Treatment of periodontitis, two steps

Periodontitis is a chronic disease, which is mainly caused by lesions of periodontal supporting tissues due to local factors. If not treated in time, it will spread deep into the periodontal membrane, alveolar bone and cementum and cause lesions, so it is particularly important to find a treatment method.

1. Local treatment

1. For local irritants: supragingival scaling or subgingival curettage can be performed, and if necessary, the bite can be adjusted, food impaction can be removed, and poor restorations can be corrected.

2. Treatment of periodontal pockets: When the periodontal pockets are overflowing with pus, they can be rinsed with 1% to 3% hydrogen peroxide solution, and a 10% iodine mixture or a drug film such as spiramycin or metronidazole can be placed inside the pockets. After removing local factors, shallow periodontal pockets can be cauterized with iodine phenol solution; deeper periodontal pockets require periodontal surgery to eliminate periodontitis. When the periodontal pocket reaches the root apex and the teeth are obviously loose, extraction may be considered.

3. Fixation of loose teeth: If the teeth are still loose, a temporary or permanent periodontal splint can be used to fix the loose teeth.

4. Treatment of periodontal abscess: When the abscess is localized, incision and drainage can be performed. The periodontal pockets should also be rinsed and coated with medicated film or iodine glycerin.

2. Systemic treatment

Enhance the body's resistance and actively treat systemic diseases related to periodontitis. When periodontal abscess occurs, patients with severe systemic reactions should take relevant antibacterial drugs orally.

In short, the treatment of periodontitis includes a series of comprehensive treatment measures. In order to consolidate the therapeutic effect and prevent recurrence, oral hygiene education and regular check-ups should be carried out.