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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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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Written by Li Bao Hua
Dentistry
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How to deal with loosening of the front teeth due to periodontitis?

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
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Can periodontitis be cured?

Periodontitis is divided into early and late stages. Early periodontitis can be cured, while late periodontitis is difficult to treat and may require tooth extraction if severe. Periodontitis is an inflammatory, destructive resorption that occurs in the periodontal supporting tissues. There are usually significant amounts of dental calculus and plaque around the teeth. The initial treatment involves removing these through teeth cleaning. After cleaning, applying medication through rinsing around the gums can be helpful, and in many cases, this can lead to a cure. Generally, early periodontitis does not involve noticeable absorption of the alveolar bone. However, in advanced stages, the formation of periodontal pockets and absorption of the alveolar or jaw bone represent severe manifestations of periodontitis. If it is difficult to maintain or restore oral health through basic treatment in such cases, tooth extraction may be necessary.

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Written by Li Bao Hua
Dentistry
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What department should I go to for periodontitis?

Periodontitis is an inflammatory reaction that occurs in the supporting tissues of the periodontium, commonly presenting as gingivitis or periodontitis in clinical settings. Gingivitis, the early stage of periodontitis, is caused by food residues left after eating, which calcify under the action of saliva to form tartar. This tartar further irritates and causes inflammation of the gingival or periodontal tissues. Initially, one should visit the ENT (Ear, Nose, and Throat) department for this condition. If the specialties are further divided, one can consult the oral medicine department under ENT. If oral medicine is further subdivided, a visit to the periodontal department is necessary. Therefore, for detailed treatment of periodontitis, it is advisable to visit the periodontology department within the oral specialties to undergo teeth cleaning followed by gingival medication to improve the symptoms of periodontitis.

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Does incision and drainage for periodontitis hurt?

When there is excessive pus, an incision and drainage needs to be performed. Periodontitis is a pathological condition of the dental supporting tissues caused by both dental plaque and tartar, resulting from poor oral hygiene, incomplete brushing, and the accumulation of dental plaque and tartar, which irritates the gum tissues and causes inflammation. If there is excessive pus, it is necessary to go to a regular hospital's dental department for incision and drainage. The procedure can be performed under local anesthesia, which is painless. The area is repeatedly rinsed with hydrogen peroxide and saline, treated with iodine glycerin, and oral medications such as cephalosporins and metronidazole are taken. Use compound povidone-iodine solution for mouth rinsing. Once the inflammation is controlled, systematic periodontal treatment can be performed, including supragingival cleaning, subgingival scaling, root planing. Regular oral hygiene should be maintained, brushing teeth in the morning and evening, rinsing the mouth after meals, and learning to use dental floss sticks. (Medication should be used under the guidance of a physician.)