What is periodontitis?

Written by Li Bao Hua
Dentistry
Updated on September 05, 2024
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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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Can periodontitis be treated by teeth cleaning?

Periodontitis can certainly be treated with teeth cleaning. Periodontitis develops further from gingivitis, which occurs when food residues accumulate around the gums due to not brushing and rinsing promptly after eating. This long-term irritation causes the gum tissue to become congested, swollen, or even suppurative. As gingivitis progresses, it can lead to periodontitis, an inflammation of the tissues surrounding and supporting the teeth. If periodontitis is not treated promptly by cleaning the teeth and removing local irritants, it can eventually cause the teeth to become loose and, in severe cases, lead to tooth loss. It is advisable to seek early treatment from a periodontal specialist for periodontitis.

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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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Is gum recession the same as periodontitis?

Gingival recession is not true periodontitis. Periodontitis is an inflammation of the periodontal supporting tissues, primarily clinically manifested as gingivitis or periodontitis. Gingivitis is an early stage of periodontitis, characterized by bleeding during brushing or eating, disappearance of the normal shape or state of the gums, and symptoms such as red and swollen gums, pus discharge, and disappearance of the papillae. The presence of dental calculus, soft plaque, and bacterial plaque around the teeth are stimulants, suggesting these are indicators of periodontitis. Gingival recession may be a temporary phenomenon due to reasons such as occlusion. Severe gingival recession can cause exposure of the tooth root surfaces, leading to sensitivity of the roots. If periodontitis has already caused the teeth to become loose, it is necessary to promptly proceed with guided bone regeneration.

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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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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.