Periodontitis Prevention
Periodontitis can be prevented. Good lifestyle habits, proper awareness of oral health prevention, and choosing the right preventive health products can effectively prevent or preclude periodontal disease.
Insist on brushing your teeth early in the morning and before going to bed, rinsing your mouth after meals, and understanding and mastering the correct way to brush your teeth.
You can purchase suitable toothpaste, toothbrush and dental floss to avoid the deterioration of gum problems caused by choosing unsuitable oral care products.
Brushing method recommendation.
Avoid using the horizontal brushing method on the brushing method. However, the horizontal brushing method is the customary brushing method of the masses, and many people use gravity to brush horizontally with a hard-bristled toothbrush, resulting in gum recession, root exposure, cervical wedge defect and other diseases. Therefore, the correct practice is to use a toothbrush with two rows of twelve bristles, using the vertical brushing method, i.e., when brushing the upper teeth, the bristles are brushed from the top down along with the teeth; when brushing the lower teeth, they are brushed from the bottom up along with the teeth. The action should be slower, repeated several times on the same part, so that the bristles through the junction area of the gums and teeth thoroughly remove dirt, and also have a massage effect on the gums.
Gum massage method: After brushing, use your clean hands to massage the teeth and gum surface in a circular motion with your index finger. You can start from the upper and lower jaw back teeth and gradually move to the front. Do this once in the morning and once in the evening for 10 to 15 minutes each time. However, the massage should not be done during acute inflammation. If the tartar accumulation is high, you should also ask the dentist to scrape the tartar away before using gum massage.
Pay close attention to the early signs of periodontal disease. If your gums bleed when you brush your teeth or eat, you should pay attention to it early because it is a sign of periodontal inflammation and should be treated at the hospital as soon as possible.
Adopt healthy eating habits. Pay attention to a balanced diet structure, eat more white meat, eggs, vegetables, fruits and other foods that are good for dental oral health; eat as little sugary food as possible, do not smoke, drink less, eat more fiber-rich chewy food, effectively increase saliva secretion, which is conducive to dental surface and oral cleaning.
Regular oral health examination. If possible, ensure that children once every six months, adults once a year, to the hospital dental specialist oral and dental health examination; every six months or once a year to the hospital dental cleaning, timely removal of subgingival calculus.
Periodontitis Treatment
Periodontitis treatment is divided into four stages.
The first stage is the basic treatment stage, the purpose is to choose the conventional treatment methods of periodontal disease, remove or control the clinical inflammation and bite pathogenic factors, including oral self-cleaning, extraction of poor prognosis and unfavorable restorative teeth, supragingival scaling, subgingival scraping to remove plaque, tartar, selection of antibacterial drugs to control inflammation, bite jaw adjustment, etc.
The second stage is periodontal surgery and fixation of loosened teeth.
The third stage is permanent restorative treatment, which is usually performed 2-3 months after the surgery.
The fourth phase is the review and retreatment phase, which is performed every six months and includes plaque control checks, hygiene promotion, and radiographic examinations for further development of the treatment plan.
There are two keys to the success of periodontitis treatment.
One is a well thought out treatment plan and meticulous, superb treatment by the doctor.
The second is adherence to good self-plaque control. The latter is more important than the former, otherwise the doctor’s work will be half-hearted and the disease will reoccur.
Several simple practices are described below.
Topical treatment of periodontitis
The treatment of periodontitis is based on local treatment, firstly removing the tartar above the gums (medically known as supragingival tartar), then removing the tartar in the periodontal pockets (i.e. subgingival tartar) and scraping the diseased dental bone containing a lot of bacterial toxins in the periodontal pockets, after these treatments, the gum redness and swelling can subside, and the gum bleeding and pus overflowing from the periodontal pockets can disappear.
After the formation of periodontal pockets, the periodontal pockets are usually treated with drugs, and various drugs, such as iodine glycerin, compound iodine solution or antibacterial drugs, can be placed in the periodontal pockets to maintain a high concentration of drugs in the periodontal pockets to destroy various bacteria in the periodontal pockets and achieve the effect of sterilization, anti-inflammation and astringency. After the above treatment, those who do not have good efficacy will need periodontal surgery.
For loose teeth, different methods can be used to perform loose tooth fixation. For serious conditions, Si teeth with more destruction of periodontal tissues that cannot be retained, they need to be extracted. In addition to local treatment, those with obvious severe symptoms can take systemic treatment, i.e. oral antibacterial drugs, such as metronidazole, 0.2 g 3 times a day for 1 week; spiramycin, 0.2 g 4 times a day for 1 week; tinidazole, 0.5 g twice a day.
Early treatment of periodontitis is effective and can stop the development of lesions and periodontal tissues can be repaired to a certain extent. Therefore, when the gums appear red and swollen, timely examination, diagnosis and treatment are needed at the hospital.
Periodontitis treatment for diabetic patients
The incidence of periodontitis is high among diabetic patients. Because diabetic patients have low resistance, they are prone to infection. And the high blood sugar makes it easy to form dental plaque. This leads to the development of periodontitis. In turn, periodontitis can further increase the chance of infection in diabetic patients. Therefore, diabetes and periodontitis can be said to be mutually reinforcing.
Diabetic patients should pay more attention to the treatment of periodontal disease. Firstly, blood sugar level should be controlled, and secondly, periodontitis should be treated systematically. It is even more important to pay attention to oral health care and regular review.