(A) basic treatment
The treatment of periodontitis and eliminate the cause from the two-pronged approach to reduce the symptoms.
1. The need for periodontal treatment, such as scaling, scaling, root planing and the like.
2. The need for periodontal surgery and with drug treatment. After the treatment, most patients can get rid of periodontal disease, loose teeth to be stable, chewing function of patients did not significantly affected. However, there will still be some patients, because absorption of alveolar inflammatory damage, reduced ability to support the teeth can not afford the normal bite force, occlusal trauma occurs, which further aggravate alveolar bone resorption, resulting in a vicious cycle. On the clinical manifestations of loose teeth, shift, inability to chew and discomfort, severe tooth can lead to tooth loss or removal of their own. After periodontal treatment, there will still be individual teeth, even more stars and the whole arch of the remaining loose teeth, it is difficult to exercise normal chewing function, once the above problems, you need to use restorative treatment of periodontitis.
(B) repair treatment
Repair therapy has become an important part of the comprehensive treatment of periodontal, restorative treatment of periodontitis is based periodontal treatment, through prosthetics ways to improve the loose teeth, shift and chewing weakness and other symptoms. Its fundamental purpose is to disperse the teeth together, eliminating the trauma, the establishment of coordination occlusal relationship; loosening teeth, missing teeth repair, control pathological loosening, promote healing of periodontal tissue, restore chewing function, improve the body health.
Repair treatment of periodontitis include occlusal adjustment, orthodontic therapy and periodontal splinting and so on.
1. occlusal adjustment
By grinding the teeth cusp or ridge, improve tooth shape, and to eliminate their early contacts and occlusal interference between the jaw teeth, thereby eliminating traumatic stress, establish contact relationships between functional teeth on the lower jaw and restore the periodontal tissue physiological stimulation to maintain healthy periodontal tissue.
(1) excessive cusp teeth caused by traumatic bite force;
(2) has not caused significant occlusal traumatic bite force, but may be a potential trauma factors, such as the upper and lower front teeth or teeth after clinching bite, jaw exercise influence;
(3) tooth morphology abnormalities such long teeth, deformed teeth, tooth twist like. However, there are often contraindications: can not accurately determine the presence or absence or premature occlusal interference between the upper and lower teeth.
2. Orthodontic Treatment
Is an important method for comprehensive treatment of periodontitis, by resetting the loosening teeth, tooth long axis and change direction of the force, eliminate traumatic bite force, it is conducive to the recovery and healing of periodontal tissue.
(1) aligned crowded misplaced teeth to facilitate plaque control;
(2) Anterior deep overbite;
(3) pre-rational dental sector shift and a gap;
(4) to the posterior mesial inclination formed deep intrabony by orthodontic treatment to make it erect, and near the deep bags can also be eliminated. However, there are often contraindications: ① untreated periodontitis; ② despite treatment, but there is still inflammation, plaque is not controlled, the disease is still active stage; ③ alveolar bone loss of more than 1/2 of the root length of teeth .
3. splints
Currently, commonly used in clinical splints to fix loose teeth, distributed occlusal force, improve the patient's chewing function, it will be a plurality of loose teeth together, or loose teeth fixed on the healthy teeth, making new chew unit.
According to the length of time, the splints can be divided into permanent and temporary splint splint, permanent splint and comprising: a fixed permanent splint, removable splint permanent, fixed removable joint splint (telescopic crown) and the like. Compared with a temporary splint, permanent splint splint can play a good stabilizing effect, loosening teeth, distributed occlusal force, reduce the load on periodontal tissue, and ultimately achieve the purpose of tissue healing and repair.
(1) a temporary splint Indications ① acute periodontitis teeth fixed; ② fixing loose teeth due to trauma caused; ③ reduce or avoid occlusal adjustment or surgical periodontal teeth to bring external force; ④ in making permanent splint process, in order to continue to prevent periodontal tissue damage, first with a temporary splint; ⑤ temporary splint therapy as a transitional measure, understand periodontitis restorative treatment effect, if good, long-lasting back splint .
(2) permanent splint Indications ① The temporary splint proved good effect; ② substantially eliminate or control periodontal disease, loose teeth require long-term fixed; ③ formula adapted to removable partial denture or a fixed denture conditions were .
