Is subgingival curettage necessary for periodontitis? What are the pros and cons?

It is necessary for patients with periodontitis to have subgingival curettage, because periodontitis is caused by subgingival stones. If subgingival stones are not removed, they will continue to stimulate alveolar bone absorption, gum attachment will continue to be lost, and tooth looseness will be aggravated.

The first is the benefits of subgingival scaling, which can effectively remove dental calculus and bacteria and is very beneficial to the cleaning and protection of teeth. Knowing the harm of dental calculus and bacteria, we can understand the benefits of subgingival scaling.

The existence of dental calculus will make the gums swell frequently, and it is especially easy to bleed when brushing your teeth. Patients with severe dental calculus may also have bad breath. If the calculus is not removed in time, it may lead to loosening of teeth and loss of light in the long run. The existence of germs will also seriously affect the health of gums, infect gums, and then make gums inflamed. Removing these germs can slowly diminish inflammation in the gums, thus alleviating the symptoms of periodontitis. ?

Secondly, the disadvantages of subgingival curettage. Although subgingival scaling can effectively remove dental calculus and tooth germ, this treatment method will inevitably cause some damage to the bones of teeth. In addition, there may be symptoms of gingival recession after curettage treatment, which are the disadvantages of curettage operation. ?

Therefore, if you don't do subgingival scaling and simply do tooth washing treatment, you won't completely achieve the effect of treating periodontal disease. The treatment of periodontal disease needs to do tooth washing and subgingival scaling, thoroughly remove the stimulating factors of gums, remove dental plaque and calculus, remove supragingival calculus and subgingival calculus, and keep the oral environment stable.

Moreover, the use of mouthwash to inhibit the development of oral flora can be effectively treated and requires local medication. Generally speaking, the first choice is iodine glycerin, and some patients can use minocycline hydrochloride, which can quickly heal periodontal tissue. If the periodontal pocket is still deep, periodontal surgery can be done. If there are patients with periodontitis, subgingival curettage is needed to remove the stimulating factors.