In mild cases accompanied by periodontal disease, extracting teeth affected by advanced periodontal disease and undergoing regular treatments performed by professionals (such as plaque and tartar removal) alongside rigorous at-home oral hygiene (daily brushing with antiseptics like chlorhexidine gels or solutions, using dental diets, and specific toys) can promote healing of existing lesions and prevent the development of new ones.
It’s crucial to maintain oral care at home, as even slight plaque accumulation can trigger contact ulcers in predisposed individuals. In some cases, additional medical treatments may be necessary, such as broad-spectrum antibiotics, immunosuppressive medications, anti-inflammatories, and pain relievers.
If conservative treatment is ineffective or the disease is in an advanced stage, selective extractions of affected teeth may be necessary, or even extracting all teeth to achieve healing and long-term control of the disease. The prognosis after dental extraction is usually good to excellent. If some teeth are preserved, at-home care measures as described above should be implemented. Frequent follow-up exams should be planned to assess the effectiveness of brushing and owner compliance. Additional supportive medical treatments are often indicated in the post-surgery period.
