Therapy of aggressive periodontitis
The treatment is similar to the treatment of chronic periodontitis. – First, the patient is informed about a suitable oral hygiene technique and a professional tooth cleaning is performed. – Afterwards, the gum pockets should be thoroughly cleaned by the dentist and additionally treated with disinfecting rinses (e.g. CHX®).
- A local application of a corticosteroid preparation (e.g. Dontisolon®) can support the healing process. – As the infection is bacterial, the use of an antibiotic (e.g. penicillin or clindamycin) can also help in the event of a severe course of the disease. – Regular checks are very important in aggressive periodontitis.
- Mouth rinsing solutions from the pharmacy can be used to reduce the germ count and thus limit the further spread of the inflammation. Nevertheless, a mouth rinsing solution should never be used for a long period of time in a row. One to two weeks of rinsing twice a day is usually sufficient in acute aggressive periodontitis.
- Successful periodontal treatment stops further bone resorption and tooth loss can be prevented, e.g. by splinting loosened teeth. Homeopathic remedies can only support healing to a limited extent in the treatment of aggressive periodontitis and should not be used as the sole means of treatment. Silicea globules are said to have a good effect.
They are also called silica or silicic acid. It is a whitish grained mineral which can be found all over the world. It is said to have a positive effect on the gums and inhibit inflammation.
Oil rinses are also recommended. You can rinse twice a day with a high-quality oil, for example olive oil, and pull the oil through the teeth, which is said to have a massage effect and remove metabolic toxins from the gums. Since once lost bone does not grow back, healing is not possible. Early diagnosis and therapy can stop the inflammation process and prevent further destruction. Nevertheless, one is dependent on regular check-ups as part of the supportive periodontitis therapy, so that recurrences can be detected and treated early.
How contagious is the aggressive periodontitis?
Since aggressive periodontitis is an infectious disease, some bacteria can be transmitted. The bacteria are already transmitted to children, and the parents are an important source of infection. Transmission between partners is also possible.
However, not everyone who comes into contact with the bacteria necessarily develops aggressive periodontitis. Other causes, such as a weak immune system or inadequate oral hygiene as well as a genetic predisposition usually lead to the outbreak of the disease. You can also find detailed information about this under: How contagious is periodontitis?
When do you need dentures for aggressive periodontitis?
If one suffers from aggressive periodontitis, bone resorption occurs and this can lead to loosening and tooth loss. First of all, the treatment of periodontitis should be in the foreground, because as long as it is still acute, no tooth replacement can be planned and inserted. Only periodontally healthy teeth can accept a crown or serve as a pillar for a bridge.
One should think about planning a dental prosthesis at least six months after the end of the treatment and when an improvement is foreseeable. If many teeth are already missing or have to be extracted because of the unfavourable prognosis, one can consider a prosthesis. In advance, a temporary denture can be made for the transition, a so-called interim denture. This can be worn during the acute phase and later, after the treatment is finished, a final prosthesis can be made.