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Non-surgical periodontal disease treatment

香港牙醫WhatsApp 親身回覆牙周病問題

牙周病牙醫

Non-surgical periodontal disease treatment

非手術性牙周病治療為牙周病的初始治療方式，包括指導患者掌握正確刷牙方法，以及實施根面整平術，清除牙根表面牙石、細菌及發炎組織。一般而言，整個治療週期約為三個月，且大部分牙周病可透過此類治療控制病情進展。治療期間，患者需主動改善生活習慣及口腔衛生習慣，包括控制血糖、戒煙，以達至治療效果。

牙周病的病徵

怎樣知道自己患有牙周病？

  • Bleeding gums while brushing teethBleeding gums, especially when brushing your teeth gently, may be a sign of gingivitis.
  • Red, swollen, or painful gumsThe gums may darken in color, become swollen or tender, or even have pus oozing from them.
  • Gum recession, exposed tooth rootsTeeth appear longer, gums recede, gaps between teeth widen, and food easily gets stuck.
  • Loose or displaced teethThe sensation of biting changes, and the teeth are no longer stable.

Periodontal disease treatment process

2026在香港牙周病治療過程

牙周病治療 Dr Eric Chan

初步評估

Comprehensive examination: Conduct a clinical examination, take X-rays or CT scans, assess the condition of teeth and gums, and determine which teeth can be saved and which need to be extracted.

牙周病治療步驟 1

初步評估

extract a tooth

Teeth affected by periodontal disease are extracted to prevent bacteria from multiplying in the mouth and causing the condition to become uncontrollable.

牙周病治療步驟 2

extract a tooth

局部麻醉

For deep root scaling (deep cleaning) or periodontal flap surgery, local anesthesia is usually used to reduce discomfort.

牙周病治療步驟 3

局部麻醉

深層洗牙

Dentists use ultrasonic instruments to scrape away plaque, tartar, and bacteria deep under the gums. Unlike a regular teeth cleaning, this process may require local anesthesia to reduce pain and tooth sensitivity.

牙周病治療步驟 4

深層洗牙

 改善健康因素

Controlling blood sugar, reducing smoking, reducing stress, or adjusting medications that affect the immune system can help eliminate inflammation and promote gum re-adhesion.

牙周病治療步驟 5

 改善健康因素

複診

Follow up with a doctor two to three months after treatment to remove any remaining tartar and achieve a bacteria-free oral cavity, thereby reducing the chance of developing periodontal disease.

牙周病治療步驟 6

複診

定期檢查

Regular follow-up appointments and teeth cleanings are necessary to monitor the condition of periodontal pockets, and further surgical treatment may be considered if needed.

牙周病治療步驟 7

定期檢查

難牙周袋深度、骨吸收百分比、牙齦出血指數

牙周病程度分別

  • Gingivitis牙齦紅腫、出血、觸痛，牙周附著尚未破壞，通常可逆，透過洗牙與良好口腔衛生可恢復。
  • 中度牙周病牙周袋加深、牙槽骨流失明顯，牙齒可能開始鬆動，治療需分段深層清潔、可能搭配外科處理或牙周手術。
  • 輕度牙周病牙周袋形成、輕微牙槽骨吸收，牙齦退縮與牙齒敏感可能出現；需深層清潔（刮治／根面平整）與密集維護。
  • 重度牙周病大量骨吸收、牙齒明顯鬆動或移位，可能有膿腫或牙齦大範圍退縮；常需外科重建、拔牙或植牙重建等整復性治療。

接受牙周病治療注意事項

牙周病治療後護理須知

  • 控制出血與休息治療後當天避免劇烈漱口、吸菸、用吸管或劇烈運動，必要時按醫囑咬紗布止血並保持頭部抬高，若出血大量或持續超過 24 小時應立即回診。
  • 冰敷與用藥管理24–48 小時內以冰敷減少腫脹，按醫師處方定時服用止痛藥與（如開立）抗生素，不自行停藥或與其他藥物混用；若出現發燒、劇痛或過敏反應，儘速就醫。
  • 口腔清潔與飲食注意初期以軟食為主、避免用治療側咀嚼；48 小時後可改用溫鹽水輕漱並依醫囑開始使用沖牙機或牙縫刷等輔助清潔工具，定期回診做專業清潔與牙周評估以防復發。
個人護理牙齒 荃灣牙醫

