Is periodontal disease the same as periodontitis?

Written by Li Bao Hua
Dentistry
Updated on September 03, 2024
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Periodontal disease includes periodontitis, but periodontal disease covers a much broader range than periodontitis. Periodontium is the supporting tissue of the teeth, which includes the gums, alveolar bone, and dental cementum, so the scope of periodontal disease is very broad, while periodontitis is just a branch of periodontal disease. Periodontitis is caused by tartar, soft plaque, or dental plaque around the teeth, which if not promptly removed by teeth cleaning, can lead to congested gums or bleeding during brushing. Severe cases can cause absorption of the alveolar bone. Once destructive absorption of the alveolar bone occurs, teeth will become loose and may even fall out. It can also be said that periodontitis is a severe stage in the further development of periodontal disease.

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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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Does periodontitis require tooth extraction?

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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Can teeth be extracted with periodontitis?

Teeth should not be extracted during a periodontitis flare-up, as it may involve symptoms like swollen gums, pus discharge, or the presence of inflammatory processes in the periodontium. Extracting teeth during such a flare-up could lead to the systemic spread of the inflammation, potentially causing severe conditions such as bacteremia or sepsis, and even life-threatening situations. Periodontitis involves the resorption of the supporting periodontal tissues. If periodontitis can be managed by cleaning the teeth to remove local irritants, or through guided bone regeneration, and if the teeth can be preserved, it is generally best to avoid extractions. Teeth that can be preserved should be retained. However, if the periodontitis has caused severe lesions and the teeth cannot be preserved, showing signs of looseness or are even on the verge of falling out, extraction should only be considered after the inflammation is under control.

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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.

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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.