Periodontitis

Periodontitis is a disease characterized by chronic inflammation of the gums and destructive changes in the bone tissue. Violation of periodontal attachment leads to the formation of periodontal pockets (PC), which is the main symptom of the disease. For periodontal disease is characterized by a variety of clinical signs.
Periodontitis local may occur acutely and chronically.
Acute periodontal disease generalized rare disease occurs when irrational orthopedic and orthodontic constructions.
Periodontal disease in adults, usually occurs chronically, it is preceded by gingivitis.
Depending on the severity of certain symptoms (depth of periodontal pockets, tooth mobility, reducing the height of the alveolar crest) distinguish between mild, moderate and severe periodontitis.
When mild periodontitis patients complain of bleeding gums, bad breath, feeling of heaviness and pain in the gums, a slight discharge from a PC.
During the survey found one form of gingivitis. Gums swollen, friable, with a cyanotic shade, with probing bleed, not fit to the necks of the teeth. Periodontal pockets are revealed mainly in the interdental spaces. There is both over - and subgingival Tartar. Mobility and displacement of teeth is not observed. The General condition of patients with mild periodontitis, as a rule, are not violated.
For the average severity of periodontal disease characterized by complaints about bad breath, bleeding gums, loose teeth (although occasionally statics teeth may spontaneously recover), difficulty chewing food, the appearance of gaps between the teeth and the lengthening of clinical crowns of teeth.
At survey reveals inflammation of the gums, which combined with its atrophy. There is often exposure of the roots of teeth. Gingival papillae may be unevenly atrophied. In parts of their atrophy interdental spaces gape. Periodontal pockets (PC) have a depth of 5 mm with serous or Seros-but-purulent discharge; bone pockets filled with granulations. There plaque above-and subgingival calculus.
In cases of severe periodontitis all symptoms are more pronounced. We are particularly concerned about the sick tooth mobility and displacement, difficulty chewing food. The destruction of bone causes formation of bone pockets filled with granulations, the occurrence of retrograde pulpitis. There abstsedirovanie, abundant exudation. Due to mobility and displacement teeth often pathological articulation. In the result of destruction of the bones of some teeth are granulation tissue and self-fall out.
X-ray analysis demonstrated the bone destruction of alveolar process for over 1/2 of the length of the tooth root. The uneven flow of pathology can lead to the total collapse of millionares partitions with single tooth surfaces, while on other surfaces decline tissue is slow. So even in this situation some teeth can be quite stable.
Reographical is determined by reducing the blood flow in tissues of parodentium, congestion in venous Department, obstruction of blood flow, organic changes in the walls of blood vessels.
Osteometry reveals the reduction of density of the bone structure.
If the above changes are propagated to the limited areas (where usually there is an etiological factor), the process is considered as local. If changes were observed in the area of all or most of the teeth, it indicates the generalized nature of the disease.
It should be noted conditionality division generalized periodontitis strictly by degrees, as this disease occurs in different ways: one and the same patient can identify areas with medium, heavy and light the degree of the damage.
The success of the treatment of gingivitis and periodontitis development depends on timeliness of beginning and regularity of its holding, the General condition of the organism. So the most favorable forecast is possible with mild process. It is much more difficult to achieve remission for moderate and severe degrees.
Remission is a favorable outcome for periodontal disease in the phase of the active current. It can occur spontaneously or as a result of the treatment. During remission is not observed phenomena of active inflammation, reduces the mobility of the teeth. Inflammatory processes in the gums, exudation from Paradip-the rest pockets reduced down to extinction. As a result of destruction of gingival margin deformed, interdental spaces gape, but the phenomenon of swelling and hyperemia insignificant.
Clinical and laboratory data indicate a decline in the inflammatory process and related hemodynamic and vessels of parodont. Microbial landscape changes, it disappears most pathogenic form. Normalizes the content and ratio of antibodies in saliva and serum, increase performance of nonspecific protection of both local and General.
The x-ray is defined more clearly bone figure, which eliminates or reduces the pockets of osteoporosis. Compact disc in the places of keeping it (on the edge of the tooth) is dense and even sklerozirovanie. Areas of sclerosis are observed in the spongy substance.
Stable remission for over 2 years with typical for her clinic is considered optimal treatment results.

Treatment of periodontitis
General treatment of periodontitis