Periodontal Disease
Diagnosis and Treatment
Periodontal disease is one of the most serious threats to dental health. It is a serious gum disease that damages soft tissue and destroys the jawbone.
Periodontal disease is one of the most serious threats to dental health. It is a serious gum disease that damages soft tissue and destroys the jawbone.
This term refers to the treatment of all problems of the gums and the bone that supports the teeth. Each tooth is embedded in the bone, strongly linked by a series of structures that guarantee its strength and proper functioning. Sometimes, the structures that surround and support the tooth (gums and bone) are significantly affected. This triggers a continuous degenerative process, which progresses slowly, until it reaches an advanced state in which the tooth moves excessively and ends up “falling out”.
Before this happens, teeth go through several well-defined stages, from mild damage to advanced stages of tooth loss. This process is called periodontitis, and is commonly known as "pyorrhea".
The main goal of treatment is to clean the bacteria from the gums around the teeth and prevent further destruction of bone and tissue.
• Proper dental care involves brushing your teeth at least twice a day and flossing once a day. If there is enough space between the teeth, an interdental brush is recommended.
• Soft picks can be used when the space between the teeth is smaller. Arthritis patients and others with dexterity problems may find using an electric toothbrush better for a thorough clean.
• Periodontitis is a chronic or long-term inflammatory disease. If good oral hygiene is not maintained, it will recur.
• It is important to remove plaque and calculus to restore periodontal health.
• A healthcare professional will perform scaling and debridement to clean below the gum line. This can be done using hand tools or an ultrasonic device that breaks up the plaque and calculus. Root planing is done to smooth rough areas on the roots of the teeth. Bacteria can lodge within the rough patches, increasing the risk of gum disease.
Depending on how much plaque and stone there is, this may take one or two visits.
healthy tooth
Gingivitis
Periodontal pockets
Periodontitis
A periodontist, dentist or dental hygienist can carry out the treatment. The goal of periodontitis treatment is to thoroughly clean the pockets around the teeth and prevent damage to the surrounding bone. The best chances of success in the treatment are obtained when a good daily routine of oral care and hygiene is adopted, health conditions that can have serious consequences on dental health are controlled.
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Periodontitis, or gum disease, is a common infection that damages the soft tissue and bone that support the tooth. Without treatment, the alveolar bone around the teeth is slowly and progressively lost.
• Periodontitis, or gum disease, affects the area around the tooth, including the bones and gums.
• It occurs when bacteria and plaque build up around the tooth, and the immune system launches a reaction.
• Good oral hygiene is part of treatment and prevention, but sometimes surgery is also necessary.
• Smoking increases the risk of gum disease and of treatment not working.
Flap surgery (pocket reduction surgery). Your periodontist makes small incisions in your gum to be able to lift a section of gum tissue, exposing the roots for more effective scaling and root planing. Because periodontitis often causes bone loss, the underlying bone can be rebuilt before the gum tissue is stitched back into place. After healing, it is easier to clean these areas and keep the gum tissue healthy.
Soft tissue grafts. When you lose gum tissue, your gum line recedes. You may need to reinforce some of the damaged soft tissue. This is usually done by removing a small amount of tissue from the roof of the mouth (palate) or other donor source and attaching it to the affected site. This can help further reduce gum recession, cover exposed roots, and give teeth a more pleasing appearance.
Bone injert. This procedure is performed when periodontitis has destroyed the bone that surrounds the root of the tooth. The graft may be made up of small pieces of your own bone, or the bone may be synthetic or donated. Bone grafting helps prevent tooth loss by holding the tooth in place. It also serves as a platform for the new growth of natural bone.
Daily brushing and flossing, along with regular visits to a general dentist for a thorough cleaning and examination, are the keys to maintaining good oral health, but it only takes a small amount of plaque and tartar to overlooked to cause gum disease.
Patients with severe or complex gum disease will be referred to a periodontist to treat the gum disease and prevent it from coming back, although there are also cosmetic reasons to see a periodontist. Periodontal plastic surgery can treat a variety of problems that affect the appearance of your smile, including excess gums, receding gums, and missing teeth.
The field of periodontics involves a variety of dental problems and treatment options, but all periodontists share a common set of goals: to restore diseased gum tissue to good health, to improve the appearance and function of your smile, and to help you to maintain a good orality. health so that you keep your natural teeth as long as possible.
Any symptoms you are having, including any that may seem unrelated to the reason for your appointment. Key personal information, such as any medical conditions you may have. All medications you take, including vitamins, herbs, or other supplements, and their dosages.
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