Periodontitis: Symptoms, treatment and prevention

Periodontitis - an inflammatory disease of the supporting tooth-holding apparatus, which includes the root cement, fibrous periodontal bone well and gums.If a patient in the mouth there is a large amount of debris and stones due to poor hygiene, mobility of the teeth and baring their necks, bleeding gums and bad breath, you can very likely to assume his development of the periodontitis.


  • 1 Causes of periodontitis
  • 2 Types periodontitis
  • 3 Symptoms of periodontitis
  • 4 X-ray picture
  • 5 Periodontitis and periodontal disease - what is the difference?
  • 6 Treatment of periodontitis
  • 7 Local drug treatment
  • 8 Surgical treatment of periodontitis
  • 9 General treatment of periodontitis
  • 10 prevention of periodontitis

characteristic feature of the disease - educationperiodontal pockets between the gum and tooth root.They may contain subgingival stones, pus, blood clots.When the depth of the pockets of 4 mm, redness and swelling of the gums without tooth mobility is the

development of mild periodontitis.If the pockets are formed from 4 to 6 mm in the tooth mobility in the 1-2 direction, we speak of moderate periodontitis.At this stage, the patient may complain of pain and bleeding gums, inability to spend quality hygiene, the appearance of halitosis.With the development of severe periodontitis determined pockets of 6 mm in depth, due to violations of the attachment teeth are mobile in all directions, with gaps between them.Bloodshot gums bleed at the slightest touch, causing painful reaction in humans.

When periodontitis observed expansion of periodontal gap (between the root and the bone hole) in the necks of the teeth, osteoporosis interdental partitions varying degrees, the destruction of the bone around the teeth and between the neighboring.

Most patients find these two concepts are the same dental disease, but it is not quite true.When periodontitis is always present activity of the inflammatory reaction, bleeding and swelling of the gums, periodontal pockets of different depths and tooth mobility.When periodontal disease the gums dense, anemic, no pockets, and tooth mobility, but much laid bare neck and the roots, resulting in a wedge-shaped defects often occur in these areas.


The main stages in the planning of treatment:

Professional oral hygiene is required in the treatment of periodontitis, t. To. The plaque bacteria have a major irritant effect on the gum tissue.The procedure involves the removal of supra- and subgingival stones, polishing the exposed necks of teeth and treatment of fluorine-containing drugs.To remove the stones used hand tools or ultrasonic nozzle.If the procedure is painful, local anesthesia is performed.

After removing dental plaque gums bleed much, swollen, painful.To prevent further infections and worsening inflammation apply an antiseptic solution in the form of applications, irrigations sprays and rinses:

Medical dressings with anti-inflammatory drugs put on the gums for 1-2 hours.

gels, ointments and balms for the treatment of periodontitis:

Surgery is indicated in patients with deep periodontal (over 6 mm) and bone pockets, exposing the roots of a large part of the ineffectiveness of medical treatment.Spend Gingivectomy (excision of the gums), curettage of periodontal pockets (washing, stone removal and processing of drugs), scrappy operations.Bone pockets are filled with synthetic or natural materials for recovery and tissue healing.The widely used method for guided tissue regeneration, wherein the collagen membrane or synthetic fill bone defects.

In the treatment of diseases recommend nonsteroidal anti-inflammatory drugs (diclofenac, indomethacin, etc.), Antimicrobial agents (eg metronidazole), antibiotics (eg, lincomycin), multivitamins.Appointment of drugs carries only a dentist, coordinating treatment with the therapist in the presence of chronic diseases in the patient.

Orthopaedic treatment involves splinting mobile teeth (bonding with each other), the production of prostheses, splints.Physiotherapy involves the use of hydraulic and vacuum massage, laser.

periodontitis treatment should be complex.After professional tooth cleaning the patient should continue to take care of the hygienic condition of the mouth, use a medicated toothpaste with extracts of medicinal plants, propolis, salts - Parodontol, chlorophyll, Parodontax, Lacalut fitoformula, Mexidol Dent Asset and others. As additional hygiene products can be used mouthwashafter a meal, "Forest Balsam», Parodontax, «Cedar balm" and others. At home, it is recommended to brew herbs (chamomile, St. John's wort, calendula), or oak bark for decoctions and infusions as a rinse.

The first sign of the beginning of periodontal disease - the appearance of bleeding gums during brushing.At this early diagnostic symptom should pay attention and consult a dentist.Treatment of gingivitis, started on time, can prevent or slow the progression of periodontitis.Preventive measures include regular professional cleaning of teeth from plaque and calculus, thorough daily oral hygiene, removal and treatment of dental prosthetics timely.Even if there is a genetic predisposition to periodontal disease, do not despair.It is necessary to monitor the condition of the gums and teeth, regular checkups, in time to carry out therapeutic measures, then the dentist will not soon deliver you a diagnosis of "periodontitis".

On the problem of periodontitis in the "Live healthy!»:

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