Do you have the following signs or symptoms? Be careful, this may be periodontal disease!
- bleeding gums when brushing, or bleeding spontaneously
- bad breath
- gums change from pink to dark red
- swollen gums or pustules
- gingival recession, exposed roots and enlarged interdental spaces
- teeth are sensitive to cold and heat
- loose teeth or weak chewing
- displaced or improperly engaged teeth
Periodontal disease is a disease of the tissues around the teeth. If plaque is allowed to accumulate on the gum margin, the toxins secreted by the bacterial plaque will cause inflammation of the periodontal tissue and form periodontal disease (also known as periodontitis). The terrible part of periodontal disease is that in addition to causing surface problems such as gingival swelling, sensitive teeth, and bad breath, it can seriously loosen and shift patients' teeth, and even loosen a large number of teeth near pathogenic tissues, making patients unable to be effective of chewing food, you have to be forced to wear dentures before you reach old age. This not only damages the appearance of patients, greatly hurts self-confidence, but also poses a serious obstacle to their normal social life.
Periodontal disease is not caused by the tooth itself, but by the disease source of the tissues around the tooth, treatment of internal nerves such as root canal therapy cannot solve the problem of periodontal disease. Even if the treatment can solve the problem of acute pain, the symptoms of weakness and pain will continue to appear repeatedly.
So how should periodontal disease be treated? How does a periodontist perform a periodontal disease treatment procedure?
To ensure that the patient gets an accurate diagnosis, the patient should make an appointment with a professional periodontal dentist for an in-depth periodontal examination. Generally, the treatment procedure for periodontal disease involves deep root planing, which is also called deep tooth cleaning by people. However, unlike ordinary tooth cleaning that flows on the surface, deep root planing is the use of dental instruments to get to the bottom of the inflamed gums, scrape the tartar and inflamed tooth tissue on the roots, and help with healthy periodontal tissue regeneration as soon as possible.
But patients must also recognize the limitations of periodontal disease treatment. Even if the treatment is effective immediately, deep root curettage can only stabilize the health of the tissues around the teeth and cannot regenerate the lost tissue. In addition, the survival rate and life span of the teeth retained by each group after the completion of periodontal disease treatment depends very much on whether the periodontal disease is mild, moderate or severe in the patient. It cannot be generalized. This requires sufficient communication before the course of treatment of doctors and patients, so that patients will not have unreasonable expectations of the treatment effect.
After professional periodontal dentists remove root calculus with root planing, according to statistical data, more than 80% of patients with periodontal disease can obtain satisfactory treatment results. In the future, they only need to maintain good oral hygiene and undergo regular inspections and dental scaling so can completely solve the problem. However, there are a small number of patients because the length of the periodontal pocket is too deep that instruments are difficult to reach it and remove the diseased tissue at its deepest point, or the tooth and bone defects are too serious, and the periodontal condition of teeth are still very unstable. In these cases, it may be necessary to perform periodontal disease surgery.
There are two main types of periodontal surgery. One is the "open flap surgery". By turning the gum open, it makes the calculus and inflammatory tissues which are difficult for traditional treatment to remove can be seen easily. After the patient was anesthetized, the dentist thoroughly cleaned the pathogenic tissues with special dental instruments. The second type is "periodontal regeneration surgery", which evaluates the suitability of periodontal tissue expansion and hyperplasia surgery based on the dental status and bone regeneration of each patient. In simple terms, this treatment is like re-founding the foundation so that the teeth have a more solid platform for long-term support.
In recent years, more and more people have discussed auxiliary treatment methods for periodontal disease, such as laser treatment. The principle of laser applied to periodontal treatment is to use high temperature sterilization generated by the energy of the beam. Because the laser beam is narrow, it can be used to sterilize the hard-to-reach places. However, there is not enough medical literature to prove that laser treatment is superior to traditional treatment, and the area removed as a whole does not seem to be as thorough as traditional devices.
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