Periodontitis - is one of the complications caries, Trauma or dental medical procedures, resulting in inflammation area with the tooth moves to zone periodontal - narrow space between the tooth and the bone hole.
Periodontal filled with connective tissue and acts as ligaments, holding the tooth in place.
symptoms of periodontitis
Periodontitis can be divided into two large groups - acute and chronic. In turn, acute periodontitis is serous and purulent and chronic - fibrous, granulating, granulomatous.
acute periodontitis
When forming acute serous periodontitis arise aching pain in particular tooth. Tapping on the tooth or nibble their food does not cause severe pain.
Purulent periodontitis development gives pulsating or tearing pain with little attenuation, the mobility can be enhanced damaged tooth.
In the projection of defeat on the part of the gums occurs flux. When purulent periodontitis disturbed general health with weakness and temperature rise due to fever and pain suffers from sleep. When chewing arise acute pain, which leads to rejection of food. Externally, the patient's face on the affected side looks puffy.
chronic periodontitis
Often, chronic form of periodontal disease are asymptomatic, but sometimes there may be a slight pain when tapped on the tooth or biting them write. Gums in projection on the tooth sometimes marked small hole (fistula), which exits through discharge. Long term course of the disease leading to tooth loss.
Chronic periodontitis can produce acute with increased pain and the appearance of signs of acute periodontitis. In the formation of fistula and drainage of pus symptoms disappear, and the process proceeds to a hidden stage again.
Chronic periodontitis exists in three forms:
- fibrous, has no clinical manifestations, in rare cases, may provide a slight darkening of the tooth crown, with its tarnish and gray tint. X-rays revealed only in the teeth formed from the roots.
- granulomatous periodontitis, usually asymptomatic, has a fistula to drain the contents. On X-ray looks like hearth bone fracture at a tooth apex diameter and 5 mm.
- granulating, morbidity manifested by eating or tapping, in contact with hot or under pressure. The mucous membrane around the tooth is slightly swollen, red, fistula of dental granulomas can be opened on the skin.
Diagnostics
Diagnosis and treatment has been a dentist. The basis of diagnosis are complaints and typical manifestation in the oral cavity, but will establish an accurate diagnosis X-ray of the tooth and jaw in the surrounding area. On X-rays determined the type and location of the lesion is determined by the tactics of treatment.
treatment of periodontitis
Approach to the treatment of periodontitis complex -
- elimination of the source of inflammation,
- creation of conditions for the outflow of exudate - cleaning the root canal,
- appointment of therapeutic baths, cephalosporin antibiotics inside.
Also conduct filling with the content of therapeutic paste. In some cases, appoint UHF-therapy to the affected area.
Causes
Periodontitis is the result of infection with the transition to the root apex periodontium. As a result of the periodontium in this zone is destroyed, forming an abscess (purulent bag). Periodontitis is followed after pulpitis stage of inflammation. Under his infection affects not only the teeth, but also the surrounding tissue.
One of the causes of the disease can be dental trauma, especially in children. Basically suffer cutters, tooth pulp after injury die, and thereupon formed periodontitis.
Another reason may be injured when handling canals sharp dental instruments if the sealing material beyond the tip. May occur and reaction to medicines or chemicals that penetrate the periodontal pulp from the treatment.