Treatment of periodontitis

Treatment of periodontitis, 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. Parodontosis is a lesion of the surrounding tissue of the teeth, which has a systemic character.

The disease is quite common and can appear for the first time already at the age of 10 years. Almost two thirds of school-age children have gingivitis. As for adults, WHO analyzed the incidence of periodontitis and published data that at the age of 30 to 45 years in 20% of countries the prevalence was higher than 75% of those surveyed, in 35% of countries it was found from 50% to 70%, and in the remaining 45% of countries are less than 40%. According to the result of the survey, one can assume how effective treatment of periodontal disease in the world is.

Effective treatment of periodontitis

Effective treatment of periodontal disease is observed if the process was detected in the initial stages of the disease, and also there are no teeth that are to be removed. The reasons for the development of periodontal disease are still unknown. A special place is occupied by genetic predisposition, which provides a burdened hereditary background for the onset of the disease.

In addition, it is worth paying attention to the concomitant pathology, such as diabetes mellitus, dysfunction of the endocrine glands, chronic diseases of internal organs in the stage of decompensation, 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 periodontal disease can have different approaches and therapeutic methods.

[1], [2], [3], [4], [5]

Modern treatment of periodontitis

Methods of treatment are selected on the basis of clinical manifestations, as well as diagnostic results. Thus, we can distinguish several basic parameters, due to which the intervention of specialists is already required. Parodantosis is characterized by the absence of an inflammatory reaction, the lowering of the gums with the exposure of the neck and the root of the tooth, microbial attack, and also the stability of the teeth at the 2-3rd degree of reduction of the interdental septa. Modern treatment of periodontal disease makes it possible to achieve the desired results even at the advanced stage of the process. To date, the developed methods have a comprehensive approach, including the therapeutic, orthopedic and surgical way to fight the disease. The choice of treatment is based on the severity of periodontal disease and the state of human health. In addition, the complex includes massage gums to improve blood circulation in them. This is necessary, since the main cause of the development of the disease is considered insufficient blood supply to the gum tissue, which eventually leads to its atrophy and tooth loss. In the presence of hypersensitivity teeth, painful sensations of aching nature and itching to use symptomatic therapy. Modern treatment of periodontal disease must necessarily include a medicamentous way of fighting the disease. Its main directions are the support of immunity with the help of vitamin complexes and antibacterial therapy for the suppression of the infectious agent in the outbreak.

Remedy for periodontal disease

In the course of numerous studies, a direct relationship was established between the development of periodontal disease and a reduced level of microelements in the human body. So, the lack of copper, zinc and iron have a detrimental effect on the condition of the gums and teeth. Now a sufficient choice of vitamin complexes, the composition that allows you to choose exactly what you need. For example, "Multi-tabs", "Centrum" and many others. Also the insufficient content of trace elements can be adjusted by means of a 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, dogrose and other sources of this vitamin.

A good remedy for periodontal disease is apple cider vinegar. Due to its properties, it is able to reduce bleeding gums, lead to the death of bacteria and freshens breath. In addition, it is used for prophylactic purposes for 4 weeks. To prepare a rinse solution, add 1 teaspoon of vinegar in 100 ml of water.

Recently, antioxidant therapy has been included in the complex of treatment of the disease. To this end, a means of animal origin "Karotinoli-M" is widely used. Its effect on the body consists in general strengthening, excretion of toxins and enhancement of the body's defenses. You can apply as applications for one month or add a few drops in the paste followed by a massage of the gums before going to bed.

Hydrogen peroxide is often used as a remedy for periodontal disease. This liquid has a good anti-inflammatory and disinfecting property, due to which there is a soft removal of plaque from the tooth enamel. The toothbrush with its bristles can damage the gum tissue when cleaning teeth, which contributes to bleeding. To avoid this, you can simply wipe your teeth and gingival tissue with cotton wool with hydrogen peroxide. At the same time, there is a neat cleaning without damage. In addition, peroxide promotes rapid healing of previously obtained microcracks.

How to treat periodontal disease?

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

Of physiotherapeutic procedures, a special place is occupied by electrophoresis of calcium gluconate. With its help, the sensitivity of the teeth, always accompanying periodontitis, decreases.

Is it possible to cure puerpergia?

