How to treat periodontal disease ?Symptoms and disease prevention
Disease / / August 12, 2017
- What is periodontal disease?
- Causes of periodontal disease
- Symptoms of periodontal disease Periodontal disease
- How to cure periodontal disease?
- therapeutic treatment of periodontal disease
- Surgical treatment of periodontal disease
- Auxiliary treatments
- prosthesis and splinting with periodontitis
- whether periodontal disease Contagious?
- Prevention of periodontal disease
Periodontal disease - a systemic dystrophic lesion of the tissues surrounding the tooth, which has a chronic course and manifests mainly in older people.Quite often the diagnosis of "periodontitis" pe
What is periodontal disease?
The basis of the disease is atrophy of the periodontal tissues.Especially pronounced dystrophic changes occur in the alveolar.The symptom reduction in the height of the interdental partitions and osteoporotic bone segments.Uninterrupted progression of the pathological process leads to disruption of fixing teeth and loosening, and subsequently - even hair loss.
Causes of periodontal disease
In the case of periodontal disease can be identified rather than the causes and contributing factors that lead to the disruption of periodontal trophism and the development of pathological changes in it.These factors include:
- heart and vascular disease, especially atherosclerosis;
- autoimmune pathology of connective tissue;
- disruption of thyroid and other endocrine organs;
- severe chronic diseases that lead to a decrease in immunity, exhaustion of the body.
an important role in the development of periodontal disease and heredity plays, but local factors (pathogens, tartar) more burden for the disease, leading to the periodic occurrence of gingival inflammation, bleeding, etc.
Symptoms of periodontal disease
Clinically, periodontal disease becomes noticeable only when significant pathological changes in tissues.It looks as follows:
- gums become pale and sink, there is severe itching, bleeding;
- teeth as extended, because they are exposed neck and root surface (depending on the severity of these changes allocate 3 forms of the disease - mild, moderate, severe);
- appears abnormal mobility of teeth, the front teeth may diverge "fan";
- there is a strong sensitivity to the touch dental instruments to the bare necks of the teeth, as well as their pain when chewing.
To confirm the diagnosis X-ray do, which is clearly noticeable reduction in the height of mezhalveolyarnyh walls, baring the roots of teeth, changes in bone structure.
How to cure periodontal disease?
main goal of treatment of periodontal disease - is the stabilization of the pathological process, but a full recovery is not possible with this illness.The patient should be set to a long, and in some cases life-long maintenance therapy.In addition to the specific dental treatments carried out by a medical periodontist for an individually tailored program for each patient, with periodontal disease often requires involvement of specialists from other areas (internists, endocrinologists, dentists and orthopedists).
Another important feature of care provided to patients with periodontal disease - is a comprehensive approach that is a combination of medical, surgical, orthopedic and auxiliary treatment.Furthermore, before treat periodontal disease, it is necessary to conduct therapy of the underlying disease (atherosclerosis, diabetes, etc.), because otherwise the dental manipulations will be ineffective.
therapeutic treatment of periodontal disease
Therapeutic methods of treating periodontal disease include:
- a complete reorganization of the oral cavity, ie the removal of all dental plaque, the treatment of caries, gingivitis and enamel remineralization.This also can be ranked and depulpation teeth, which take place when necessary.
- general medical treatment - prescribing drugs that improve the microcirculation in periodontal tissues, biogenic stimulants, vitamin and mineral complexes, immunomodulating agents.
- Local drug treatment - injections of aloe, FIBS, lidazy.It is worth noting that not all the periodontists considered appropriate to use this method.
- antibiotic treatment (mainly glycosides and fluoroquinolones), which is necessary for accession of periodontal inflammation.This is used antibiotics interior and local (ready rinses and gels for gum).
- Oxygen enrichment of periodontal tissues.
- use of special rinses and toothpastes designed for patients with periodontal disease.These products contain the necessary range of active substances that contribute to reduction of inflammation, bleeding gums.
Surgical treatment of periodontal disease
Surgical treatment of periodontal disease is used, usually in severe forms of the disease.And because patients generally turn to the dentist is already running the situation, surgery becomes the only effective way to help the patient to keep teeth.
with periodontitis are two main types of surgery: curettage and flap surgery.Before carrying out these manipulations necessarily carried out a special preparation of the patient (splinting teeth, antibiotics, anti-inflammatory treatment, etc.)
curettage operation is to remove the granulation formations under the gum, the elimination of gum pockets by filling the space with synthetic bone substitutes.In a scrappy operations are also carried out similar manipulations, but also, and even removed the thin gum ball, adjacent to the tooth, as it is pathologically changed, and can not fit snugly to the top, creating the preconditions for the development of inflammatory processes.
