Tooth decay is also called periodontitis and is an infectious disease that causes the teeth to slowly loosen by destroying their jaw attachment.
The earlier the periodontitis is treated, the greater the chance of healing. Severe periodontitis requires more extensive treatment, compared to a milder detected at an earlier stage.
A healthy tooth has a gum pocket that is 1 to 4 millimeters deep. With periodontitis, the pocket depth increases. At the final stage it can be over 10 millimeters. The loss of bracket can then reach the root tip of the tooth, making it very mobile. The pockets are usually also very infected.
An inflammation of the gums can be the beginning of periodontitis. And it is the plaque that forms in the mouth that is the cause of gingivitis (gingivitis). Inflammation without periodontitis is easy to treat. With improved oral hygiene, it usually heals in one or a few weeks. However, inflammation can return quickly if oral hygiene is impaired. Careful cleaning with a toothbrush, dental floss or the like is the easiest trick to avoid inflamed gums.
The risk of tartar varies from person to person and from tooth to tooth. It can also vary throughout life. Poor oral hygiene often leads to the formation of tartar more easily. Unfortunately, some people get a lot of tartar despite good oral hygiene. A prerequisite for all healing of tooth loss diseases is that the tartar is removed. Since you cannot remove tartar yourself, it is important to regularly visit a dentist or dental hygienist who can do it for you.
The treatment is almost painless. However, if you have deep gum pockets that are inflamed, you may need local anesthesia. This inflammation usually heals within a few weeks, provided the tartar is removed and you keep it clean in your mouth. Tartar and inflammation can quickly return if oral hygiene deteriorates.
If your gum pockets have become deeper, the tartar can penetrate and begin to dissolve the bone. Tartar and plaque can be collected down in the pocket where you will not be able to clean. Slowly, the bracket of the tooth is destroyed.
Treatment must now be performed by a dentist or dental hygienist. It involves removing the tartar with special instruments or ultrasound. A decisive factor for a successful result is that the patient’s oral hygiene continues to be very good.
The depth of the pockets usually decreases by 2 to 3 millimeters in the first few months after successful treatment. After that it often decreases a few millimeters. The target is a pocket depth of less than 4 millimeters. However, some places may have greater pocket depth but still be in balance.
The most common reason why the depth of the pocket does not decrease or that the disease recurs is that oral hygiene has become less effective. Most often, this is because a pre-treated patient easily falls back into old patterns. To avoid this, it is important to have regular checkups with the dentist or dental hygienist. Unfortunately, there are a small number of treated periodontites that do not heal, but only slow down, despite successful treatment.
A diseased gum is swollen and has a larger volume, compared to a healthy one that is in biological balance. When the gums heal after a severe periodontitis, it may withdraw somewhat. This rarely poses any problems functionally, but it can cause bare gums and greater gaps between teeth and gums.
A slight inflammation of the gums usually heals for about a week. The condition is that any tartar is removed and that the mouth is kept clean, according to the instructions given by the dentist or dental hygienist.
Severe tooth loss
Often you get no symptoms of periodontitis, except that the tooth feels loose, but the risk of infection, swelling and scarring is great. In order to slow down, and hopefully stop, the disease is treated similarly to a less severe periodontitis. Sometimes even smaller operations are performed. Another alternative is to remove the tooth. Many dentists have good experience in treating periodontitis. However, some refer patients to specialists, so-called periodontologists.
Sometimes it is difficult to overcome the deep gums pockets. It can also be problematic to access tartar at the bottom of the tooth root. Then surgery can be an alternative. The purpose is to clean and reduce the pocket depth. It is also a way of enabling the patient to keep himself / herself efficiently and gently.
The dentist then makes a small incision to open a gap in the diseased area. This makes it easier to remove tartar and diseased tissue around the tooth. When the area is cleaned, the gums are stitched back. After one to two weeks, a check is usually made. The operation is painless and is performed under local anesthesia. The treatment takes 30 to 60 minutes. Sometimes the patient gets some pain after the surgery. It is usually relieved effectively with regular pain tablets.
New formation of dental bracket
Today, there are also methods to stimulate new formation of bracket around the tooth. Some positive results have been shown, mainly with different types of bone stimulants. These are usually added in conjunction with the operation.