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Periodontal Disease: Treatment, Procedure, Cost and Side Effects

What is the treatment?


How is the treatment done?

Periodontitis is associated with gum problems and it is a very common condition. In this condition you might suffer from gum inflammation, soft gums and gum bleeding too. These signs might also lead you to lose teeth if it is left unrecognized or untreated. This is why it is always advised to take care of your gums. This type of gum disease is caused due to the sticky colorless plaque that is formed on the covering of your teeth. These plaques which are accumulated form a disease called “tartar” as well. There are many diseases associated with this condition. In this condition the gums pull away from your teeth and the plaque grows below the gum line. These bacteria cause gum infections and start to break down the connective tissues in your gums which hold your teeth in one place. Gradually if the condition worsens then the gum becomes too lose and the teeth may have to be removed. The infected tooth also spreads infection to its surroundings and may infect the other teeth as well. The other common symptoms of this condition are that your bad breath would not go away easily and you might also see red and swollen gums. The gums might bleed when brushing and the teeth start to become loose. You might also face sensitivity in your infected tooth.

Who is eligible for the treatment? (When is the treatment done?)

The main goal of the treatment procedure of this condition is to remove the infection that has spread all over your gums. The doctor would suggest some basic measures such as change in certain behavioral habits like quit smoking and to keep good care at home too. One of the most common forms of treatment procedure for this condition is the deep cleansing, scaling and root planning. This procedure helps to get rid of the rough spots that you have and scraping of the tartar from different parts of the gum. This procedure helps to get rid of the bacteria present in your gums. In some cases a laser procedure might be used to remove the tartar from your gums. This procedure helps to prevent bleeding gums, swelling and other problems that you might face. There are certain surgical treatments which ensure better cleaning of the gums. The surgery involves lifting the gums and thus removing the tartar. After the surgery the gums are then stunted back to its original place and this also helps the gum to fit tightly around the teeth. Tissue grafts are also sometimes used to improve connective tissue regeneration which reduces the softness of the gums.

Who is not eligible for the treatment?

If you are facing with gum problems such as bleeding gums, loosened teeth and sensitive teeth you should call your doctor right away. If you see your gums are swollen and they are also bleeding while you brush then you might be affected with Periodontitis.

Are there any side effects?

Various gum problems have similar symptoms so you need to take tests and consult your medical expert to seek help. The symptoms of this condition are similar to that of gingintivitis. Therefore if you have some other gum problem then you are not eligible for the treatment for periodontitis.

What are the post-treatment guidelines?

The side effects of this condition are certain hormonal changes in girls/women which make the gums more sensitive and making it easier to cause plaque and tartar. If you are also a diabetic patient, then chances are that you are more prone to being infected by periodontitis therefore you should take proper care of your gum and teeth. There might be some side effects to the medications that you are provided with as sometimes it might lead to overgrowth of gum tissue which make it difficult for the gums and teeth clean.

How long does it take to recover?

The post treatment guidelines are as important as the treatment procedure itself. The post treatment guidelines are that you quit smoking and brush after every meal for a month in order to keep your gums and teeth tartar and plaque free. You are to use medicinal toothpaste that contain antibiotic gels to kill the bacteria present in your teeth and gums. If you have a surgery then apply the medications which go hand in hand with scaling and root planning as advised by your medical expert.

What is the price of the treatment in India?

The recovery time is usually very low. If you follow the medications and take proper care of your teeth and gums you should be fit in a week or so.

Are the results of the treatment permanent?

The surgery costs around Rs. 6,000 to Rs. 8,000 and the medications range from Rs. 500 to Rs. 1,500.

What are the alternatives to the treatment?

The results of the treatment procedure are only permanent if you take proper care of your gum and teeth 24*7. If you fail to keep up your gums and teeth clean then the symptoms of this condition would arise again.

