Can Periodontal Disease Be Cured? Its Impact on Oral Health - Dentistry

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Periodontal disease


I have periodontal disease, and when I visit the dentist, the doctor only advises me to pay attention to oral hygiene and use mouthwash.
I have been following the doctor's instructions, but my periodontal issues persist.
Dr.
Zhuang, is there a way to completely cure periodontal disease? Also, I have a long-standing concern: can periodontal disease cause acne around the mouth, including on the lips and cheeks? Thank you!

Iven, 20~29 year old female. Ask Date: 2005/08/31

Dr. Zhuang Suhui reply Dentistry


Periodontal disease can be broadly classified into gingivitis and true periodontitis.
The distinction lies in the fact that simple gingivitis does not involve the bone and is reversible; that is, normal conditions can be restored by removing the inflammatory factors.
True periodontal disease, which affects the bone, requires a longer duration to develop.
Given your age, it is likely that you are still in the stage of "gingivitis." If you pay attention to oral hygiene and ensure that it is thoroughly clean, you can see significant improvement quickly.
Periodontal disease can lead to fistulas, but it is unrelated to acne.

Reply Date: 2005/08/31

More Info


Periodontal disease, commonly known as gum disease, is a serious condition that affects the tissues surrounding the teeth. It is primarily caused by the accumulation of plaque—a sticky film of bacteria—on the teeth. If not properly managed, this condition can lead to inflammation of the gums (gingivitis) and, if left untreated, can progress to periodontitis, which involves the loss of the supporting bone structure around the teeth.
To address your question about whether periodontal disease can be cured, it's important to understand that while it may not be "cured" in the traditional sense, it can certainly be managed and controlled. The key to managing periodontal disease lies in maintaining excellent oral hygiene practices, which include regular brushing, flossing, and professional dental cleanings. These practices help to remove plaque and tartar buildup, which are the primary culprits behind periodontal disease.

In cases of established periodontal disease, treatment may involve more intensive procedures such as scaling and root planing, which are deep cleaning techniques that remove plaque and tartar from below the gum line. In some cases, surgical interventions may be necessary to restore the health of the gums and bone. After initial treatment, ongoing maintenance is crucial. This typically involves more frequent dental visits for cleanings and check-ups to monitor the condition of your gums and teeth.

Regarding your concern about the relationship between periodontal disease and the development of acne-like lesions around the mouth, it is essential to note that while periodontal disease itself does not directly cause acne, there can be indirect connections. The inflammation caused by periodontal disease can potentially exacerbate skin conditions, especially in individuals who are predisposed to acne or other skin issues. Additionally, stress and hormonal changes, which can be influenced by oral health issues, may also contribute to the development of acne.

If you are experiencing persistent issues with your periodontal health despite following your dentist's recommendations, it may be beneficial to seek a second opinion or consult a periodontist— a specialist in gum diseases. They can provide a more comprehensive evaluation and tailored treatment plan that addresses your specific needs.

In summary, while periodontal disease may not be completely "cured," it can be effectively managed through diligent oral hygiene practices and professional dental care. If you are experiencing additional symptoms such as skin lesions, it is advisable to consult with a healthcare provider who can assess your overall health and provide appropriate treatment options. Remember, maintaining good oral health is not only crucial for your teeth and gums but also plays a significant role in your overall well-being.

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