Opinions on the topic: "can I treat puerperas?" Are divided into two parts. Some experts believe that the disease is incurable, others that when using a comprehensive approach to treatment, it is possible to get rid of the signs of periodontal disease. 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 the correction of the daily diet. Proper nutrition plays an important role in periodontal disease. It is necessary to include a large amount of solid food, which during the chewing process provides massage of the gums and teeth. In addition, it promotes natural cleansing from plaque. It is worth paying attention to such raw vegetables as cucumbers and carrots, fruits - acid varieties of apples and black currant, legumes, fish and seafood. Is it possible to cure periodontal disease with a single diet? Probably not. But using it as a background for the application of other methods of fighting the disease, the chances of recovery significantly increase.

Methods of treatment of periodontitis

Depending on how extensive the inflammatory process and how many teeth can not be restored, the methods of treatment of periodontitis will also depend. Each remote tooth, which took on a certain part of the load, leaves it to all remaining in the oral cavity, and with subsequent removal it increases. However, it must be remembered that periodontal disease is a common process, as a result of which the load extends to the already weakened teeth.

As a result, the remaining teeth show accelerated destruction of the bone around them and increase their mobility. Thus, the methods for treating periodontitis are chosen only after consulting a doctor with a subsequent examination of the oral cavity.

The initial stage should consist of timely and thorough diagnosis, including X-ray studies. Next, you should clean the oral cavity with professional equipment, removing plaque and stone. An integral part of the treatment is drug therapy, which consists of anti-inflammatory drugs, vitamin support of the body, and, if necessary, hormonal drugs. In addition, with the help of physiotherapeutic procedures, it becomes possible to influence the local blood circulation, thereby activating the blood supply to the gums. Orthopedic manipulations include the removal of old fillings that bring discomfort, and replacement for more durable and comfortable. From many manifestations of periodontitis, which visually corrupt the aesthetic appearance of the teeth, you can get rid of by laser exposure. Surgical methods of treatment of periodontal disease are used as a last resort, when the disease has a run-off course. Despite this, they can achieve good results.

Alternative treatment of periodontitis

Parodontosis is very difficult to cure with the help of exceptionally alternative methods, but it is possible to improve the condition of the gums. Among all methods of struggle is to identify the rinses and applications.

Alternative treatment of periodontal disease is carried out using tincture of cranberry leaves for rinsing the oral cavity up to 7 times. To prepare 6 g of leaves poured a glass of boiling water, then boil for 15 minutes and cooled.

For applications, you can use sea buckthorn oil and gauze tampon. It is applied to the inflamed part of the gingival tissue, slightly massaging. The procedure is repeated up to 3 times.

To make a tincture of marigold, you need to brew 2 pinch of flowers in 200 ml of boiling water and leave to infuse for 15 minutes. At the end of time - the solution is filtered, cooled and used for rinsing up to 6 times.

Alternative treatment of periodontal disease involves strengthening the gum tissue. To do this, you can add a root of the aura to the toothpaste, previously pulverized in powder. In addition, he is able to reduce bleeding or even get rid of it.

[6], [7]

Treatment of periodontal disease with laser

Laser treatment is one of the most effective methods to get rid of periodontal disease. It allows you to clean the periodontal pockets, thereby achieving a high level of purity than other methods of cleansing from plaque can not boast.

The treatment of periodontal disease with a laser is indeed considered a worthy substitute for the traditional methods of combating the disease. The advantage of this procedure is the lack of need for anesthesia. In extreme cases, enough local anesthesia. During the process, the specialist quickly cleans the cervical area of the tooth with further disinfection of the most inaccessible places, such as periodontal pockets. Parallel to this, polishing of teeth occurs, as a result of which the number of pathogenic microorganisms on the surface is further reduced. As a result, the gum can tighten more closely to the teeth. Laser treatment of periodontitis allows after the first session to improve the condition of the gingival tissue by approximately 60%. Full recovery should be expected after 2-3 courses.

The treatment procedure begins with the application on the gums of a special gel - photosensitizer for 10-15 minutes. During this time, pathogenic microorganisms are identified. Then the gel is washed off, and the beam acts on 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 action of the beam.

The main advantages of radiotherapy are the sterility of the focus, the absence of pain and bleeding during the procedure, which is carried out by the gentle action of the beam, smoothly dissecting the nerve endings and small capillaries, and simultaneously brews them. In addition, there is no traumatization of the soft tissues of the oral cavity, and rapid regenerative processes are observed as a result of activation of metabolic processes in tissues under the action of the beam.

