Periodontitis

Periodontitis.  Photo from http://creative.gettyimages.com

Parodont— A complex of tissues that surround tooth and ensure its fixation in the jaw bone. This complex includes the gums, periodontal ligament that connects the root of the tooth to the bone recess, alveolar bone and cement the root of the tooth. Periodontitis— Is an inflammatory process that involves all of periodontal structures. It is characterized by the destruction of the periodontal connection and progressive destruction of alveolar jaw bone.

Periodontitis is one of the most common causes of tooth loss in adults.

Causes

Most periodontal disease occurs when a bad mouth hygiene (irregular or incorrect brushing, flossing and neglecting etc.), which leads to the accumulation of plaque and gingival inflammation in the development — gingivitis. Over time, gingivitis may progress toPeriodontitis.

What's going on?

Once the inflammation overcomes major hurdle — the periodontal connection, it goes to the underlying tissues — periodontal and alveolar bone. As a logical extension of gingivitis, periodontitis acquires a completely new features.

First, formed periodontal pocket, in which the microbial concentrations are securely hidden and not removed during the cleaning of the teeth. Secondly, in the depth of periodontal pockets actively proliferate most aggressive microbial species — anaerobic spirochete. Third, pockets themselves microorganisms and their toxins, and enzymes to easily penetrate into the underlying structures, causing their destruction. As a result, the stability of the teeth is reduced, they become mobile, and mechanical stress on the teeth when chewing is traumatic.

As a result of this injury destruction of the supporting apparatus of the tooth is particularly fast, which, in turn, further contributes to the spread of microbial clusters. Formed Periodontitis.

Early Symptoms of periodontitis— Bleeding gums, redness, and bad breath. In later stages, patients reported exposure of the necks of the teeth, their increased mobility, fan-shaped divergence of upper incisors.

Diagnostics

The diagnosis of "periodontitis" is set physician periodontist. On examination, there is redness of the gingival margin, often with a bluish tinge, the gum is loosely fitted to the neck of the teeth. When thin sensing probe determined periodontal pockets of different depths, depending on the severity of the process. There are supra-and subgingival dental plaque — plaque. In severe inflammation activity can take place purulent discharge from the periodontal pockets and a large tooth mobility.

To assess the degree of destruction of bone X-ray examination is appointed. There is a decrease in periodontitis alveolar bone height due to bone resorption mezhalveolyarnyh partitions.

Treatment and prevention

Treatment of periodontitis is primarily aimed at the removal of microbial accumulations of tartar and granulation tissue from the periodontal pockets.

With considerable depth of periodontal pockets of careful treatment is only possible through surgery. After the main task — to prevent re-infection. This controlled assigned oral hygiene rinsing antimicrobial (chlorhexidine korsodil etc.).

Prevention is the regular and thorough cleaning of the teeth, the use of dental threads for flossing. At least once a year to remove tartar at the dentist (or periodontist).

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