Safety: Common Name Effectiveness: High Timeliness: Low Relative Risk: Low Side Effects: Low Time For Recovery: Low Price Range:

Rs. 500 to Rs. 8,000

Popular Health Tips

Periodontal Diseases

Bachelor of Dental Surgery
Dentist, Allahabad
Periodontal Diseases
  • Periodontal diseases started with deposition of stain, calculous and bad oral hygiene. Leading to gingival pocket formation, swollen gums, bleeding bums, bad breath, dental caries, pyorrhea, etc. When these problems remains untreated for long time; severity oof the problem increases and develops mobile (loose) teeth, deep carious teeth, severe pain condition.
  • Advice:- maintain your oral hygiene, brush your teeth twice daily. Consult to dentist at every 6 month or one year time interval for regular dental check up. Don't ignore you minor oral or dental problems. Minor problems develops in major problems with increase in time. Be aware for your oral cavity and teeth.
2 people found this helpful

All About Periodontal Disease

MDS - Oral & Maxillofacial Surgery, BDS
Dentist, Hyderabad
All About Periodontal Disease

Many adults suffer from Periodontal disease, which may result in slight swelling of the gums or something more severe as grave damage to the bone and tissue, which holds on to the teeth. After the onset of Periodontal disease, dental care is essential as it will determine the progress of the condition. 

What are some of the causes of Periodontal disease?
1. Smoking is one of the main causes of gum diseases. Moreover, it also reduces chances of effective treatment.
2. Hormonal changes in women make the gums increasingly sensitive; as a result they become more susceptible to the onset of gingivitis.
3. Diabetic patients are more likely to develop infection of the gums.
4. The ongoing treatment for serious medical conditions like AIDs and cancer can also cause Periodontal Disease.
5. Genetics also plays an essential role in the onset of gums diseases. 

What are the symptoms of Periodontal disease?
1. Persistent foul breath 
2. Red inflamed gums 
3. Tender gums with some amount of bleeding 

4. A sensation of pain while chewing food 
5. Loose teeth
6. Teeth sensitivity 

In case these symptoms are experienced, a dentist should be immediately consulted.

How is Periodontal disease treated?
1. The most effective way of treating Periodontal disease, is by controlling the progression of the condition. The type of treatment generally depends on the extent of the disease. 
2. Generally the doctor begins treatment by cleaning out the plaque, through a process called scaling and root planing. Scaling gets rid of the tartar from the gums and root planing removes rough spots from the root of the tooth, where bacteria generally accumulate and breed. Sometimes, a laser is also used for the same. 
3. After the cleaning is done, certain medicines are recommended and the doctor recommends strict oral care. 
4. If the diseases continue to worsen, a surgical treatment may be recommended. 
5. Some surgical treatments include flap surgery and bone and tissue grafts.

4655 people found this helpful

How would you know if you had periodontal diseases?

MDS Prosthodontics, BDS
Dentist, Dehradun
How would you know if you had periodontal diseases?

Unlike tooth decay, which often causes discomfort, it is possible to have periodontal diseases without noticeable symptoms. That is why regular dental checkups and periodontal examinations are very important. Several warning signs can signal a problem. While periodontal disease may begin slowly for some patients. Others may develop a rapidly slowly for some patients, others may develop a rapidly progressive form of the disease. If you notice any of the following:

1. Gums that bleed easily

2. Red, swollen, or tender gums.

3. Gums that have pulled away from your teeth.

4. Persistent bad breath.

5. Pus between the teeth and gums.

6. Looser or separating teeth.

7. A change in the way your teeth fit together when you bite.

8. A change in the fit of partial dentures.

1 person found this helpful

What causes Periodontal Diseases?

MDS Prosthodontics, BDS
Dentist, Dehradun
What causes Periodontal Diseases?

The mouth is filled with countless bacteria. Periodontal disease begins when certain bacteria in plaque (the sticky, colorless film that constantly forms on the teeth and the surfaces lining the mouth) produce toxins and enzymes that irritate the gums and cause inflammation. The resulting inflammation, which may be painless, can damage the attachment of the gums and bone to the tooth.

Good oral hygiene-brushing twice a day and flossing or using another interdental cleaner once a day-helps reduce the plaque film. Plaque that is not removed regularly can harden into rough porous deposits called calculus, or tartar. Tartar is not the main cause of periodontal diseases, but the pores in tartar hold bacteria and toxins, which are impossible to remove even with regular brushing. Once the hardened tartar forms, it can only be removed when teeth are cleaned professionally at the dental office.

Periodontal Disease - How To Manage It?

Dentist, Hyderabad
Periodontal Disease - How To Manage It?

The gums are also called the periodontium - perio for around and dontium for tooth as the gums are literally present "around the tooth."  There is a softer mucosal portion that runs along the tooth in a curved manner and a stronger fibrous portion that connects the tooth to the jaw bone.  Together, they provide the structural support for the tooth to be held in place. In addition they also have an esthetic value with the healthy pink color.

The mouth has the largest number of bacteria in the body, which act on the food debris that is present on the tooth and the gums. This causes infection in both the gums and the tooth. 

