Periodontitis

- an inflammatory disease, occurring in the bone surrounding the tooth root, which arises as a result of mechanical / chemical injury, as well as a complication of pulpitis or complicated caries. In case of refusal from treatment of this disease, bacteria penetrate the root canal of the tooth, calling for acute inflammation( acute periodontitis).This process can occur both acute and chronically with periods of exacerbation.

If periodontitis proceeds chronically with the absence of explicit painful symptoms - around the root occurs resorption of the bone of the jaw tissue, which has no clear boundaries( granulating periodontitis) and is often accompanied by the formation in the patient's tooth on the mucosal surface gums fistula, cyst( large size), orGranulomas( a small cystic formation).

chronic periodontitis

Periodontitis can be non-infectious and infectious. Non-infectious periodontitis develops due to the effects of certain medications( silver nitrate, aqua regia, Trilon B, etc.) Or as a result of traumatic injury( cracking nuts, a sharp bite, razgryzaniya bone bruise, bump and so on.).In the development of infectious periodontitis is dominated microorganisms and their toxins which penetrate through the root canal or periodontal pocket in periodontium hematogenous or lymphatic pathways

Symptoms

both acute and chronic periodontitis in the acute phase, it is characterized by abrupt sharp pain in the teeth, which are amplified withTouch, and also in the evening. There is a characteristic swelling of the gum( "flux"), lips and cheeks;The affected tooth becomes mobile, there is an unpleasant smell from the mouth.

Chronic periodontitis without obvious painful symptoms, due to the fact that the inflammatory process at the tip of the tooth develops slowly enough, is considered the most dangerous form of the disease. In asymptomatic disease, jaw bone can be destroyed for several years, causing diseases of the joints, kidneys, and heart, as chronic inflammatory lesions on the tips of the roots are not treated teeth are a source of infection

Treatment

treatment of all forms of periodontitis is complex and time-consuming process, Because in order to save the tooth, you must first completely remove the inflammation. To do this, carry out certain manipulations designed to ensure that the pus from the inflammatory focus was always able to get out through the canal of the tooth, since otherwise he is sure to make its way through the bone tissue and gums, forming a long-term non-healing fistula. In addition, one of the prerequisites for a favorable outcome is the cleansing of the root of the tooth from the affected tissues. After removal of the inflammatory process, antiseptic treatment of the tissues surrounding the tooth is performed, the medicine itself is placed in the tooth itself and a temporary filling( for seven or more days) is put. It is often prescribed antibiotics. In the case of a favorable course, under the radiological control the final tooth filling is made. In the case of significant destruction of the tooth, its treatment is supplemented by restoration or crown. Untimely treatment of periodontitis leads to problems in the work of the heart, kidneys and liver, weakening of human immunity, the development of endocrine diseases.