Recently periodontists in the practice are increasingly using membrane techniques of treatment of periodontitis, ie, in the installation of special interdental spaces bioresorbable membranes, contributing to a better engraftment "podsazhennyh" of bone tissue and cell cultures, stimulating the regeneration of the patient's own bone.
If a tooth is almost completely loses bone skeleton around and rests only on soft tissues, no medicines and surgical techniques can not help.In such situations, a tooth extraction is performed, and subsequently - prosthetics.
to improve blood supply to carry out periodontal gum massage (finger or using special massage equipment), treatment of teeth and gums ultrasound darsonvalization, phonophoresis with the active substances - vitamins, antibiotics, as well as using other methods of physical therapy.
In addition, many dental clinics offer patients with periodontal disease laser treatment.The use of this technique makes it possible to improve the microcirculation in gingival tissues, reduce the signs of inflammation.But laser therapy can not in spite of advertising cope with pathology, and can only complement the main treatment.
Another innovation in the field of periodontology is vacuum therapy.The method consists in the damaging effect of negative pressure in the vessels of the gingival tissues.The developers say that most of these capillaries for several reasons so does not perform its function fully, but formed in their place new vessels will be able to improve blood circulation and trophism periodontal.
prosthesis and splinting with periodontitis
Fixation of mobile teeth - this is a very important component of the treatment of periodontal disease, as the accelerated destruction of the bone tissue at undermining teeth.In addition, under the action of chewing load moving front teeth may even break up "fan", which is not aesthetically pleasing look.To prevent this, carry out splinting - imposition on the front surface of the upper teeth or the inner surface of the lower glass fiber tape in a pre-drilled shallow grooves, the top structure is covered plombirovalnym material.Also for fixing the teeth to the desired position using metal-ceramic prosthetic bridges, which also make it possible to eliminate the aesthetic defects of the dentition.
In the absence of some teeth, the situation deteriorates even more, since the entire load is redistributed to the remaining teeth.If the person has periodontal disease, degenerative processes are progressing rapidly under the influence of enhanced load.Therefore, such patients should not only splinting, and prosthetics: manufacture and installation of clasp splinting prostheses.
whether periodontal disease Contagious?
contracted the disease clearly impossible, because the main trigger mechanisms of its development are the internal changes occurring in the body, rather than external factors.But exacerbate already begun for the disease it is possible to infect the mouth if some pathogens by using someone else's dirty dishes, etc.
Prevention of periodontal disease
If we talk about prevention of pathological periodontal changes, the main measure to prevent the disease is the timely and quality treatment of common diseases, as described in the section on the causes of periodontal disease.Furthermore, its importance is the full rehabilitation of the oral cavity, that is, regular visits to the dentist, the elimination of dental plaque, the treatment of caries, gingivitis, periodontitis and other similar ailments.
It is important to eliminate the malocclusion, damage to teeth and dentures missing teeth conduct, since any changes optimal distribution of masticatory forces sooner or later lead to changes in the periodontal tissues.You also need to learn how to brush your teeth, use with high-quality toothbrushes without damaging the gums, as well as a good toothpaste, has an antibacterial effect.
a role in the prevention of periodontal disease plays and nutrition.Should eat foods containing calcium (cheese, cottage cheese), copper (lentils, liver, potatoes, pasta, buckwheat), iron (dark meat, spinach, beans), zinc (meat, cheese, cereals), ascorbic acid (Wild Rose,currants, pepper, citrus), essential fatty acids (oily fish, vegetable oils).Also do not forget about the fruits and vegetables that are rich in fiber, -. Apples, carrots, pumpkin, cabbage, etc. Many of them are good "massager fitness equipment" for the gum.In the case of a high risk of developing periodontal disease, you should consult with your doctor about the possibility of receiving periodic special vitamin-mineral complexes.
If it became apparent early signs of periodontal disease, it is necessary to consult a doctor periodontist, rather than self-treatment carried out by the national councils (eg, hydrogen peroxide).Only qualified dental examination, evaluation of radiographic images of the teeth and a complete examination of the body will allow a specialist to make an individual plan of comprehensive treatment of the patient and really provide effective medical care.Other methods to prevent periodontal disease progression and delay the loss of teeth is impossible.