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Periodontitis: what to do about bone loss, loose teeth and tooth loss?

Periodontitis (colloquially also periodontitis) is undoubtedly a treacherous illness, because it progresses unnoticed for the patient and usually without pain. Periodontitis not only leads to gum decline, but also to bone loss. If she is not treated in time, teeth will loosen and, in the worst case, fail. You can find out what you can do in this case below.

Common disease periodontitis


is now considered a widespread disease. Bacterial inflammation of the tooth structure is particularly affecting patients over the age of 40. Most often, the starting point of periodontitis is inflammation of the gums (gingivitis). In many cases it is harmless. But if it does not heal, the inflammation spreads to the tooth holder. Bacteria nest in the gum pockets and get into deeper structures. As a result, periodontitis develops, which is popularly referred to as periodontitis.

From gum retraction to tooth loss: consequences of periodontitis

In the case of periodontitis, the tooth holding apparatus gradually degrades because the inflammation dissolves the tissue around the tooth. The disease is usually not painful, which is why it is often recognized late. Many become aware when the gums retreat, the gums bleed, bad breath or teeth feel loose. With advanced disease, teeth can even be lost.

Treat loose teeth

The good thing about periodontitis, however, is that when the inflammation is removed, the bone tightens again – and that is the main goal of periodontal treatment: an inflammation-free oral cavity. Even teeth that have already moved will then become firmer or even very firm again.

Clean gum pockets and teeth shine

Today, a complex surgical intervention is usually no longer necessary for this. Instead, after extensive diagnostics, the gum pockets are thoroughly cleaned first. With special equipment and under local anesthesia, the dentist goes into the gum pockets and removes deposits and bacteria. This treatment can be supported by other measures such as laser or ozone treatment.

The condition often improves significantly after these non-surgical measures. Especially when the patient is working, i.e. Periodontitis is easy to manage if you keep an eye on follow-up appointments and pay attention to proper dental care at home.

In addition, the dentist can splint loose teeth. They are blocked and stabilized with firmer teeth. The teeth support each other to a certain extent.

Bone build-up in periodontitis

Sometimes, however, the bone has shrunk so much that cleaning the gum pockets and / or tooth splint is not enough to strengthen loose teeth. Here, however, there is the possibility of rebuilding new bones or inserting artificial bones into the defect to secure the tooth.

Bone build-up with enamel matrix protein and bone substitute material

For example, a melt matrix protein is used for this. It is a protein that is generated by pigs and, as it were, the starting signal for the development of the tooth-holding apparatus.

The dentist can also use special bone replacement materials. They come from beef and are filled into the bone defect. The bone replacement material is denatured and completely neutral. It fills the space in such a way that your own bones – like a trellis for roses – can grow through and re-establish themselves.

Membrane as additional protection

Sometimes the defects have to be covered with so-called membranes. These membranes protect against "unwanted" tissue, i.e. H. against rapidly growing cells that would fill in the defect immediately and do not give your own bone the time to form. The membranes lie like a tent over the bone defect.

Requirements for bone building

An inflammation-free oral cavity is a prerequisite for bone formation. That means that both gums and jawbones must be healthy. Otherwise, the bone substitute material would not heal and would instead be rejected by the body.

In addition, bone building is not possible with every bone or not always 100 percent. So you need an optimal bone design to reverse the loss of substance. However, the dentist can see in advance whether and to what extent the bone is suitable for the restoration.

Dentures for tooth loss

If a tooth can no longer be saved – for example because periodontitis has progressed too far – there are various replacement solutions that should be individually tailored to the patient. So you can get information about a dental bridge or a prosthesis from your dentist. Dental implants are also possible for periodontitis. However, only if the tooth retention apparatus is free of inflammation, i.e. H. after successful periodontitis treatment.

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Christina Cherry
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