Periodontitis Or periodontitis This is an inflammation of the organs surrounding the teeth, where the inflammation spreads from the gums to other tissues surrounding the tooth. This is the severe stage of gingivitis. People suffering from this disease should seek immediate treatment. This is because chronic inflammation and infection can damage your gums, teeth, roots, nerves, and can lead to tooth loss.
The main cause of periodontitis is a lack of good oral hygiene. At the same time, certain health problems can increase your risk of this disease. The method of treatment for this disease may depend on the severity of the disease. But often in conjunction with the scaling and rooting of the teeth In severe cases, surgery may be needed to restructure the gum tissue and the socket bone and extract the teeth.
There are 4 stages of periodontitis: Gingivitis Early periodontitis Intermediate periodontitis And late periodontitis
Oral inflammation can cause:
- Bad breath
- Gums are red, darker and look more shiny than usual.
- Swollen gums, inflamed gums Receding gums Purulent gums
- Feeling the taste in the mouth is abnormal
- Sore gums when touched or sore gums while chewing
- Teeth have white, yellow, or brown stains.
- Sensitive teeth
- Easy scurvy Especially when brushing or flossing.
- Teeth are moving, teeth are displaced, and teeth are distant
Although most diseases may not be fatal. But if left untreated, it could lead to infection. Can affect chewing food and daily life, so if you experience any of the above symptoms Should see a dentist
Causes of Periodontitis
The main cause of periodontitis is the accumulation ofLimestone Causing inflammation and infection of the tissues surrounding the teeth, such as the gums, bone, and tooth socket And nerves There are many types of periodontitis. May be classified according to the symptoms and causes. With the most common types including
Periodontitis This type is more common in adults. But can be found in children Caused by the accumulation of plaque (plaque) or plaque on the tooth surface. These plaque, over time, destroy the tooth’s strength, eventually spreading to the gums and sockets, which form the base of both gums and teeth.
Periodontitis This is a less common type. But may be found in young and young adults This often results in rapid damage to the gums, teeth, and nearby oral components.
Necrotizing Periodontal Disease
Periodontitis This type is caused by severe oral infections. Causing the tissue in various areas within the mouth is lacking blood, such as gums, ligaments, teeth, bone socket Resulting in tissue necrosis and more severe disease symptoms The most common cause of this type of periodontal disease is an inferior immune system. Which may be caused by health problems such as nutritional deficiencies HIV infection Use of certain drugs Cancer treatment etc.
In addition, the following factors may increase your risk of developing periodontitis:
- Improper care for oral hygiene
- Increasing age and menopause
- Smoking and substance abuse
- Pregnancy and the use of birth control pills that affect hormones in the body
- Health problems affecting the immune system, such as leukemia, HIV infection, AIDS, those receiving cancer treatment, etc.
- Other diseases or conditions such as gingivitis Malnutrition Vitamin C deficiency, obesity, diabetes, rheumatoid arthritis, Crohn’s disease, etc.
- Use of certain drugs Especially drugs that affect the gums or cause dry mouth
First, the dentist will ask for symptoms. History of illness, health problems, use of drugs or supplements in the past Including risk behavior Like smoking and substance abuse It will then be examined inside the mouth to look for signs of disease such as plaque, plaque, receding gums or swollen gums, etc.
Next, the dentist will check the depth of the gum line, or the distance between the gum and the periphery of the lower tooth. If the depth is greater than the threshold, periodontitis may be diagnosed. This may depend on other symptoms as well. In addition, the patient may have an oral X-ray. To help see the structure of teeth and bones around Get clearer
The steps in the treatment of periodontitis may depend on the degree of damage that has occurred in the oral cavity:
Periodontitis Mild type
Treatment for mild periodontitis is aimed at reducing factors that exacerbate symptoms such as:ScalingAnd root canal to help get rid of plaque, plaque and pathogenic microorganisms in the oral cavity
After scaling and rooting of teeth Your dentist may prescribe an antibiotic as an oral solution, a pill, or mouthwash to kill bacteria inside your mouth. Patients should use it strictly according to the doctor’s instructions. Because if not used as recommended by your doctor, it may cause side effects and recurring infections.
Treatment for severe periodontitis may require surgery. To maintain and refine damaged oral structures such as
- Flap Surgery to reduce the distance between the gums and teeth. This will reduce the risk of food particles falling into the gum line that is difficult to clean. Aggravate the infection
- Surgery to treat and cover up signs of receding gums (Soft Tissue Grafts) caused by periodontitis. The dentist will transplant gum tissue from other parts to the receding gums. To make the gum edge of each tooth look even
- Bone grafting in the area around the root affected by an infection (Bone Grafting) implants require a small piece of bone from the patient or donated for the implant. A bone graft helps to keep teeth healthy, less looser, and reduce the risk of tooth loss.
- Guided Tissue Regeneration is a technique to induce tissue restoration. The dentist will implant the medical material in the area of the remaining bones and teeth. To stimulate the tissues in that area Without other tissue interfering This will help restore damaged bone tissue.
- Surgery to points or apply a paste that stimulates tissue regeneration in the root canal. (Tissue-stimulating Proteins) to stimulate the formation of enamel and tooth socket.
In addition, some patients may needTooth extractionIf the tooth is dead or has a serious infection Including after treatment The dentist may schedule follow-up visits for the patient’s symptoms periodically.
Complications of Periodontitis
If not properly maintained In addition to pain from the symptoms of the disease Periodontitis can lead to tooth loss. Jaw infection, tooth abscess, canker sores in the mouth Some patients develop bacterial infections that can spread to the bloodstream and lead to serious organ system infections. Organ failure can and be life-threatening.
Symptoms can also affect lifestyle, such as bad breath, abnormal teeth and gums, loss of teeth and diet. And confidence decreased
An effective prevention of periodontitis is to maintain proper oral care to prevent the build-up of plaque, plaque and pathogens by:Brush teethIn the correct way at least 2 times a day in conjunction with the use of dental flossAt least 1 time per day In addition, you should see your dentist every 6 months for oral examination and scaling.
For those at risk of periodontitis such as obesity, diabetes, pregnant women, or others, they should consult their doctor or dentist for advice on how to reduce their risk of the disease.