Methods 1: Bone loss was repaired by medical methods.
1, dental implant surgery to repair bone loss. The lost cementum is difficult to regenerate. At present, the only way to completely repair cementum is dental implant surgery. After operation, the wound should heal within two weeks. The doctor may tell you that it takes three to six months for dental implant surgery to take effect.
Dental implant surgery that can repair cementum loss can be divided into three categories, as follows.
2. Implanting distraction osteogenesis into teeth to promote bone regeneration. During the operation, the doctor will take out the bone from the jaw and mandible and transplant it to the missing part of the tooth bone. The transplanted bone cells will begin to proliferate and grow new bones to replace the lost bones. Obtaining bone from a certain part of the body and transplanting it to the part where bone loss occurs is the gold standard of bone transplantation.
When using this technology, the body will not reject new bone cells because it has the ability to recognize that these bone cells are autologous cells.
Bone marrow transplantation is usually used for distraction osteogenesis.
3. Understand that conductive bone grafting provides a scaffold for bone growth. When doing this operation, the doctor will implant a bone graft in the lost part of the bone. These implants will become scaffolds for the growth and proliferation of osteoblasts. Bioactive glass is a kind of scaffold material.
Bioactive glass will be transplanted to the bone loss site together with bone graft to regenerate cementum.
This bioactive glass will be used as a scaffold for bone graft growth and bone formation. They also release growth factors and improve the efficiency of osteoblasts to form bones.
4. Try bone conduction surgery to promote the growth of stem cells. When this technique is used, bone grafts such as decalcified bone matrix (DBM) from remains and bone banks will be transplanted to the defect of cementum. Decalcified bone matrix can promote the growth of stem cells in bone loss areas, which will be transformed into osteoblasts. These osteoblasts will repair bone defects and form new dental bones. It is legal and safe to use decalcified bone matrix graft donated by remains. Before transplantation, all grafts should be thoroughly disinfected.
After ensuring that the bone graft can be safely transplanted, the doctor will test it to see if it is suitable for the patient's body. This is very important to ensure that the transplant will not be rejected by the body.
5, do deep curettage to remove the infection that leads to bone loss. Deep curettage or non-surgical root planing is a deep cleaning technique, which is usually used for diabetic patients. When using this technique, doctors will thoroughly clean the roots of teeth and remove some roots that have lost bone due to bacterial infection. After deep curettage, gum diseases are usually controlled and cementum will not continue to lose. If you have diabetes, your healing may be affected, and you need to take extra dental precautions, such as antibiotics and antibacterial mouthwash.
The doctor may prescribe doxycycline and let you take 14 days, and take 100 mg every day. This can make up for the damaged immune system.
Doctors may also prescribe chlorhexidine mouthwash to eliminate the bacteria that cause serious gum disease. You have to rinse your mouth with 0.2% chlorhexidine solution for 30 seconds, 14 days. [3]
6. Use estrogen replacement therapy to prevent osteoporosis. Estrogen can slow down bone loss, help prevent osteoporosis and maintain mineral content in bones. Hormone replacement therapy can also reduce the risk of heart disease and fracture. There are several ways to implement this therapy, and the following are the most commonly used: estrrace: 65438+0 to 2 mg per day for 3 weeks.
Premarin: 0.3 mg per day for 25 days.
The following are estrogen skin patches, which can also be used for estrogen replacement therapy. These patches need to be attached to the abdomen below the waist line: Alora.
Klimara
Estrade M.
Vivelle point
Method 2: Prevent bone loss.
1. Maintain good oral hygiene and prevent loss of cementum. Preventing the loss of cementum can avoid having to do expensive dental implant surgery in the future. As long as necessary measures are taken, the prevention work is very simple. To maintain good oral hygiene, you only need to follow the following simple steps: Brush your teeth after meals-brushing your teeth at least twice a day can prevent gum disease. Brushing teeth can remove dental plaque that leads to gum disease and bone loss.
Floss your teeth after brushing your teeth. Floss to remove plaque that has not been cleaned by brushing. It is necessary to floss your teeth after brushing your teeth, because the bristles of the toothbrush may not touch the dental plaque left on your teeth.
2. Go to the dentist regularly and clean your teeth thoroughly. Tooth decay is one of the main causes of tooth bone loss. Regular visits to the dentist, thorough cleaning and comprehensive dental care can prevent tooth decay. In order to protect the bones of your teeth, you must keep every tooth healthy.
