Periodontitis

11 min read

Periodontitis is a serious gum infection that damages the soft tissue and destroys the bone that supports your teeth. It is caused by bacteria that accumulate in plaque, a sticky film that forms on your teeth. If not treated, periodontitis can lead to tooth loss.

Causes of Periodontitis

Periodontitis is caused by bacteria that accumulate in plaque, a sticky film that forms on your teeth. Plaque is made up of bacteria, food particles, and saliva. If plaque is not removed through regular brushing and flossing, it can harden and form tartar. Tartar is a hard, calcified substance that can only be removed by a dental professional.

The bacteria in plaque and tartar produce toxins that irritate the gums and cause inflammation. This inflammation can lead to periodontitis. Other factors that can increase your risk of periodontitis include smoking, diabetes, certain medications, and genetics.

Signs and Symptoms of Periodontitis

The most common signs and symptoms of periodontitis include:

  • Red, swollen, and tender gums
  • Gums that bleed easily
  • Gums that have pulled away from the teeth
  • Persistent bad breath
  • Pus between the teeth and gums
  • Loose teeth
  • Changes in the way your teeth fit together when you bite

Diagnosis of Periodontitis

Your dentist will examine your mouth and take X-rays to diagnose periodontitis. They may also measure the depth of the pockets between your teeth and gums. If the pockets are deeper than normal, it may be a sign of periodontitis.

Complications of Periodontitis

If left untreated, periodontitis can lead to serious complications, including:

  • Tooth loss
  • Gum recession
  • Bone loss
  • Infection of the tissue and bone around the teeth
  • Increased risk of heart disease and stroke
Take the Periodontitis Assessment

Symptoms

Common Symptoms of Periodontitis

  • Red, swollen, and tender gums
  • Gums that bleed easily when brushing or flossing
  • Receding gums
  • Persistent bad breath
  • Loose teeth
  • Formation of deep pockets between the teeth and gums
  • Pain when chewing

If you experience any of these symptoms, it is important to see your dentist as soon as possible. Early diagnosis and treatment can help prevent further damage to your teeth and gums.

Causes

Risk Factors for Periodontitis

There are several risk factors that can increase the likelihood of developing periodontitis. These include:

  • Smoking: Smoking can increase the risk of periodontitis by up to seven times.
  • Diabetes: People with diabetes are more likely to develop periodontitis.
  • Medications: Certain medications, such as steroids, can increase the risk of periodontitis.
  • Genetics: Some people are more prone to periodontitis due to their genetic makeup.
  • Age: Periodontitis is more common in older adults.
  • Poor Oral Hygiene: Not brushing and flossing regularly can increase the risk of periodontitis.

Preventing Periodontitis

The best way to prevent periodontitis is to practice good oral hygiene. This includes brushing and flossing your teeth at least twice a day, using an antibacterial mouthwash, and visiting your dentist regularly for checkups and cleanings. Quitting smoking and controlling diabetes can also help reduce the risk of periodontitis.

Getting a Diagnosis

Physical Exam

The first step in diagnosing periodontitis is a physical exam. During the exam, your dentist or periodontist will look for signs of gum disease, such as redness, swelling, and bleeding. They will also measure the depth of the pockets between your teeth and gums to determine if there is any bone loss.

X-Rays

X-rays can be used to detect bone loss and other signs of periodontitis. X-rays can also help your dentist or periodontist determine the extent of the infection and plan the best course of treatment.

Bacterial Tests

Bacterial tests can be used to identify the types of bacteria that are present in your mouth. This can help your dentist or periodontist determine the best course of treatment for your periodontitis.

Treatment

Once periodontitis is diagnosed, treatment can begin. Treatment may include scaling and root planing, antibiotics, and surgery. Your dentist or periodontist will work with you to determine the best course of treatment for your individual needs.

Questions for Your Doctor

Treatment Options

Your doctor can discuss the different treatment options available for periodontitis. These may include scaling and root planing, antibiotics, and surgery. Your doctor can help you decide which treatment option is best for you.

Oral Hygiene

Your doctor can also discuss the importance of good oral hygiene in managing periodontitis. This includes brushing and flossing your teeth twice a day, using an antiseptic mouthwash, and avoiding smoking and other tobacco products. Your doctor can also recommend a special toothbrush or toothpaste for periodontitis.

Diet and Nutrition

Your doctor can also discuss the importance of a healthy diet and nutrition in managing periodontitis. Eating a balanced diet with plenty of fruits and vegetables can help reduce inflammation and improve your overall health. Your doctor can also recommend supplements to help improve your oral health.

Follow-up Care

Your doctor can also discuss the importance of follow-up care for periodontitis. This may include regular check-ups and cleanings, as well as additional treatments if needed. Your doctor can also recommend a periodontist for more specialized care.

Risk Factors

Your doctor can also discuss the risk factors for periodontitis. These may include smoking, diabetes, and certain medications. Your doctor can help you identify any risk factors you may have and discuss ways to reduce your risk.

Questions and Concerns

Finally, your doctor can answer any questions or concerns you may have about periodontitis. This is your chance to ask any questions you may have and get the information you need to manage your condition.

Treatment

Scaling and Root Planing

Scaling and root planing is a deep cleaning procedure that removes plaque and tartar from below the gum line. This helps to reduce inflammation and prevent further damage to the gums and teeth. It is usually done in two or more visits to the dentist.

Antibiotics

Antibiotics can be used to help reduce inflammation and fight infection. They can be taken orally or applied directly to the gums. Common antibiotics used to treat periodontitis include metronidazole, amoxicillin, and tetracycline.