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

Treatment of periodontal disease with the apparatus "Vector"

Recently, the most popular method of treatment of periodontitis is laser therapy. One of the most effective is the developed laser device "Vector". With its help, many practitioners help 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 struggle was the treatment of periodontal disease with the "Vector" apparatus. Thanks to this development procedure is carried out without pain and with great comfort for a person. This device allows you to carry out treatment with minimal trauma, no bleeding and scarring. In addition, the procedure is allowed for almost everyone, regardless of health status and age. After the session, irritation of the gingival tissue and tooth decay are not observed.

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

Treatment of periodontal disease with the device "Vector" allows to avoid surgical intervention, without which it was not possible to fully treat the disease before. The device is used to treat pockets between the teeth and the gum, followed by the introduction of a special drug that has a positive effect on the structure. As a result, after the first procedure an excellent result is achieved. The technology makes it possible to remove all deposits that provoke the development of an inflammatory reaction. In addition, after the procedure, the tissues of the gums regenerate rapidly, which is due to the antiseptic and bactericidal action of the beam.

Treatment of periodontitis with the vector

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

Traditional methods of treatment were carried out to damage the deep layers of periodontal tissue and the appearance of pain. On the root zone there was a roughness even after polishing the surface. Incorrectly selected nozzles and imperfect cooling system could prevent overheating of the teeth. Usual ultrasound equipment could penetrate into the periodontal pockets to a depth of no more than 5 mm, in contrast to the vector with a depth of up to 11 mm.

Depending on the place of cleaning, various nozzles can be used. Thereby, there is no direct contact of the apparatus with the tooth tissues. The affected areas of the gingiva undergo laser treatment at the micro level, in which destruction of biofilms with microorganisms is observed.

Treatment of periodontal disease The vector is painless, and the special components of the solutions used significantly reduce the sensitivity of the teeth after the procedure. One session lasts from 40 minutes to 2 hours, this depends on the number of affected teeth.

A second visit to the doctor should be made 2 weeks after the first session to monitor the dynamics of treatment. If necessary, repeat the procedure. Then, after the extinction of the inflammatory processes should be re-appear at the reception after 1.5 months. For a more effective result of treatment, all recommendations for the prevention and prevention of plaque deposition should be carefully observed. After the treatment, strengthening the gums, stabilizing the roots of the teeth and reducing the rate of formation of dental calculi. In addition to the treatment activities, Vector is used to prepare dental tissues.

Toothpaste from periodontal disease

Parodontosis is a special disease requiring an integrated approach. In addition to medical manipulations, care should be taken to ensure the cleanliness of the oral cavity and the correctness of hygiene procedures. Due to the widespread inflammatory process, the process of cleaning teeth should be careful to avoid bleeding. The use of special dental is justified by their ability to disinfect the surface of the teeth. Their medicinal herbs contribute to strengthening the gums, reducing bleeding and hypersensitivity, as well as reducing edema and redness of tissues.

Toothpaste from periodontal disease has a softer consistency than usual, which ensures the absence of irritation of the inflamed gingiva. During the selection of the paste, attention should be paid to its composition, it is desirable that there is an extract of calendula, sage, green tea, chamomile, St. John's wort and conifers.

Medical treatment of periodontitis

Anti-inflammatory therapy begins only after the complete removal of dental calculus and plaque. Without eliminating the provoking factor, all the medicamentous treatment of periodontal disease that is used can not get rid of 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 marked inflammatory reaction, it is necessary to start with local therapy in the presence of a specialist. With a less pronounced process, manipulation can be done at home. The treatment course consists of rinsing with oral antiseptic drugs (Chlorhexidine) and applying a gel on the gums, which has an anti-inflammatory effect (Holisal gel).

Similar procedures are recommended to be performed twice a day - in the morning and in the evening for 10 days. In the morning after breakfast and brushing teeth should be rinsed with a prepared solution. Then, having moistened the gum tissue with a gauze pad, it is necessary to lubricate the contacting part of the gum with the tooth with the tooth. After this procedure, it is advisable not to eat for several hours.

Medical treatment of periodontal disease includes the use of homeopathic remedies. With the help of herbs can reduce the manifestations of the disease - reduce tooth sensitivity, bleeding gums and pain.

Rinse with herbs allows you to strengthen the gum as a result of regular use of broths of chamomile, calendula, oak bark, flowers of violets. In addition, the effect is observed after rinsing with St. John's wort, the roots of the medicinal comfrey, herb pears, rhizome roots and linden flowers.

