Is periodontitis stage two serious?

Written by Fang Xiao
Dentistry
Updated on October 22, 2024
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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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Written by Fang Xiao
Dentistry
1min 13sec home-news-image

Does periodontitis use infusion tubes?

Gingivitis infusion therapy does have certain effects. This is because infusion mainly consists of antibiotics that can treat inflammation and alleviate symptoms; however, this effect is primarily temporary. For a thorough treatment, it is necessary to visit a professional dental department at a regular hospital for systematic periodontal treatment, including supragingival cleaning, subgingival scaling, and root planing. Alternatively, without infusion, you can use periodontitis drugs under the guidance of a doctor, such as anti-inflammatory drugs like Metronidazole, Tinidazole, and Ornidazole. Regular oral hygiene is crucial: brush your teeth in the morning and evening, rinse after meals, and regularly visit the dental department at a recognized hospital for periodontal maintenance. Only by doing so can the inflammation of the periodontium be controlled. (Use of medication should be under the guidance of a physician)

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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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What is periodontitis?

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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How is periodontitis caused?

Periodontitis is a destructive inflammatory condition of the periodontal supporting tissues. The primary initiating factor of periodontitis is dental plaque, which occurs due to not brushing or rinsing promptly after eating. Over time, soft deposits accumulate around the teeth, which can calcify into tartar. The tartar contains a large amount of biofilm, such as the dental plaque biofilm, which can damage and cause bleeding or congestion in the gingival tissues, manifesting as bleeding when brushing teeth or eating. If gingivitis is not treated in time, it may lead to periodontitis. Periodontitis is also related to other systemic factors, such as genetic factors or smoking, mental stress, etc. Sometimes, discoloration of the tooth surfaces or food impaction can also cause periodontitis.

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Written by Li Bao Hua
Dentistry
1min 9sec home-news-image

What to do after tooth extraction due to periodontitis?

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.