Does periodontitis require tooth extraction?

Written by Li Bao Hua
Dentistry
Updated on September 10, 2024
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Whether tooth extraction is needed for periodontitis depends on the severity of the inflammation. If the periodontitis is not severe, with no absorption of the alveolar bone, and there is only simple inflammation of the gums, it typically manifests as gum bleeding or bleeding when brushing teeth. There can be dental soft plaque around the gums, or dental plaque irritates and causes the gums to become red, swollen, and pus may ooze. In this case, scaling can be done to remove local irritants, followed by rinsing and medicating around the teeth. This can effectively control the progression of periodontitis and does not require tooth extraction. However, if it causes absorption of the alveolar bone and significant loosening of the teeth, tooth extraction may be necessary.

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Written by Peng Ting
Dentistry
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What are the symptoms of periodontitis?

Periodontitis is caused by the invasion of plaque and bacteria into the periodontal supporting tissues, including the gums, periodontal membrane, dentin, and alveolar bone, leading to chronic inflammation and destruction of these tissues. Healthy gums are pink in color, thin at the edges, and tightly adhere to the tooth surface; they are also tough and not prone to bleeding. When periodontitis occurs, there is a significant accumulation of tartar on the tooth surface. This tartar irritates the gums, causing them to become red and swollen, soft in texture, and prone to bleeding upon contact. Periodontal pockets may form, and in severe cases, pus may exude from these pockets. The absorption of the alveolar bone and loosening of the teeth can eventually lead to tooth loss.

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Written by Li Cui
Dentistry
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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
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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
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Do you need to get your teeth cleaned for periodontitis?

Periodontitis generally develops from gingivitis and is caused by irritation from dental calculus, soft deposits or dental plaque around the gums, leading to bleeding gums or bleeding when eating, as well as the further infection by bacteria causing swollen, suppurating gums and the formation of periodontal pockets. Severe cases may involve the loss of alveolar bone. Therefore, the basic treatment for periodontitis is dental cleaning, which involves removing irritants around the teeth, followed by rinsing and medicating to improve the inflammatory condition. If symptoms do not improve effectively after basic dental cleaning treatment, further treatments such as subgingival scaling to remove calculus under the gums or root planing may be necessary. If the absorption of the alveolar bone is severe, alveolar bone grafting may also be considered.

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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.