Treatment of periodontal disease

Treatment of periodontosis, as well as a large number of other diseases, remains one of the unsolved problems of modern medicine. Despite the development of new technologies and numerous discoveries, this area remains unknown. Periodontosis is a lesion of the surrounding tissue of the teeth, which has a systemic nature.

The disease is quite common and can first manifest itself as early as 10 years of age. Almost two thirds of school-age children have gingivitis. As for adults, the WHO, having analyzed the incidence of periodontosis, published data that in 20% of countries aged 30 to 45 years, the prevalence rate was higher than 75% of those examined, in 35% of countries it was 50% to 70%, and in the remaining 45% of countries the rate was less than 40%. Based on the results of the survey, one can assume how effective periodontosis treatment is in the world.

Effective treatment of periodontal disease

Effective treatment of periodontosis is observed if the process was detected at the initial stages of the disease, and there are no teeth that need to be removed. The causes of periodontosis are still unknown. A special place is occupied by genetic predisposition, which provides a burdened hereditary background for the occurrence of the disease.

In addition, it is worth paying attention to concomitant pathology, such as diabetes mellitus, dysfunction of the endocrine glands, chronic diseases of internal organs in the decompensation stage, for example, hypertension, atherosclerotic lesions of blood vessels and systemic lesions of bone structures. Depending on the most significant cause in each case, effective treatment of periodontosis may have different approaches and therapeutic methods.

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Modern treatment of periodontosis

Treatment methods are selected based on clinical manifestations and diagnostic results. Thus, several key parameters can be identified, due to which specialist intervention is already required. Periodontosis is characterized by the absence of an inflammatory reaction, gum recession with exposure of the neck and root of the tooth, microbial plaque, as well as tooth stability with 2-3 degrees of reduction of interdental septa. Modern treatment of periodontosis makes it possible to achieve the desired results even at an advanced stage of the process. Today, the methods developed have a comprehensive approach, including therapeutic, orthopedic and surgical methods of combating the disease. The choice of treatment is based on the severity of periodontosis and the person's health. In addition, the complex includes gum massage to improve blood circulation in them. This is necessary, since the main cause of the disease is considered to be insufficient blood supply to the gum tissue, which over time leads to its atrophy and tooth loss. In the presence of increased sensitivity of the teeth, painful sensations of a nagging nature and itching, it is necessary to use symptomatic therapy. Modern treatment of periodontosis must necessarily include a medicinal method of combating the disease. Its main directions are supporting immunity with vitamin complexes and antibacterial therapy to suppress the infectious agent in the lesion.

Remedy for periodontal disease

Numerous studies have established a direct link between the development of periodontosis and a reduced level of trace elements in the human body. Thus, a lack of copper, zinc and iron have a detrimental effect on the condition of the gums and teeth. Now there is a sufficient choice of vitamin complexes, the composition of which allows you to choose exactly what you need. For example, "Multi-tabs", "Centrum" and many others. Also, insufficient levels of trace elements can be corrected with the help of diet. One of the main roles is played by vitamin C. Its amount in the body should always be at a sufficient level. In this regard, in addition to vitamin complexes with a high content of vitamin C, it is recommended to eat citrus fruits, currants, rose hips and other sources of this vitamin with food.

A good remedy for periodontal disease is apple cider vinegar. Due to its properties, it can reduce bleeding gums, kill bacteria and freshen breath. In addition, it is used for preventive purposes for 4 weeks. To prepare a solution for rinsing, add 1 teaspoon of vinegar to 100 ml of water.

Recently, antioxidant therapy has been included in the treatment complex of the disease. For this purpose, the animal-based remedy "Carotinoli-M" is widely used. Its effect on the body consists of general strengthening, removal of toxins and increase in the body's defenses. It can be used as applications for one month or add a few drops to the paste followed by gum massage before bedtime.

