лечение и симптомы. Парадонтит: лечение народными средствами :: SYL.ru

Парадонтит – это воспаление дёсен, из-за которого разрушаются ткани, фиксирующие зубы в кости. Он является одним из самых распространённых зубных заболеваний, ведь от него страдает едва ли не столько же людей, как и от кариеса. Чаще всего причиной этого заболевания являются зубные отложения, в которых развиваются микроорганизмы, разрушающие зубы, дёсны и даже кости. Когда возникает парадонтит, симптомы и лечение зависят от степени его сложности.

Симптомы парадонтита

Первыми симптомами развивающегося парадонтита могут быть зуд, неприятный запах, кровоточивость, особенно во время чистки зубов, припухлость дёсен, возникновение зазоров между ними и зубами. Эти признаки могут возникать и исчезать сами по себе, при этом заболевание остаётся и напоминает о своём присутствии снова через некоторое время. Если не улучшить ежедневную гигиену ротовой полости, игнорировать парадонтит, симптомы и лечение остаются без внимания, он приобретает более сложную форму. Тогда щели между мягкими тканями и зубами становятся глубже, и больной начинает испытывать боль.

В запущенном виде парадонтит может повлечь разрушение связок, которые удерживают зубы. Это приводит к расшатыванию, возникновению щелей между ними и оголению шеек. Позже микроорганизмы распространяются глубже и начинают разрушать кость, из-за чего зубы выпадают один за другим. Пренебрежительное отношение к заболеванию способно обернуться значительной и даже полной потерей зубного ряда.

Причины возникновения парадонтита

Воспаление дёсен возникает по многим причинам. Чаще всего из-за неправильной гигиены ротовой полости, недоскональной чистки зубов, когда возле их основания и в щелях остаётся пища, которая провоцирует размножение бактерий и образование отложений. Также возникает парадонтит, лечение которого понадобится в кабинете специалиста, при неправильном ортодонтическом или терапевтическом лечении зубов.

Бактерии в ротовой полости человека присутствуют всегда. Они попадают туда с продуктами, водой, размножаются в зубном налете. Именно они и являются основной причиной развития парадонтита. Наиболее предрасположены к этому заболеванию люди с ослабленным организмом, те, у кого имеется кариес, курильщики, люди, принимающие фармацевтические препараты, уменьшающие выработку слюны. Не меньший риск им заболеть имеют те, у кого неправильный прикус, скученные зубы, или просто нарушен обмен веществ, имеется дефицит витаминов в организме.

Иногда причиной парадонтита бывает наследственная предрасположенность. В любом случае, если регулярно посещать стоматолога и обращаться к нему при первых проявлениях болезни, не ожидая её развития, то можно вовремя диагностировать парадонтит, лечение провести своевременно и не допустить потери зубов.

Лечение парадонтита

При таком заболевании, как парадонтит, лечение может осуществляться хирургическим и нехирургическим путем. Последний метод применяют в случае осложнений болезни. Его цель – устранить подвижность зубов и вернуть человеку возможность жить нормальной жизнью, не испытывая дискомфорта. Если диагностирован начальный парадонтит, лечение заключается в тщательной чистке, чтобы предупредить его углубление. При отсутствии лечения десны начинают отставать от зубов, происходит разрушение костей и самих дёсен. В таком случае образуются десневые карманы, в которых размножаются бактерии. Если заболевание находится в запущенных стадиях, не обойтись без очищения корней, применения антибиотиков и хирургического вмешательства.

Все стоматологические заболевания опасны дальнейшей потерей зубов, в том числе и парадонтит, симптомы и лечение которого во многом зависят от степени его выраженности. При этом пациент должен тщательно соблюдать гигиену полости рта, чтобы не спровоцировать дальнейшее развитие парадонтита. Раз на зубах есть отложения, от них необходимо избавиться и проводить регулярную чистку в кабинете стоматолога. Снятие зубных отложений производится с использованием инструментов или ультразвука.

Лечение парадонтита антибиотиками

Нередки случаи назначения фармацевтических препаратов при диагнозе парадонтит. Лечение антибиотиками необходимо в случае, если другие методы не дают необходимого результата. Прежде чем их назначить, применяется орошение десен антисептиками и простое соблюдение гигиены ротовой полости, чтобы остановить воспалительный процесс. Если это не помогает, тогда назначается антибиотик. Основное показание к его использованию – обострение течения заболевания, абсцессы тканей, гноетечение, быстро прогрессирующее развитие парадонтита при подготовке к хирургическому вмешательству.

