Is cleaning teeth useful for periodontitis?

Written by Li Bao Hua
Dentistry
Updated on September 21, 2024
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Periodontal cleaning is useful and necessary for gum disease. Cleaning for periodontal disease is a basic treatment method. Gum disease results from the progression and severity of gingivitis, which occurs when teeth are not adequately cleaned after brushing or mouth rinsing is not done promptly after eating. Food residues or plaque accumulate around the gums, causing prolonged irritation, congestion in the gum tissues, or bleeding during eating, which are also the earliest symptoms of gingivitis. This can further lead to the formation of tartar, which attaches to the root surfaces above and below the gums, known as supragingival and subgingival tartar, respectively. Subgingival tartar poses a greater risk as it may lead to the resorption of the alveolar bone. Therefore, it is essential to remove local irritants through dental cleaning in treating periodontitis, followed by subsequent treatments.

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Written by Li Bao Hua
Dentistry
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Is periodontal disease the same as periodontitis?

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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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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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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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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Is periodontitis serious?

Periodontitis is a development of gingivitis. To determine the severity of periodontitis, an X-ray of the teeth is required to check for pathological bone resorption in the alveolar bone. If the symptoms are limited to the gingival tissue, such as simple gingival bleeding, brushing bleeding, gingival swelling, or pus discharge, it can be managed by dental cleaning or ultrasonic scaling, followed by medicated irrigation around the gums to improve the inflammation. If subgingival calculus is present, it might also be addressed with scaling or root planing to remove the calculus. If there is significant alveolar bone resorption due to severe periodontitis, the condition is serious and may require guided bone regeneration surgery. In severe cases, tooth extraction may be necessary.