Hydrogen peroxide is often used as a remedy for periodontal disease. This liquid has good anti-inflammatory and disinfectant properties, due to which plaque is gently removed from tooth enamel. A toothbrush with its bristles can damage gum tissue when brushing teeth, which contributes to bleeding. To avoid this, you can simply wipe your teeth and gum tissue with a cotton swab with hydrogen peroxide. This ensures gentle cleaning without damage. In addition, peroxide promotes rapid healing of previously formed microcracks.

How to treat periodontal disease?

Treatment of periodontosis should have a comprehensive approach, therefore, in addition to the main methods of struggle, auxiliary ones are used, such as electrophoresis, UF and others. How to treat periodontosis with the help of physiotherapeutic procedures? This method was included in the treatment program, since this disease is characterized by hypoxia of gum tissue. Due to the effect of physiotherapeutic procedures, blood circulation is activated with further saturation with oxygen. In addition, an integral part of the complex is gum tissue massage, sessions of exposure to diadynamic currents and darsonvalization. Self-massage of the gums is also possible. It is carried out in the morning and evening after brushing your teeth. It stimulates blood circulation, saturates the tissue with oxygen and helps strengthen the gums.

Among physiotherapeutic procedures, calcium gluconate electrophoresis occupies a special place. With its help, tooth sensitivity, which always accompanies periodontosis, is reduced.

Is it possible to cure periodontosis?

Opinions on the topic: "Is it possible to cure periodontosis?" are divided into two parts. Some experts believe that the disease is incurable, while others believe that using a comprehensive approach to treatment it is possible to get rid of the signs of periodontosis. Everything depends on the doctor and the person, how strictly he will follow the recommendations. First, you need to decide on nutrition, because any treatment should begin with adjusting the daily diet. Proper nutrition plays an important role in periodontosis. You need to include a large amount of solid food, which in the process of chewing provides a massage of the gums and teeth. In addition, this promotes natural cleaning of plaque. It is worth paying attention to such raw vegetables as cucumbers and carrots, fruits - sour apples and black currants, legumes, fish and seafood. Is it possible to cure periodontosis with the help of one diet? Most likely, no. But using it as a background for the use of other methods of combating the disease, the chances of recovery are significantly increased.

Methods of treating periodontal disease

Depending on how extensive the inflammatory process is and how many teeth cannot be restored, the methods of treating periodontosis will depend. Each extracted tooth, which took on a certain part of the load, leaves it to all remaining in the oral cavity, and with subsequent extractions it increases. However, it is necessary to remember that periodontosis is a widespread process, as a result of which the load is distributed to teeth already weakened by the disease.

As a result, the remaining teeth experience accelerated destruction of the bone around them and increased mobility. Thus, methods for treating periodontosis are chosen only after consultation with a doctor followed by an examination of the oral cavity.

The initial stage should consist of timely and thorough diagnostics, including X-ray examination. Next, you should clean the oral cavity using professional equipment, removing plaque and tartar. An integral part of the treatment is drug therapy, which consists of anti-inflammatory drugs, vitamin support for the body, and, if necessary, hormonal drugs. In addition, with the help of physiotherapy procedures, it is possible to influence local blood circulation, thereby activating the blood supply to the gums. Orthopedic manipulations include removing old fillings that cause discomfort and replacing them with more durable and comfortable ones. Many manifestations of periodontosis, which visually spoil the aesthetic appearance of the teeth, can be eliminated with the help of laser exposure. Surgical methods of treating periodontosis are used as a last resort, when the disease has an advanced course. Despite this, they allow you to achieve good results.

Traditional treatment of periodontal disease

Periodontosis is very difficult to cure using only folk methods, but it is possible to improve the condition of the gums. Among all the methods of struggle, it is worth highlighting rinses and applications.

Traditional treatment of periodontosis is carried out using tincture of lingonberry leaves for rinsing the mouth up to 7 times. To prepare, 6 g of leaves are poured with a glass of boiling water, then boiled for 15 minutes and cooled.

For applications, you can use sea buckthorn oil and a gauze swab. It is applied to the inflamed area of the gum tissue, massaging it a little. The procedure is repeated up to 3 times.

