What is periodontitis?
Periodontitis is a permanent pathological process of inflammation of the supporting apparatus of the tooth: gums, periodontium, bone tissue of the alveolar ridge of the jaw and cement. Lack of treatment leads to bone atrophy and, as a result, to tooth loss.
Types of periodontitis
By place of development:
- Localized – a small lesion affecting only one tooth; is often the result of mechanical tissue damage;
- Generalized – damage to several teeth also affecting the gum and bone tissue.
By the nature of the course:
- Acute – characterized by sudden painful attacks and the rapid development of symptoms;
- Chronic periodontitis is the transition of untreated acute periodontitis to a chronic form, in which painful sensations and other symptoms practically disappear, but the disease progresses and deforms the tissues.
Stages of the disease
There are 3 stages of periodontitis in adults:
- Initial. The gums become inflamed, as evidenced by its redness and bleeding.
- Average. The gums swell greatly, the neck of the tooth is exposed, a periodontal pocket is formed, the degree of bleeding of the gums increases and the first painful sensations to stimuli appear.
- Heavy. The depth of the pocket reaches a large size (up to 7 cm) and the tooth begins to wobble strongly.
The main signs of periodontitis
The presence of periodontal inflammation can be indicated by such obvious symptoms as:
- bleeding gums when brushing teeth or chewing food;
- itchy gums;
- saliva viscosity;
- a change in the color of the gums to more red, scarlet (normally light pink);
- the formation of a periodontal pocket (exposure of the neck of the tooth);
- the presence of purulent discharge;
- persistent bad breath.
What contributes to the onset of the disease?
The reasons for starting the inflammatory process of periodontal tissues can be:
- illiterate oral hygiene;
- untreated caries and gingivitis;
- reproduction of pathogenic bacteria due to large deposits of tartar;
- stomach diseases that alter acidity;
- weakened immunity;
- hormonal disorders;
In the NovaDent clinic, a thorough diagnosis of periodontitis is carried out according to the following scheme:
When examining the patient’s oral cavity, the dentist pays attention to the quality of oral hygiene, the presence of bacterial plaques and their prevalence, the depth of periodontal pockets, the degree of resorption of supporting tissues and tooth mobility.
Provides the doctor with additional information about the degree of bone damage around the teeth, about the presence of protruding edges of the crowns and dangerous zones on the oral mucosa.
Allows you to identify systemic diseases of the body that contribute to the development of periodontitis. A smear of mucus from the gums It is necessary to determine the presence of pathogenic microflora, its identification and volume.
Methods of treatment of periodontitis
Depending on the causes of the disease and its stage identified during the diagnosis, the doctor individually selects the method of treatment.
- A prerequisite for effective treatment of periodontitis is:
- Complex sanitation of the oral cavity;
- Treatment of existing carious lesions;
- Removal of calculus and plaque under the gum;
- Tooth polishing (especially under the gum).
Read Also: Calculus Bridge, Symptoms, Treatment
At the initial stage of the disease, it is enough to carry out conservative therapy, including:
- Removal of tartar. It is carried out by the “Vector” apparatus or by the Air Flow method. The procedure is absolutely painless.
- The imposition of medical applications. Special enzymes, antibiotics, vitamins and keratoplasty are applied to the necks of the teeth.
- Mouthwash with antiseptics. With a course of at least 10 days, rinsing with anti-inflammatory solutions is prescribed to destroy bacteria and restore the state of the mucous membrane.
- Taking antibiotics. In especially difficult clinical situations, systemic administration of parenteral antibiotics or their administration in tablets is prescribed.
In the severe stage (the depth of the pocket exceeds 7 cm and atrophy of the bone tissue of the II stage), surgical treatment of periodontitis is required.
Removal of pathologically altered tissues with special instruments, followed by treatment of the pockets with an antiseptic solution. Distinguish between open and closed curettage, i.e. carried out with or without peeling of the gum flap. At the end of the operation, sutures are applied.
With the mobility of 3-4 dental units in a row, they can be pulled together with a strong aramid thread or fiberglass tape. The method of performing the operation is selected taking into account the clinical picture of the patient.
It is used only for advanced periodontitis with a pocket depth of more than 6 mm and pronounced bone resorption. The dentist folds the flap, removes the contents of the pockets and growths (if any).
Implantation for periodontitis
In acute periodontitis, the installation of dental implants is contraindicated. But when remission of the disease is achieved, implantation is not only possible, but even recommended. This is especially true if you have loose teeth. When restoring the dentition, prosthetics on implants is considered as a better option than placing a bridge prosthesis based on movable teeth.
Thanks to implantation with periodontitis, you can not only restore lost teeth, but also prolong the life of the remaining natural teeth.
Is it possible to cure periodontitis with folk remedies?
Periodontitis is a chronic disease that cannot be completely cured even in a dental clinic.
Yes, with a timely visit to a periodontal dentist, you can enter the disease into a stable remission (i.e. stop bleeding of the gums and the death of bone tissue) and reduce the mobility of the teeth.
But it is impossible to treat gums with periodontitis at home using folk remedies. Gargling with infusions of herbs (ginseng, calamus root or oak bark) can only reduce the symptoms, but do not remove the cause of the disease.
Taking the following effective preventive measures significantly reduces the risk of periodontitis in adults:
- Remember to brush your teeth in the morning after breakfast and before bed.
- Rinse your mouth after every meal.
- Eat as much solid food, raw vegetables and fruits as possible for a natural massage of the periodontal tissues.
- Remove food debris from the interdental spaces with dental floss.
- Get regular checkups with your dentist (at least once every six months).
- Complete dental cleaning once a year.
- Timely restore the integrity of the dentition after trauma or tooth extraction.
Prices for the treatment of periodontitis
The cost of periodontitis treatment in the clinic is determined for each patient individually. It all depends on the localization of the inflammatory process, its causes and stage of the disease.
Below we list prices for some of the procedures that can be used in the treatment of periodontitis.
- Service Price Tooth splinting: From 1 900 ₽
- Open and closed curettage in the area of one tooth: From 1200 ₽
- Tongue frenum plasty: From 6200 ₽
- Treatment of periodontitis with the “Vector” apparatus: From 950 ₽
- Plastic surgery of the frenum of the upper or lower lip: From 7300 ₽
- Plastic surgery of the attached gum: From 16700 ₽
- Clinpro professional hygiene: 7950₽
- Ultrasonic teeth cleaning: 400 ₽
- For 1 tooth Comprehensive oral hygiene Promotion: 3990 ₽