Treatment of periodontitis

Periodontitis is an inflammatory periodontal disease that affects the tissues surrounding and supporting teeth. This pathology develops as a result of the accumulation of bacterial plaque and tartar, which leads to the gradual destruction of alveolar bone and periodontal fibers. The disease is characterized by soreness, swelling of the gums and bleeding during brushing. In the absence of timely treatment, periodontitis rapidly progresses, leading to disruption of the periodontal junction and tooth loss.
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Reasons for the development of the disease

Most often, periodontitis occurs due to poor oral hygiene. Inadequate brushing of teeth leads to the accumulation of plaque, which is made up of bacteria, saliva, food debris and dead cells. Over time, this plaque turns into tartar and leads to inflammation.

Other factors in the development of periodontitis include:

  • Mechanical damage - blows, bruises, accidental biting of hard objects
  • Medical procedures - improper use of materials and instruments in dental treatment, such as pulp removal
  • Advanced forms of caries and pulpitis
  • Doctor’s mistakes when installing a filling

In addition, periodontitis can occur in patients with tonsillitis, sinusitis and other diseases of the respiratory tract and nasopharynx. This is due to the entry of dangerous bacteria into the gums through the bloodstream.

Reasons for the development of the disease

Symptoms

Signs of jaw periodontitis include:

  • Sharp pain in the area of ​​the affected tooth, especially when touched
  • Swelling and redness of the gums
  • The appearance of a fistula - a small hole in the gum through which pus flows
  • Feeling of heaviness and fullness when chewing
  • Tooth mobility

Periodontitis can be asymptomatic for a long time. It is often detected accidentally, for example, during an X-ray examination of adjacent teeth. Upon examination, the doctor may detect swelling of the gums and wounds from which pus is released.

Classification

Periodontitis can be acute or chronic. The acute form develops quickly, accompanied by severe pain, swelling and redness of the gums, and in the case of purulent periodontitis - the formation of pus.

Most often, dentists detect chronic periodontitis. This is due to the fact that the acute form quickly becomes chronic due to insufficient treatment or lack thereof.

Chronic periodontitis of the tooth has less pronounced symptoms. It comes in three types:

  • Granulomatous Accompanied by the formation of small nodules in the gums
  • Granulating Characterized by the proliferation of granulation tissue and gums
  • Fibrous The tissue around the tooth becomes denser

Complications

If medical errors are made during the treatment of dental periodontitis, inflammation and infection may spread to adjacent tissues. This leads to the following complications:

  • Fistula
  • Cyst
  • Abscess
  • Phlegmon of the maxillofacial area
  • Osteomyelitis of the jaw
  • Sinusitis

If pus from an abscess and phlegmon is not removed in a timely manner, it can spread throughout the body and lead to death.

How to get rid of periodontitis

Treatment methods for periodontitis are divided into conservative and surgical methods, each of which has its own indications and methodology.

Conservative methods

Conservative treatment methods include:

  • Mechanical and medicinal cleaning of canals from infected tissues and their disinfection. Effective in the early stages of periodontitis. The process uses endodontic files and reamers to help the doctor remove diseased tissue within the canal accurately and efficiently. Antiseptic drugs are also used to eliminate bacteria and toxins, completely disinfect the canal and prevent the spread of infection
  • Sealing after cleaning and disinfection of the canals. The doctor uses materials that ensure hermetically sealed canals, prevent re-infection and provide long-term tooth protection
  • Physiotherapeutic procedures. Additionally, the patient is prescribed UHF therapy, electrophoresis and laser therapy. They speed up the healing process, relieve inflammation and improve blood circulation in the affected area
  • Taking antibiotics to fight a bacterial infection. The drugs eliminate inflammation and prevent the spread of infection

Effective treatment of periodontitis requires a professional approach and should be carried out strictly under the supervision of a dentist.

The first phase of the pathological process

Surgical treatment methods include:

  • An incision to remove accumulated pus from the inflamed area. This reduces pressure in tissues, speeds up their recovery and alleviates inflammation
  • Resection of the tip of the tooth root followed by filling of the apical portion of the canal. It is used when conservative treatment does not bring results, and it is necessary to remove infected tissue in the root apex area
  • Complete removal of the tooth root. A more radical method used in cases where saving the tooth is impossible due to serious damage to the tissue and bone structure
  • Complete tooth extraction. A last resort measure used in the most severe cases when other treatment methods are ineffective. This method leads to the need for subsequent prosthetics to restore the function and aesthetics of the dentition

Home Remedies to Relieve Symptoms

In addition, there are home remedies to alleviate the symptoms of periodontitis. They are recommended to be used only as an emergency aid to reduce pain and inflammation. Treatment with folk remedies does not replace professional treatment by a dentist.

To eliminate discomfort, it is recommended to rinse the mouth with a 0.05% chlorhexidine solution up to 4 times a day. You can also use a 20% aqueous solution of dimexide.

Iodine tincture has proven itself well. To prepare it you will need 5-6 drops of iodine and 150 ml of boiled water. You need to rinse your mouth 3 times a day.