To prepare a calendula tincture, brew 2 pinches of flowers in 200 ml of boiling water and leave to infuse for 15 minutes. After the time has elapsed, the solution is filtered, cooled and used for rinsing up to 6 times.

Traditional treatment of periodontosis involves strengthening the gum tissue. To do this, you can add calamus root, previously ground into powder, to toothpaste. In addition, it can reduce bleeding or eliminate it altogether.

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Laser treatment of periodontal disease

Laser treatment is one of the most effective methods to get rid of periodontal disease. It allows cleaning periodontal pockets, thereby achieving a high level of cleanliness, which other methods of cleaning from plaque cannot boast of.

Laser treatment of periodontosis is really considered a worthy replacement for traditional methods of combating the disease. The advantage of this procedure is the lack of need for anesthesia. In extreme cases, local anesthesia is enough. During the procedure, the specialist quickly cleans the cervical area of the tooth with subsequent disinfection of the most inaccessible places, such as periodontal pockets. In parallel, the teeth are polished, as a result of which the number of pathogenic microorganisms on the surface subsequently decreases. As a result, the gums can fit more tightly to the teeth. Laser treatment of periodontosis allows you to improve the condition of the gum tissue by approximately 60% after the first session. Full recovery should be expected after 2-3 courses.

The treatment procedure begins with applying a special gel - photosensitizer - to the gums for 10-15 minutes. During this time, pathogenic microorganisms are identified. Then the gel is washed off, and the beam affects the periodontal pockets for 1-2 minutes. The death of bacteria occurs due to the release of oxygen by the remaining particles of the photosensitizer, which is activated by the beam.

The main advantages of radiation therapy are considered to be the sterility of the lesion, the absence of painful sensations and bleeding during the procedure, which is carried out by the gentle action of the beam, smoothly cutting the nerve endings and small capillaries, simultaneously welding them. In addition, there is no trauma to the soft tissues of the oral cavity, and rapid regenerative processes are observed as a result of the activation of metabolic processes in the tissues under the action of the beam.

Laser treatment of periodontosis has no contraindications for use. It is even permitted for pregnant women, children and people prone to allergic reactions.

Treatment of periodontosis with the Vector device

Recently, the most popular method of treating periodontosis is laser therapy. One of the most effective is the developed laser device "Vector". With its help, many practicing specialists help to quickly get rid of the characteristic manifestations of the disease.

The disadvantage of the previous methods is the duration of treatment. However, in our time, the most common method of combating periodontitis has become the treatment of periodontosis with the Vector device. Thanks to this development, the procedure is carried out without pain and with greater comfort for a person. This device allows for treatment with minimal trauma, no bleeding and scars. In addition, the procedure is allowed for almost everyone, regardless of health and age. After the session, there is no irritation of the gum tissue and tooth decay.

The device is used to clean the surface of teeth and gums, which is a stage in the treatment of paradontosis. After using this technology, the disease does not manifest itself for a long period.

Treatment of periodontosis with the Vector device allows avoiding surgical intervention, without which a full treatment of the disease was previously unimaginable. The device is used to treat pockets between teeth and gums with the subsequent introduction of a special drug that has a positive effect on the structures. As a result, an excellent result is achieved after the first procedure. The technology makes it possible to remove all deposits that provoke the development of an inflammatory reaction. In addition, after the procedure, gum tissue quickly regenerates, which is due to the antiseptic and bactericidal effect of the beam.

Treatment of periodontosis with Vector

The Vector device is successfully used in almost all dental offices. Treatment of periodontosis with Vector does not allow traumatization of tooth enamel, which was previously considered inevitable when using other methods of cleaning periodontal pockets. This technology also makes it possible to avoid surgical intervention even in complex forms of the disease.

Traditional treatment methods damaged the deep layers of periodontal tissue and caused pain. The root zone was rough even after polishing the surface. Incorrectly selected nozzles and an imperfect cooling system could allow overheating of the teeth. Conventional ultrasonic equipment could penetrate periodontal pockets to a depth of no more than 5 mm, unlike Vector with a depth of up to 11 mm.

