What should I do if my face swells from periodontitis?

Written by Wang Peng
Dentistry
Updated on February 03, 2025
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If periodontitis has already caused facial swelling, active treatment can be targeted at the periodontitis. First, if there are large deposits of tartar on the crown of the tooth, these should be removed using ultrasonic cleaning to eliminate the tartar and suppress the proliferation of anaerobic bacteria. Then, manually scrape the tartar, diseased bone, and granulation tissue attached to the root surface of the gums and thoroughly rinse with hydrogen peroxide solution. If an abscess has already formed in the periodontal area, it needs to be incised under local anesthesia, then drain it using a rubber strip, and treat with systemic antibiotics such as cephalosporins or nitroimidazole drugs to alleviate the patient’s condition.

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Written by Li Cui
Dentistry
48sec home-news-image

Can third-degree periodontitis be cured?

Periodontal disease is generally caused by long-term accumulation of bacteria, dental calculus, and plaque, which gradually stimulates chronic inflammation. Periodontal disease leads to inflammation around the tooth roots and results in the resorption of the alveolar bone, eventually causing the teeth to loosen and fall out. It is recommended that patients with periodontitis seek timely treatment to prevent the condition from worsening, which could complicate the treatment process. For those diagnosed with stage three periodontitis, treatment is generally still effective. Therefore, it is advised that patients promptly visit a hospital and follow the specific treatment methods prescribed by their doctor to effectively treat periodontitis.

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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.

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Written by Li Cui
Dentistry
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What part of the body is moxibustion applied to for periodontitis?

Gingivitis generally occurs because the teeth surface of patients accumulates dental plaque and tartar over a long period, which causes the gum tissue to be in a chronic state of inflammation, eventually leading to periodontitis. Therefore, it is advised that patients with periodontitis primarily focus on timely cleaning of the dirt attached to the surface of the teeth. If not removed, it will continuously cause progressive irritation to the periodontal tissue, leading to chronic inflammatory changes in the entire dental tissue. If treating periodontitis, the first step should be the removal of the attached substances from the dental tissue, which can effectively eliminate dental plaque and tartar in the periodontal area, and is quite effective in treating periodontitis. Since these substances cannot be eliminated, the treatment generally does not achieve very good results. Thus, when patients suffer from periodontitis, moxibustion treatment is generally not employed, as it cannot remove the dental plaque and tartar on the teeth and does not serve a significant therapeutic effect. Hence, if patients want to effectively manage periodontitis, they must start with some cleaning of the gums. Patients can remove dental plaque and tartar through professional dental cleaning, then take some anti-inflammatory medication, and be vigilant about oral hygiene in daily life. Regular follow-ups are recommended to keep periodontitis under control.

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Written by Li Bao Hua
Dentistry
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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.

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Written by Li Bao Hua
Dentistry
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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.