Last Updated on January 3, 2023 by Dr Gustavo Assatourians DDS
What is periodontitis disease?
Can periodontitis be cured? First, we define what is it. Periodontitis is a disease that affects the tissues that support the teeth in the maxillary bone. Its origin may be due to various factors, from hereditary, genetic, other diseases in the body, environmental, and due to local causes such as accumulation of hardened bacterial plaque or tartar, for long periods and can be aggravated by factors such as age, sex, and having habits such as smoking for example.
In either case, what will usually happen is that the gums surrounding the teeth begin to lose adhesion to the bone and form spaces that are called periodontal pockets. These pockets will accumulate saliva, bacteria, and food debris as there is no way to access them with conventional brushing. If they are not treated, the permanent inflammation progresses to infection and affects the bone on which they are supported, and the bone begins to disappear. The teeth lose stability and show mobility.
The gums begin to vary in height and give the sensation that they are receding or that the teeth look larger, when in reality, what is happening is an internal affectation that is caused when losing bone, they lose supporting tissues and stability due to internal inflammation not detected in time. Sometimes these symptoms are imperceptible to the patient. Many times they do not cause pain, bleeding may or may not be present and they go to treatment in advanced stages when there is already mobility in the teeth, permanent bad breath, or a severe infection.
How is the treatment of gum disease?
Once the patient has been diagnosed with periodontal disease or periodontitis, it is not only important to carry out the treatment immediately but to emphasize that once the treatment is carried out the disease is not overcome in a single session. It is necessary to perform a sequence of sessions, radiographic records, graphs of the adhesion of the gums and depth of the pockets that it presents, as well as evidence of the presence of soft plaque and bleeding.
These records are made in time intervals indicated by the specialist (Periodontist), monthly, quarterly, bi-annually, etc., as well as radical changes in dental maintenance and hygiene habits with the use of accessories such as dental floss, mouthwashes, medicated toothpaste, specialized toothbrushes, and the use of antibiotic medications, also indicated by the treating Periodontist.
The purpose of the comprehensive periodontal examination, according to the American Academy of Periodontology, is to determine the periodontal diagnosis and prognosis, and/or suitability for dental implants. This process includes evaluating periodontal and peri-implant tissues to assess the patient’s suitability for treatments, including non-surgical, surgical, regenerative, and reconstructive therapy or dental implant placement. So, can periodontitis be cured?
Can periodontitis be cured?
Then… can periodontitis be cured? The synergy between the treatment received throughout all intervals of care and the number of indicated sessions. The attitude and responsibility that the patient takes about maintaining dental hygiene and following all the indications given by the specialist are what will determine the success in the treatment of periodontal disease, which is evidenced over time.
Even so, the periodontal patient is not considered free of having the disease. It is considered that they have the disease but in a controlled way. This is why detecting this disease in its early stages is of utmost importance to control it in less time and with the least possible damage to the oral cavity. It is a silent disease in many cases, and therein lies the importance of performing preventive periodontal evaluations.
If you have any questions about this or other topics, you can contact us at the Channel Islands Family Dental and on our Facebook Page. We look forward to your visit and will give you a timely diagnosis. Our dentists in Oxnard, Santa Paula, Ventura, and Port Hueneme will be able to guide you toward the best treatment to take care of your health and return your best smile.