Where to treat periodontitis?

Written by Zhan Jun Yan
Dentistry
Updated on March 02, 2025
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Under normal circumstances, patients with periodontitis should seek treatment at the periodontics department of a formal hospital. Professional periodontists will perform periodontal cleaning, scaling, root planing, periodontal flap surgery, etc. on the teeth. These periodontal treatment methods can effectively remove a series of infectious substances such as tartar, plaque, and soft deposits adhered to the teeth, thereby achieving the purpose of curing periodontitis. Additionally, periodontitis requires long-term, continuous treatment. It is essential to follow the doctor's advice, revisit regularly, and have teeth cleaned every six months or annually to maintain the current condition of the periodontium and prevent further inflammation.

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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.

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What to do if periodontitis causes a fever?

Periodontitis is an inflammation of the gums and oral cavity. When a patient has periodontitis, they may experience pain and swelling. When the inflammation is severe, the patient may have a slight fever. In such cases, it is generally recommended that the patient take oral antibiotics effective against anaerobic bacteria, such as metronidazole or tinidazole, as well as anti-inflammatory antibiotics like amoxicillin, cephalosporins, levofloxacin, or erythromycin. If fever occurs, it is recommended that the patient take antipyretic analgesics, such as ibuprofen sustained-release tablets or acetaminophen tablets, which can relieve pain and reduce fever. If the periodontitis is severe, it is advised that the patient should promptly visit a hospital and follow a doctor’s guidance to develop an appropriate treatment plan. (Note: The use of medications should be under the guidance of a physician.)

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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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Is periodontitis stage two serious?

Periodontitis stage two indicates that the resorption of the patient's alveolar bone has reached a certain degree, necessitating systemic periodontal treatment at an established hospital's dental department. In severe cases, periodontal surgery may also be required. Periodontitis is a chronic inflammatory disease caused by microorganisms accumulating around the teeth, eroding the ligaments, alveolar bone, and dentin around the teeth. Stage two periodontitis indicates a certain degree of alveolar bone resorption, resulting in the loss of attached gingiva and alveolar absorption. The patient's teeth may exhibit some mobility and potential shifting. Systemic periodontal treatment at an established hospital's dental department is required, including supragingival cleaning, subgingival scaling, root planing, and, in severe cases, periodontal surgery. Therefore, it is important to maintain oral hygiene, brush your teeth morning and evening, rinse after meals, use the internationally recognized Bass method of brushing, avoid spicy and stimulating foods, and eat fresh vegetables and fruits regularly.

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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.