Initial therapy
Removal of microbic plaque and calculus is necessary to establish periodontal health. The first step in the treatment of periodontitis involves non-surgical cleaning below the gumline with a procedure called scaling and debridement. In the past, Root Planing was used (removal of cemental layer as well as calculus). This procedure involves use of specialized curettes to mechanically remove plaque and calculus from below the gumline, and may require multiple visits and local anesthesia to adequately complete. In addition to initial scaling and root planing, it may also be necessary to adjust the occlusion (bite) to prevent excessive force on teeth that have reduced bone support. Also it may be necessary to complete any other dental needs such as replacement of rough, plaque retentive restorations, closure of open contacts between teeth, and any other requirements diagnosed at the initial evaluation.
Yes, you can get dentures if you have periodontitis, but it is typically recommended to treat the periodontal disease first. Periodontitis can lead to tooth loss, and managing the condition may involve cleaning, scaling, or other dental treatments. Once the health of your gums and surrounding tissues is stabilized, dentures can be fitted to replace missing teeth. Consulting with a dental professional is essential to determine the best course of action for your specific situation.
Primarily, localized juvenile periodontitis affects the molars and incisors
Normal dental hygiene, brushing and flossing, cannot reach deep enough to be effective in treating periodontitis
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localised periodontitis
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Aggregatibacter actinomycetemcomitans
Several distinct forms of periodontal disease are known. These are gingivitis, acute necrotizing ulcerative gingivitis, adult periodontitis, and localized juvenile periodontitis
no
rapidly advancing periodontitis
through poor dental hygiene
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