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Periodontitis
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.
How is periodontitis treated?
Periodontitis is an inflammation of the periodontal supporting tissue, often caused by not brushing or rinsing promptly after eating. Food residue accumulates around the gums, which over time can cause bleeding gums or bleeding during brushing. Severe cases may further develop into periodontal pockets, where dental calculus appears, potentially leading to loose teeth, tooth loss, or even absorption of the alveolar bone. Therefore, the basic treatment for periodontitis involves controlling plaque and eliminating inflammation. This can be achieved through ultrasonic cleaning, which is essentially teeth cleaning to remove dental calculus, followed by rinsing and medicating around the gums to improve their condition. In severe cases, periodontal scaling may be necessary. Thus, treatment of periodontitis is divided into basic treatment and maintenance treatment, with maintenance following the basic treatment phase.
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.
Can periodontitis be cured?
Periodontitis is a serious condition that develops if gingivitis is not treated promptly. Mild periodontitis can be cured. If periodontitis is detected early, it can be controlled by dental cleaning, removing dental plaque, food residues, tartar, or soft deposits around the teeth, and then rinsing and medicating the gum tissue. If periodontitis further progresses to cause partial absorption of the alveolar bone, this stage can also be treated by guided bone regeneration to cure periodontitis. If severe, with extensive absorption of the alveolar bone and significant loosening of the teeth, it is very difficult to cure.
Does periodontitis need treatment?
Gingivitis is an inflammatory reaction of the tissues surrounding the teeth, clinically manifested as gingivitis or periodontitis. Symptoms include bleeding while eating or brushing teeth. Periodontitis needs to be treated early and can be managed by dental cleaning to remove local irritative factors. Dental calculus is divided into supragingival calculus and subgingival calculus. Supragingival calculus can be removed by dental cleaning, while subgingival calculus requires subgingival scaling. Early treatment of periodontitis can preserve the teeth; if not treated promptly, periodontitis may further lead to the resorption of the alveolar bone, requiring tooth extraction in severe cases.
Can periodontitis be treated by teeth cleaning?
Periodontitis can certainly be treated with teeth cleaning. Periodontitis develops further from gingivitis, which occurs when food residues accumulate around the gums due to not brushing and rinsing promptly after eating. This long-term irritation causes the gum tissue to become congested, swollen, or even suppurative. As gingivitis progresses, it can lead to periodontitis, an inflammation of the tissues surrounding and supporting the teeth. If periodontitis is not treated promptly by cleaning the teeth and removing local irritants, it can eventually cause the teeth to become loose and, in severe cases, lead to tooth loss. It is advisable to seek early treatment from a periodontal specialist for periodontitis.
Is cleaning teeth useful for periodontitis?
Periodontal cleaning is useful and necessary for gum disease. Cleaning for periodontal disease is a basic treatment method. Gum disease results from the progression and severity of gingivitis, which occurs when teeth are not adequately cleaned after brushing or mouth rinsing is not done promptly after eating. Food residues or plaque accumulate around the gums, causing prolonged irritation, congestion in the gum tissues, or bleeding during eating, which are also the earliest symptoms of gingivitis. This can further lead to the formation of tartar, which attaches to the root surfaces above and below the gums, known as supragingival and subgingival tartar, respectively. Subgingival tartar poses a greater risk as it may lead to the resorption of the alveolar bone. Therefore, it is essential to remove local irritants through dental cleaning in treating periodontitis, followed by subsequent treatments.
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.
Does periodontitis hurt?
Periodontitis is a condition that involves pain symptoms. It is an inflammation of the periodontal support tissues, including gingivitis and inflammation of the alveolar bone. In the early stages of periodontitis, the gum tissue is swollen and congested, leading to bleeding when eating or brushing teeth. This is mainly caused by irritants around the teeth such as tartar and dental plaque. This condition can be improved by dental cleaning, during which there might be minor discomfort. In the advanced stages of periodontitis, there is resorption of the alveolar bone, which may be surrounded by inflammation, also causing pain. Timely dental cleaning and manual scaling followed by guided regeneration of the alveolar bone are necessary. With timely treatment, the pain symptoms can be controlled.
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.