Sometimes may develop allergic periodontitis, when patients present hypersensitivity to the drugs used in the treatment and root canal fillings.
In a sense, periodontitis can be considered a complication or advanced form of gingivitis or periodontitis. Although sometimes periodontitis may develop from running or improperly treated pulpitis.
The causes of periodontitis can be divided into local and General factors.
Local factors:
- lack of oral hygiene
- mechanical trauma
- a complication of some diseases of the teeth and gums
- poor dental treatment
- the lack of vitamins and minerals in the diet
- bad habits can also become the cause of the disease.
Common factors – somatic diseases: diabetes, diseases of the nervous and endocrine systems, cardiovascular disease and a great many other chronic diseases.
To date, there are about 30 types of somatic diseases, leading to the emergence of periodontitis.
The symptoms of periodontitis
The first sign of periodontitis is bleeding gums when brushing your teeth and persistent bad breath. Discomfort can occur when eating, especially acute reaction “whine gums” can occur when cold or hot food.
The symptoms of acute and chronic periodontitis.
Acute periodontitis
Acute periodontitis occurs suddenly and is characterized by independent (without external influence) constant severe pain in the region of the affected tooth. The pain is magnified when pressing or tapping the tooth. Increased pain is often accompanied by its spread to the neighboring sick tooth areas, and sometimes on the opposite jaw. There is a feeling that the tooth “has grown”, and the pain in it intensified during the reception, the warm and hot food, and ceases from cold.
The reason of this phenomenon in inflammation which leads to swelling of tissues surrounding the tooth that is accompanied by a slight protrusion of the tooth of the dentition. When connecting the jaws the tooth first contacts the tooth of the opposite side and the feeling big or grown up tooth.
The next stage of acute periodontitis, the pain increases, becomes throbbing in nature. The tooth becomes mobile, you may experience swelling of the tissues of the face.
Because of the pronounced infectious inflammation increase in size the lymph nodes.
For completeness, swells the gums, and with it, lip to cheek, and all this is accompanied by increased body temperature.
If the patient does not go to the doctor, the inflammation subsides within 1-2 weeks and become chronic. It is important to know that acute periodontitis always spills over into the chronic form if untreated.
Chronic periodontitis
Chronic periodontitis is seen greater degree of mobility of the teeth, repositioning of teeth and the formation of interdental gaps. In case of advanced chronic periodontitis bleeding gums can be even at night. There are suppuration, abscesses and severe pain.
Chronic periodontitis is characterized by periods of exacerbation and remission process. Exacerbations occur from different causes: hypothermia, trauma, or diseases, stress etc Inflammation develops very quickly, because the tissue of the periodontium is already compromised, and is more severe than in acute periodontitis. You receive a constant toothache, aggravated by touching the tooth. The gums near the sick tooth is red and swollen. Body temperature rises and suffers from the General condition of the body.
The severity of periodontitis
Conventionally, the course of disease can be divided into mild, moderate and severe degree. When mild depth of the inflamed gingival pocket is 4 mm. At this point it is observed a slight bleeding gums, discomfort. The changes in bone are not yet happening.
When the average degree of pocket depth is 4 – 6 mm. Observed mobility of the teeth, a light exposure of roots and marked inflammation of the gums.
With severe chronic periodontitis pocket depth can reach up to 9 mm and course of the disease is accompanied by pronounced mobility of the teeth, enhanced the inflammatory symptoms, by changing the position of the tooth and suppuration.
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