Types: Periodontal disease can be localized or general.

  • Localized disease happens when a tooth is not accessible for thorough cleaning.  The inside surface of lower incisors and outer surfaces of the upper last molars are common areas of localized periodontal disease. 
  • Generalized periodontal disease can be due to conditions like pregnancy, puberty, diabetes where gums around all the teeth are affected.

Symptoms: In both the cases, the following symptoms ensue: 

  • Red gums:  The gums are of a healthy pink color and if they turn darker hue of pink
  • Swollen and/or painful gums
  • Spontaneous bleeding: This may be localized or generalized 
  • Chronic bad breath: Due to food accumulation in the infected gums
  • If it continues to form an abscess, pressure on the gums can produce pus
  • Bad taste in the mouth (arising from pus in the gums)
  • Gingival recession, producing an effect of having longer tooth 
  • Dentin is exposed leading sensitivity to hot or cold foods
  • Loosening of the tooth
  • Painful chewing, as it puts pressure on the inflamed periodontium
  • Dentist will identify what are called pockets, which is an indication of severity - the deeper the pockets, the severe the disease.

Management and Prevention: Gum disease is very easy to identify and can be completely cured.

  • Regular brushing and flossing can help maintain regular oral hygiene 
  • With each brushing session, plain finger massage of the gums improves blood circulation and their overall health
  • Regular use of mouth rinse is a good way to improve gum health
  • Regular visits to the dentist can help keep a check on the health of the teeth and the gums - early identification of disease and early treatment
  • Once it has set in, deep scaling followed by root planing may be required to thoroughly clear out the infection
  • More surgical options like gingival grafts, flap surgery, bone grafting in case of severe bone loss may be required. 
  • Management of conditions like diabetes

The best way to avoid periodontal disease is to know its symptoms, follow oral hygiene practices, and visit a dentist regularly.

2917 people found this helpful

Popular Questions & Answers

Best mouth wash for periodontal disease gum disease. please suggest good for gum.

BDS, MDS - Oral & Maxillofacial Surgery, Advanced course in maxillofacial sugery
Dentist, Lucknow
Only mouth wash can't help consult a periodontist u may require gingival curettage or gum surgery than use apart from other measures a mouth wash

Hello. I want to know why Doxycycline is used twice in the first day of treatment of periodontal disease?

Dentist, Gurgaon
It is given to subside infection .. and subside all the swelling present after treatment so that ut heals properly ...

I am a 20 year old male. I am going through dental sensitivity, PERIODONTAL bone disease was found in X ray.

Dentist, Mumbai
Most probably it may be due to deposits on teeth. I would advice you to go for regular cleaning of teeth as periodontal bone loss is easy and cheap to prevent as compared to curative treatment. You are young and need to take care of your teeth for them to serve you longer.
2 people found this helpful

Mouth gum problem. Like Periodontal Disease so give me a treatment. This problem with pain and swelling.

BDS, MDS - Periodontics
Dentist, Kochi
You need to visit a periodontist nearby .start with scaling and root planing .gingival curettage if necessary. Any amount of treatment you do but if maintenance at home is poor then the expected results cannot be achieved.
1 person found this helpful

Have advanced periodontal symptoms, can you please suggest possible treatment and cost in Bangalore.

Dentist, Delhi
Hello Lybrate user, in periodontal diseases, first scaling n polishing should be done. You are supposed to use mouthwash twice daily. Use interdental brushes n dental floss to clean the interdental areas. Use ultra soft bristles toothbrush to clean your teeth. Use gum paint also to strengthen your gums.
1 person found this helpful

Table of Content

What is the treatment?
How is the treatment done?
Who is eligible for the treatment? (When is the treatment done?)
Who is not eligible for the treatment?
Are there any side effects?
What are the post-treatment guidelines?
How long does it take to recover?
What is the price of the treatment in India?
Are the results of the treatment permanent?
What are the alternatives to the treatment?
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Namaskar, main Vedya Ravindra Kaushik, ek certified Pulse diagnosis expert hoon. Pichle 6 saalo se hum Chronic diseases ke root causes ka upchaar karte aa rahe hai. Aur majorly jin diseases ka humne safal upchaar taiyaar kiya hai, un diseases me major diseases jo ki involved hai, wo hai, heart diseases, infertility, Diabetes, arthritis etc hai. Yeh chronic diseases aaj kal har ghar me kisi na kisi family member ko hoti hai.

