Periodontitis treatment, symptoms

Periodontitis is one of the most common diseases in dentistry. It is an inflammation of the root and the tissues that surround it (periodontal). The disease has such vivid symptoms as bad breath and bleeding gums. In no case should this disease be underestimated, destroying the root, periodontitis invariably leads to tooth loss. Like many periodontal diseases, it occurs against the background of untreated or untreated pulpitis. After the pulp dies off, the infection moves through the channels and enters the tissues. Forms of periodontitis There are several signs by which the disease is divided into types: • cause of occurrence • symptoms of periodontitis • degree of complexity Given the origin and cause of the appearance in the oral cavity, the following types of periodontitis are distinguished: 1.infectious: appears due to poor dental treatment, after the treatment of nerve inflammation; 2. traumatic: occurs after receiving various kinds of trauma and damage to the tooth, and the cause may also be an injury caused by the dentist during the procedure for installing prostheses; 3. medicinal: begins as an allergic reaction to the material that was used to seal the canals, as well as due to the use of potent antiseptics. Observing how the disease proceeds, analyzing the symptoms of periodontitis of the teeth and the nature of the course of the disease, they distinguish: 1.Acute periodontitis: occurs abruptly, without preconditions, is very painful, especially pain is strong when pressing on the affected part of the oral cavity, sometimes fistulas appear; 2. chronic form: it can arise as a consequence of an acute condition, if no treatment is carried out, the symptoms of a chronic condition are considered increased mobility of the teeth, the appearance of a gap between the teeth, and inflammation of the gums. This disease proceeds slowly, with possible relapses. It is often impossible to notice obvious symptoms and such periodontitis is accurately determined on an x-ray. In turn, chronic periodontitis has three types: fibrous, granulomatous and granulating. Depending on the degree of damage caused by the disease, they distinguish: 1. a mild form: the tissue located around the tooth is affected by 4 millimeters, there are no changes in the bone character, there is slight bleeding and discomfort when chewing; 2. average: the disease has penetrated deeper, namely, it has reached 6 millimeters, the roots are slightly bare, teeth are mobile, the gums become inflamed; 3.severe: the depth of penetration of the disease is 9 millimeters, symptoms are observed in the complex, purulent discharge is added. Periodontitis symptoms It should be noted right away that the diagnosis of periodontitis is carried out primarily by a dentist. No need to self-medicate. If you find one of the symptoms listed below, see your doctor. This is the only way to guarantee the correct treatment of periodontal disease. Symptoms and treatment of periodontitis differ depending on what type of disease we are dealing with: • if the disease proceeds in an acute form, then there will certainly be pain when pressing on the tooth; the affected tooth can hurt, and those that grow next to and opposite; pains are aggravated by the use of cold and hot foods. Due to the inflammatory process, an increase in gum tissue is observed, and discomfort is felt when the teeth are closed. If you do not take any action, then in the future the pain intensifies, acquires a pulsating character, the lips and cheek swell, and the body temperature rises. Without seeking help from a doctor, you run the risk of transferring the disease into a chronic stage. • Chronic periodontitis can be at rest or in remission and in an exacerbation stage. In the calm stage, the disease does not have pronounced symptoms, there are aching pains that intensify when pressing on the tooth, sometimes you can observe the appearance of a fistula with purulent accumulations. In the acute stage, the symptoms intensify, the teeth are very loose, and the further, the stronger. The gaps between the teeth increase, redness and swelling appear, and the body temperature rises. This often leads to the formation of a cyst, which is removed only with the tooth. Acute forms: treatment Painful sensations in acute periodontitis refer the patient to dentistry. To properly treat the disease, you need to determine the degree of the disease. First, an x-ray is taken. Any dentist who has studied the structure of the periodontium at the university can see periodontitis in the picture. The presence of a dark spot on the root indicates the presence of disease, and an examination of the oral cavity will show the degree of progress. All types of periodontitis are treated in two ways: • therapeutic • surgical Carrying out therapy, the doctor: 1. opens the canals of the tooth 2. removes the nerve 3. thoroughly cleans the canals 4. treats the canals with an antiseptic 5. without closing the canals, treats the tissues around the affected root (you may have to visit the doctor several times) 6. after the end of treatment tissues, the tooth is cleaned well, a medicine is placed in it that relieves inflammation 7. a temporary filling is placed for a week 8. if the pain continues to bother, then the procedure is carried out again 9. if the pain has stopped, then at the next visit the doctor puts a permanent filling, having previously closed root canals. The surgical method boils down to the fact that an incision is made on the gum through which part of the root is removed along with a purulent formation, and then the site of inflammation is treated with a special medicine. The method of treatment requires the use of antibiotics. The use of a drug such as Biseptol for periodontitis is a fairly common occurrence. But there are other medicines as well. A complex of vitamins is also added to strengthen immunity. Chronic forms of periodontitis Chronic types of the disease have their own characteristics: • granulating periodontitis - an inflammatory process of tissues, which is accompanied by the appearance of fistulas. This is a painful condition and may be accompanied by swelling. It is necessary to see granulomatous periodontitis on x-rays in order to carry out the treatment correctly. • granulomatous periodontitis - a process when the formation of a new structure is observed in the gum tissue. Unlike granulating periodontitis, this one is calmer. The formation of structures such as granuloma, cyst and cystogranuloma is possible. They reduce the absorption and penetration of microbes into the tooth tissues by blocking them. • fibrous periodontitis - this type of disease often appears as a consequence of granulating or granulomatous treatment. Some dentists do not consider this type of a form of the disease, because it does not change the root. But if the inflamed tissue acquires a fibrous structure, there is a risk that this will lead to the formation of granulomas in the future. The symptoms of this disease are practically non-existent. But a professional doctor will see the color change of the tooth, the soft structure of dentin, an increase in the interdental gaps, and will prescribe timely and correct treatment.