Для этого используют антибиотики широкого спектра действия. Важной задачей для специалиста является правильный выбор препарата. Чтобы он не только был эффективен, но и наиболее безопасен для пациента, хорошо переносился организмом. Узнать это помогает определение чувствительности микрофлоры ротовой полости к тому или иному препарату. Хотя данное исследование не всегда возможно. В таком случае используют тот препарат, который показал наибольшую эффективность при лечении других пациентов. К ним относятся тетрациклины, фторхинолоны и макролиды. Во время их приема важен постоянный контроль за течением заболевания и общим состоянием организма.

Народная медицина при парадонтите

Чем еще можно побороть парадонтит? Лечение дома возможно в случаях начальной стадии развития заболевания. При остром течении визит к специалисту обязателен. Многие лекарственные травы помогают снять воспаление десен, но о возможности их применения также стоит посоветоваться с доктором. Из трав делают настои для полоскания ротовой полости, заваривая их кипятком. При лечении парадонтита используют цвет липы, календулу, кору дуба, зверобой, ромашку, шалфей, хвощ. В борьбе с этой болезнью также эффективны спиртовые настои с корнем аира. Многие успешно применяют черный чай. Иногда в него добавляют измельченный чеснок.

Знатоки народной медицины советуют использовать компрессы из пихтового или облепихового масла, натирать десны мелкой йодированной солью. Кроме местного лечения также стоит уделить внимание общему состоянию организма. Рекомендуется включить в рацион продукты с большим содержанием витамина С, употреблять цитрусовые, ягоды, особенно черную смородину.

Прополис и мед от парадонтита

Воспаление десен, как уже говорилось, и есть парадонтит. Лечение народными средствами весьма эффективно также при использовании рецептов с медом и прополисом. Натуральный мед может стать хорошим помощником в укреплении десен. Его смешивают с поваренной солью, помещают в марлевый мешочек и протирают их перед сном. Да и просто употребление меда очень благотворно для ротовой полости и всего организма в целом.

Рекомендуется применять десяти-пятнадцатипроцентную спиртовую настойку прополиса для полоскания ротовой полости. Готовить раствор очень просто – двадцать капель на стакан воды. Если нет готовой настойки, можно приготовить ее самостоятельно, взяв 25 граммов прополиса и 100 мл спирта или водки. Их смешивают, помещают в темную стеклянную емкость и оставляют настояться на 15 дней. Полоскание желательно проводить не менее пяти раз в день на протяжении трех-пяти минут. Домашний курс лечения займет около двух недель. Полоскания обязательно проводить после чистки зубов.

Профилактические меры

Профилактические меры помогают предотвратить парадонтит, симптомы и лечение которого описаны выше. Обязательно хотя бы раз в полгода нужно посещать своего стоматолога, который сможет вовремя диагностировать любые проблемы, связанные с зубами или дёснами. Также нужно соблюдать гигиену ротовой полости, то есть минимум два раза в день чистить зубы, полоскать рот после приема пищи и научиться пользоваться зубной нитью. При желании получить больше информации про парадонтит, лечение (фото пораженных зубов этому весьма способствуют) и правильный уход за зубами и полостью рта, необходимо обратиться к стоматологу.

Не забывайте о том, что для здоровья зубов и десен также имеет значение сама пища. Фрукты и овощи обеспечивают организм витаминами, а твердая еда удаляет налет и массирует десна. Их массаж необходимо проводить и во время повседневной чистки, используя щетку, тщательно обрабатывать все пространства между зубами и уделять этому процессу достаточно времени.

