TREATMENT OF PERIODONTITIS
What is periodontitis?
Periodontitis is an inflammatory disease that affects the gums and all the periodontal tissues, including the alveolar bone (the bone on which teeth rest).
What are the causes of periodontitis?
Periodontitis is considered to be an advanced stage of gingivitis. When gingivitis left untreated, it progresses to periodontal disease – periodontitis – which can cause severe and reversible damage to the gums, teeth and bone of the jaws. More specifically, germs and their toxins go deeper under the gums and infect the bone. When the bone becomes infected it begins to get absorbed, resulting in the gums detaching from the teeth and forming an empty space (pocket).
In this empty space (pocket) the germs multiply and the gap grows bigger and bigger, destroying the bone of the jaw, until all the support is lost and the teeth fall out. Because of the periodontitis the teeth can start shaking, or change position, creating aesthetic problems, problems with occlusion, chewing and speech.
Finally, poor periodontal health and inflammation of the periodontal tissues can cause bad breath.
What are the differences between gingivitis and periodontitis?
The important difference between gingivitis and periodontitis is that in periodontitis there is permanent bone loss and if left untreated, bone damage worsens and leads to tooth loss.
What are the symptoms of periodontitis?
Some of the symptoms of periodontitis are quite easy for the patient to detect. Of course there are some symptoms of periodontitis which can only be seen by the dentist after a dental examination.
The symptoms of periodontitis (periodontal disease) are as follows:
- Your gums bleed easily, such as when brushing.
- Your gums are bright red, swollen or sensitive.
- The gums that have receded or detached from the tooth – teeth (creation of a pocket).
- You have a persistent and intense bad breath.
- Pus is coming out between teeth and gums.
- Your teeth are loose and shaking.
- You feel different (compared to the past) in the way you close your mouth when your teeth come in contact.
- The position of one or more teeth change.
How do you treat periodontitis?
Periodontal treatment is also known as gingivitis treatment and periodontitis treatment. When periodontitis is in its beginning, treatment aims to stop the bleeding gums and help them to clear up. But when periodontitis is in an advanced stage, the treatment additionally seeks:
- The elimination of the periodontal pockets,
- Stopping further bone destruction,
- Restoration where possible of damaged bone and gums.
Depending on the severity, extent of the problem, but also the treatment plan agreed with the dentist and the patient, periodontal treatment may include only the conservative treatment phase of periodontitis (ultrasound, scraping and laser) or may require additional treatment with surgical techniques.
How long does it takes to treat periodontitis?
The duration of periodontal treatment can range from 2-3 weeks to 4-6 months. This means that the patient will follow a relatively narrow program of treatment sessions. Throughout the treatment, emphasis is placed on perfecting oral hygiene, which is why regular inspection and care (cleaning of the teeth) of the oral cavity is of utmost importance.
Conservative Treatment of Periodontitis
During the conservative treatment of periodontitis, local anesthesia is performed. This is followed by the removal of tartar and germs that are under the gums and come in contact with the surface of the tooth root. Ultrasound and scraper are used in this treatment.
Laser treatment of periodontitis
Laser can be used to treat periodontitis at the same time as the conservative treatment or later. At the same time we must say that the treatment of periodontitis with soft tissue laser is completely painless.
What are the benefits of laser periodontitis treatment?
The biggest advantage of using lasers in periodontal treatment is:
- Antimicrobial action
- Smooth healing regeneration of the part of the lost periodontal tissues.
- Reduction to elimination of the need for a surgical method.
- Faster completion of treatment
- Minimize possible complications.
What should I avoid after treating periodontitis?
- Healing is faster when you get enough rest.
- That is why we would suggest that you rest for the rest of the day.
- General you can continue your normal daily activities.
- Depending on the extent of the treatment, you may be quite numb. So you should be careful not to bite your lip or tongue.
- It is a good idea to take a painkiller before the anesthesia is over.
- You may need to continue taking painkillers depending on the extent of the treatment.
- If antibiotics is prescribed you should take it according to the doctor’s advice and for at least 5 days.
- Eat well before using medications, as some may upset the stomach.
– Alcohol consumption
- Do not consume alcohol with painkillers or antibiotics.
- Do not consume alcohol after laser surgery.
- The burn in the area of the operation may worsen and consequently the sensitivity may increase.
– Oral hygiene
- Rinse with antiseptic mouthwash.
- It is advisable to rinse with chamomile which is soothing and mild natural antiseptic.
- Brush your teeth twice a day and use floss and interdental brushes.