Soda and saline solutions will help get rid of unpleasant symptoms. It is enough to dilute 0.5 teaspoon of each product and rinse the mouth every 2 hours.

In addition, it is useful to use natural-based infusions and lotions. For example, a decoction of sage, onion juice or onion peels, as well as propolis reduce bleeding gums.

General information about the treatment of periodontitis

Diagnostics

Diagnostics of periodontitis is a complex process that includes several stages:

  1. Initial examination by a dentist. The doctor checks the condition of the teeth, mucous membrane, gums, determines the type of bite
  2. X-ray examination. There are 2 types of X-rays that dentists use: spot and panoramic. The first allows you to assess the condition of a specific tooth and its surrounding tissues. The second is designed to check the condition of all teeth and jaws in general

These diagnostic methods allow the dentist to accurately determine the degree of tissue damage, detect purulent processes, and also assess the condition of the bone tissue around the tooth. Based on the data obtained, the dentist draws up a treatment plan for dental periodontitis and a prognosis for each specific case.

Stages of treatment for acute forms of the disease

Treatment of acute periodontitis consists of the following steps:

  1. Introduction of anesthesia
  2. Drilling the tooth to gain access to the canals. May include removing the nerve of the tooth or removing an old filling
  3. Expansion of canals and their antiseptic treatment
  4. Installation of a temporary filling
  5. Reprocessing channels
  6. Installation of a permanent filling after complete elimination of inflammation

The effectiveness of conservative treatment is estimated at 70-90%, but in complex cases surgical intervention may be required.

Nuance! If the doctor detects purulent inflammation, he leaves the canals open for the outflow of pus. The patient may be recommended painkillers and antibiotics.

After 2-4 days, the doctor removes the temporary filling and re-treats the canal. If there are no signs of inflammation, he fills the root canals and installs a permanent filling.

Stages of treatment for acute forms of the disease

Treatment of acute periodontitis consists of the following steps:

  1. Introduction of anesthesia
  2. Drilling the tooth to gain access to the canals. May include removing the nerve of the tooth or removing an old filling
  3. Expansion of canals and their antiseptic treatment
  4. Installation of a temporary filling
  5. Reprocessing channels
  6. Installation of a permanent filling after complete elimination of inflammation

The effectiveness of conservative treatment is estimated at 70-90%, but in complex cases surgical intervention may be required.

Nuance! If the doctor detects purulent inflammation, he leaves the canals open for the outflow of pus. The patient may be recommended painkillers and antibiotics.

After 2-4 days, the doctor removes the temporary filling and re-treats the canal. If there are no signs of inflammation, he fills the root canals and installs a permanent filling.

Prevention

To prevent the development of periodontitis, it is recommended to follow a number of rules:

  1. Brush your teeth regularly and efficiently. Using an electric brush helps reduce the build-up of germs by 20%. It is also useful to use additional cleaning products, such as dental floss and irrigators
  2. Visit the dentist every six months and have your teeth professionally cleaned
  3. Eat right. It is important to reduce your consumption of sweets and add foods enriched with vitamins and minerals to your diet

Immediately after treatment, it is recommended to use pharmaceutical solutions for mouth rinsing. They reduce bacteria and promote tissue healing.

Our doctors

Shcherbakova
Valentina Frantsevna
Head of the Department of Dentistry, dentist
Egorova
Natalya Vasilevna
Head of the dentistry department, dentist-therapist, dentist-orthopedist
Elfimova
Natalya Vladimirovna
Head of the dental department, dentist-surgeon, implantologist
Cherkasov
Alexei Andreevich
Dentist-surgeon, implantologist, therapist
Samoilova
Nana Nugzarovna
Dentist-therapist, microscope
Ivashkevich
Sergei Georgievich
Dentist-surgeon, implantologist
Samartseva
Natalya Victorovna
Dentist-surgeon, implantologist, therapist
Korneeva
Evgeniya Sergeevna
Dentist-surgeon, periodontist
Bagaev
Omar Makhachevich
Dentist-therapist, pediatric
Grigoryeva
Regina Bogdanovna
Dentist-therapist, endodontist
Najaryan
Liana Artyomovna
Dentist-surgeon, implantologist
Ibragimova
Olesya Kayinbekovna
Dentist-therapist, microscopist
Nikolaeva
Irina Yuryevna
Dentist surgeon, periodontist
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Answers to popular questions

How much does it cost to cure periodontitis of a tooth?

The prevention and treatment of periodontitis in the clinics “K+31” in Moscow are carried out by dentists with extensive clinical experience. The dental department is equipped with everything necessary for high-quality diagnostics and therapy. We offer clients both conservative treatment of periodontitis and surgical methods. Dentistry also provides services of prosthetics, teeth whitening, cyst removal and others.

How much does it cost to cure periodontitis of a tooth? The exact cost depends on a number of factors: the level of the specialist and the clinic, the drugs used during treatment, the exact diagnosis, the number of required visits to the doctor, etc.

You can make an appointment with a doctor at a time convenient for you by phone. Get information about the nuances of the procedure, find out the cost of treatment of dental periodontitis, check out the services and promotions of our clinics.

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