90000 Periodontitis: Symptoms, Causes, and Treatments 90001 90002 Periodontitis is a serious infection of the gums. It’s caused by bacteria that have been allowed to accumulate on your teeth and gums. As periodontitis progresses, your bones and teeth can be damaged. However, if periodontitis is treated early and proper oral hygiene is maintained, the damage can be stopped. 90003 90002 Periodontitis starts as inflammation and gets worse over time. 90003 90006 Inflammation (gingivitis) 90007 90002 Periodontitis begins with inflammation in the gums known as gingivitis.One of the first signs of gingivitis is that your gums will bleed when you brush or floss your teeth. 90003 90002 You might also notice some discoloration on your teeth. This is called plaque. Plaque is a buildup of bacteria and food debris on your teeth. Although bacteria are always present in your mouth, they only become harmful when conditions allow them to increase dramatically. This might happen if you do not brush or floss, or get dental cleanings on a regular basis. 90003 90006 Early periodontal disease 90007 90002 In the early stages of periodontitis, your gums recede, or pull away, from your teeth and small pockets form between gums and teeth.The pockets harbor harmful bacteria. Your immune system tries to fight the infection, and your gum tissue starts to recede. You’ll likely experience bleeding during brushing and flossing as well, and possibly some bone loss. 90003 90006 Moderate periodontal disease 90007 90002 If left to progress to moderate periodontal disease, you might experience bleeding and pain around the teeth and gum recession. Your teeth will begin to lose bone support and become loose. The infection can also lead to an inflammatory response throughout your body.90003 90006 Advanced periodontal disease 90007 90002 In advanced disease, the connective tissue that holds your teeth in place begins to deteriorate. The gums, bones, and other tissue that support your teeth are destroyed. If you have advanced periodontitis, you might experience severe pain while chewing, severe bad breath, and a foul taste in your mouth. You’ll likely lose your teeth. 90003 90002 The symptoms depend on the stage of disease, but generally include: 90003 90026 90027 gums that bleed when you brush your teeth or floss 90028 90027 bad breath 90028 90027 changes in the position of your teeth or loose teeth 90028 90027 receding gums 90028 90027 red, tender, or swollen gums 90028 90027 buildup of plaque or tartar on your teeth 90028 90027 pain when chewing 90028 90027 tooth loss 90028 90027 foul taste in your mouth 90028 90027 inflammatory response throughout your body 90028 90047 90002 Symptoms in the early stages of periodontitis are often not very noticeable.Your dentist will likely be the first to point them out. 90003 90002 Healthy people normally have hundreds of different types of bacteria in their mouth. Most of them are completely harmless. When you do not clean your teeth properly each day, the bacteria grow and build up on your teeth. 90003 90002 Periodontitis is typically caused by poor dental hygiene. When you do not brush your teeth and clean in hard-to-reach places in your mouth, the following happens: 90003 90054 90027 The bacteria in your mouth multiply and form a substance known as dental plaque.90028 90027 If you do not remove the plaque by brushing, the bacteria deposit minerals within the plaque over time. 90028 90027 This mineral deposit is known as tartar, which will encourage more bacterial growth toward the root of the tooth. 90028 90027 Your body’s immune response to this bacterial growth leads to inflammation in your gums. 90028 90027 The attachment of the gum to the root of a tooth is disrupted over time, and a periodontal pocket (gap) may form between the gum and root. 90028 90027 Harmful anaerobic bacteria colonize in the pocket and multiply, releasing toxins that can damage the gums, teeth, and supporting bone structures.90028 90067 90002 Additionally, certain factors put you at a higher risk of periodontitis, including: 90003 90026 90027 smoking, which is one of the biggest risk factors for periodontitis 90028 90027 type 2 diabetes 90028 90027 obesity 90028 90027 hormonal changes in women (such as when menstruation, pregnancy, or menopause occurs), which can make the gums more sensitive 90028 90027 conditions that impact your immune system, like HIV or leukemia 90028 90027 medications that reduce the flow of saliva in your mouth 90028 90027 genetics 90028 90027 poor nutrition, including a deficiency in vitamin C 90028 90047 90002 Your dentist will be able to detect signs of periodontitis at an early stage during a routine dental examination.They can monitor your periodontal status over time to make sure it does not get any worse. This is why it’s important that you visit a dentist on a regular basis for a screening. 