Pills from periodontal disease

Another popular tool in our time from periodontal disease is chewing gum. It is used to remove plaque from the tooth surface formed from a cluster of bacteria. However, pharmacists went further and developed a special drug, the basis of which is the extract from the pathogens of the disease. This drug has anti-inflammatory properties, contributes to the death of Gram-negative flora, as well as fungi.

These drugs are issued as tablets from periodontal disease or in the form of solutions for inhalation. The most effective and popular is considered IRS-19 and Imudon. The first means is a liquid in the form of an aerosol, which contains extract of microorganisms. Imudon - a tablet for resorption, which has inactive agents of infectious diseases of the cavity of rati. Has a strong anti-inflammatory property.

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

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

Treatment of periodontitis with lincomycin

For the treatment of periodontal disease, several methods are simultaneously used to control the disease. It is quite common to use lincomycin, which has a bactericidal effect. The drug is considered to be antimicrobial and has a wide spectrum of action. In this connection, accumulating in bone tissue and teeth, the probability of death of pathogenic microorganisms increases.

The treatment of periodontal disease with lincomycin is due to its high sensitivity to streptococci and staphylococci. The drug is quickly absorbed, so you can use it in the form of injections or tablets. Basically, the duration of treatment with lincomycin does not exceed two weeks, but in some cases, the duration of the course may be prolonged. In this case, it is necessary to protect the intestines from dysbiosis by using probiotics. The drug should be strictly controlled by a doctor, otherwise uncontrolled use can lead to serious damage to the kidneys and liver.

Parodontosis and Trichopolum

In addition to laser and surgical manipulations, medication should be used to stabilize the effect. For this purpose, vitamin complexes are used to maintain the body's immune defenses, anti-inflammatory drugs that relieve swelling and redness of the gums. In addition, widespread use is noted in antibiotic therapy. If a person has periodontal disease, Trichopolum is used as a bactericidal action. In the presence of dental plaque, the process of recovery will not occur against the background of a pronounced activity of pathogenic microorganisms. This antimicrobial is used quite often, since it has a wide range of effects. In the case of severe forms of the disease, Trichopol is used in the form of injections. Basically, the drug is used for applications on the gums.

Treatment of periodontal disease with antibiotics

Parallel to cleaning the tooth surface from plaque and stones, anti-inflammatory therapy and treatment of periodontal disease with antibiotics should be carried out. Most often the full course is 10 days, but depending on the severity of the process and overall health, the course can be extended to 14 days. Antibacterial drugs can be injected as well as in the form of tablets.

The effect of therapy directly depends on the preceding manipulations. So, if the provoking factor has not been removed, namely tartar, then medication will not be effective. Antibiotics can only reduce the manifestations of the disease for a short period of time. Once the therapy is over, the inflammatory process will resume quickly, and will develop with greater intensity.

As an additional antimicrobial agent used Metronidazole, which helps antibiotics in the fight against the disease. In addition, there are several main groups used for treatment.

Among the glycosamides should be allocated lincomycin, which is used both in solution for injections, and in capsules. Clindamycin is particularly preferred. It has a broader spectrum of action and is capable of leading to the death of bacteria.

Treatment of periodontal disease with fluoroquinolone antibiotics is used in humans in the presence of such concomitant pathologies as diabetes mellitus, as well as with 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, periodontal disease requires the use of other methods of struggle - medicinal and laser or surgical.

Surgical treatment of periodontitis

Parodontosis is characterized by the formation of pockets between the teeth and the gum by destroying their attachment to each other. These formulations 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 complete cleansing is high. With regard to neglected stages, the depth can reach up to 1 cm. In such a case, medicinal treatment with tablets or rinsing will not lead to the desired result.

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

Open curettage is used to remove dental deposits, inflammatory granulation tissue, as well as to stimulate the restoration of bone tissue to eliminate pockets. The operation is performed against the background of antibiotic therapy and under local anesthesia.

Surgical treatment of periodontitis includes patchwork operations, which are used for the same purpose as open curettage. However, the difference lies in the fact that in the process of the patchwork operation a cut is made of 1.5 mm from the edge of the gum, which further prevents the gum slipping. In addition, with its help you can close the exposed roots due to the gum dropping.

Prosthetics for periodontal disease

For the purpose of unloading the remaining teeth due to their loss, prosthetics for periodontitis are widely used. For this, removable or not prosthetic devices can be manufactured. The most common is the removable version. He must have a basis that does not fit the papillae and does not injure them.