Sabse pehle main apne process ko samjhana chahunga-

Sabse pehle hum pulse diagnosis karte hai. Isme hum basically body ke constitution ko study karte hai kyuki beemari ek hoti hai lekin uske causes alag-alag ho sakte hai. For example, person A me wo root cause alag hai, person B me root cause alag hai aur person C me root cause kuch aur hai. Root cause ke basis pe medicines change hojati hai, diet instructions bhi change hojate hai. Isliye hum sabse pehle body constituents ko study karte hai pulse diagnosis ke through.
Body constituents study karne ke baad hum herbal medicines taiyar karte hai depending on the root cause. Jab patient herbal remedies and dietry ko follow karta hai, to patient apni chronic diseases se free hojata hai.
Aap humse contact karne ke liye humari Lybrate profile se humse connect ho sakte hai, ya fir aap directly humare clinic me visit kar sakte hai. Humare 3 clinics hai. Ek Rohini me aur 2 clinic Gurgaon me.

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I am Dr. Dinesh Kumar and I am a General Physician. Lifestyle diseases are defined as disease link with a way, people live their life. This is commonly caused by alcohol, drugs, smoking as well as lack of physical activities and unhealthy eating. Diseases that impact our lifestyle are heart diseases, stroke, obesity, diabetes, arthritis, metabolic syndrome, chronic renal disease, renal failure and depression and also there can be some psychosexual disorder. So, what is the prevalence and risk factors? In India, 25% of people, over 25 years of age, they suffer from hypertension and this hypertension causes severe morbidity and mortality. It is a high-risk condition causes approximately 50% of death from stroke and 50% of coronary artery disease which is heart disease. The dominant diseases and in this aspect are considered to be CAD, cancer, chronic obstructive pulmonary disease (COPD) or asthma and obesity.

There may be some risk factors associated with this and these can be modifiable risk factors or non-modifiable risk factors. People have started to consume more meat, dairy products, vegetable oils, tobacco, sugary foods, coca-cola, and alcoholic beverages. They have developed a sedentary lifestyle and greater risk of obesity. So, rates of colorectal cancer, breast cancer, prostate cancer, and lung cancer. They have started increasing. After these dietary changes or the modification in the lifestyle. Adults can develop lifestyle diseases through behavioural factors that impact on that. These can be unemployment and unsafe life, poor social environment. Certain diseases, such as diabetes, dental cavities, and asthma, they appear at greater risk in the younger population.

It is important to note that the combination of these modifiable and non-modifiable factors are responsible for this non-communicable disease. The non-modifiable risk factors basically comprise those characteristics that are inherent that is age, sex, and genes and cannot be altered due to individual and environmental effects. On the other way, we have the modifiable risk factors which can be transformed by the society or individuals. Thereby ensuring amended health outcomes poor diet, physical inactivity, tobacco use has been typically highlighted as the prime cause of lifestyle diseases by WHO. typically we have 4 common modifiable risk factors that can be controlled.

These are an unhealthy diet, physical inactivity, tobacco use and harmful use of alcohol. The composition of human diet has changed considerably over time. With the high demand for readily available pre-cooked food are found to be high in sugar and salt and they lack inadequate nutrition. This spread of fast food culture has resulted in the increased spread of obesity. Tobacco accounts for 30% of cancer globally but these lifestyle diseases are affecting and how these are affecting the society. The population growth has slowed down but still remains very high. It is also observed at the growth of population in the bracket of 60 years and above is increasing along with the effects of morbidity and mortality. The burden of these diseases has significantly affected as well. There has been a rise in unemployment as well and healthcare expenditures. Prevention and management is the final part here.

In order to improve the situation, we will have to increase spending on prevention, screening and early detection of such cases. Reducing the fat, compulsion of diet, engaging in regular physical exercises. The cost of treatment for an oral cancer patient has estimated about 4 lakhs. Most oral cancers are preventable by avoiding the use of tobacco. Such an approach will be a relief to most Indian families that meets 70% of there health expenses out of there own pockets. Lifestyle diseases can be tackled to a large extent by simple modifications in our lifestyle, dietary changes. For example: reduce salt intake, increase consumption of fruits, salads, and vegetables. Improve physical activities and avoid the use of alcohol. Perhaps, by increase alcohol and tobacco usage and through information, communication through medical websites like Lybrate. If you want to meet me, you can meet in my Noida clinic which is in Supertech. You can also consult me online through Lybrate.

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