90003 90002 Your dentist may use a tiny ruler called a probe to measure any pockets on your gums. This test is usually painless. If plaque, tartar, or both are found on your teeth, your dentist will remove these substances as part of a professional cleaning. They may also take dental X-rays or refer you to a periodontist, an expert in the diagnosis and treatment of gum disease, for further testing and treatment.90003 90002 If not treated for periodontitis, the supporting structures of your teeth, including the bones of your jaw, can be destroyed. Your teeth loosen and might fall out or require extraction. Other complications of periodontitis include: 90003 90026 90027 painful abscesses 90028 90027 migration of your teeth, which may interfere with eating 90028 90027 receding gums and exposure of the roots of your teeth 90028 90027 increased risk of complications during pregnancy, including low birth weight and preeclampsia 90028 90027 increased risk of heart disease, respiratory disease, and diabetes 90028 90047 90002 Treatment is aimed at removing plaque and bacterial deposits on your teeth and gums.90003 90006 Oral hygiene practices 90007 90002 Your dental care team will give you instructions on how to reduce the number of bacteria in your mouth, which involves keeping your teeth and gums clean. Your dentist will give you advice on how to use tooth brushes and dental floss properly, and may recommend other oral hygiene products like a water pick or mouthwash. 90003 90002 Here are a few tips for keeping your teeth healthy: 90003 90026 90027 Brush your teeth twice a day with a fluoride toothpaste.90028 90027 Consider using an electric toothbrush, which may be more effective. 90028 90027 Floss at least once a day to remove plaque. 90028 90027 Visit your dentist at least twice a year for a professional cleaning. 90028 90027 Do not smoke or chew tobacco. 90028 90047 90006 Professional cleanings 90007 90002 During a professional cleaning, your dentist will remove plaque buildup and tartar from your teeth and their roots, and then polish your teeth and treat them with fluoride. Any periodontal pockets that have formed could require deep cleaning to enable healing.A deep-cleaning method called scaling and root planing will help scrape off tartar and also remove any rough spots on the tooth root where bacteria tend to gather. 90003 90006 Antibiotics 90007 90002 In some cases, your dentist will prescribe antibiotics to help with persistent gum infections that have not responded to cleanings. The antibiotic might be in the form of a mouthwash, gel, or an oral tablet or capsule. 90003 90006 Follow-up appointments 90007 90002 Your dentist will want to follow up with you after a few weeks, and then about every three to six months after that to assess your progress.If periodontal pockets are still present, they may recommend other treatment options, like surgery. 90003 90006 Surgery 90007 90002 If inflammation persists in sites that are inaccessible to brushing and flossing, your dentist may recommend a surgical procedure called flap surgery to clean deposits under your gums. Under anesthesia, your gums are lifted away and the roots of your teeth cleaned. Your gums are then sutured (stitched) back into place. 90003 90002 If you’ve had any bone loss, a procedure known as bone grafting may be done at the same time as flap surgery to regenerate the lost bone.90003 90002 Periodontitis can be stopped if caught and treated early enough. Treatment is typically very successful. 90003 90002 If you have periodontitis, regular follow-ups with a dentist are essential to ensure that the disease does not continue. You’ll have to change your dental hygiene habits and cooperate fully with your dentist’s instructions for a positive outcome. The long-term outlook depends on your own efforts with oral hygiene and the ongoing assessment of your dentist. 90003 90002 In addition to periodontitis progressing much faster in smokers, these people often have a poor outlook with periodontitis.The vast majority of cases that do not respond to treatment involve smokers. 90003.90000 Successful Treatments for Advanced Periodontal Disease 90001 90002 Advanced gum disease, called periodontitis, affects almost half of Americans over the age of 30, according to a recent study by the Centers for Disease Control and Prevention (CDC). As common as the condition is, tooth loss is often the unfortunate outcome when left untreated. But today, with so many successful treatment options available for advanced periodontal disease, losing teeth does not have to be your next step with an unhealthy gumline.90003 90002 90005 Gingivitis to Periodontitis 90006 90003 90002 Gum disease is a sneaky, progressive disease, and here’s why: The first stage, called gingivitis, occurs when bacterial plaque is not thoroughly removed from your teeth. Red, swollen and bleeding gums are the telltale signs of this infection, but the National Institute of Dental and Craniofacial Research (NIDCR) assures that this condition is easily reversible with daily brushing and flossing — and a professional cleaning at the dentist’s office.90003 90002 When left untreated, however, gingivitis can progress into a more serious condition called periodontitis. Toxins from this buildup of bacterial plaque not only affect your gum tissue, but also the bone and ligaments that support your teeth. As the infection causes disease to the bone and supporting tissues, your teeth may eventually become loose and need to be treated surgically or removed. But even advanced cases of periodontal disease do not have to progress to this point. 