Can you get your teeth cleaned during periodontitis?

Written by Li Bao Hua

Dentistry

Updated on September 05, 2024

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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.

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Written by Li Bao Hua

Dentistry

59sec

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Does periodontitis require root canal treatment?

Periodontitis is an inflammation of the tooth-supporting tissues caused by the lack of timely brushing and rinsing after eating, where food residues or soft plaque become calculus under the calcification of saliva. This condition requires tooth cleaning, which is a procedure performed around the teeth, and does not require root canal treatment. If periodontitis progresses further and bacteria from the periodontal pocket reach the root tip, it can cause inflammation around the tooth including the root tip. This may lead to a pathological condition of the dental nerve. If the root tip inflammation is caused by the retrograde action of periodontitis, root canal treatment is necessary because it affects the dental nerve. If there is no concurrent inflammation of the dental nerve, direct periodontal treatment can be performed. However, if retrograde root tip inflammation has occurred, then root canal treatment of the tooth is required.

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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.

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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

54sec

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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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Written by Fang Xiao

Dentistry

1min 13sec

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Does periodontitis use infusion tubes?

Gingivitis infusion therapy does have certain effects. This is because infusion mainly consists of antibiotics that can treat inflammation and alleviate symptoms; however, this effect is primarily temporary. For a thorough treatment, it is necessary to visit a professional dental department at a regular hospital for systematic periodontal treatment, including supragingival cleaning, subgingival scaling, and root planing. Alternatively, without infusion, you can use periodontitis drugs under the guidance of a doctor, such as anti-inflammatory drugs like Metronidazole, Tinidazole, and Ornidazole. Regular oral hygiene is crucial: brush your teeth in the morning and evening, rinse after meals, and regularly visit the dental department at a recognized hospital for periodontal maintenance. Only by doing so can the inflammation of the periodontium be controlled. (Use of medication should be under the guidance of a physician)