Written by Li Bao Hua
Dentistry
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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.

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

Periodontitis is an inflammatory reaction that occurs in the supporting tissues of the periodontium, commonly presenting as gingivitis or periodontitis in clinical settings. Gingivitis, the early stage of periodontitis, is caused by food residues left after eating, which calcify under the action of saliva to form tartar. This tartar further irritates and causes inflammation of the gingival or periodontal tissues. Initially, one should visit the ENT (Ear, Nose, and Throat) department for this condition. If the specialties are further divided, one can consult the oral medicine department under ENT. If oral medicine is further subdivided, a visit to the periodontal department is necessary. Therefore, for detailed treatment of periodontitis, it is advisable to visit the periodontology department within the oral specialties to undergo teeth cleaning followed by gingival medication to improve the symptoms of periodontitis.

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Written by Li Bao Hua
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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.