90003 90002 90005 Nonsurgical Treatment 90006 90003 90002 Your first step in treating periodontitis is a conservative, nonsurgical treatment called scaling and root planing (SRP).A dentist or dental hygienist provides this treatment by scraping and removing the plaque and tartar off of your teeth and root surfaces by scaling, and then smoothing away any roughness on the roots to prevent bacteria from gathering again. According to Nevada-based dentist, Dr. Maria Perrone, SRP may take more than one visit and a local anesthetic can be used to prevent any discomfort. After this process, the gums will heal and reattach themselves to the healthy, clean surfaces of the teeth. Within a few weeks, your dentist will evaluate your healing and decide if further treatment is necessary.90003 90002 If you need additional treatment, the American Academy of Periodontology describes various periodontal surgeries that can help stop the progression of your periodontal disease: 90003 90002 90005 Pocket Reduction Procedure 90006 90003 90002 After scaling and root planing, if the gum tissue is not fitting snugly around the tooth and you can not keep the deep pocket area clean, you may be a candidate for periodontal pocket reduction or flap surgery. By folding back the gum tissue, your dentist or periodontist can remove infectious bacteria and smooth areas of damaged bone, allowing the gum tissue to reattach to healthy bone.90003 90002 90005 Gum Grafts 90006 90003 90002 Exposed roots due to gum recession can be covered with gum grafts, wherein gum tissue is taken from your palate or from another source and used to cover the roots of one or more teeth. Covering exposed roots helps reduce sensitivity and protects your roots from decay, while stopping further gum recession and bone loss. 90003 90002 90005 Regenerative Procedures 90006 90003 90002 Bone grafting is a surgical procedure that promotes the growth of bone in an area where bone has been destroyed by periodontal disease.During this type of treatment, your dentist or periodontist will eliminate bacteria and then place either natural or synthetic bone in the area of ​​bone loss, along with tissue-stimulating proteins to help your body effectively regrow bone and tissue. 90003 90002 90005 Periodontal Maintenance 90006 90003 90002 Anyone who has had treatment for advanced periodontal disease knows that meticulous homecare is the key to keeping periodontal disease from rearing its ugly head — again. Because personal oral care is a big part of any periodontal treatment plan, your dentist or dental hygienist will spend lots of time with you making sure you understand and implement proper brushing and flossing techniques at home.He or she may also recommend products like Colgate 90043 ® 90044 PerioGard 90043 ® 90044, a prescription-strength antimicrobial mouthwash to help reduce bacteria in hard-to-reach areas of your mouth. 90003 90002 In addition to not smoking, which inhibits the healing process, your dentist will also recommend keeping a close eye on your periodontal health with more frequent checkups and cleaning appointments. When dealing with periodontal disease, «an ounce of prevention is worth a pound of cure.»90003 .90000 Periodontitis: Symptoms, Causes, and Treatments 90001 90002 90003 90002 Periodontitis refers to advanced periodontal disease. With periodontitis, the gum tissue pulls away from the teeth, creating pockets where additional bacteria can build up and cause an infection. Treatment of advanced periodontal disease is a multi-step process. Sometimes a periodontist will recommend medications as a first-line treatment for advanced periodontal disease before resorting to surgery, depending on the severity of your gum disease.90003 90002 Whereas gingivitis symptoms such as sore gums and bleeding gums are bothersome, the early signs of periodontitis include receding gums and the formation of pockets between the gums and the teeth. Once the infection gets beneath your gum line, periodontitis can destroy tissues, ligaments, and bones in the mouth that ultimately can lead to tooth loss. 90003 90002 90009 90009 90011 Signs of periodontitis include: 90012 90003 90014 90015 Pain when chewing 90016 90015 Poor tooth alignment 90016 90015 Receding gums 90016 90015 Pockets between the teeth and gums 90016 90015 Persistent bad breath 90016 90015 Sores on the inside of the mouth 90016 90015 Loose or sensitive teeth 90016 90029 90002 90003 90002 When gingivitis progresses to periodontitis, treatment becomes much more complicated.Only your dentist and hygienist can perform periodontal treatment, which involves special dental procedures, and can require oral surgery. If your dentist determines that you have periodontitis, the treatment will depend on the severity of the infection. Some options include: 90003 90014 90015 90011 Tooth Scaling and Root Planing: 90012 During this two-step procedure to treat periodontitis, your dental professional will scrape off the tartar that has built up on teeth both above and below the gum line (tooth scaling) .Next, your dental professional will smooth rough spots on the tooth roots, making it more difficult for bacteria to collect and cause more plaque and tartar buildup. 