What causes halitosis and bleeding gums? How is periodontitis treated?
Bad breath can be embarrassing, especially when in close contact with people, but many people have no cure and can only use chewing gum temporarily. If bad breath and bleeding gums occur at the same time, the problem is a bit more serious. So how to treat it?
There are many reasons for bad breath, not all because of not brushing your teeth for a long time, but mainly because you like to eat cold drinks, the function of the stomach is trapped by cold pathogens, and the dry fire of Yangming is exuberant. Mainly due to gingivitis, periodontitis, or stagnation of food in the stomach due to indigestion. Bleeding gums are mostly periodontitis and gingivitis.
- For local irritants:
It can be used for supragingival scaling or subgingival scaling, adjusting the bite, eliminating food impaction, and correcting bad restorations if necessary.
- Treatment of periodontal pockets:
When the periodontal bag overflows with pus, it can be washed with 1% to 3% hydrogen peroxide solution, and there are 10% iodine mixture or spiramycin, anti-drop, and other drug films in the bag. After removing local factors, the shallower periodontal pockets can be burned with iodine phenol solution; the deeper periodontal pockets require periodontal surgery to eliminate periodontitis. When the periodontal pocket is deep into the apex and the tooth is significantly loose, extraction can be considered.
- Loose teeth fixation:
If the tooth is still loose, a temporary or permanent periodontal splint can be used to fix the loose tooth.
- Treatment of periodontal abscess:
When the abscess is limited, it can be incised and drained. Periodontal pockets should also be cleaned and coated with film or iodine glycerin at the same time.
- Remove the cause: completely remove the plaque and calculus, and eliminate the factors of plaque retention and local irritation of the gums. In acute papillitis, local irritants should be removed. For patients with severe inflammation, local drug therapy can be used. Commonly used topical medications are 1% hydrogen peroxide, recurrent chlorhexidine mouthwash, and iodine preparations. Acute inflammation can be used with the antibiotics amoxicillin and metronidazole.
- Prevention of recurrence: The curative effect of chronic gingivitis is ideal, and it is very important to prevent the recurrence of the disease. To maintain good oral hygiene habits, regular (six months to one year) review and maintenance, in order to maintain the curative effect and prevent a recurrence.
- Surgical treatment: A small number of patients with proliferative gingivitis have obvious gingival fiber proliferation, and the gingival shape cannot return to normal after the inflammation subsides. Gingivoplasty can be performed to restore the physiological shape of the gingiva.
The dentist should also inquire the lab expert about what proper prosthesis materials and equipment to make the customized cases for patients. For example, the dental centrifugal casting machine is the common mechanical equipment in the oral restoration section for the melting and casting of various dental high melting point alloys in order to get casting like denture frames, inlay, and crown bridges.