Surgery

In some cases, surgery may be necessary to treat periodontitis. This may include flap surgery, which involves lifting the gums to remove plaque and tartar, or bone grafting, which helps to replace lost bone. Surgery can help to reduce inflammation and restore the health of the gums.

Laser Therapy

Laser therapy is a newer treatment for periodontitis that uses a laser to remove plaque and tartar from the teeth and gums. It can help to reduce inflammation and promote healing. Laser therapy is usually done in one or two visits to the dentist.

Good Oral Hygiene

Good oral hygiene is essential for managing periodontitis. This includes brushing twice a day, flossing daily, and using an antiseptic mouthwash. It is also important to visit the dentist regularly for checkups and cleanings.

By following these treatments, you can help to manage periodontitis and prevent further damage to your teeth and gums. If you have any questions or concerns, be sure to talk to your dentist.

Drugs & Medications

Antibiotics

Antibiotics are the most common type of drug used to treat periodontitis. These drugs work by killing the bacteria that cause the infection. Common antibiotics used to treat periodontitis include tetracycline, doxycycline, and metronidazole. These drugs are usually taken orally, but they can also be applied directly to the gums.

Non-Steroidal Anti-Inflammatory Drugs (NSAIDs)

NSAIDs are another type of drug used to treat periodontitis. These drugs work by reducing inflammation and pain. Common NSAIDs used to treat periodontitis include ibuprofen, naproxen, and aspirin. These drugs are usually taken orally, but they can also be applied directly to the gums.

Chlorhexidine

Chlorhexidine is an antiseptic mouthwash that is used to treat periodontitis. This mouthwash works by killing bacteria and reducing inflammation. It is usually used in combination with other treatments, such as antibiotics or NSAIDs.

Surgical Treatments

In some cases, surgery may be necessary to treat periodontitis. Common surgical treatments include pocket reduction surgery, bone grafting, and flap surgery. These treatments can help reduce the amount of bacteria in the mouth and improve the health of the gums.

Conclusion

Periodontitis is a serious gum disease that can cause tooth loss and other serious health problems. Fortunately, there are a variety of drugs available to help treat and prevent periodontitis. Antibiotics, NSAIDs, chlorhexidine, and surgical treatments are all commonly used to treat periodontitis. If you think you may have periodontitis, it is important to see your dentist for a proper diagnosis and treatment plan.

Diet

Foods to Eat

When it comes to diet and periodontitis, there are certain foods that can help reduce your risk of developing the condition. These include:

  • Fruits and vegetables: Eating plenty of fruits and vegetables can help reduce inflammation in the body, which can help reduce your risk of periodontitis.
  • Whole grains: Whole grains are high in fiber, which can help reduce inflammation and improve your overall health.
  • Fish: Fish is high in omega-3 fatty acids, which can help reduce inflammation and improve your overall health.
  • Nuts and seeds: Nuts and seeds are high in healthy fats, which can help reduce inflammation and improve your overall health.

Foods to Avoid

When it comes to diet and periodontitis, there are certain foods that can increase your risk of developing the condition. These include:

  • Sugary foods and drinks: Eating too much sugar can increase inflammation in the body, which can increase your risk of periodontitis.
  • Processed foods: Processed foods are high in unhealthy fats and additives, which can increase inflammation in the body and increase your risk of periodontitis.
  • Alcohol: Drinking too much alcohol can increase inflammation in the body, which can increase your risk of periodontitis.
  • Caffeine: Drinking too much caffeine can increase inflammation in the body, which can increase your risk of periodontitis.

Conclusion

Eating a healthy diet can help reduce your risk of developing periodontitis and improve your overall health. Eating plenty of fruits and vegetables, whole grains, fish, and nuts and seeds can help reduce inflammation in the body and improve your overall health. Avoiding sugary foods and drinks, processed foods, alcohol, and caffeine can also help reduce your risk of periodontitis.

Lifestyle

1. Quit Smoking

Smoking is a major risk factor for periodontitis. Quitting smoking can help reduce your risk of developing periodontitis and can also help improve your overall health. If you need help quitting, talk to your doctor about available resources.

2. Brush and Floss Regularly

Brushing and flossing your teeth twice a day is essential for good oral hygiene. Make sure to brush for at least two minutes and floss between all of your teeth. If you have difficulty reaching certain areas, consider using an interdental brush or water flosser.

3. Visit Your Dentist Regularly

Regular dental checkups are important for preventing and managing periodontitis. Your dentist can check for signs of periodontitis and provide treatment if necessary. Make sure to visit your dentist at least twice a year for a professional cleaning and exam.

4. Eat a Healthy Diet

Eating a healthy diet is important for your overall health, including your oral health. Make sure to include plenty of fruits, vegetables, and whole grains in your diet. Avoid sugary and starchy foods, which can increase your risk of periodontitis.

5. Manage Stress

Stress can have a negative impact on your oral health. Make sure to take time to relax and manage your stress levels. Consider activities such as yoga, meditation, or deep breathing to help reduce stress.

6. Exercise Regularly

Exercising regularly can help improve your overall health, including your oral health. Aim for at least 30 minutes of physical activity each day. This can help reduce your risk of periodontitis and other health problems.

7. Drink Plenty of Water

Drinking plenty of water is important for your oral health. Water helps to flush away bacteria and food particles that can cause periodontitis. Make sure to drink at least eight glasses of water each day.

Conclusion

By following these lifestyle tips, you can help reduce your risk of periodontitis and maintain good oral health. Make sure to visit your dentist regularly and practice good oral hygiene habits. If you have any questions or concerns, talk to your dentist or doctor.