Depending on the cleaning area, various attachments can be used. Thus, there is no direct contact of the device with the tooth tissue. The affected areas of the gum are subjected to laser treatment at the micro level, which results in the destruction of biofilms with microorganisms.

Treatment of periodontosis with Vector is painless, and special components of the solutions used significantly reduce tooth sensitivity after the procedure. One session lasts from 40 minutes to 2 hours, depending on the number of affected teeth.

A follow-up visit to the doctor should be made 2 weeks after the first session to monitor the dynamics of the treatment. If necessary, the procedure is repeated. Then, after the inflammatory processes have subsided, you should return for an appointment after 1.5 months. For a more effective treatment result, you should carefully follow all recommendations for prevention and prevention of plaque deposition. After the treatment, gums are strengthened, tooth roots are stabilized, and the rate of tartar formation decreases. In addition to the treatment measures, the Vector device is used to prepare dental tissues.

Toothpaste for periodontal disease

Periodontosis is a special disease that requires a comprehensive approach. In addition to medical manipulations, it is necessary to carefully monitor the cleanliness of the oral cavity and the correctness of hygiene procedures. Due to the widespread inflammatory process, the process of brushing teeth should be careful to avoid bleeding. The use of special dental is justified by their ability to disinfect the surface of the teeth. The medicinal herbs included in their composition help strengthen the gums, reduce bleeding and increased sensitivity, and reduce swelling and redness of the tissues.

Toothpaste for periodontosis has a softer consistency than regular ones, which ensures the absence of irritation of the inflamed gums. When choosing a paste, you should pay attention to its composition, it is desirable that there is an extract of calendula, sage, green tea, chamomile, St. John's wort and coniferous plants.

Drug treatment of periodontosis

Anti-inflammatory therapy begins only after complete removal of tartar and plaque. Without eliminating the provoking factor, all the medications used to treat periodontosis will not be able to eliminate the characteristic symptoms. It will only partially smooth out the course of the disease, in which the process itself will progress.

In the presence of a pronounced inflammatory reaction, it is necessary to start with local therapy in the presence of a specialist. In a less pronounced process, manipulations can be carried out at home. The treatment course consists of rinsing the mouth with antiseptic drugs (Chlorhexidine) and applying a gel to the gums that has an anti-inflammatory effect (Cholisal gel).

It is recommended to perform such procedures twice a day - in the morning and in the evening for 10 days. In the morning after breakfast and brushing your teeth, rinse with the prepared solution. Then, after blotting the gum tissue with a gauze pad, lubricate the part of the gum that touches the tooth with gel. After this procedure, it is advisable not to eat for several hours.

Medicinal treatment of periodontosis includes the use of homeopathic remedies. With the help of herbs, it is possible to reduce the manifestations of the disease - reduce tooth sensitivity, bleeding gums and painful sensations.

Rinsing with herbs helps strengthen gums by regularly using decoctions of chamomile, calendula, oak bark, and violet flowers. In addition, the effect is observed after rinsing with St. John's wort, comfrey roots, agrimony herbs, cinquefoil rhizomes, and linden flowers.

Tablets for periodontal disease

Another popular remedy for periodontal disease these days is chewing gum. It is used to remove plaque from the surface of the teeth, formed from the accumulation of bacteria. However, pharmacists went further and developed a special drug, the production of which is based on an extract from pathogens. This drug has anti-inflammatory properties, promotes the death of gram-negative flora, as well as fungi.

These drugs are produced as tablets for periodontosis or in the form of solutions for inhalation. IRS-19 and Imudon are considered the most effective and popular. The first drug is a liquid in the form of an aerosol, which contains an extract of microorganisms. Imudon is a lozenge containing inactive pathogens of infectious diseases of the oral cavity. It has a strong anti-inflammatory property.

Trental has a vasodilatory effect, due to which there is an improvement in the blood supply to the gums with full oxygen delivery. In addition, it helps to reduce blood viscosity and increase the elasticity of red blood cells.

