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Treatment of periodontitis in sleep

Periodontitis is a severe form of tooth and gum infection that occurs when gingivitis spreads to the anatomical structures that hold the tooth in place. Bacterial plaque first builds up between the teeth and gums and then spreads to the bones under the teeth. It is best to treat periodontal disease in your sleep as soon as possible to avoid potential risks.

This causes the gums to swell and bleed, and the teeth to breathe and loosen. The dentist takes x-rays of the teeth and measures the periodontal depth to estimate the severity of the periodontitis.

The disease often requires frequent cleaning of the teeth in the dental office, sometimes in case of deterioration of the teeth and gums, the dentist recommends periodontal surgery and antibiotics. Periodontitis can affect people of any age group, including young children. However, some patients may have severe cases of gingivitis that may persist for years without periodontitis.

Diagnosis of periodontitis

To find out if you have periodontitis and the severity of your infection, you can evaluate the depth of your infection and damage to your teeth and gums in the following ways:

  • Review your medical history for factors that may play a role in your gum infection symptoms, such as smoking or taking certain medications that cause dry mouth.
  • Examine your mouth for plaque and bleeding.
  • Measure the depth of infection for a superficial depression between the gums and teeth by placing a dental probe next to the tooth below the gum line. In a healthy mouth, the periodontitis depth is usually 1 to 3 mm. Infections deeper than 4 mm may indicate periodontitis. Infection areas larger than 5 mm are not well cleaned.
  • Examine the teeth for x-rays to check for bone loss in different parts of the mouth and gums that increase the depth of the disease.
  • Your dentist can determine the stage of the disease you are in and the degree of periodontitis based on the severity of the disease, the difficulty of treatment, your risk factors and your health.

Treatment of periodontitis

Treatment may be given by a periodontist, dentist or periodontist. The goal of periodontitis treatment is to completely clear the infections around the teeth and prevent damage to the bone around the gums. When you follow a daily oral care program, manage the health conditions that may affect dental health and stop smoking, then you have the best chance of successful treatment.

Treatment of periodontitis other than surgery

If periodontitis has not progressed, treatment may include low-risk methods, including:

Scaling removes plaque and bacteria from the surface of the teeth and under the gums. You can cure your disease by using tools such as lasers or other devices.
Removing hard dental plaque reduces the buildup of bacteria and eliminates the bacterial byproducts that help with inflammation and accelerates the healing or reattachment of the gums to tooth surfaces.
Oral antibiotics can help reduce bacterial infections.

Treatment of periodontitis through surgery

If you have periodontitis, surgery may be a good treatment for you, which is done through:

Flap surgery (sinus surgery)

The periodontist makes small incisions in your gums so that they can remove the infected gum tissue and expose the roots of the teeth, which helps to exfoliate and better access the teeth.
Because periodontitis causes bone loss, the lower bone can be trimmed before the gum tissue returns to its position. Once healed, it will be easier to clean these areas and keep the gums healthy.

Soft tissue transplantation

When you lose some of your gum tissue, your gum line falls back. You need to strengthen some of the damaged soft tissue to get it back to normal. This is usually done by removing a small piece of tissue from the roof of the mouth, or using the tissue of an external donor and attaching it to the affected area. This helps to reduce gingivitis, cover the exposed roots of the teeth and make them look better.

Orthopedic implantation

We use this medical method when periodontitis causes damage to the bones around the root of your tooth. The implant is made up of small pieces of your bone, either artificially made from bone or from another donor. Orthopedic implants prevent tooth loss by holding the bone in place. It also helps regenerate the main bone.

Regenerated guided tissue helps regenerate bone damaged by bacteria. In one operation, your dentist inserts a special piece of biocompatible tissue between pre-existing bone and teeth. This tissue prevents any unwanted tissue from entering the area during healing and allows existing bone to grow back.

Causes of periodontitis

Topical antibiotics may include mouthwash antibiotics or the use of antibiotic gels in the space between the teeth and gums, or deep infections. However, oral antibiotics may also be needed to completely kill the bacteria that cause the infection.


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