90016 90015 90011 Flap Surgery: 90012 If the gum inflammation and pockets next to the teeth persist after a deep tooth-cleaning procedure, your dentist may recommend flap surgery. Flap surgery is a common dental procedure to treat periodontitis that is performed by a specialist called a periodontist. During flap surgery, the tartar is removed from the pockets that have formed alongside the teeth.The pockets are then closed with stitches, so the gum tissue once again hugs the teeth. Reducing the pockets makes it easier and more comfortable to brush and floss your teeth. 90016 90015 90011 Grafts: 90012 In severe cases of periodontitis in which bone and tissue have been destroyed, you may need bone or tissue grafts to replace the infected tissue. Your graft may involve a technique called guided tissue regeneration, in which a small piece of mesh is placed between the jaw bone and gums to allow both bone and tissue to re-grow.Guided tissue regeneration helps keep the gum tissue from expanding into the area where the bone should be, so both bone and tissue grafts have room to grow. 90016 90015 90011 Doxycycline Gel: 90012 Gel that contains doxycycline (an antibiotic) provides periodontal disease treatment by killing bacteria and shrinking the pockets that periodontal disease can cause along the gum line. Your periodontist applies the gel to the pockets after a tooth scaling / root planing procedure, and the antibiotic is released gradually over a period of about a week.90016 90015 90011 Chlorhexidine Chip: 90012 Another periodontal disease treatment involves placing a small, antimicrobial gelatin chip in a tissue pocket along the gum line after tooth scaling / root planing, and the antimicrobial is released gradually over time. 90016 90015 90011 Minocycline Microspheres: 90012 For this type of periodontal disease treatment, the periodontist places tiny particles containing minocycline as an antibiotic in the tissue pockets after a tooth scaling / root planing procedure.90016 90015 90011 Doxycycline Pill: 90012 Your periodontist may prescribe an antibiotic pill for periodontal disease treatment in addition to tooth scaling and root planing. A low-dose doxycycline pill can help prevent overactive enzymes from breaking down gum tissue after periodontal disease treatment. 90016 90029 90002 90003 90002 Prevention is the best way to avoid the need for painful, costly, and time-consuming periodontal treatment. By focusing on preventive health and oral hygiene through the use of an effective oral hygiene regimen, you can keep your gums and teeth healthy.To help prevent and reverse gingivitis, an early form of periodontal disease, try a Crest Pro-Health regimen. A Crest Pro-Health Advanced regimen helps protect your teeth and gums. This Crest Pro-Health Advanced regimen includes: 90003 90014 90015 90011 Toothpaste: 90012 Toothpaste like Crest Gum Detoxify Deep Clean can play a key role in at-home treatment of gingivitis, an early form of periodontal disease, by preventing issues before they start. Crest Gum Detoxify can neutralize the bacteria found in plaque that builds up around the gum line.By using this as your daily toothpaste, it can help reverse early signs of gum disease and give you clinically proven healthier gums. 90016 90015 90011 Mouthwash: 90012 Crest Pro-Health Multi-Protection Mouthwash helps reduce gingivitis, an early form of periodontal disease by killing germs. Crest Pro-Health Multi-Protection Mouthwash provides 24-hour protection against gingivitis and plaque when used twice a day and it freshens your breath without the burning sensation of alcohol. 90016 90015 90011 Brush: 90012 To round out the Crest Pro-Health Advanced Regimen, choose a soft-bristled toothbrush that fits your mouth, such as the Oral-B Cross-Action Pro-Health Toothbrush, which features soft gum stimulators and a tongue cleaner.90016 90015 90011 Floss: 90012 Twice-daily flossing is an important part of any oral care regimen. If your teeth and gums are sensitive, try Oral-B Glide Pro-Health Comfort Plus Floss. 90016 90029 90002 90003 90002 When combined, these products work hard to keep your teeth and gums in good health. For effective gingivitis protection, in addition to noticeable whitening benefits, * you may also want to consider the breakthrough daily 2-step system, Crest Gum Detoxify + Whitening. And as always, do not forget to see your dentist for continued gingivitis prevention, an early form of periodontal disease.Be sure to see a dentist regularly for a professional cleaning and checkup. Your dentist can help you avoid periodontal disease by cleaning and examining your teeth to identify any minor problems before they become serious. 90003 90002 * At 3 weeks of treatment. 90003 90002 90003 90002 90003 90002 90003 90002 90003 .90000 Periodontitis — Diagnosis and treatment 90001 90002 Diagnosis 90003 90004 To determine whether you have periodontitis and how severe it is, your dentist may: 90005 90006 90007 90008 Review your medical history 90009 to identify any factors that could be contributing to your symptoms, such as smoking or taking certain medications that cause dry mouth. 