Periodontal disease or periodontitis?
We often hear from patients that they have periodontal disease. And during the examination it is revealed that it is gingivitis (inflammation of the gums) or periodontitis (which is much more complicated). Let's try to dispel the myth and carry out differential diagnosis between these diseases.
Gingivitis is an inflammatory disease of the marginal gums. Like any inflammation in the human body, we have five major components of inflammation:
- Disruption of function.
The most common cause of gingivitis is dental deposits or as a minor manifestation of any infectious disease.
Prevention: it is necessary to remove the plaque and be sure to change the toothbrush.
Treatment: removal of dental deposits and anti-inflammatory gum treatment.
What happens if you don't?
The body is arranged in such a way (the body's protective reaction to dental deposits under the gums) that those dental deposits that are under the gums will soon appear over the gums. This is because the gums drop down to the height of the dental deposit. And if the height of the gums is not enough, your bone is involved in the process, which is slowly absorbed.
When the patient is in this state, no guarantee will be given to bone repair. This is a periodontitis inflammatory disease of the tissues that surround the tooth. And that:
- dental alveoli
- periodontal ligaments
- and the tooth itself.
The outcome of treatment depends on the timely treatment of the patient, because with the first and second stages of periodontitis, when we have moving teeth, the chances of a positive result are. At 3-4 degrees (when the patient can "remove the tooth"), the chances of a positive result are much less.
For the treatment of periodontitis we use the following techniques
Professional oral hygiene - removal of hard dental plaque with a scaler, if necessary, the hardware method of Profiflex and a special powder of profilers containing calcium (in any case not soda), then polishing the surfaces of teeth with professional paste and treatment with special anti-inflammatory. In more complex forms, we connect Gracey curettes to remove granulations (inflamed tissues) in areas of pathological teeth pockets, and Vector Therapy is built on the cleaning of pathological teeth pockets using special nozzles and special calcium-containing fluid.
Laser therapy - very well proven in periodontics. Thanks to it, granulation tissues evaporate much faster and the healing effect is felt almost immediately.
Ozone therapy - treatment with active oxygen, which releases the ozone generator, destroying bacteria (located in pathological pockets). The effect is fast and long-lasting. The doctoral thesis on this topic was defended by our doctor Makarenko Maxim. And of course we have our own experience in the treatment and prevention of periodontal tissues.
Periodontal disease. We came to periodontal disease. This is a dystrophic periodontal tissue disease, that is, no gum inflammation. As a rule, the patient rarely goes to the doctor, because the cuneiform and v-shaped defects in the tooth cervix do not bother the patient at all, except aesthetically.
In the X-ray examination we can see the horizontal resorption (resorption) of bone tissue. In the area of the cervical teeth, cuneiform defects and traumatic occlusion. We also observe the pathological abrasion of all teeth on the occlusal (chewing) surface. And as a result of traumatic occlusion, due to the sharp edges of their teeth.
Causes of periodontal disease:
- irrational denture when permanent dentures inflate the bite and as a result there is a tooth overload
- congenital malocclusion.
The treatment is aimed at eliminating the cause of the disease, that is, eliminating the overload and grinding of the clumps of teeth (elimination of traumatic occlusion) and as a result, rational prosthetics or restoration of teeth.
Conclusion, periodontitis and periodontitis are two different diseases that are treated completely differently and have different causes.