What are the advantages and disadvantages of subgingival scaling in the treatment of periodontitis? What is the necessity of treatment?

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. 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.

If the inflammation is deep, periodontal surgery should be done to remove the infected granulation tissue inside the gums, so as to cut off the posterior route of pathogenic bacteria reproduction. Periodontal disease can be gradually recovered temporarily, but dental calculus will come back, and teeth should be washed or scraped regularly every six months. The effect of subgingival scaling is also limited. For example, although the gingiva recovered after curettage, the already atrophied gingiva could not be recovered, because the gingival tissue is non-renewable, and curettage can only prevent it from continuing to shrink.

Mouthwash should be used under the guidance of a doctor. At the same time, we should develop healthy eating habits. Pay attention to a balanced diet, eat more white meat, eggs, vegetables, fruits and other foods that are beneficial to dental and oral health; If it is not scraped in time, the periodontal pocket will gradually form and deepen, and dental calculus will spread below the gums, causing looseness. Brushing teeth can remove dental plaque on the surface of teeth, and washing teeth can remove dental calculus above gums, but only subgingival scaling can remove dental plaque and dental calculus below gums.

Subgingival calculus and dental plaque can lead to periodontitis, which is also a major cause of tooth loss. So friends should pay attention to periodontal health care. Hemorrhage is the most common complication, because periodontitis itself has congestion and inflammation in local tissues, which may lead to massive postoperative bleeding and need to be treated in hospital. To remove dental calculus above the gum after scaling, subgingival plaque and dental calculus need to be scraped and the root surface should be leveled. In periodontitis, dental calculus is usually under the gum. You don't do subgingival scaling, you just clean the gum surface or treat the symptoms rather than the root cause.