Is periodontitis stage two serious?

Written by Fang Xiao
Dentistry
Updated on October 22, 2024
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Periodontitis stage two indicates that the resorption of the patient's alveolar bone has reached a certain degree, necessitating systemic periodontal treatment at an established hospital's dental department. In severe cases, periodontal surgery may also be required.

Periodontitis is a chronic inflammatory disease caused by microorganisms accumulating around the teeth, eroding the ligaments, alveolar bone, and dentin around the teeth. Stage two periodontitis indicates a certain degree of alveolar bone resorption, resulting in the loss of attached gingiva and alveolar absorption. The patient's teeth may exhibit some mobility and potential shifting. Systemic periodontal treatment at an established hospital's dental department is required, including supragingival cleaning, subgingival scaling, root planing, and, in severe cases, periodontal surgery.

Therefore, it is important to maintain oral hygiene, brush your teeth morning and evening, rinse after meals, use the internationally recognized Bass method of brushing, avoid spicy and stimulating foods, and eat fresh vegetables and fruits regularly.

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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.

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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 Wang Peng
Dentistry
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Will periodontitis exude pus?

Patients with periodontitis also experience symptoms of pus discharge. Periodontitis is usually caused by bacterial invasion of the periodontal tissues, leading to chronic inflammation of these tissues. Clinical symptoms mainly include swollen gums, loose teeth, and pus discharge from periodontal pockets. This disease is relatively common among adult males, especially those over the age of 35, who have a very high incidence of periodontitis. The treatment of the disease involves removing tartar and bacterial plaque, eliminating irritant factors, and then using medications. Medications such as topical metronidazole, as well as tetracycline and penicillin antibiotics, have a clear effect on the treatment of periodontitis. (Please follow medical advice when using medications.)

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Written by Li Bao Hua
Dentistry
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How to deal with loosening of the front teeth due to periodontitis?

For periodontitis with loosening of the front teeth, an X-ray of the teeth is needed to assess the severity of the periodontitis. If the loosening of the front teeth is simply due to absorption of the alveolar bone, this can be addressed through basic periodontal treatment, which includes teeth cleaning to remove tartar, dental plaque, and other local irritants, followed by irrigation around the gums, medication application, or guided bone regeneration to improve the looseness of the teeth. However, if the periodontitis is accompanied by severe alveolar bone loss, tooth extraction may be necessary.

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Written by Li Bao Hua
Dentistry
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What is periodontitis?

Periodontitis is an inflammation of the periodontal supporting tissues, including the gums, periodontal membrane, alveolar bone, and cementum. The early stages of periodontitis are mainly caused by irritants such as tartar, plaque, and soft deposits around the teeth, leading to swollen, pus-leaking gums, or bleeding during eating and brushing. If not treated promptly, tartar will adhere above and below the gums, forming supragingival and subgingival calculus. For calculus above the gums, ultrasonic cleaning, also known as dental scaling, is required. For calculus below the gums, it can be removed through curettage. If the mobility of the teeth improves after removal, the periodontitis can then enter the maintenance phase for the teeth.