My face is swollen with gum pain, and I can't eat with my mouth open. It's really painful

Periodontitis is a chronic inflammation that invades gums and periodontal tissues, and it is a destructive disease. Its main characteristics are periodontal pocket formation, pocket wall inflammation, alveolar bone absorption and gradual loosening of teeth, which are the main reasons for adult tooth loss. This disease is mostly caused by dental plaque, tartar, food impaction, poor repair and bite. And the gums are red and swollen, and the plaque accumulation is aggravated and extends from the upper gum to the lower gum. Due to the characteristics of subgingival microecological environment, a large number of periodontal pathogens with strong toxicity are bred in subgingival plaque, such as Bacteroides gingivalis, Bacteroides intermedia and spirochetes. , aggravate and expand the inflammation of the gums, leading to periodontal pocket formation and alveolar bone absorption, causing periodontitis.

To prevent periodontitis, we should do the following:

(1) Master the correct brushing method, 3 times a day, 3 minutes each time,

(2) Rinse your mouth before going to bed after meals to keep your mouth clean.

(3) Use dental floss, toothpicks and toothbrushes to clean up food crumbs, soft dirt and dental plaque that are difficult to remove.

(4) Regular examination, supragingival scaling for half a year 1 time.

(Excerpt from: seeking medical advice network)

Once periodontitis occurs, it should be treated as soon as possible because its prognosis is related to the severity of the disease. Periodontitis treatment is divided into four stages: the first stage is basic treatment, aiming at eliminating or controlling clinical inflammation and occlusal pathogenic factors, including oral self-cleaning, extraction of teeth with poor prognosis, subgingival scaling, subgingival scaling to remove plaque and tartar, selection of antibacterial drugs to control inflammation and adjust occlusal jaw, the second stage is periodontal surgery and fixed teeth, and the third stage is permanent restoration treatment. It is usually carried out 2-3 months after operation, and the fourth stage is the review and retreatment stage, once every six months, including checking the plaque control, health education, film examination, and further formulating the treatment plan. There are two keys to the success of periodontal treatment: one is the doctor's careful treatment plan and meticulous treatment, and the other is the patient's adherence to good self-plaque control. The latter is more important than the former, otherwise the doctor's work will get twice the result with half the effort and the disease will break out again.

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