Periodontal disease: periodontitis
Periodontitis is the second stage of periodontal disease and often occurs in people who ignore the symptoms of gingivitis for a prolonged period. Periodontitis is caused by toxins that produce by bacteria in plaque.
These toxins cause the separation of dental flesh from the teeth and creation of so-called “periodontal pockets”. Periodontal pockets are typical for advanced periodontitis and they increase over time.
With retraction of dental flesh teeth lose their strength and become unstable and loose. Ultimately the tooth either falls out or needs to be extracted. Since the surrounding teeth have already been affected by periodontitis and lose, the dental arch will be further destabilized after removal of one tooth and soon the other teeth will be lost. Therefore, it is not surprising that periodontitis is more responsible for loss of teeth than caries.
Unfortunately, periodontitis cannot be completely cured. This chronic disease can only be slowed down and maintained under control. Periodontitis is a hidden and nasty disease, often we do not even notice its devastating action until it is late. The timely diagnosis of periodontitis is therefore very important.
If you notice the following symptoms of periodontitis do not wait, seek help from dentists and periodontologists:
- Dental flesh is painful when touched
- Dental flesh is dark red
- Dental flesh is swollen
- Dental flesh is retreating
- Puss forms between teeth and on dental flesh
- There is increased distance between teeth
- Bad taste
- Bad breath
- Loose tooth or tooth loss
- Change in jaw joining feeling while you chew
Other factors of periodontitis
With poor oral hygiene and gingivitis the appearance of periodontal disease can also be triggered by a number of other factors. If you fall into the group of people who are exposed to the following risk factors for periodontitis, take an extra care about its previously described symptoms.
Risk factors for periodontitis:
- Poor oral hygiene
- Genetic predisposition
- Older age
- Poor diet
- Impaired immunity (leukemia, HIV, chemotherapy)
- Use of opiates
- Some medications
- Hormonal changes
- Poorly performed prosthodontics or poorly built implants
- Bad teeth position at bite
Parodontological therapy in Videntis
Head of Videntis Dental Center, dr. Vidović, is a specialist in periodontics, while the patients are taken care of also by dr. Marof, with great experience in prosthodontics which foundation is healthy gums.
In our dental center, periodontal therapy consists of several phases, depending on how much the gum disease has progressed.
Improving oral hygiene
Even simply changing oral hygiene can greatly affect the health of dental flash. Therefore, that is the first recommendation for patients diagnosed with periodontal disease.
Patients are advised to use dental floss, interdental brush or teeth shower. This ensures good cleaning between the teeth, where the focal point of gingivitis and periodontitis usually occurs.
Tooth and dental flesh should be gently brushed. Use of a soft toothbrush is recommended to prevent retraction of the dental flesh. Additionally, it is desirable to rinse the oral cavity with antibacterial mouthwash.
Professional removal of soft and hard tooth deposits
The second stage of treatment of periodontal disease involves cleaning up the hard and soft teeth deposits. Dental deposits are an excellent base for development of bacteria causing a range of diseases.
Using an ultrasonic cleaner, we remove dental calculus, after which sandblasting and teeth polishing is carried out. This will make it more difficult for calculus to accumulate on the teeth.
Sometimes, at this stage of therapy, it is necessary to repair or replace bad fillings. Namely, poorly performed or damaged fillings are also favorable for accumulation of plaque that attracts bacteria.
Cleansing deposits below the dental flesh level
The first two phases of periodontal treatment will suspend the initial phase of periodontal disease and its progression into periodontitis. However, if the disease has progressed, it may be necessary to clean the deposits below the level of the dental flesh.
These procedures include scaling and polishing tooth neck and tooth roots. After that it is enough that the patient adheres to high-quality oral hygiene and comes to check-up three to four times a year.
Resective therapy: removing affected tissues
If a patient comes with advanced periodontitis, it is sometimes necessary to remove the sore tissue around the tooth as well as the diseased periodontal pocket tissue. This is a third phase of periodontal therapy, which is also called resective therapy.
Resective therapy means the surgical removal of dental flesh from the tooth neck and root. It can also include the extension of the tooth crown and covering visible root canal. The surgery is performed in local anesthesia and is completely painless.
Regenerative periodontal therapy
The amount of how much periodontitis can be detrimental to health is revealed in advanced phase in which cavities and craters are created in the jaw bone itself.
Such conditions are called bone defects because due to which the supporting bone structure can no longer stabilize the tooth and needs to be remedied.
In this case we implement the so-called regenerative therapy that represents the most modern progress in treating the consequences of severe periodontitis. In order to prevent deteriorated jaw bone, bone defect is filled with a bioactive material that promotes bone regeneration.
It is important to emphasize that patients suffering from periodontitis must strictly adhere to the dentist’s and periodontologist’s advice and perform check-ups several times a year.
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