How to treat periodontal disease: which drugs effectively
Periodontitis can say is chronic. The patient may not even be aware of its presence. Because it can occur completely asymptomatic. Accordingly, how to treat periodontal disease and if the patient does not know about this disease from him. Below, there were no such situations, and the man was aware of why he began to lose healthy teeth, it is necessary to know what is periodontal disease and how to identify its presence.
How to identify periodontal disease
It is a degenerative disease particular clinical manifestations has not. Color of gums from pink to pale pink. The gums are not swollen, not sore, not bleeding during brushing or probing. If the patient is complaints, it is mainly on the aesthetic appearance and increase of tooth sensitivity to different irritants. The neck of the teeth become bare due to the fact that the gum is omitted. In this area the enamel is very thin and more susceptible to irritants.
During the examination periodontal pockets are absent. Despite the fact that the gums around the teeth retain their resilience. There is no mobility. This is due to the fact that periodontal disease occurs generalizovannoe. Degenerative process occurs evenly. There are no special places that are more prone to. In contrast, periodontitis is not observed the presence of soft microbial dental plaque. It occurs mostly in people who have problems with the cardiovascular system, disorders of the endocrine and metabolic processes.
Clinically there are three stages:
- Easy – the patient may complain of the exposure of the teeth in the region of the necks, increased sensitivity in this area, especially the front teeth. On examination, the gums pale pink color, without signs of inflammation. Possible exposure of roots of teeth to 1/3 of the length. On the radiograph degeneration of the interdental partitions to 1/3.
- Middle – aesthetics more disturbed, bare teeth to half the length of the root. In the picture reducing the height of the partitions between the teeth to½.
- Heavy – here the roots with more than half on the x-ray image of the interdental septum are almost absent.
This disease, besides the presence of hyperesthesia, may be accompanied by non-carious lesions of teeth. Often, there are wedge-shaped defect, erosion of enamel, pathological abrasion.
Patients also may experience itching in the gums. Very often there is the presence of dental calculus. They further contribute to the recession (lowering) of the gums. They appear from a-z of poor hygiene and the presence of chronic diseases of internal organs. In cases where joins of the inflammatory process, depending on the severity, the symptoms are similar to gingivitis or periodontitis.
Treatment of periodontal disease
Today treat periodontal disease in different ways. But in any case, should be approached comprehensively and to consider all possibilities in order not to lose further perfectly healthy teeth. Because degeneration is an irreversible process, because it takes place in the bone. But if the bone is destroyed, teeth, roughly speaking, nothing to hold on to. Dental medicine is developing well, and every day there are new drugs for the treatment of periodontal disease. To learn more to understand on account of the therapeutic measures, should examine what methods are distinguished.
Before you begin any treatment, you need to approach this responsibly. It is not necessary to self-medicate because there may be unforeseen consequences. Costs for tests and to determine the presence of intolerance in the treatment drugs. In particular, this applies to antibacterial agents. Also, you should definitely perform a professional cleaning to remove all Tartar.
Drug treatment of periodontal disease can be divided into the use of tablets, gels and ointments, injections. In fact, to divide them is not necessary, and should be used at the discretion of the specialist. Only after a thorough examination and study of the tests of the patient, the doctor may prescribe any treatment. What medications from periodontal disease suitable in the individual case can only be decided by it.
The use of the tablets
In tablet form with periodontitis prescribed antibiotics, protovariable, immunomodulatory agent, vitamins and minerals. As a well-proven antibiotic lincomycin. It began to be used not long ago in periodontics and has good reviews. The dosage and duration of administration strictly follow the doctor’s recommendation. Otherwise, you may develop intestinal dysbiosis. For prevention, you should apply something from the nystatin of a number, for example, nystatin, Linex, Bifiform.
In addition to the lincomycin order metronidazole. As an effective means with antimicrobial prescribed tablets trichopolum. It is often confused with antibiotics, but it is not. It is a good fight with microbes and suppress them. Again, you cannot take them yourself, without the supervision of a physician. Immunomodulatory need a tablet to boost the immune system. Because, when periodontal disease is in most cases, it is reduced. For this purpose, a good products are defined as Imudon, Timogen, Prodigiozan. They stimulate tissue regeneration, inhibiting inflammation. And of course, vitamins and minerals. Good comprehensive pill that combines several vitamin groups and mikroelementy.
