Understanding Periodontitis

//Understanding Periodontitis

Understanding Periodontitis

Periodontitis is often the effect of illness very similar to gingivitis -that periodontitis has a profound effect on the teeth, which makes them loose, thereby detaching from the socket at a visible pace.  Periodontitis is the inflammation of the periodontium: the cells, periodontal ligament and alveolar bone which surround the teeth, which leads to the infectious and rather painless (initially ) destruction of the periodontium.  If left untreated for some time, the intensity of the harm might cause medical complications such as atherosclerosis, myocardial infection, stroke, renal failure and complications that are larger for people who suffer from cancer or diabetes.

There are two types of periodontitis, chronic and aggressive.

Chronic periodontitis is attributed to rapid tooth loss in adults.  Poor control or sugar levels trigger the early and unprecedented start of periodontitis in adults.  Subsequently, the control of the body interrupts, making it more challenging to get an individual to live a controlled way of life or to recuperate from diabetes.  Periodontitis can be used to detect diabetes and cancer cell formation.  A vast majority of those who’ve been treated using their periodontal disease are also subjected to clinical evaluations, which makes it much easier to narrow down the patient’s medical condition.

Chronic Periodontitis is easier to treat and maintain than Aggressive Periodontitis.  You will find four Measures to disinfect and rehabilitate the damaged periodontium, namely:

1.  Full mouth disinfection which uses scaling and root planning to an extent which of the collected plaque of their teeth and gum are complete eradicated and the debridement of the pocket to prevent any spread of germs into the healthy periodontium.

2.  Open flap debridement is a more complicated and effective strategy, whereas surgical intervention gives way to wash pocket areas that are deeper in which the periodontitis has burst.

3.  Guided tissue regeneration (GTR) is considerably more effective than open flap debridement and is very expensive, however, the benefits will outweigh the costs, especially in acute cases of periodontitis.  The badly degenerated gum tissue that has been depleted by the periodontal disease will be compensated for by the accelerated regenerative rise of gingival tissue and the bone onto the individual’s mouth.  When they have been added to replace the lost/fallen teeth, GTR may also pave the way.

4.  Enamel matrix derivative (EMD) is the same as GTR in terms of cost and effectiveness, although the difference lies in EMD’s capacity to reduce pocket depth.

Aggressive Periodontitis is much like Chronic Periodontitis in some ways, however, the former is evidenced by accelerated bone damage and tooth attachment.  A younger populace affects and utilizes the very same remedies just with a greater chance of using extensive debridement.

To sum up, dentists/periodontists in RV Dental initiate the cleaning procedure by scrape off the plaque and calculus accumulated on the tooth of the teeth and below the gum line.  Several appointments can follow as some cases of periodontitis require debridement and climbing to eliminate the plaque and tartar which have stuck below the gum line, which is a very sensitive area.  By using antibiotics the process becomes simpler.

Symptoms of Periodontitis

During the first phases, periodontitis is asymptomatic.  Signs of disease in this period may resemble those of gingivitis (bleeding, red gums, and bad breath).  As the disorder progresses, symptoms can include[ii]:

Loosening of tooth 

Teeth which ache when subjected to temperature changes

Sore, swollen gums that bleed easily

Infection when touching the teeth or gums 

Shiny, bright red, or reddish-purple gums

Bad breath That Doesn’t go away after brushing and flossing

If left untreated, symptoms of periodontitis will worsen as time passes.

What Causes Periodontitis?

Periodontitis is caused by the formation of plaque on the tooth.  With the years, the plaque hardens and turns into calculus (tartar) which cannot be removed by brushing and flossing.  Infect the teeth.  At this point, the disease is termed gingivitis (” disease of the teeth”).  But if the plaque and calculus stay on the teeth of a susceptible individual, the disease progresses and becomes periodontitis “disease around the tooth”.

Particular plaque bacteria create toxins that erode the bone.  Since the bone invisibly, the gum tissues deep pockets form between the teeth and gums and follow it.  These bacteria enter the bloodstream, where they could spread to other parts of the human body.

Hormones may also play a role in the progression of this periodontitis, particularly in elderly women.  Medical conditions, such as diabetes and heart disease, have been proven to play roles in periodontal disease.

Factors that may increase the risk of developing periodontitis contain:

Poor dental hygiene


Poor immune system due to illness or drugs

Poor nutrition (read more about nutrition and a healthy mouth)

Family history of gum disease or periodontitis

Tongue or lip piercing

Diagnosing Periodontitis

If you are having symptoms of periodontitis, then you should contact your dentist for a check-up.  Your dentist may ask you questions associated with symptoms and your family history.  An oral examination of bones that are supporting, gums, and teeth will occur.  In this test, your dentist will assess the depth of the pockets from the gums.  X-rays will be required to test for bone loss.

Periodontitis Remedy 

Unlike gingivitis, which normally can be removed by good oral hygiene and specialist cleaning, periodontitis may require repeat visits to the dentist.  Brushing and flossing only clean millimeters below the gum and periodontal pockets are 4-10 millimeters.  Therefore, when pockets are present cleaning is essential.  This treatment is called scaling and root planing and thoroughly eliminates plaque and calculus and primes the root for reattachment of their gums.  It is similar to cleaning, however, it is meticulous and goes farther beneath the gumline.  Because of this, local anesthetic may be given to numb the gums.

You should be assessed by your dentist or periodontist 4-6 weeks after the heavy cleaning to inspect the recovery of the teeth.  If there are then 5 millimeters, surgery is generally recommended.  Typically, open flap operation is the procedure used and involves surgically accessing the tooth below the gum line, thoroughly cleaning the teeth, and when needed, correcting bone flaws that were caused by the infection.  This might or may not include the placement of bone graft material.  Sutures will be used to maintain the gum tissue while it heals.  Immediately after the operation, chlorhexidine mouth rinse is employed as a temporary replacement for brushing and flossing.

Antibiotics may be prescribed along with scaling and root planing or gum surgery, especially if an abscess is present.  In some cases, substances, such as gel or filament, are inserted into the gum pockets.  You may also be prescribed a low-dose antibiotic to be taken within a few months.

After first therapy (i.e. deep cleaning and/or surgery), you’ll be put on periodontal maintenance.  This means having your teeth mouth and cleaned examined every 3-4 months.  Than someone who has never had periodontal disease, you require closer monitoring due to your risk for breakdown.

Complications of Periodontitis

If left untreated, periodontitis will progress.  Complications include[iv]:

Tooth loss

Tooth motion 

An abscess (infection) of:

Tooth or gum tissue

Soft tissue (facial cellulitis)

Deep jawbone (osteomyelitis)


By | 2019-10-25T21:05:07+00:00 October 17th, 2019|Health|Comments Off on Understanding Periodontitis

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