Insadol - tablets for periodontosis, which have an osteotropic and immunocorrective effect on the body. As for the anti-inflammatory and regenerative effect, but they are contained in Tykveol.

Treatment of periodontal disease with lincomycin

To treat periodontosis, several methods are used simultaneously to combat the disease. The use of lincomycin, which has a bactericidal effect, is quite common. The drug is considered antimicrobial and has a wide range of action. In this regard, accumulating in bone tissue and teeth, the likelihood of death of pathogenic microorganisms increases.

Treatment of periodontosis with lincomycin is due to its high sensitivity to streptococci and staphylococci. The drug is quickly absorbed, so it can be used in the form of injections or tablets. In general, the duration of treatment with lincomycin does not exceed two weeks, but in some cases it is possible to increase the duration of the course. In this case, it is necessary to protect the intestines from dysbacteriosis with the help of probiotics. Taking the drug should be strictly controlled by a doctor, otherwise uncontrolled use can lead to serious damage to the kidneys and liver.

Periodontal disease and trichopolum

In addition to laser and surgical manipulations, drug treatment is necessary to consolidate the effect. For this purpose, vitamin complexes are used to maintain the body's immune defense, anti-inflammatory drugs that relieve swelling and redness of the gums. In addition, antibacterial therapy is widely used. If a person has periodontosis, Trichopol is used as a bactericidal action. In the presence of plaque, the recovery process will not occur against the background of a pronounced degree of activity of pathogenic microorganisms. This antimicrobial drug is used quite often, as it has a wide spectrum of action. In case of severe forms of the disease, Trichopol is used in the form of injections. The drug is mainly used for applications on the gums.

Treatment of periodontal disease with antibiotics

In parallel with cleaning the dental surface from plaque and tartar, anti-inflammatory therapy and treatment of periodontosis with antibiotics should be carried out. Most often, the full course is 10 days, but depending on the severity of the process and the general health condition, the course can be extended to 14 days. Antibacterial drugs can be administered both by injection and in the form of tablets.

The effect of therapy directly depends on the manipulations that preceded it. So, if the provoking factor was not removed, namely tartar, then drug treatment will not be effective. Antibiotics can only reduce the manifestations of the disease for a short period of time. As soon as the therapy is over, the inflammatory process will quickly resume and will develop with greater intensity.

Metronidazole is used as an additional antimicrobial agent, which helps antibiotics in combating the disease. In addition, there are several main groups used for treatment.

Among the glycosamides, lincomycin should be singled out, which is used both in injection solution and in capsules. Clindamycin is especially often preferred. It has a broader spectrum of action and can lead to the death of bacteria.

Treatment of periodontosis with fluoroquinolone antibiotics is used in people with concomitant pathology such as diabetes mellitus, as well as resistance to other antibacterial drugs.

The choice of the drug and its dosage should be prescribed only by a doctor. In addition to antibacterial agents, periodontosis requires the use of other methods of control - medication and laser or surgical.

Surgical treatment of periodontal disease

Periodontosis is characterized by the formation of pockets between the teeth and gums by the destruction of their attachment to each other. These formations contain a cluster of bacteria, which contributes to the development of the disease.

At the initial stage, the pockets have a small cavity, so the probability of their complete cleansing is high. As for advanced stages, the depth can reach up to 1 cm. In this case, drug treatment with tablets or rinsing will not lead to the desired result.

Surgical treatment of periodontosis includes cavity curettage and flap operations. Closed curettage is used to remove granulations from periodontal pockets and clean tartar. The disadvantage of the technique is the lack of visual control over the manipulation, as a result of which the removal is not complete.

Open curettage is used to remove dental plaque, inflammatory granulation tissue, and to stimulate bone tissue regeneration to eliminate pockets. The operation is performed against the background of antibacterial therapy and under local anesthesia.

