2. Maintain good oral cleaning habits. Diabetic patients can carry a portable toothbrush with them and brush their teeth at any time after meals to keep their mouth clean. Refuse to use irritating and odorous food.
3. Try to avoid choosing exaggerated deodorant spray on the market. This kind of product is only an emergency tool, which treats the symptoms rather than the root cause. The fundamental problem needs symptomatic treatment.
4, smooth sugar control, stable blood sugar, corresponding complications will be reduced, and oral problems will be alleviated.
The above are the causes and treatment methods of bad breath of diabetic friends, and patients should strengthen daily oral care. Adults' teeth will not regenerate. Once damaged, they will face continuous pain and a lot of expenses. Therefore, for unnecessary troubles, paying attention to oral health and strictly treating diabetes is the reasonable solution. For patients with periodontitis, sometimes orthodontic treatment is a better method. Therefore, periodontitis can correct teeth, but it needs to be based on the fact that the inflammation of periodontitis has been controlled, the stimulating factors and deep periodontal pockets that lead to periodontitis have been eliminated, and the gums have been kept in a healthy state. Only by educating patients, making them master the methods of plaque control, ensuring that plaque control is seriously implemented during orthodontic treatment, and regularly reviewing periodontal conditions, can orthodontic treatment be started.
If periodontitis is untreated or treated with inflammation, the plaque can't be controlled and the patient's condition is active, so it is impossible to correct the teeth. Because the strength of orthodontics at this time will lead to the deterioration of periodontal disease, accelerate the destruction of periodontal tissue, and even lead to periodontal abscess.
Periodontitis can be treated by orthodontics, but it must be controlled. Many friends came to the hospital for oral examination and found that they had periodontitis, which often manifested as gingival recession, alveolar bone absorption and tooth loosening and displacement. At the same time, these people often find that their teeth are getting bigger and bigger and their front teeth are drifting. Therefore, periodontitis has brought great trouble to everyone, both functionally and aesthetically. So, how to do orthodontic treatment for periodontitis patients?
1. What is periodontitis?
The incidence of periodontitis is very high in China, especially in adults, which is as high as 90%, that is to say, there are more or less different degrees of periodontal disease. There are many causes of periodontitis, the most common one is poor oral hygiene maintenance, which leads to plaque deposition and even mineralization to form tartar to stimulate periodontal tissue, thus causing periodontal tissue inflammation. In the early stage, it may only be manifested as gum swelling and pain, bleeding from brushing teeth, etc. However, with the progress of the disease, it will lead to the loss of alveolar bone and the risk of tooth loosening, displacement or even falling off. Many patients will feel that their periodontal condition is not good, even some teeth are loose, and they are full of doubts about whether they can be treated with orthodontics. But in fact, periodontitis is not a contraindication for orthodontic treatment. Even if there is partial loss of alveolar bone, as long as periodontal disease is effectively controlled and root resorption does not exceed 1/2, orthodontic treatment can be carried out. Therefore, patients with periodontitis must undergo complete periodontal treatment before orthodontic treatment, and can only be treated after the periodontal condition is stable. Periodontal monitoring and maintenance are also needed regularly during the treatment.
3. What are the risks of orthodontic treatment without effective control of periodontitis?
The principle of orthodontic treatment is that after a certain force is applied to the teeth, the alveolar osteoclasts on the pressure side of the teeth will be absorbed, while new bones will be deposited on the other side. When there is inflammation around our teeth, new bone cannot be deposited, which will accelerate the destruction of alveolar bone, aggravate tooth looseness and even lead to tooth loss. Therefore, when the orthodontist reminds you to go to periodontal treatment before starting orthodontic treatment, it is definitely not an alarmist!
4. What effect does orthodontic treatment have on periodontal disease?
Here, let's first look at a periodontitis patient before and after I orthodontic treatment in the Orthodontics Department of Tongji University Stomatological Hospital. Before treatment, this patient had some typical problems caused by periodontal disease, such as protrusion of upper teeth, fan-shaped displacement, oversized teeth, etc., which brought great trouble to the patient's aesthetics and occlusal function. After the first orthodontic treatment, we can see that the patient's excessive anterior tooth space has been well closed, the problem of anterior tooth protrusion has also been obviously improved, and the beauty of teeth has brought more confidence to the patient. At the same time, orthodontic treatment makes the occlusal relationship between the upper and lower jaws better, makes the stress on the teeth more uniform and balanced, restores the normal chewing function stimulation of periodontal tissue, and is of great help to maintain periodontal health. Through this case, it can be well explained that orthodontic treatment has brought significant improvement to the aesthetics and occlusal function of periodontitis patients.
In addition, some periodontitis patients themselves are due to the crowded dentition in the mouth, which leads to inconvenient oral cleaning, thus causing periodontitis. This kind of patients will be more conducive to oral cleaning and plaque control after orthodontic treatment, which is of positive significance to periodontal maintenance.
5. What should I pay attention to in orthodontic treatment of periodontitis patients?
In the process of orthodontic treatment, brackets and archwires of orthodontic appliances bring difficulties to the cleaning and maintenance of daily oral hygiene, which makes dental plaque easy to accumulate on the tooth surface. These factors will cause bad stimulation to gums and periodontal tissues and accelerate the development of periodontal disease. Therefore, in the process of orthodontic treatment, regular and standardized periodontal treatment and maintenance is particularly important for patients with periodontal disease. Everyone must pay attention to cleaning their teeth and utensils carefully! The early symptoms of periodontitis are not as painful as toothache, so it is easy to be ignored. In fact, if you carefully observe, periodontitis can be self-aware in the early stage: there is blood on the bristles when brushing your teeth, blood on the apples or hard steamed bread when biting, and bad breath in your mouth, all of which indicate that your gums are inflamed. Enhance self-resistance, reduce systemic diseases, and thus enhance the disease resistance of periodontal tissue.
Keep the oral cavity clean and hygienic, and put an end to the bad habits of periodontal tissue (smoking, drinking, unilateral chewing, etc.). ).
Regular oral examination and timely prevention and treatment. Periodontal experts evaluate the patients' periodontal health and carry out corresponding technical treatment, including supragingival scaling, subgingival scaling and root planing.
Patients should learn self-protection knowledge and methods about periodontal hygiene.
Periodontal maintenance in orthodontic treatment;
Periodontists make regular visits every 3-6 months.
In orthodontic treatment, once inflammation occurs, you should immediately see a periodontal specialist to control the inflammation in time.
Carefully clean the area between the bracket, band and gingival margin of the appliance, maintain good oral hygiene and maintain the stability of periodontal condition.