The treatment of periodontitis and eliminate the cause from the two-pronged approach to reduce the symptoms.
1. The need for periodontal treatment, such as scaling, scaling, root planing and the like.
2. The need for periodontal surgery and with drug treatment. After the treatment, most patients can get rid of periodontal disease, loose teeth to be stable, chewing function of patients did not significantly affected. However, there will still be some patients, because absorption of alveolar inflammatory damage, reduced ability to support the teeth can not afford the normal bite force, occlusal trauma occurs, which further aggravate alveolar bone resorption, resulting in a vicious cycle. On the clinical manifestations of loose teeth, shift, inability to chew and discomfort, severe tooth can lead to tooth loss or removal of their own. After periodontal treatment, there will still be individual teeth, even more stars and the whole arch of the remaining loose teeth, it is difficult to exercise normal chewing function, once the above problems, you need to use restorative treatment of periodontitis.
(B) repair treatment
Repair therapy has become an important part of the comprehensive treatment of periodontal, restorative treatment of periodontitis is based periodontal treatment, through prosthetics ways to improve the loose teeth, shift and chewing weakness and other symptoms. Its fundamental purpose is to disperse the teeth together, eliminating the trauma, the establishment of coordination occlusal relationship; loosening teeth, missing teeth repair, control pathological loosening, promote healing of periodontal tissue, restore chewing function, improve the body health.
Repair treatment of periodontitis include occlusal adjustment, orthodontic therapy and periodontal splinting and so on.
1. occlusal adjustment
By grinding the teeth cusp or ridge, improve tooth shape, and to eliminate their early contacts and occlusal interference between the jaw teeth, thereby eliminating traumatic stress, establish contact relationships between functional teeth on the lower jaw and restore the periodontal tissue physiological stimulation to maintain healthy periodontal tissue.
(1) excessive cusp teeth caused by traumatic bite force;
(2) has not caused significant occlusal traumatic bite force, but may be a potential trauma factors, such as the upper and lower front teeth or teeth after clinching bite, jaw exercise influence;
(3) tooth morphology abnormalities such long teeth, deformed teeth, tooth twist like. However, there are often contraindications: can not accurately determine the presence or absence or premature occlusal interference between the upper and lower teeth.
2. Orthodontic Treatment
Is an important method for comprehensive treatment of periodontitis, by resetting the loosening teeth, tooth long axis and change direction of the force, eliminate traumatic bite force, it is conducive to the recovery and healing of periodontal tissue.
(1) aligned crowded misplaced teeth to facilitate plaque control;
(2) Anterior deep overbite;
(3) pre-rational dental sector shift and a gap;
(4) to the posterior mesial inclination formed deep intrabony by orthodontic treatment to make it erect, and near the deep bags can also be eliminated. However, there are often contraindications: ① untreated periodontitis; ② despite treatment, but there is still inflammation, plaque is not controlled, the disease is still active stage; ③ alveolar bone loss of more than 1/2 of the root length of teeth .
3. splints
Currently, commonly used in clinical splints to fix loose teeth, distributed occlusal force, improve the patient's chewing function, it will be a plurality of loose teeth together, or loose teeth fixed on the healthy teeth, making new chew unit.
According to the length of time, the splints can be divided into permanent and temporary splint splint, permanent splint and comprising: a fixed permanent splint, removable splint permanent, fixed removable joint splint (telescopic crown) and the like. Compared with a temporary splint, permanent splint splint can play a good stabilizing effect, loosening teeth, distributed occlusal force, reduce the load on periodontal tissue, and ultimately achieve the purpose of tissue healing and repair.
(1) a temporary splint Indications ① acute periodontitis teeth fixed; ② fixing loose teeth due to trauma caused; ③ reduce or avoid occlusal adjustment or surgical periodontal teeth to bring external force; ④ in making permanent splint process, in order to continue to prevent periodontal tissue damage, first with a temporary splint; ⑤ temporary splint therapy as a transitional measure, understand periodontitis restorative treatment effect, if good, long-lasting back splint .
(2) permanent splint Indications ① The temporary splint proved good effect; ② substantially eliminate or control periodontal disease, loose teeth require long-term fixed; ③ formula adapted to removable partial denture or a fixed denture conditions were .
