Treatment of periodontitis

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About the service

Periodontitis is a pathology characterized by inflammation of the tooth tissue. The process occurs at the top of its root, which is also known as the periodontium. Dentists distinguish several types of disease, which quickly develops and provokes complications. The pathology is characterized by attacks of severe pain that worsen a person’s quality of life.

Inflammatory processes in the periodontium can be triggered by a number of reasons. The most common of them include:

  • Advanced, deep caries
  • Mechanical injuries to teeth and enamel
  • Complications after poor-quality endodontic treatment (for example, incorrectly selected and installed crowns)
  • Obstruction of tooth root canals
  • Pulpitis of different forms
  • Formation of granulomas near the root apex

Systematic violation of the rules of oral hygiene can also provoke the development of periodontitis.

About the service
Classification

Dentists distinguish two forms of periodontitis: acute and chronic. The first is characterized by a rapid course and pronounced symptoms of the inflammatory process. The second is characterized by an asymptomatic course with periods of exacerbation and manifestations of individual symptoms.

Depending on the cause of development, the following types of periodontal inflammation are distinguished:

1
Infectious - the inflammatory process is provoked by bacteria or other pathogenic microflora
2
Traumatic - occurs due to damage to the tissues of the tooth
3
Allergic - is the reaction of the body to materials or drugs that were used in the course of therapy

Based on the complexity of the symptoms, the intensity of the pain syndrome and the methods of treatment used, the following forms of periodontitis are distinguished:

1
Granulating: characterized by sharp pain, easy to treat in the early stages
2
Apical: mild, inflammatory process is isolated in the upper part of the tooth root
3
Granulomatous: asymptomatic, often leads to the development of serious complications
4
Fibrous: difficult to diagnose due to the lack of specific manifestations, but it is accompanied by a large number of clinical symptoms

It is necessary to determine the type of disease, since the applied treatment regimen and its effectiveness depend on the accuracy of the diagnosis.

Symptoms

Depending on the type of periodontitis, various clinical manifestations occur. The acute stage can last several weeks, after which, without timely and high-quality treatment, it becomes chronic.

Chronic type of pathology

  • Discomfort when chewing or hygienic treatment of the oral cavity
  • Painful sensations in the submandibular lymph nodes
  • Feeling of heaviness around the affected molar
  • Repulsive and pungent odor from the mouth
  • Excessive sensitivity of the soft tissues of the tooth
  • Formation of fistulas in the upper jaw

The first phase of the pathological process

  • Aching pain in dental tissues
  • Heaviness around a molar affected by periodontitis
  • Increased discomfort when pressing on the tooth

Exudative phase

  • The intensity of the pain syndrome increases
  • Tissue swelling occurs around the affected tooth
  • Lymph nodes hurt

Possible consequences

Chronic periodontitis is often accompanied by a number of complications. The most common of them include:

  • Periostitis (flux) – inflammation of the periosteum
  • Pulpitis - inflammation of the pulp tissue
  • Abscess is an accumulation of pus near the root of a tooth
  • Phlegmon - purulent inflammation of the soft tissues of the face and neck
  • Fistula - the formation of a hole in the gum for the natural removal of pus
  • Osteomyelitis is a purulent infectious pathology affecting bone tissue

Any of the listed diseases can lead to or be accompanied by complete destruction of the molar.

The cost of periodontitis treatment directly depends on the stage of its development and the presence of complications. That is why it is worth contacting a doctor at the first manifestations of the disease.

General information about the treatment of periodontitis

Diagnostics

To identify an acute form of periodontitis, the dentist only needs to conduct a visual examination of the patient’s oral cavity and listen to his complaints. Characteristic symptoms and pain of an aching, pulsating type directly indicate periodontitis and its type.

To diagnose the chronic form, specialized research methods are required. These include computed tomography of the jaw and radiography. Thanks to the images obtained as a result of the diagnosis, the doctor will be able to assess the characteristics of the pathological process and determine the optimal treatment regimen.

Treatment of periodontitis

Modern medicine offers several methods of therapy. Most often, conservative or surgical is used, based on the severity of the disease.

Recommendations for the treatment of periodontitis without surgery involve two visits to the dentist if the disease is acute and three if it is chronic.

Stages of therapy:

  1. X-ray of the affected area
  2. Use of anesthesia
  3. Drilling into inflamed tissue to gain access to the canals
  4. Nerve removal and cleaning
  5. Expansion of cavities and their antiseptic treatment
  6. Installing a seal

The doctor prescribes medications for the patient to take until the next scheduled visit to the dentist.

During the second visit:

  1. The doctor removes a temporary filling
  2. Treats the tooth canals with an antiseptic
  3. Installs a filling: for acute periodontitis - permanent, for chronic - temporary

The third visit may include the following procedures:

  1. Carrying out dental x-rays to monitor the correctness of periodontitis treatment
  2. Removing a temporary filling
  3. Treatment of canals with an antiseptic
  4. Filling the cavity with a permanent filling compound

If conservative methods of treatment do not bring results, the doctor resorts to surgery to treat periodontitis. In this case, only the root or all components of the tooth can be removed. Sometimes it is possible to get by with gentle treatment of periodontitis while preserving part of the molar.

To avoid complete tooth destruction, its removal and implantation, you must seek medical help as early as possible. The pathology is quite easy to treat conservatively in the initial stages of development of periodontitis. The price of therapy in this case will also be moderate.

Prevention

The main preventative measure for periodontitis is careful daily hygiene. Teeth should be cleaned after every meal, and use an irrigator and floss to clean hard-to-reach areas.

It is necessary to visit the dentist at least once every six months for professional dental cleaning. The specialist will remove stones, soft plaque and recommend care options.

Regular and scheduled visits to the dentist will help detect caries and other dental diseases at an early stage. This will help prevent their development and reduce the costs of necessary therapy.

Our doctors
Shcherbakova
Valentina Frantsevna
Head of the Department of Dentistry, dentist
Egorova
Natalya Vasilevna
Head of the Department of Dentistry, dentist-therapist
Elfimova
Natalya Vladimirovna
Head of the dental department, dentist-surgeon, implantologist
Cherkasov
Alexei Andreevich
Dentist-surgeon, implantologist, therapist
Samoilova
Nana Nugzarovna
Dentist-therapist, microscope
Ivashkevich
Sergei Georgievich
Dentist-surgeon, implantologist
Samartseva
Natalya Victorovna
Dentist-surgeon, implantologist, therapist
Korneeva
Evgeniya Sergeevna
Dentist-surgeon, periodontist
Bagaev
Omar Makhachevich
Dentist-therapist, pediatric
Grigoryeva
Regina Bogdanovna
Dentist-therapist, endodontist
Najaryan
Liana Artyomovna
Dentist-surgeon, implantologist
Kholina
Evgenia Nikolaevna
Dentist-therapist, pediatric
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from 4 100 ₽

Answers to popular questions

How much does it cost to cure periodontitis of a tooth?

The prevention and treatment of periodontitis in the clinics “K+31” in Moscow are carried out by dentists with extensive clinical experience. The dental department is equipped with everything necessary for high-quality diagnostics and therapy. We offer clients both conservative treatment of periodontitis and surgical methods. Dentistry also provides services of prosthetics, teeth whitening, cyst removal and others.

How much does it cost to cure periodontitis of a tooth? The exact cost depends on a number of factors: the level of the specialist and the clinic, the drugs used during treatment, the exact diagnosis, the number of required visits to the doctor, etc.

You can make an appointment with a doctor at a time convenient for you by phone. Get information about the nuances of the procedure, find out the cost of treatment of dental periodontitis, check out the services and promotions of our clinics.

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