These requirements are met only in a lightweight plastic prosthesis or an arc prosthesis. For the manufacture of this prosthesis, the presence of all frontal teeth or their replacement with a bridge is required. Only in this case will the trauma of the gums be minimal or absent altogether.

Implantation in periodontal disease

When comparing a removable prosthesis and an implant, one can note the privileges of the latter. The prosthesis is worn directly on the jaw, which subsequently leads to the destruction of the bone. Especially with parodontosis, most of the prostheses lead to a disruption in the integrity of the gums.

Implantation in periodontal disease is considered the best option for saving the remaining teeth, which are subjected to increased stress. If there is atrophy of bone structures with subsequent loosening of the teeth and removal of some of them, implantation is performed in order to save the remaining teeth. Around the implants metabolism processes occur better than around ordinary teeth, so the probability of developing inflammatory reactions is minimal.

Surgery for periodontal disease

Patchwork operations in our time are among the most effective methods of surgical treatment. Operation with periodontal disease is used in the middle and severe stages of the process, when the remaining methods do not work.

The main indications for surgical intervention are the depth of pockets of 5 mm, significant looseness and dislocation of the teeth, as well as severe inflammation and bleeding from the gum tissue. The operation includes the elimination of periodontal pockets, tissue repair and dental stabilization.

Operation with periodontal disease is performed under general anesthesia and has some drawbacks. These include a cosmetic defect due to the exposure of the necks of the teeth and the height of the alveolar process decreases. After the operation, you must carefully treat the postoperative period in order to avoid the development of complications.

Injections in the gums with periodontal disease

The ways of introducing medicines into the body are now quite diverse. Not very pleasant, but no less effective than other methods of fighting the disease, are considered injections in the gums with periodontal disease. The gum can be injected with vitamin C to quickly strengthen it.

In the presence of dystrophic and inflammatory processes, injections with aloe extract are applied. Injections are administered every other day for 40-50 days. The same scheme uses the drug FIBS for effective control of the inflammatory reaction.

No less effective is lidase and tissue enrichment with oxygen. This procedure can be performed only in the clinic to improve gas exchange processes in the gum.

Injections in the gums with periodontal disease can 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 very periodontitis.

Where to treat periodontal disease?

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

Where to treat periodontal disease? The choice among the clinics is so great and each offers a comprehensive approach, the most individual treatment scheme, that the problem of periodontal disease does not have to worry the people of many countries.

The clinics use complex treatment, which includes thorough cleaning of periodontal pockets, their disinfection with antiseptic drugs, the introduction of a special paste and strengthening the dental root. In more severe stages, surgical methods for controlling the disease are used. For example, the introduction of transplants into the periodontal pockets.

Prices for the treatment of periodontal disease

Treatment of periodontitis prices are generally relatively low. Everything depends on the stage of the disease, as well as the drugs and apparatus used to combat pathology. In Russia, the closed curettage of the periodontal pocket is within 700 rubles, the periodontium bandage covering up to 8 teeth - from 700 rubles, the application of one tooth - from 200 rubles, and the bandage application on the area of one tooth is about 300 rubles.

In Germany, the treatment of periodontitis starts from 1400 euros, the full anesthesia for surgery is paid separately - 1500 euros, professional teeth cleaning - from 180 euros, bone restoration - from 550 euros per tooth, installation of prostheses - 50 euros per tooth, and dental implants will cost about 1400 euros for 1 tooth.

Prices for the treatment of paranthosis in some clinics in Israel may be lower than in the elite dental clinics in Moscow. On average, the installation of implants costs from $ 1,500, preparation for prosthetics - from $ 450, and the cost of the crown - within 1300 dollars.

Prices depend on the level of the dental clinic, as well as the drugs and equipment used for treatment.

Reviews about the treatment of periodontal disease

Treatment of periodontal disease, using closed curettage, has almost all negative reviews, since the progression of the disease is noted in 99.9% of cases. Of the advantages are worth noting the small cost, speed of the procedure, as well as painlessness.

Treatment of periodontitis reviews after open curettage and patchwork are quite positive, because these techniques can achieve stabilization of the process and reduce atrophic processes in bone structures, which helps to reduce the mobility of the teeth.

Thus, with the timely detection of a problem and an appeal to a specialist, periodontal disease can be cured, especially dental medicine is equipped with modern equipment and drugs needed to fight the disease.