Periodontitis is an advanced form of periodontal disease. Essentially with this, the gum tissue pulls away from where the teeth are, creating pockets with more bacteria building up in order to cause an infection. It is a multi-step process to treat, and usually, you may get medications if this is treatment for the first time, and there are some treatment plans that are done before you resort to surgery, depending on the severity of the disease.
While gingivitis usually has gums that are sore and bleeding, usually the receding gums and the pockets that are in the teeth are the first sign. If the infection happens under the gumline, this can actually destroy the tissues, bones, and ligaments of the teeth. If you have pain when chewing, poor aligning of the teeth, receding gums, pockets forming, bad breath that’s persistent, sores on the inside of the mouth, or loose and sensitive teeth, chances are you’re suffering from periodontitis. The treatment for this is usually different depending on when you’re getting treated. Only the dentist and hygienist can do this, and if you need an oral surgeon, they’ll call them in.
first, you may get tooth scaling and root planing, which is where the tartar and buildup of the teeth below the gumline is scraped, and it can from there work to smooth up the rough spots in the roots, which will make it more difficult for the bacteria to collect
If the inflammation and pockets persist even after that, you might get flap surgery, which is used for those who have more advanced periodontitis. This is usually where the tartar is removed from the pockets that are alongside where the teeth are, and then they close these pockets with this so that the tissue once again will hug the teeth. Reducing this makes it easier and comfortable to brush then.
In severe cases, you may need tissue graphs, where there is guided tissue regeneration, where a piece of meshed is put between the jawbone and the gums to allow for the tissue to grow once again. This is usually to keep the gum tissue from expanding into the area where the bones are so that both the bone and the tissue grafts can grow.
There is also doxycycline gel, which gives treatment by killing the bacteria and shrinking the pockets. This can be done after a scaling or root planing, and it is released gradually.
Another one is chlorhexidine chip, which is a small gelatin chip that’s put in the tissue pocket, and it is released over time. You may also get the minocycline microspheres, which is where particles that contain this antibiotic are placed in your teeth between a scaling and root planing.
The best way to prevent this is to brush and floss twice daily and to see your dentist once every six or so months. Always make sure to keep up with it so you don’t need to suffer from this as well.