Is periodontitis grade II serious?

Written by Li Cui
Dentistry
Updated on January 31, 2025
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The patient suffers from periodontitis and is in the second stage. At this point, it is recommended that the patient promptly undergo dental treatment. This can effectively alleviate symptoms and control the disease progression. It may not achieve complete cure, but it can prevent the further development of gingivitis, control the condition, and prevent some gum recession. If treatment is not administered, it may worsen and lead to loose teeth, so it is advised that patients take timely control measures. Additionally, patients should avoid eating spicy and stimulating food, as well as overly hot or hard food that can long-term irritate the gum tissue. Regular brushing in the morning and evening, rinsing the mouth after meals, and using dental floss to remove food residue in the mouth can help treat periodontitis.

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Written by Li Cui
Dentistry
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Can third-degree periodontitis be cured?

Periodontal disease is generally caused by long-term accumulation of bacteria, dental calculus, and plaque, which gradually stimulates chronic inflammation. Periodontal disease leads to inflammation around the tooth roots and results in the resorption of the alveolar bone, eventually causing the teeth to loosen and fall out. It is recommended that patients with periodontitis seek timely treatment to prevent the condition from worsening, which could complicate the treatment process. For those diagnosed with stage three periodontitis, treatment is generally still effective. Therefore, it is advised that patients promptly visit a hospital and follow the specific treatment methods prescribed by their doctor to effectively treat periodontitis.

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Written by Li Bao Hua
Dentistry
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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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Written by Li Bao Hua
Dentistry
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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.

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Written by Li Bao Hua
Dentistry
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Can teeth be extracted with periodontitis?

Teeth should not be extracted during a periodontitis flare-up, as it may involve symptoms like swollen gums, pus discharge, or the presence of inflammatory processes in the periodontium. Extracting teeth during such a flare-up could lead to the systemic spread of the inflammation, potentially causing severe conditions such as bacteremia or sepsis, and even life-threatening situations. Periodontitis involves the resorption of the supporting periodontal tissues. If periodontitis can be managed by cleaning the teeth to remove local irritants, or through guided bone regeneration, and if the teeth can be preserved, it is generally best to avoid extractions. Teeth that can be preserved should be retained. However, if the periodontitis has caused severe lesions and the teeth cannot be preserved, showing signs of looseness or are even on the verge of falling out, extraction should only be considered after the inflammation is under control.

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Written by Li Bao Hua
Dentistry
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What are the symptoms of periodontitis?

Periodontitis stems from the further development of gingivitis, sharing many symptoms, including gum redness, congestion, and pain when eating. Additionally, periodontitis can cause teeth to become loose, and in severe cases, lead to tooth loss. There is also the presence of a periodontal ligament condition. Generally, gingivitis corresponds to a pseudo periodontal ligament while periodontitis involves the actual periodontal ligament due to the resorption of the alveolar bone—this distinction is crucial in differentiating gingivitis from periodontitis. Periodontitis features true periodontal ligament formation concurrent with the resorption of the jawbone. Dietary precautions for periodontitis include avoiding hard foods and not chewing hard objects to prevent resorption of the alveolar bone in the root apex area.