Basic treatment of periodontitis The treatment of periodontitis should start from two aspects: eliminating the cause and reducing the symptoms.
1. Basic periodontal treatment is required.
Supragingival scaling, subgingival scaling, root surface leveling can be performed for local irritation factors, and occlusal adjustment, elimination of food impaction and correction of poor prosthesis can be performed when necessary.
2. Periodontal surgery and drug treatment are required.
After the above treatment, the periodontal inflammation of most patients can be eliminated, the loose teeth can be stabilized, and the chewing function of patients is not affected significantly.
However, there will still be some patients, because of alveolar bone inflammation absorption destruction, tooth support ability decreased and unable to bear the normal chewing pressure, occlusal trauma, the latter further aggravate the absorption of alveolar bone, so as to enter a vicious cycle.
The clinical manifestations are loosening, displacement, chewing weakness and discomfort of the teeth. In severe cases, the teeth may fall out spontaneously or lead to tooth extraction.
After the basic periodontal treatment, there will still be a few teeth, even several teeth or even the remaining teeth in the entire dental arch loose, difficult to exercise normal chewing function, once the above problems occur, periodontitis repair treatment is needed.
