| Treatment Of Periodontitis |
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It is a common teeth problem arising from gingivitis development. It’s caused when gums infection and inflammation is not treated. This results to further infection through bacteria infection leading to periodontal pockets. The bacteria continue accumulating in the pocket deepening them causing the supporting tissues below to be destroyed.
The reason for the treatment is to clear the pockets and reduce inflammation from the areas affected. It is also meant to remove the bacteria that cause the disease. There are various ways in which the infection can be treated; the treatment ranges from mild infection to more advanced infection. Antibiotic treatment can be done to reduce it before the infection goes further. There is a mild level of infection that you will only require constantly good dental care at home.
Treatment at Various Stages
The other treatment for periodontitis includes scaling and root planning. These are done in stages according to the level of infection the patient has. Scaling is done to take away the bacteria and tartar from the surface of the teeth underneath the gums. Ultrasonic instruments are used in scaling process. The reason for root planning is to soften the surface of the tooth\'s mouth this prevents more build up of the tartar. Following are treatment stages under scaling and root planning depending with the level of infection.
For a prophylaxis patient, you will require this if you have no calculus below the gum. It s done to patients with little gum lose. It involves the removal of calculus above the gum line normal flossing can follow. Pumice polishing can also be done using a rubber cup on a slow speed hand piece. This treatment is not effective if you have the infection beyond minor redness and bleeding. The patient in this category will require full dental exam and x-ray.
For the debridement patient, at this stage infection is characterized by a lot of plaque and calculus accumulation. This also bars the teeth from being seen. When your infection is at this stage you will require full mouth debridement. The process involves rough scaling. This goes down to the roots as you can tolerate anesthesia. This procedure also quickens the healing of gums. If your condition does not improve after the process, you will be entitled for an initial oral exam and treatment plan outlined, and then you will be scheduled for another root planning visits.
Incipient periodontitis is a stage where you begin to loose the bone between your teeth. This can continue if not treated until the bony surface of the teeth is undermined. Initially the pockets between the teeth measure 4-5 mm deep. They bleed when probed. You are supposed to have two separate cleanings. During this period you undergo anaesthetization and teeth planning done by scalars and curettes.
Moderate periodontal disease starts between the teeth since it’s the most neglected area. It occurs when bone loss continues causing the pockets to be deeper, fanning around the tooth. The treatment is the same for incipient periodontal disease, but the visits are four since more root is exposed above bone line.
Severe periodontal disease occurs when there is so much bone lost and the pocketing goes to 7 mm or greater. The treatment is four quadrants of root planning. It might not be effective alone, so you might require a periodontist for gum surgery. Periodontal maintenance patients occur after your initial treatment, and after it has stopped, you are able to maintain the teeth in a disease free state. At this level you are like abnormal prophylaxis patient but your prophylaxis is more complicated than a normal one since you have more exposed root surface to scale. The cleaning you undergo periodontal maintenance prophylaxis, which is more expensive than a regular one. You are required to prevent the infection through brushing and changing the tooth brush regularly. This is the most effective non-prescription method that is readily available and inexpensive. |
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