How to deal with loosening of the front teeth due to periodontitis?

Written by Li Bao Hua

Dentistry

Updated on September 04, 2024

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For periodontitis with loosening of the front teeth, an X-ray of the teeth is needed to assess the severity of the periodontitis. If the loosening of the front teeth is simply due to absorption of the alveolar bone, this can be addressed through basic periodontal treatment, which includes teeth cleaning to remove tartar, dental plaque, and other local irritants, followed by irrigation around the gums, medication application, or guided bone regeneration to improve the looseness of the teeth. However, if the periodontitis is accompanied by severe alveolar bone loss, tooth extraction may be necessary.

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Written by Li Bao Hua

Dentistry

1min 3sec

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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 20sec

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What are the symptoms of periodontitis?

The main symptoms of periodontitis include: 1. Inflammation of the gums, which may present as bleeding, swelling, and a soft texture. Patients may experience bleeding while brushing their teeth, biting into hard objects, or even spontaneously. 2. Formation of periodontal pockets, where ongoing inflammation can lead to the development of periodontal pockets, resulting in the loss of periodontal attachment and causing bad breath. 3. Resorption of the alveolar bone, which can lead to weakened chewing capability. 4. Loose teeth, shifting of teeth, or even tooth loss, accompanied by secondary jaw trauma, gum recession, increased space between teeth, weakened chewing capability in the molars, fan-shaped spreading of the anterior teeth, periodontal abscess, food impaction, root caries, tooth sensitivity, etc. Therefore, it is important to maintain oral hygiene by brushing teeth morning and evening, rinsing after meals, and regularly visiting a dental department at an accredited hospital for teeth cleaning and periodontal care.

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Written by Li Bao Hua

Dentistry

50sec

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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

1min 9sec

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What to do after tooth extraction due to periodontitis?

After tooth extraction due to periodontitis, it is necessary to promptly fit a dental prosthesis. Periodontitis generally involves significant loss of the alveolar bone, leading to tooth mobility and even loss. After extracting a tooth due to periodontitis, it is essential first to observe for three months. After three months, once the absorption of the alveolar bone stabilizes, dental prosthesis can be performed. Temporary restorative measures, such as using temporary teeth, are also an option during this period. Temporary teeth generally require fitting with a permanent prosthesis after three months, at which point the temporary teeth are discarded. After fitting a permanent prosthesis, it is important to avoid hard foods since the jawbone conditions are not ideal due to periodontitis, and chewing hard objects could accelerate the absorption of the alveolar bone. Therefore, after tooth extraction due to periodontitis, temporary teeth can be worn for three months before permanent prosthetic treatment is carried out.

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Written by Fang Xiao

Dentistry

1min 18sec

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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.