What is the treatment for periodontitis?

Contents

1. Gingivitis
2. Gingivitis treatments
3. Cleaning teeth
4. Use of medicines
5. surgical treatment
6. Causes of gingivitis
7. Prevention of gingivitis

Gingivitis is a common disease of the gums that appears in the form of redness and swelling in the gums, accompanied by bleeding easily from them when brushing or flossing the teeth, and a distinction must be made between gingivitis and periodontitis, where gingivitis affects the teeth around the gums, while inflammation affects the teeth. Periodontitis is also on the bone surrounding the teeth, and if gingivitis treatment is neglected, inflammation progresses to affect gingivitis, according to the American Dental Association, periodontitis and periodontitis are among the most important causes of tooth loss in adults. It is possible for gingivitis to develop into gingivitis, but this does not have to happen.

Gingivitis treatment

Treatment of periodontitis is based on the principle of removing all factors that lead to the appearance of inflammation, and treatment can be classified into three main categories as follows:

Cleaning teeth

Teeth cleaning is necessary to remove the layer of plaque and tartar that causes gum irritation.

This is done in a dental clinic, and the teeth are cleaned using hand tools, an ultrasound device, or a laser. Cleaning includes the following operations:

Lime or tartar deposits above and below the gums.

Root planning: in which the contaminated protrusions on the surface of the root are removed, and then smoothed.

Using the laser: The laser is less painful for the patient and does not cause excessive bleeding.

Use of medicines

There is a group of medications used to treat periodontitis, including the following:

Mouthwash containing chlorhexidine which has healing properties and has an oral sterilizing effect. Sterile wafers These chips contain chlorhexidine, which is released from the flake into the gum overtime after being placed inside the periodontal pocket after root scraping. Antibiotics, which are used to treat inflamed areas for a long time, include the antibiotic doxycycline.

Surgical treatment

Periodontitis is sometimes treated with certain surgical procedures, including the following:

Flap surgery:

In this type of surgery, the gums are surgically raised so that the tartar under them can be removed, and then the edges of the bones are leveled if they are irregular in shape, and this helps to cancel the places that give bacteria a chance to hide in them and then the gums return to encircle the tooth and eliminate the space between the gum and the tooth, and this process is called Also sinus reduction surgery. Bone grafts and soft tissue grafting: Separate pieces of bone are placed from the same person, or a donor or the grafts may be artificial bone grafts to replace bone in areas destroyed by gingivitis, as well as periodontal vaccinations applied to areas where the gums have receded or the thickness of the gums is minimal, and the gum graft is usually taken from the gums that cover the roof of the throat.

Causes of gingivitis

The main reason behind gingivitis is the accumulation or formation of the plaque layer. Plaque is considered a thin layer of bacteria that collects on the surfaces of the teeth. When the inflammation is neglected and left untreated, this leads to the separation of the gums from the tooth, and the matter may develop to reach the stage of damaging the soft tissues and bone supporting the teeth, which leads to instability of the tooth, which in turn may lead to the loss of the tooth, and there are many factors that contribute to the occurrence of inflammation of the Ih, Among these factors are the following:

• Smoking and chewing tobacco, of which reduce the gum's ability to heal.

• The hard-to-clean places that form a suitable environment for plaque and tartar gathering, these places result from the erratic arrangement of the teeth, i.e., oblique, and crooked teeth.

• Bad eating habits such as eating foods rich in sugars and carbohydrates, and low water content, would increase the chance of plaque formation, and it should be noted that the lack of eating foods rich in vitamin C may delay or prevent gum healing.

• Some types of medicines and diseases, including epilepsy drugs such as phenytoin, as well as some drugs for angina and high blood pressure, and these drugs include calcium channel blockers, as well as some drugs used in the treatment of Cancer. The diseases that lead to gingivitis include diseases that reduce the body’s immunity, such as AIDS, leukemia, some viral and fungal infections, and cancers.

• Diabetes is due to the weakening of blood circulation, which reduces the ability of the gums to heal.

• Hormones change, as changing hormones increase the sensitivity of the gums and make them more susceptible to inflammation, as is the case during pregnancy, the menstrual cycle, puberty, and at the age of hope. It should be noted that periodontal diseases constitute 70-90% of puberty.

• Stress and anxiety, due to their ability to weaken the body's immunity.

• Dry mouth, breathing through the mouth.