Creams and gels
Pills help, but you have to use other means against periodontal disease. That is, spend more, and local treatment with ointments. As they used heparin ointment, Traumeel, Troksevazin, Alugel, Holisal, and others. Heparin has anti-inflammatory action. This ointment is prescribed for the accession of the inflammatory process with the release of pus from periodontal pockets. Smear it so that a small amount trapped between the gums and teeth. Traumeel is a homeopathic remedy. Improves microcirculation, pain reliever, reduces inflammation. Troxevazina ointment is used to strengthen vascular walls. Alugel injected under the gums. There is still metrogyl-Denta. It combines chlorhexidine and metronidazole. A very effective drug in the initial stages. You can also use Holisal. It has no contraindications.
Injections are carried out in already severe cases, when the adoption of tablets and use of ointments not helping. Most often used solution of lincomycin. It goes in the gums at 0.5 cm above or below, depending on the jaw of the transition folds in the region of molars. Injections must be done every day. Usually the treatment lasts ten sessions. You need to alternate the sides where you put the injections. Also, as the drug exists and Trammel in ampoules. For each patient the individual approach. You need to know and monitor how the prescribed treatment will work.
Rinse – do they help
Sore gums – do rinse. Very often we hear this phrase. Does it help really? The answer is obvious. If the effect was not, they would have long been forgotten. Moreover, every doctor in periodontal disease and even periodontal appoints rinse on the first visit. Because they help topically to fight germs and bacteria and reduce inflammation, if present.
To rinse necessary to use an antiseptic solution along with anti-inflammatory. As appoint of antiseptic Miramistin or chlorhexidine – a cheaper option. Then, tinctures on herbs, such as chamomile, calendula, yarrow, St. John’s wort. You can all collectively. Only if there is no allergic reaction. There are ready-made solutions which should be diluted with lukewarm water – rotokan, stomatofit, maraslavin. Rinsing it is advisable to use after meals and brushing teeth. Pasta also need to pick up. After rinsing, you can use the ointment.
Physical therapy – auxiliary treatment strategy for periodontal disease
If all the above apply to physiotherapy, the result will not keep itself waiting long. Very often in the clinical situation, use iontophoresis, a therapy by using the d’arsonval. Also very popular is laser treatment, which is used not only in dentistry. With a laser you can improve the action of local ointments. If there is no inflammation, it is possible to do vacuum massage. It improves blood flow to the gums. What procedure is better to appoint a doctor.
There are also surgical methods. But they are indicated when there is severe inflammation, with pus and deep periodontal pockets. There are cases when it is impossible to remove subgingival stones professional cleaning. And then you have to resort to surgical intervention such as curettage. It can be open and closed depending on the depth of the pocket. If more than 5 mm, we have to make an incision in the gum to detach her and so clean. In more severe cases will use plastic. But it already is carried out in specialized clinics.
Which method is better
From the above it is clear that the best remedy for gum disease is absent. Unfortunately, there is no unique medication that would be all and in all clinical situations. Moreover, a single drug is not enough to fully stabilize the process, it is necessary to conduct a comprehensive treatment. Only together all these methods will have its greatest effect. Each stage has its own treatment. And has a value of the presence or absence of inflammation.
The appointment of a large number of drugs against periodontal disease does not mean that it will be more effective. It is necessary that they were compatible and did not cause unnecessary discomfort on the part of other bodies.
For a start, after purification from hard dental deposits cleaning it is necessary to appoint and rinses, and ointments, and pills. In milder stages of this complex would be excellent for periodontal disease. The pill is taken strictly according to the specialist appointment, rinse to do this every time after a meal, and often smeared with special means. For best results, massage the gums for 3-5 minutes while applying the ointment. This will improve the blood circulation and the ointment will be absorbed more deeply, which will further strengthen the effect.
Preferably every day before bedtime to massage your gums even if they don’t bother – it will be a good prevention.