Mr. Tang’s gums are swollen and painful recently. He bleeds when brushing his teeth and has bad breath. Dr.
said that he has periodontal disease and should be treated as soon as possible. What is periodontal disease in
and how to cause it? Does it matter?
Nine adults have periodontal disease
Periodontal disease is a common disease. In China, the prevalence of
is more than 90%, and more than half of tooth extractions are from periodontal disease.
periodontal disease is not a “minor disease”, which will affect the general health, lead to or aggravate other diseases, such as coronary heart disease, diabetes, lung infection, etc., and seriously harm human health Therefore, for periodontal disease, people should not be regarded as idle
Plaque and calculus on teeth are the important pathogenic factors of periodontal disease.
if you don’t pay attention to oral hygiene, it will lead to the accumulation of plaque and calculus.
some systemic factors such as diabetes, endocrine disorders and so on will cause the decline of systemic resistance and local immunity, and also promote the occurrence of periodontal disease.
In addition, in the treatment of oral diseases, if the filling of caries is not reasonable and the dentures are not inlaid tightly, the plaque and food debris in the mouth will not be easy to clean, which will aggravate periodontal diseases
Bleeding from brushing is a typical symptom
Periodontitis mainly includes two stages: gingivitis and periodontitis. If gingivitis is not treated in time, it often develops into periodontitis.
The bleeding of brushing teeth is a typical symptom of periodontal disease. When the gingivitis occurs in
, the gingival margin will be bright red or purple red, and sometimes erosion will occur. Once the
touches the gingiva, it will bleed, accompanied by obvious halitosis. The periodontitis of
is commonly known as “fire teeth”, and the lesions affect the alveolar bone and periodontal ligament.
At this time, the gums are swollen, lose elasticity, and bleed more easily. The gums are separated from the teeth, and a deep blind bag (periodontal bag) can be formed.
will develop to a certain extent, which will lead to weak chewing, loose teeth, and even fall off.
When adolescents and women are in menstruation, pregnancy or metabolic disorder, if they do not pay attention to oral hygiene, the original periodontal disease will be aggravated.
Wrong brushing method
Dentists suggest that it is very important to choose the right way to brush teeth. The correct way is to combine the vertical brush method with the horizontal brush method. The key points of the vertical brush method are: when brushing the labiobuccal surface and the lingual and palatal surface of the posterior teeth, parallel the bristles with the long axis of the teeth, point the bristles to the gingival margin, form a 45 ° angle between the bristles and the long axis, and rotate the toothbrush.
When brushing the upper teeth, the bristles should be brushed down along the space between the teeth. When brushing the lower teeth, the bristles should be brushed from the bottom to the top, and the same part should be brushed repeatedly for 5-6 times. The
horizontal brush method is used to brush the occlusal surface of the posterior teeth, clean the pit and groove gap of the occlusal surface, and brush back and forth for 8-10 times on each side.
Treatment of periodontal disease according to the condition
The treatment of periodontal disease needs to be selected according to the severity of the disease.
for gingivitis and early periodontitis, the method of scaling (commonly known as “tooth washing”) is often used to remove calculus and plaque, reduce gingival redness and congestion, so as to control the development of the disease.
If periodontitis has developed to a certain extent, it needs to be treated by periodontal curettage, that is, by using a special angle curette to reach into the periodontal bag and scrape away the calculus and plaque attached to the root surface.
cleaning and curettage are the most basic treatment of periodontal disease, with obvious curative effect, but long treatment time, requiring close cooperation of patients.
For some patients with severe and special types of periodontitis, antibiotics can be used in addition to basic treatment according to the specific conditions, or periodontal surgery can be used to control the inflammation and restore the appearance after the perfect basic treatment For example, in patients with gingival hyperplasia, gingivectomy and gingivoplasty can be used to remove the hypertrophic gingiva and restore the normal gingival shape. If there is a deep periodontal bag in
, it should be used to open the gingiva, remove the inflammatory tissue, completely remove the plaque and calculus between the gingiva and the root, so as to make the periodontal bag shallow.
For patients with irregular dentition, orthodontic treatment should be carried out after controlling inflammation.
if the periodontal disease is in the late stage, the teeth are obviously loose and the treatment effect is not ideal, the teeth should be pulled out and the inflammation should be controlled. After the periodontal condition is stable, the teeth should be inlaid.
Cleaning teeth carefully is the key to prevent gingivitis and periodontitis.
to develop good brushing habits and correct methods, brush teeth once in the morning and once in the evening and rinse after meals.
if the gap is large, it is easy to plug teeth, or some teeth are not easy to brush, it should be cleaned by floss or toothpick.
Patients with periodontal disease, once confirmed, should be treated actively, and through persistent oral health care to maintain efficacy and prevent recurrence.
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