Treatment of periodontitis

Periodontitis is a dental disease. We all sometimes suffer from mild periodontitis. For example, toothache may be caused or resulted from periodontitis. So what should we do if we really have periodontitis and how should we actively treat it? We also need to have a comprehensive and systematic understanding of periodontitis.

Periodontitis is a chronic inflammation that affects the gums and periodontal tissues. It is a destructive disease characterized by the formation of periodontal pockets and inflammation of the pocket walls, alveolar bone resorption and gradual loosening of teeth. It is the main cause of tooth loss in adults. This disease is mostly caused by plaque, tartar, food impaction, poor restorations, bite trauma, etc., which cause the gums to become inflamed and swollen, and at the same time aggravate the accumulation of plaque and spread from above the gums to below the gums. Due to the characteristics of the subgingival microecological environment, a large number of highly virulent periodontal pathogens, such as Bacteroides gingivalis, Bacteroides intermedia, spirochetes, etc., grow in the subgingival plaque, aggravating and spreading the inflammation of the gums, leading to the formation of periodontal pockets and alveolar bone absorption, causing periodontitis.

Periodontitis treatment

Once periodontitis occurs, it should be treated early because its prognosis is related to the severity of the lesion. The treatment of periodontitis is mainly local treatment. The first step is to remove the tartar above the gums (medically known as supragingival tartar), then remove the tartar in the periodontal pockets (i.e. subgingival tartar), and scrape off the diseased cementum in the periodontal pockets that contains a large amount of bacterial toxins. After these treatments, the redness and swelling of the gums can subside, and the bleeding gums and pus in the periodontal pockets can disappear.

Periodontitis treatment is divided into four stages:

The first stage is the basic treatment stage, which aims to select conventional treatment methods for periodontal disease, eliminate or control clinical inflammation and bite pathogenic factors, including oral self-cleaning, removal of teeth with poor prognosis and unfavorable restoration, supragingival cleaning, subgingival scaling to remove plaque and tartar, selection of antibacterial drugs to control inflammation, bite adjustment, etc.

The second stage is periodontal surgery and fixation of loose teeth.

The third stage is permanent restorative treatment, which is usually performed 2-3 months after surgery.

The fourth stage is the review and re-treatment stage, which is conducted every six months and includes checking plaque control, health education, and X-ray examinations to further formulate a treatment plan.

There are two key points to the success of periodontitis treatment:

One is a careful treatment plan and the doctor's meticulous and superb treatment.

Second, patients should maintain good self-plaque control. The latter is more important than the former, otherwise the doctor's work will be ineffective and the disease will recur.

Eating cold, hot, sour or sweet food will cause pain. Periodontitis brings pain to many people. In fact, there is physical therapy for periodontitis, and it will be effective for most people if they persist in practicing for a long time.

The above is an introduction to periodontitis and its treatment methods. I think periodontitis is a dental disease that controls our eating, what we eat, how we eat, etc. Therefore, it is a disease that is quite troublesome for us and can only be cured with active treatment.