Zhimei's girlfriend felt very uncomfortable with her teeth last week and went to the hospital to see her teeth.
The doctor suggested deep teeth cleaning, and in the end she spent more than 2,000 yuan, which was very painful.
After handing over the money, she asked Zhimei nervously, others only need 200 yuan to wash their teeth, she spent so much money, was she cheated?
Usually what we call scaling is actually a gingival cleansing, which is one of the types of scaling [1,2].
Just like the house will fall on dirt such as dust after a long time, similarly, teeth will also deposit plaque, calculus, pigments and so on.
Dental calculus
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And scaling our teeth is equivalent to cleaning up the New Year, giving our teeth a clean bath.
(Source: gifer.com)
However, conventional scaling (supragingal cleaning) can only deal with plaque and calculus attached to the gums.
If the "claws" of plaque and calculus have spread to the underside of the gums, then it is not enough to rely on routine scaling, and we also need subgingival scraping to treat, which is what doctors call deep scaling.
To evaluate whether the value is worth it, we must first know that the dental calculus is left alone, what will happen?
Dental calculus, simply put, is the internal calcification of the "base camp" of bacteria, forming a stone-like hard substance, a bit like scale tea scale, will adsorb bacteria layer by layer deposition, so that more and more bacteria, and brushing teeth can not be brushed off.
If not removed in time, dental calculus will stimulate inflammation in the gums, causing redness and bleeding of the gums.
Periodontitis can develop as a result of continued development.
Schematic diagram of the progression of gingivitis periodontitis
Periodontitis is an inflammatory and destructive disease that not only damages the gums, but also destroys the bone buried under the gums, the alveolar bone that supports the teeth, and allows our bones to be absorbed [3,4].
Over time, the gums shrink, the alveolar bone becomes no longer dense, the root of the tooth is exposed more and more, the tooth appears to be longer and longer, and finally causes loose and falloff.
():Pardi As Dental Medical Clinic
And many people are not aware of this lesion.
Due to the inconspicuous early symptoms of periodontal disease, coupled with the fact that this deep bone destruction is invisible to the naked eye.
So we are often easy to ignore, wait until the teeth are really displaced, loose and then go to the hospital, the teeth are already difficult to keep.
However, as long as you regularly wash your teeth and maintain oral health, you can avoid the occurrence of periodontitis very well.
Therefore, this occasional wallet "damage" actually avoids future regrets.
Everyone thinks that periodontal cure is expensive, in fact, it is more expensive because its steps are very delicate and complex, requiring professionally trained periodontologists to implement.
And it is particularly time-consuming and laborious, not only in the narrow space of the gums, scraping every tooth surface of each tooth at once, without missing any dead ends;
It is also necessary to ensure that the damage to the root, gum and alveolar bone is minimized while operating, which is a very technical "job".
Probe the gums
(Source: Loma Linda University)
Some friends will be curious, the subgingival scraping treatment sounds terrible, will it be very painful? Will the teeth be loose after treatment? Will the gap between the teeth enlarge?
In fact, subgingival curettage is to clean the tartar and plaque on the root surface of the tooth in the periodontal pocket, and to give us a clean home on the root surface, attracting periodontal tissue to resettle, attach and regenerate here, and does not cause harm to the tooth itself [5].
The root surface of the tooth exposed in the periodontal pocket
Its operation is delicate and gentle, with strict operating norms, so if you go to a regular hospital, you can rest assured.
Some people feel that the gap between their teeth becomes larger after washing their teeth, in fact, it is because the usual calculus is filled in the gap between the teeth, resulting in us not seeing the gap between the teeth, plus periodontitis generally swollen gums.
After washing the teeth, the calculus is removed, the inflammation subsides, the swelling is eliminated, and it is natural to feel that the gap between the teeth has enlarged.
Comparison before and after tooth cleaning
Some people think that the teeth are loose after scraping, and that is because the calculus attached to the teeth will have a certain fixation effect.
But this immobilization is temporary, and when the calculus is removed, the teeth will naturally have some looseness.
As for the pain sensation, if the periodontal pocket is relatively shallow and the inflammation is not serious, it is usually only slightly sensitive on the root surface of the tooth, and the pain is generally not obvious.
The gums that need to be deeply scraped are generally inflamed, and they need to go deep into the periodontal pocket to scrape, and the pain is more intense.
Therefore, when treating, there will be anesthesia, and after local anesthesia, there will be no pain.
Therefore, we must not miss the opportunity for early treatment because of fear of pain.
Dental calculus continues to form on the tooth surface after removal, so it is also very important to maintain yourself when you go home!
You can use these 5 points to slow down the "refresh" of plaque and tartar [6,7]:
1. Do not drink pigmented beverages (such as tea, coffee, cola, etc.) for a week after cleaning your teeth, quit smoking, and avoid foods that are too hot and too cold.
2. Brush your teeth correctly in the morning and evening, and you can brush your teeth with desensitized toothpaste after cleaning.
3. Use floss or punch or gap brush to clean the plaque between the teeth.
4. Eat less delicate, sticky, sugary foods, such as cakes, biscuits, fruit peels, chocolates, etc., and rinse your mouth as soon as possible after eating.
5. Regular review, oral examination and tooth cleaning, periodontitis is a lifelong treatment process, must be in accordance with the doctor's medical advice regular review.
Finally, I wish everyone to pay attention to oral health as soon as possible and save money on a BMW!
Reviewer
Jingquan | Chief Physician, Department of Stomatology, Academy of Sciences, Peking Union Medical College Hospital, China
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HUANG Shiping. Experience of suppurging of gingival cleansing in patients with periodontal disease[J]. Frontiers of Medicine, 2014(33): 114-115. DOI:10.3969/j.issn.2095-1752.2014.33.103.
Yan Ni. Relationship between milk drinking habits of a university student and the prevalence of dental calculus[J]. Big Horizons of Health, 2020(6):274. DOI:10.3969/j.issn.1005-0019.2020.06.477.
Dong Aifen. Treatment and prevention of periodontitis[J]. China Traditional Chinese Medicine Bulletin,2012,4(2):471.]
Lin Chongtao. Subgingival scraping and root plane leveling[J]. Chinese Journal of Practical Stomatology,2010,3(1):1-4. DOI:10.3969/j.issn.1674-1595.2010.01.001.
[6] Mariano Sanz, et al., (2020). Treatment of Stage I-III Periodontitis –The EFP S3 Level Clinical Practice Guideline. J Clin Periodontol, DOI: https://doi.org/10.1111/jcpe.13290
[7] International consensus guidelines on gum disease treatment published today. Retrieved July 29, 2020, from https://medicalxpress.com/news/2020-07-international-consensus-guidelines-gum-disease.html
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