90010 90007 90008 Examine your mouth 90009 to look for plaque and tartar buildup and check for easy bleeding.90010 90007 90008 Measure the pocket depth 90009 of the groove between your gums and teeth by placing a dental probe beside your tooth beneath your gumline, usually at several sites throughout your mouth. In a healthy mouth, the pocket depth is usually between 1 and 3 millimeters (mm). Pockets deeper than 4 mm may indicate periodontitis. Pockets deeper than 5 mm can not be cleaned well. 90010 90007 90008 Take dental X-rays 90009 to check for bone loss in areas where your dentist observes deeper pocket depths.90010 90023 90004 Your dentist may assign a stage and a grade to periodontitis based on the severity of the disease, the complexity of treatment, your risk factors and your health. 90005 90002 Treatment 90003 90004 Treatment may be performed by a periodontist, a dentist or a dental hygienist. The goal of periodontitis treatment is to thoroughly clean the pockets around teeth and prevent damage to surrounding bone. You have the best chance for successful treatment when you also adopt a daily routine of good oral care, manage health conditions that may impact dental health and stop tobacco use.90005 90030 Nonsurgical treatments 90031 90004 If periodontitis is not advanced, treatment may involve less invasive procedures, including: 90005 90006 90007 90008 Scaling. 90009 Scaling removes tartar and bacteria from your tooth surfaces and beneath your gums. It may be performed using instruments, a laser or an ultrasonic device. 90010 90007 90008 Root planing. 90009 Root planing smooths the root surfaces, discouraging further buildup of tartar and bacteria, and removes bacterial byproducts that contribute to inflammation and delay healing or reattachment of the gum to the tooth surfaces.90010 90007 90008 Antibiotics. 90009 Topical or oral antibiotics can help control bacterial infection. Topical antibiotics can include antibiotic mouth rinses or insertion of gels containing antibiotics in the space between your teeth and gums or into pockets after deep cleaning. However, oral antibiotics may be necessary to completely eliminate infection-causing bacteria. 90010 90023 90030 Surgical treatments 90031 90004 If you have advanced periodontitis, treatment may require dental surgery, such as: 90005 90006 90007 90008 Flap surgery (pocket reduction surgery).90009 Your periodontist makes tiny incisions in your gum so that a section of gum tissue can be lifted back, exposing the roots for more effective scaling and root planing. Because periodontitis often causes bone loss, the underlying bone may be recontoured before the gum tissue is sutured back in place. After you heal, it’s easier to clean these areas and maintain healthy gum tissue. 90010 90007 90008 Soft tissue grafts. 90009 When you lose gum tissue, your gumline recedes. You may need to have some of the damaged soft tissue reinforced.This is usually done by removing a small amount of tissue from the roof of your mouth (palate) or using tissue from another donor source and attaching it to the affected site. This can help reduce further gum recession, cover exposed roots and give your teeth a more pleasing appearance. 90010 90007 90008 Bone grafting. 90009 This procedure is performed when periodontitis has destroyed the bone surrounding your tooth root. The graft may be composed of small fragments of your own bone, or the bone may be synthetic or donated.The bone graft helps prevent tooth loss by holding your tooth in place. It also serves as a platform for the regrowth of natural bone. 90010 90007 90008 Guided tissue regeneration. 90009 This allows the regrowth of bone that was destroyed by bacteria. In one approach, your dentist places a special piece of biocompatible fabric between existing bone and your tooth. The material prevents unwanted tissue from entering the healing area, allowing bone to grow back instead. 90010 90007 90008 Tissue-stimulating proteins.90009 Another technique involves applying a special gel to a diseased tooth root. This gel contains the same proteins found in developing tooth enamel and stimulates the growth of healthy bone and tissue. 90010 90023 90002 Lifestyle and home remedies 90003 90004 Try these measures to reduce or prevent periodontitis: 90005 90006 90007 Brush your teeth twice a day or, better yet, after every meal or snack.90010 90007 Use a soft toothbrush and replace it at least every three months. 90010 90007 Consider using an electric toothbrush, which may be more effective at removing plaque and tartar. 90010 90007 Floss daily. 90010 90007 Use a mouth rinse to help reduce plaque between your teeth, if recommended by your dentist. 90010 90007 Supplement brushing and flossing with an interdental cleaner, such as a dental pick, interdental brush or dental stick specially designed to clean between your teeth.90010 90007 Get regular professional dental cleanings, on a schedule recommended by your dentist. 