appearance of periodontitis?
How do you treat periodontitis?
There are two methods of treatment for periodontitis: The conservative method and the surgical method.
TREATMENT OF PERIODONTITIS
“Perio” means around, “dont” means tooth and “itis” indicates infection. Periodontitis therefore, means infection surrounding the tooth, i.e. the bone, gums and ligament of the tooth. The course of the disease is usually slow and initially painless.
Following gingivitis, the bone becomes affected, bone degeneration occurs, and the teeth become unstable. The height of the supporting bone decreases, gums recede to expose sensitive tooth necks, and the teeth loosen. Bone loss my be so severe that tooth extraction is the only recourse.
It is shocking to realize that the main cause of tooth loss in people over the age of 30 is not dental caries, but periodontitis.
Treatment depends on pocket depths—related to progression of the disease. Gingivitis is treated by conventional scaling and polishing and improved oral hygiene on the patients end.
As soon as the sulcus becomes deeper than 3mm, conventional brushing and flossing are ineffective, as plaque and calculus accumulate unhindered, leading to chronic infection and bone degeneration.
Initial periodontitis can be treated with root planning and curettage:
1. The pocket is deeper than 3mm & impossible to clean conventionally
In cases where the bone has been extensively affected and deep pockets are found, the badly affected soft tissue and bone need to be removed surgically.
1. The supportive tissue has been extensively affected and deep pockets are present
Ps. After restoring the normal bone-gum relationship in advanced periodontitis, the point of gum attachment to the tooth will be further away from the tooth neck. As a result, the teeth will appear longer; tooth necks will be exposed and may be sensitive for a while.
Thank you to Dr. A.M Dippenaar for the use of his pictures and information from