Periodontitis

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Written by Li Bao Hua
Dentistry
1min 3sec home-news-image

Can teeth be extracted with periodontitis?

Teeth should not be extracted during a periodontitis flare-up, as it may involve symptoms like swollen gums, pus discharge, or the presence of inflammatory processes in the periodontium. Extracting teeth during such a flare-up could lead to the systemic spread of the inflammation, potentially causing severe conditions such as bacteremia or sepsis, and even life-threatening situations. Periodontitis involves the resorption of the supporting periodontal tissues. If periodontitis can be managed by cleaning the teeth to remove local irritants, or through guided bone regeneration, and if the teeth can be preserved, it is generally best to avoid extractions. Teeth that can be preserved should be retained. However, if the periodontitis has caused severe lesions and the teeth cannot be preserved, showing signs of looseness or are even on the verge of falling out, extraction should only be considered after the inflammation is under control.

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Written by Li Cui
Dentistry
1min 5sec home-news-image

What to do if periodontitis causes a fever?

Periodontitis is an inflammation of the gums and oral cavity. When a patient has periodontitis, they may experience pain and swelling. When the inflammation is severe, the patient may have a slight fever. In such cases, it is generally recommended that the patient take oral antibiotics effective against anaerobic bacteria, such as metronidazole or tinidazole, as well as anti-inflammatory antibiotics like amoxicillin, cephalosporins, levofloxacin, or erythromycin. If fever occurs, it is recommended that the patient take antipyretic analgesics, such as ibuprofen sustained-release tablets or acetaminophen tablets, which can relieve pain and reduce fever. If the periodontitis is severe, it is advised that the patient should promptly visit a hospital and follow a doctor’s guidance to develop an appropriate treatment plan. (Note: The use of medications should be under the guidance of a physician.)

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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
1min 8sec home-news-image

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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Written by Wang Peng
Dentistry
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What should I do if my face swells from periodontitis?

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
55sec home-news-image

Is periodontitis grade II serious?

The patient suffers from periodontitis and is in the second stage. At this point, it is recommended that the patient promptly undergo dental treatment. This can effectively alleviate symptoms and control the disease progression. It may not achieve complete cure, but it can prevent the further development of gingivitis, control the condition, and prevent some gum recession. If treatment is not administered, it may worsen and lead to loose teeth, so it is advised that patients take timely control measures. Additionally, patients should avoid eating spicy and stimulating food, as well as overly hot or hard food that can long-term irritate the gum tissue. Regular brushing in the morning and evening, rinsing the mouth after meals, and using dental floss to remove food residue in the mouth can help treat periodontitis.

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Written by Li Cui
Dentistry
1min 33sec home-news-image

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 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
1min 3sec home-news-image

Is gum recession the same as periodontitis?

Gingival recession is not true periodontitis. Periodontitis is an inflammation of the periodontal supporting tissues, primarily clinically manifested as gingivitis or periodontitis. Gingivitis is an early stage of periodontitis, characterized by bleeding during brushing or eating, disappearance of the normal shape or state of the gums, and symptoms such as red and swollen gums, pus discharge, and disappearance of the papillae. The presence of dental calculus, soft plaque, and bacterial plaque around the teeth are stimulants, suggesting these are indicators of periodontitis. Gingival recession may be a temporary phenomenon due to reasons such as occlusion. Severe gingival recession can cause exposure of the tooth root surfaces, leading to sensitivity of the roots. If periodontitis has already caused the teeth to become loose, it is necessary to promptly proceed with guided bone regeneration.

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Written by Fang Xiao
Dentistry
1min 18sec home-news-image

Is periodontitis stage two serious?

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.