Periodontitis is often the effect of a lengthy, untreated periodontal illness similar to gingivitis -that periodontitis has a profound effect on the teeth, making them thereby detaching from the socket at a visible rate. Periodontitis is the inflammation of the periodontium: the tissues, periodontal ligament and alveolar bone which surround the teeth, which contributes to the infectious and rather painless (at first) destruction of the periodontium. If left untreated for some time, the intensity of the damage may result in medical complications such as atherosclerosis, myocardial infection, stroke, renal failure and also complications that are bigger for people who suffer from cancer or diabetes.
There are two types of periodontitis, chronic and aggressive.
Chronic periodontitis is credited to rapid tooth loss in adults. Sugar levels or poor glycemic control trigger the early and unprecedented onset of periodontitis in adults. In turn, the control of the human body interrupts, making it more challenging for a patient to recuperate from diabetes or to reside a lifestyle. Periodontitis can also be employed to detect diabetes and cancer cell formation. The majority of people who have been treated using their periodontal disease can also be exposed which makes it easier to narrow down the patient’s health condition.
Chronic Periodontitis is easier to treat and maintain than Aggressive Periodontitis. There are four systematic steps to disinfect and rehabilitate the damaged periodontium, specifically:
1. Full mouth disinfection that uses scaling and root planning to an extent in which all the accumulated plaque of the teeth and gum are complete eradicated and the debridement to prevent any spread of germs to the healthy periodontium.
2. Open flap debridement is a more sophisticated and effective approach, whereas intervention gives way to clean pocket regions that are deeper in which the periodontitis has burst.
3. Guided tissue regeneration (GTR) is considerably more powerful than open flap debridement and is extremely costly, but the benefits will outweigh the costs, especially in acute cases of periodontitis. The regenerative growth of the bone and connective tissue on the patient’s mouth will compensate. When they have been added to replace the lost/fallen teeth, GTR may pave the way.
4. Enamel matrix derivative (EMD) is the same as GTR concerning price and effectiveness, although the difference lies in EMD’s capacity to lessen pocket depth.
Aggressive Periodontitis is much like Chronic Periodontitis in certain ways, however, the former is evidenced by accelerated bone damage and tooth attachment. Younger people affects and use the treatments only with a chance of using extensive debridement.
To sum up, dentists/periodontists at RV Dental commence the cleaning procedure by scrape off the plaque and calculus gathered on the tooth of their teeth and below the gum line. Appointments can follow as some cases of periodontitis require debridement and climbing to eliminate the tartar and plaque that have stuck below the gum line, which is a really sensitive area. The regenerative process gets easier, by using antibiotics such as amoxicillin or metronidazole.
Symptoms of Periodontitis
During the first phases, periodontitis is asymptomatic. Indications of disease in this time may resemble those with gingivitis (bleeding, red gums, and bad breath). As the disorder progresses, symptoms can include[ii]:
Loosening of tooth
Teeth that ache when exposed 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. Over the years, the plaque hardens and turns into calculus (tartar) which can’t be eliminated by brushing and flossing. Bacteria that live inside the plaque and calculus infect the teeth. At this point, the disorder is termed gingivitis (” disease of the teeth”). But if the plaque and calculus stay on the teeth of a susceptible individual, the disease develops and becomes periodontitis “disease around the tooth”.
Particular plaque bacteria produce toxins which encircle the bone. It is followed by the gum tissues and pockets form between the teeth and gums Since the bone erodes. These bacteria also enter the bloodstream.
Hormones can also play a part in the development of this periodontitis, especially in pregnant women. Medical conditions, such as diabetes and cardiovascular disease, have been demonstrated to play contributing roles to periodontal disease as well.
Factors that may increase the risk of developing periodontitis contain:
Poor dental hygiene
Poor immune system due to disease or drugs
Poor nutrition (read more about nutrition and a healthy mouth)
Family history of gum disease and/or periodontitis
Tongue or lip piercing
If you are having symptoms of periodontitis, you need to contact your dentist to get a check-up. Your dentist may ask you questions associated with symptoms and a family’s medical history. An oral examination of bones, gums, and teeth will occur. In this test, your dentist will measure the thickness of the pockets from the gums. X-rays will be required to check for bone loss.
Unlike gingivitis, which usually can be eliminated by good oral hygiene and professional cleaning, periodontitis may need repeat visits to the dentist. Flossing and brushing clean millimeters below the gum line and periodontal pockets are 4-10 millimeters. Therefore, when pockets are present cleaning is essential. This therapy is known as scaling and root planing and eliminates plaque and calculus and primes the origin. It is comparable to cleaning, but is more meticulous and extends farther beneath the gumline. Because of this, local anesthetic may be given to numb your teeth.
You should be checked by your dentist or periodontist 4-6 weeks following the heavy cleaning to inspect the recovery of the teeth. Surgery is generally recommended Whether there are some remaining pockets deeper than 5 millimeters. In most cases, open flap operation is the procedure involves obtaining the tooth below the gum line cleaning the teeth and used and if needed, correcting. This may or may not include the placement of bone graft material. Sutures will be used to hold the gum tissue while it heals. After surgery, chlorhexidine mouth rinse is used for brushing and flossing.
Infection may be prescribed along with scaling and root planing or gum surgery, particularly if an abscess is present. In some cases, antibiotic-impregnated materials, like filament or gel, are inserted into the gum pockets. You may also be prescribed a non-prescription antibiotic to be taken within several months.
After first therapy (i.e. deep cleaning and/or operation ), you’ll be placed on periodontal care. This means having your teeth cleaned and mouth analyzed every 3-4 weeks. Owing to your risk for periodontal breakdown, closer monitoring is required by you than somebody who has never had the disease.
Complications of Periodontitis
If left untreated, periodontitis will advance. Complications include[iv]:
An abscess (infection) of:
Gum or breast tissue
Soft tissue (facial cellulitis)
Deep jawbone (osteomyelitis)