Let adult teeth “on the job and in the state”
In the trilogy of dental care, in addition to replacing deciduous teeth in school-aged children, tooth loss is more common in the elderly. The reporter learned from the Stomatological Hospital Affiliated to Zhejiang University School of Medicine that now too many “90s” have also entered the team of tooth loss.But most cases are still under control.Teeth can “stand on the heels” steadily, all relying on the supporting tissues of the teeth (ie periodontal tissues), and periodontitis causes the supporting tissues to be destroyed, and the teeth will naturally fall loose.Li Xiaojun, director of the periodontal department of Zhejiang University Stomatological Hospital, said that these “90s” after tooth loss were basically caused by periodontitis.Periodontal disease is the most common oral disease.The latest national oral health survey shows that the detection rate of calculus in adults over 35 years of age is as high as 90%, and the detection rate of gum bleeding is more than 82%.Among the surveyed population, less than 10% of those with periodontal health were healthy.However, 49.More than 6% of adults still believe there is no problem with their oral health.Therefore, our reporter interviewed Professor Luan Qingxian, director of the periodontal department of Peking University Stomatological Hospital, and asked him to introduce his knowledge about periodontal disease protection.Bleeding gums, stuffing teeth during eating, large gaps between teeth, heavy breath . Pay attention to these symptoms. This is an inflammation reaction of periodontal tissue. Reporter: What are the symptoms of periodontitis?Luan Qingxian: If a tooth is likened to a tree, the periodontal tissue is the soil around the root of the tree.Under the long-term effects of bacteria, periodontal tissues will produce an inflammatory response, which can manifest as the following symptoms.Gingival bleeding: bleeding when brushing, sucking, or biting hard food. The amount of bleeding is usually small, and it stops after rinsing, so it is often ignored.Others have dark brown saliva after waking up in the morning, which is one of the symptoms of bleeding gums.Teeth are sensitive to cold and heat: The tooth root is exposed due to periodontal tissue destruction, which can cause cold and heat sensitivity of the tooth. When a large amount of plaque accumulates on the root surface of the tooth, it can aggravate the symptoms of tooth sensitivity.Red and swollen gums: under the action of inflammation, the blood vessels dilate causing the gums to change from pink when healthy to bright red or dark red.Itchy gums: This symptom is relatively rare, but may indicate a problem with the periodontal area of the patient.Food impaction (plugging teeth): There are many reasons for food impaction, and gum receding may be one of the first.Periodontal swelling: accompanied by changes in gingival morphology, periodontal abscess may occur in patients with moderate to severe periodontitis. Many people think that periodontal swelling is the cause of “fire”, but in fact only half right, because the swelling must have potentialPeriodontal problems. Immunity decreases when “on fire”, resulting in swelling symptoms.Heavy breath: There are many reasons for heavy breath, and periodontal inflammation is one of the reasons.The gap between the teeth becomes longer and the teeth become longer: due to the destruction of the periodontal tissue, the accompanying symptoms after the gap appear when moving toward the root of the tooth.Loose teeth, displacement: It is also an advanced symptom of periodontitis, indicating that the supporting tissue around the root of the tooth has been lost to a serious degree.Tooth loss: The process of periodontal disease is a process of bone and flesh separation. When the connection between the root of the tooth and the gum is completely cut off, the tooth will be replaced automatically.The treatment of periodontal disease is a process of “stepping on the brakes”. Whether the condition can be controlled depends on whether the patient’s habits can be changed in addition to effective treatment. Reporter: Who is susceptible to periodontal disease?Luan Qingxian: The main cause of periodontal disease is dental plaque (bacteria).As long as there are plaque on the tooth surface, periodontal disease may occur and develop.Of course, the body’s response is also an important factor in its pathogenesis.So, who is more susceptible to periodontal disease?First of all, those who do not clean their mouths carefully and cannot check their teeth regularly are susceptible to periodontal disease.In fact, smokers are more susceptible to periodontal disease.Because smoking can inhibit the defense function of mononuclear phagocytes and neutrophils in the blood, it can also promote the growth of some pathogenic bacteria by reducing local oxygen tension.In addition, smoking can inhibit the growth of fibroblasts and affect wound healing.Third, hyperglycemia can lead to defects in chemotaxis and phagocytosis of white blood cells, decreased resistance to infection, and impaired wound healing.Therefore, patients with diabetes are also at high risk for periodontal disease.Reporter: How is periodontal disease treated?Luan Qingxian: The removal of plaque and calculus that cause periodontal inflammation is the key to treating periodontal diseases. To put it another way, it is to improve the living environment of teeth.If you don’t take care of your teeth, your teeth will eventually leave you, because love and being loved are always mutual.The characteristics of plaque determine that the most effective method for controlling plaque is mechanical methods such as brushing teeth. The effect of drugs on plaque is very limited.It is important for everyone to master proper plaque control behaviors and develop good oral health habits.Just like washing your face every day, plaque also needs to be brushed daily 上海夜网论坛 to control.If the plaque on the tooth surface is not removed in time, it may be calcified by calcium ions in the saliva, forming hard tartar on the tooth surface.Toothstone requires professionals to use special equipment to remove it. This process is called “Jiezhi”.If plaque and calculus are not removed in time, through the progress of periodontal disease, the periodontal tissue is separated from the root surface to form a periodontal pocket, and tartar will be generated in the periodontal pocket.”, Periodontal tissues cannot be healed and need to be treated with a curettage under plaster.For patients with moderate to severe periodontitis, periodontal surgery is often required on the basis of cleansing and curettage under blood sugar to completely remove plaque and calculus.The treatment of periodontal disease is a “step 武汉夜网论坛 on the brake” process. In addition to effective treatment, it depends on whether the patient’s habits can be changed (such as quitting smoking and insisting on brushing teeth every day).If effective treatment and good oral health habits are not achieved, periodontal disease will go all the way and eventually leave your teeth away.Therefore, the initiative of periodontal health is in the hands of everyone.The only effective way to prevent periodontal disease is to adhere to good oral hygiene habits and thoroughly remove all plaque on the surface of teeth every day. Reporter: How to prevent periodontal disease?Luan Qingxian: In the early stages of periodontal disease, such as gingivitis, it can be completely restored to normal state after thorough treatment. However, if the disease is allowed to develop, gingival recession occurs, and alveolar bone is absorbed horizontally, it will be difficult to return to its original state.From a professional perspective, the standard for curing periodontal disease is that inflammation is controlled and periodontal tissue destruction stops.If judged by this standard, periodontal disease can be controlled.Periodontal diseases Tuberculosis and other infectious diseases cannot be prevented by vaccination like smallpox and measles.Periodontal disease is an infectious disease caused by bacteria inherent in the oral cavity and is an endogenous infection.Bacteria that cause endogenous infections can exist in healthy individuals and induce disease under certain conditions, but their toxic metabolism leads to infection of periodontal tissues is usually a chronic process because pathogenic bacteria have already inhabited the body and the body.Endogenous infection is not contagious and clinically immune, so it can be prevented by isolating the source of infection.Fortunately, periodontal disease can be prevented by removing plaque and tartar in time.The only effective way to prevent periodontal disease is to adhere to good oral hygiene habits and thoroughly remove all plaque on the surface of teeth every day.Although plaque is constantly formed, the number of major pathogenic bacteria in newly formed plaques is small, thus providing opportunities for the prevention and control of periodontal disease.In addition, dentists strongly recommend “cleaning” the teeth every six months. Regular “cleaning” is also the key to preventing periodontal disease.