It is necessary to see a dentist once every six months and do regular cleaning.
Consult your dentist regularly so that he or she can monitor your oral health and prevent gum problems.
X-ray can clearly show the area of bone loss in teeth.
If you don't have regular dental examinations, by the time you find bone loss, it may be irreversible.
3. Use fluoride toothpaste when brushing your teeth. Fluorine toothpaste can provide necessary minerals for teeth, bones and enamel, thus protecting teeth and gums and preventing bone loss. It is best not to overuse fluoride other than toothpaste, because it will lead to other health problems.
Brush your teeth once a day with fluoride toothpaste and use ordinary toothpaste at other times.
Don't let children under 10 use fluoride toothpaste.
4. Increase calcium intake to support bone health. Calcium is an important nutrient for bone health, including teeth. Foods rich in calcium and calcium supplements can ensure adequate calcium intake, ensure the strength of bones and teeth, enhance bone density, and reduce the risk of bone loss and tooth fracture. Foods such as low-fat milk, yogurt, cheese, spinach and soybean milk are rich in calcium, which is very important for keeping teeth and bones strong.
Calcium supplements also contain calcium. Take a tablet of calcium 600+ after breakfast and dinner. If you miss the time to take it, take it as soon as you remember.
5. Take enough vitamin D to promote the absorption of calcium. Take vitamin D supplements or bask in the sun properly to ensure adequate vitamin D in the body. Vitamin D can promote the absorption and retention of calcium in the body, thus increasing bone density. To judge whether you lack vitamin D, you can ask a doctor to check your blood and test the vitamin D content in your blood. If the test result is less than 40ng/mL, it means that the content of vitamin D in blood is low.
The reference value of vitamin D content in blood is 50ng/mL.
Take 5,000IU of vitamin D supplements every day.
Method 3: Understand the risk factors and find the symptoms early.
1. Understand the symptoms and signs of cementum loss, so as to effectively solve the problem. It is difficult to find early tooth bone loss just by observing teeth. Dentists usually need to take X-rays or CT scans to see if the bones are shrinking. If you haven't seen a dentist for a long time, by the time you find the loss of cementum, it may have been serious. You can observe some changes in bone loss. The reason for these changes is that bones are shrinking and cannot support teeth as effectively as before. Please note that these changes will only gradually emerge over time:
Tooth protrusion
There is a gap between the teeth.
The teeth feel loose and can move left and right.
tine angle
Tooth rotation
The feeling of occlusion has changed compared with before.
2. Severe gum disease is the main cause of cementum loss. Periodontitis or severe gum disease is caused by bacteria in dental plaque, which can lead to tooth bone loss. Bacteria in dental plaque parasitize gums and secrete toxins that cause bone atrophy. In addition, the immune system may also lead to bone loss in the process of destroying bacteria. This is because the secretion of matrix metalloproteinase, interleukin-1β, prostaglandin E2, tumor necrosis factor α and other immune cells can also lead to bone loss.
3. Diabetes will increase the risk of bone loss. Diabetes is a disease caused by disorder of insulin secretion or poor insulin effect. The former is 1 diabetes, and the latter is type 2 diabetes. Both types of diabetes will affect oral health. Diabetic patients usually have serious gum problems, which may lead to tooth bone loss. Diabetes patients with high blood sugar, or high blood sugar level, will promote the growth of bacteria that lead to bone loss.
The host defense ability of diabetic patients is impaired because their white blood cells are weakened, which makes them more susceptible to infection.
4. Osteoporosis can lead to systemic bone weakness and bone loss. Osteoporosis mostly occurs in women over 60 years old, which will lead to the decrease of bone mineral density. This is because the balance of calcium and phosphorus to maintain bone mineral content is destroyed and the level of estrogen is reduced. The decrease of overall bone density will also affect the dental bone, which will face the risk of bone loss.
5, remember, tooth extraction will lead to bone loss. When a tooth is lost, the bone usually shrinks immediately. After tooth extraction, blood clots will form there, and white blood cells will flow to the original part of the tooth to remove bacteria and damaged tissues. After a few weeks, new cells will flow to the site and continue the clearance process. These bone cells can promote the formation of dental bone. However, these cells can only complete the above process in the presence of teeth, because they need bones to support them. Without teeth and any bones, these cells cannot form new bones.