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Periodontal disease or periodontitis?

We often hear from patients that they have periodontal disease. And upon examination, it turns out that this is gingivitis (inflammation of the gums) or periodontitis (which is much more complicated). Let’s try to dispel the myth and conduct a differential diagnosis between these diseases.

Gingivitis is an inflammatory disease of the marginal gingival margin. Which, like any inflammation, has five main components:

redness
bleeding
edema
soreness
violation of tooth function.
The most common cause of gingivitis is dental deposits or as a secondary manifestation of an infectious disease.

Prevention: it is necessary to remove dental deposits and be sure to change the toothbrush.

Treatment: removal of dental plaque and anti-inflammatory treatment of gums.

What happens if you don’t?
The body is arranged in such a way (a protective reaction of the body to dental deposits under the gum) that those dental deposits that are under the gum will soon be above the gum. This is because the gum will go down to the height of the dental plaque. And if the height of the gums is not enough, your bone tissue is involved in the process, which is slowly absorbed.

When a patient is treated in this condition, no one will give guarantees for bone tissue restoration. This is periodontitis – an inflammatory disease of the tissues that surround the tooth. And this:

dental alveolus
bone
gum
periodontal ligaments
and the tooth itself.
periodontitis
The result of treatment depends on the timely treatment of the patient, because with the first and second degrees of periodontitis, when we have moving teeth, there are chances for a positive result. At 3-4 degrees (when the patient can “independently remove the tooth”), the chances of a positive result are much less.

For the treatment of periodontitis, we use the following methods:
Professional oral hygiene – removal of hard dental deposits with a scaler, if necessary, the hardware method of Profiflex and Profiperls special powder, which contains calcium (in no case soda), then polishing the surfaces of the teeth with professional pastes and treatment with a special anti-inflammatory gel.

For more complex forms, we connect Gracie curettes in order to remove granulations (inflamed tissues) in the area of ​​pathological pockets of teeth and Vector therapy – is based on cleaning pathological pockets of teeth using special nozzles and a special calcium-containing liquid.

Laser therapy – has proven itself very well in periodontology. Using it, granulation tissue evaporates much faster and the healing effect is felt almost immediately.

Ozone therapy – treatment with active oxygen, which emits an ozone generator destroying bacteria (located in pathological pockets). The effect is fast and lasting. The candidate dissertation on this subject was defended by our doctor Makarenko Maxim. And of course, we have our own achievements in the treatment and prevention of periodontal tissues.

Periodontal disease

We came to periodontal disease. This is a degenerative disease of periodontal tissues, that is, there is no inflammation of the gums. As a rule, the patient rarely visits the doctor, since the wedge-shaped and v-shaped defects in the neck of the tooth do not bother the patient, except for aesthetics.

periodontal disease
In the survey x-ray we can see the horizontal resorption (resorption) of bone tissue. In the area of ​​the necks of the teeth there are wedge-shaped defects and traumatic occlusion. Also, we observe pathological abrasion of all teeth along the occlusal (chewing) surface. As a result – traumatic occlusion due to the sharp edges of their teeth.

Causes of periodontal disease:

irrational prosthetics when fixed dentures overestimate the bite and as a result there is an overload of teeth
congenital malocclusion.
The treatment is aimed at eliminating the cause of the disease, that is, eliminating the overload and grinding of the tubercles of the teeth (exclusion of traumatic occlusion) and, as a result, rational prosthetics or restoration of the teeth.

To summarize, periodontitis and periodontal disease are two different diseases that are treated completely differently and have different causes.

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