Periodontal disease treatment fees

2026 在香港牙周病治療價錢

Many factors influence the cost of periodontal disease treatment, and it usually needs to be assessed based on the patient's specific situation. It is recommended that patients discuss all relevant budget and treatment requirements with their dentist when considering root canal treatment to reach a consensus and obtain the most suitable treatment plan.

牙周病治療 Compressed

牙周病治療常見問題

如有牙周病治療問題，可WhatsApp我們，會有牙醫親身回答

Patients with periodontal disease do not clean their mouths properly and effectively on a daily basis. This causes food debris to easily accumulate in the gaps between the gums, forming a "plastic film" that eventually turns into tartar. As it is ingested deeper and deeper into the gums and below the gum line, the gums shrink on their own, leading to gum recession and bone loss, which results in periodontal disease.

Is periodontal disease contagious?

Many people may not know that one of the major risks of periodontal disease is that it is contagious. The bacteria that cause periodontal disease can be transmitted between family members or partners through saliva, which means that if someone in a family has periodontal disease, other members are at increased risk of developing the disease.


Who is prone to periodontal disease?

Diabetic patients, due to unstable blood sugar control, are prone to exacerbating periodontal inflammation, which in turn affects the vascular system. Smokers, drinkers, and betel nut chewers have weakened immunity and oral mucosal repair capabilities, increasing the risk of infection. Patients undergoing dialysis or chemotherapy have weakened immune systems, making them more susceptible to bacterial invasion of the bloodstream and harming the heart. Patients with rheumatoid arthritis already have chronic inflammation, and periodontitis may worsen overall inflammation. Furthermore, pregnant women are prone to swollen and bleeding gums due to hormonal changes; if not properly managed, this can indirectly affect cardiovascular health.

Can periodontal disease cause premature birth during pregnancy?

If a pregnant woman has periodontal disease, bacteria and toxins in her mouth may enter the placenta through the bloodstream, stimulating the body to produce an inflammatory response, which in turn can cause uterine contractions or rupture of membranes, leading to premature birth or low birth weight.

Can periodontal disease lead to heart disease?

Periodontal disease is a chronic bacterial infection. When the gums are inflamed, bacteria can enter the body through the bloodstream, particularly the heart and vascular system. These bacteria and the inflammatory response can lead to atherosclerosis because the toxins released by periodontal bacteria irritate the inner walls of blood vessels, triggering inflammation, promoting plaque formation, and increasing the risk of myocardial infarction and stroke.


牙周病治療時會痛嗎?

牙周病治療通常可在局部麻醉下進行，治療過程多數不會有劇烈疼痛；術後數日可能出現酸痛、腫脹或咬合不適，可用止痛藥與冰敷控制，若疼痛劇烈或持續應回診檢查。


Can periodontal disease heal on its own?

Periodontal disease is a long-term condition, similar to other chronic diseases like hypertension and diabetes. It can only be managed, not completely cured. Well-controlled periodontal disease, with regular checkups and cleanings, can prevent it from worsening. Periodontal disease must be treated before it can be controlled. This is because tartar buildup is located below the gum line, and cannot be removed by brushing alone.


牙周病治療有甚麼風險?

術後腫脹與不適：清除牙石或進行牙周翻瓣手術後，牙齦可能短暫腫脹或疼痛。
牙齒敏感：牙根暴露後，部分患者會出現冷熱敏感。
牙齒鬆動：治療過程中去除病變組織，可能讓原本支撐不足的牙齒顯得更鬆動。
牙齦退縮：牙周病控制後，牙齦可能因組織修復而退縮，牙齒看起來變長。
感染或出血：手術治療後若清潔不當，可能引起局部感染或延長出血時間。

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