Surgical treatment of periodontosis includes flap operations, which are used for the same purpose as open curettage. However, the difference is that during the flap operation, an incision is made 1.5 mm from the edge of the gum, which subsequently prevents the gum from "sliding". In addition, it can be used to cover exposed roots due to gum recession.

Prosthetics for periodontosis

In order to relieve the remaining teeth due to their loss, prosthetics are widely used for periodontosis. For this purpose, removable or non-removable dentures can be made. The most common is the removable version. It should have a base that does not adhere to the gum papillae and does not injure them.

These requirements are met only in a lightweight plastic prosthesis or an arch prosthesis. To make this prosthesis, all front teeth must be present or replaced with a bridge prosthesis. Only in this case will gum trauma be minimal or absent altogether.

Implantation for periodontal disease

When comparing a removable denture and an implant, one can note the privileges of the latter. The denture is put directly on the jaw, which subsequently leads to the destruction of the bone. Moreover, with periodontosis, dentures most often lead to a violation of the integrity of the gums.

Implantation in case of periodontosis is considered the best option for saving the remaining teeth that are subject to increased load. In case of atrophy of bone structures with subsequent loosening of teeth and removal of some of them, implantation is performed in order to save the remaining teeth. Metabolic processes around implants occur better than around normal teeth, so the probability of developing inflammatory reactions is minimal.

Surgery for periodontal disease

Flap operations are currently considered to be the most effective methods of surgical treatment. Periodontal surgery is used at medium and severe stages of the process, when other methods do not bring results.

The main indications for surgical intervention are pocket depths of 5 mm, significant looseness and displacement of teeth, as well as severe inflammatory processes and bleeding from gum tissue. The operation includes the elimination of periodontal pockets, tissue restoration and stabilization of teeth.

Periodontal surgery is performed under general anesthesia and has some disadvantages. These include a cosmetic defect due to the exposure of the necks of the teeth and a decrease in the height of the alveolar process. After the operation, it is necessary to pay close attention to the postoperative period in order to avoid complications.

Injections into the gums for periodontal disease

The ways of introducing drugs into the body are now quite diverse. Not very pleasant, but no less effective than other methods of combating the disease, are considered injections into the gums for periodontosis. Vitamin C can be injected into the gums to quickly strengthen it.

In the presence of dystrophic and inflammatory processes, injections with aloe extract are used. Injections are administered every other day for 40-50 days. The drug FiBS is used according to the same scheme to effectively combat the inflammatory reaction.

Lidase and tissue oxygenation are no less effective. This procedure can only be performed in a clinic to improve gas exchange processes in the gum.

Injections into the gums for periodontosis may contain various biogenic stimulants, antibacterial drugs, ribonuclease, methyluracil and antitoxic serum. These manipulations can relieve not only the manifestations of the disease, but also the periodontosis itself.

Where to treat periodontal disease?

Modern dental clinics offer a wide range of services. The most popular are clinics in Russia, in particular, Moscow and St. Petersburg, Germany - the elite dentistry "Muzenhof" and Israel.

Where to treat periodontosis? The choice among clinics is so great and each offers a comprehensive approach, the most individual treatment plan, that the problem of periodontosis should not worry the population of many countries.

Clinics use complex treatment, which includes thorough cleaning of periodontal pockets, their disinfection with antiseptic preparations, the introduction of a special paste and strengthening of the tooth root. In more severe stages, surgical methods of combating the disease are used. For example, the introduction of transplants into periodontal pockets.

Reviews of periodontal disease treatment

Treatment of periodontosis using closed curettage has almost all negative reviews, since the progression of the disease is noted in 99.9% of cases. Among the advantages, it is worth noting the low cost, speed of the procedure, and painlessness.

Treatment of periodontosis reviews after open curettage and flap operations are quite positive, because these methods allow achieving stabilization of the process and reducing atrophic processes in bone structures, which helps to reduce tooth mobility.

Thus, if the problem is detected in time and a specialist is consulted, periodontosis can be cured, especially since the dental field of medicine is equipped with modern equipment and drugs necessary to combat the disease.