Can periodontitis be cured?

Written by Li Bao Hua
Dentistry
Updated on September 24, 2024
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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.

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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.

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Dentistry
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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.

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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.

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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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Can you get your teeth cleaned during periodontitis?

Periodontitis is an inflammation of the supporting tissues around the teeth, commonly seen as gingivitis or periodontitis. In the early stages of gingivitis or periodontitis, dental calculus and soft plaque accumulate on the surface of the teeth, irritating the gum tissue and causing the gums to become red, suppurate, or even bleed. This condition requires prompt dental cleaning. Through ultrasonic oscillation, the dental calculus attached around the teeth is removed. If there is subgingival calculus, dental cleaning alone may not completely remove it, and subgingival scaling is also necessary, using specialized tools to manually remove the subgingival calculus.