What are the treatment options for necrotizing periodontitis?

For the treatment of necrotizing periodontitis, antibiotics are usually given to kill the overgrowth of bacteria in the mouth. Pain relief is an important aspect of treatment for this gum disease because the infection makes the gums and lymph nodes under the jaw line so painful that individuals cannot brush and floss their teeth or eat a healthy diet. Good oral hygiene is very important to restoring health to the mouth and the dentist will remove the dead (necrotic) tissue from the mouth during a gentle cleaning. Special rinses of antiseptics, hydrogen peroxide, and salt water may be recommended to encourage healing. When the gums are no longer painful, the dentist will clean the plaque (biofilm) and tartar (hard, rough, yellow deposits full of minerals and food debris) off the teeth and from underneath the gum line. Severe damage from necrotizing periodontitis may require surgery.

Necrotizing periodontitis is a rapidly progressing form of gum disease that attacks the bones that support teeth. If you are diagnosed with the disease, your dentist or periodontist (a dental specialist who works on gum disease) will scale or plane your teeth, removing plaque and other elements of gum disease. He or she may prescribe antibiotics to help you fight the gum infection, as well as a prescription mouthwash that contains chlorhexidine, which kills bacteria. You will also be instructed on how to brush your teeth and floss correctly to help ensure that the disease does not return. 

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Important: This content reflects information from various individuals and organizations and may offer alternative or opposing points of view. It should not be used for medical advice, diagnosis or treatment. As always, you should consult with your healthcare provider about your specific health needs.