90010 90007 Do not smoke or chew tobacco. 90010 90023 90002 Preparing for your appointment 90003 90004 You may start by seeing your dentist. Depending on the extent of your periodontitis, your dentist may refer you to a specialist in the treatment of periodontal disease (periodontist). 90005 90004 Here’s some information to help you get ready for your appointment and what you can do to prepare.90005 90030 What you can do 90031 90004 To get ready for your appointment, make a list of: 90005 90006 90007 90008 Any symptoms you’re experiencing, 90009 including any that may seem unrelated to the reason for your appointment. 90010 90007 90008 Key personal information, 90009 such as any medical conditions you may have. 90010 90007 90008 All medications you take, 90009 including over-the-counter medications, vitamins, herbs or other supplements, and the dosages.90010 90007 90008 Questions to ask your dentist 90009 to make the most of your time together. 90010 90023 90004 Questions to ask your dentist may include: 90005 90006 90007 What’s likely causing my symptoms? 90010 90007 What kinds of tests, if any, do I need? 90010 90007 What’s the best course of action? 90010 90007 Will my dental insurance cover the treatments you’re recommending? 90010 90007 What are the alternatives to the approach you’re suggesting? 90010 90007 Are there any restrictions that I need to follow? 90010 90007 What steps can I take at home to keep my gums and teeth healthy? 90010 90007 Are there any brochures or other printed material that I can have? 90010 90007 What websites do you recommend? 90010 90023 90004 Do not hesitate to ask other questions during your appointment.90005 90030 What to expect from your dentist 90031 90004 Your dentist may ask you questions about your symptoms, such as: 90005 90006 90007 When did you first start experiencing symptoms? 90010 90007 Have your symptoms been continuous or occasional? 90010 90007 How often do you brush your teeth? 90010 90007 Do you use dental floss? How often? 90010 90007 How often do you see a dentist? 90010 90007 What medical conditions do you have? 90010 90007 What medications do you take? 90010 90007 Do you use tobacco products? 90010 90023 90004 Preparing and anticipating questions will help you make the most of your time with the dentist.90005 90004 Feb. 14, 2020 90005 Show references 90174 90007 Overview of periodontal disease. Merck Manual Professional Version. https://www.merckmanuals.com/professional/dental-disorders/periodontal-disorders/overview-of-periodontal-disease. Accessed Sept. 26, 2019. 90010 90007 Gum disease: Causes, symptoms, and treatments. National Institute of Dental and Craniofacial Research. https://www.nidcr.nih.gov/health-info/gum-disease/more-info#.Accessed Sept. 26, 2019. 90010 90007 Caton JG, et al. A new classification scheme for periodontal and peri-implant diseases and conditions — Introduction and key changes from the 1999 classification. Journal of Clinical Periodontology. 2018; doi: 10.1111 / jcpe.12935. 90010 90007 Periodontal (gum) disease. National Institute of Dental and Craniofacial Research. https://catalog.nidcr.nih.gov/OrderPublications/#10. Accessed Sept. 26, 2019. 90010 90007 Periodontal disease. Centers for Disease Control and Prevention.https://www.cdc.gov/oralhealth/conditions/periodontal-disease.html. Accessed Sept. 26, 2019. 90010 90007 AskMayoExpert. Periodontal disease. Mayo Clinic; 2019. 90010 90007 Smiley CJ, et al. Evidence-based clinical practice guideline on the nonsurgical treatment of chronic periodontitis by means of scaling and root planing with or without adjuncts. Journal of the American Dental Association. 2015; doi: 10.1016 / j.adaj.2015.01.026. 90010 90007 Papapanou PN, et al. Periodontitis: Consensus report of workgroup 2 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions.Journal of Periodontology. 2018; doi: 10.1002 / JPER.17-0721. 90010 90007 Slots J. Periodontitis: Facts, fallacies and the future. Periodontology 2000. 2017; doi: 10.1111 / prd.12221. 90010 90007 Nazir MA. Prevalence of periodontal disease, its association with systemic diseases and prevention. International Journal of Health Sciences. 2017; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5426403/. Accessed Sept. 30, 2019. 90010 90007 Graziani F, et al. Nonsurgical and surgical treatment of periodontitis: How many options for one disease? Periodontology 2000.2017; doi: 10.1111 / prd.12201. 90010 90007 Salinas TJ (expert opinion). Mayo Clinic. Jan. 14, 2020. 90010 90007 Ramoa CP, et al. Increasing popularity of waterpipe tobacco smoking and electronic cigarette use: Implications for oral health care. Journal of Periodontal Research. 2017; doi: 10.1111 / jre.12458. 90010 90007 Gu Z, et al. Marijuana-derived cannabinoids trigger a CB2 / PI3K axis of suppression of the innate response to oral pathogens. Frontiers in Immunology. 2019; doi: 10.3389 / fimmu.2019.02288. 90010 90007 Isik Andrikopoulos G, et al. Electronic nicotine delivery systems (ENDS) and their relevance in oral health. Toxics. 2019; doi: 10.3390 / toxics7040061. 90010 90205 90002 Related 90003 90030 Products & Services 90031 Show more products and services from Mayo Clinic .