What to do after tooth extraction due to periodontitis?

Written by Li Bao Hua
Dentistry
Updated on September 08, 2024
00:00
00:00

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.

Other Voices

doctor image
home-news-image
Written by Fang Xiao
Dentistry
1min 20sec home-news-image

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.

doctor image
home-news-image
Written by Li Bao Hua
Dentistry
54sec home-news-image

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.

doctor image
home-news-image
Written by Li Bao Hua
Dentistry
51sec home-news-image

What should I do if my front tooth falls out due to periodontitis?

Periodontitis has caused the loss of a front tooth, necessitating prompt dental restoration. After the loss of a front tooth due to periodontitis, it's important first to check whether there has been any resorption of the alveolar bone. If the alveolar bone is normal and shows no signs of inflammatory resorption, dental restoration can proceed directly. If the condition of the alveolar bone is favorable, an implant can be considered. During implantation, a single tooth is implanted, allowing for direct restoration with a porcelain crown without the need to grind the adjacent healthy teeth. However, if opting for a bridge, it may be necessary to grind the adjacent healthy teeth to support the bridge, meaning that at least three teeth would need to be involved in the restoration.

doctor image
home-news-image
Written by Wang Peng
Dentistry
45sec home-news-image

What should I do if my face swells from periodontitis?

If periodontitis has already caused facial swelling, active treatment can be targeted at the periodontitis. First, if there are large deposits of tartar on the crown of the tooth, these should be removed using ultrasonic cleaning to eliminate the tartar and suppress the proliferation of anaerobic bacteria. Then, manually scrape the tartar, diseased bone, and granulation tissue attached to the root surface of the gums and thoroughly rinse with hydrogen peroxide solution. If an abscess has already formed in the periodontal area, it needs to be incised under local anesthesia, then drain it using a rubber strip, and treat with systemic antibiotics such as cephalosporins or nitroimidazole drugs to alleviate the patient’s condition.

doctor image
home-news-image
Written by Li Bao Hua
Dentistry
59sec home-news-image

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.