Periodontitis
How does paradontosis / periodontitis?
Periodontal disease arises from the fact that in the transition area of tooth and gum rubbers form, which, inter alia, contain harmful bacteria. The pads are often also described as a biofilm. Substances, which contained the microorganisms isolated, may lead to an inflammation of the gums, when the pads are not regularly by brushing and other measures are removed. The gum inflammation called gingivitis in jargon and is always present, before a train periodontitis.
Diseases such as diabetes, smoking and drugs play a role in the development of periodontitis (paradontosis). Conversely, also has an existing periodontitis have a negative impact on the health of the whole body. Over time, forming pockets between teeth and gums, which can grow in size and in which, in turn, can accumulate such coverings, which are then often no longer covered by traditional dental cleaning, but only by special periodontal treatment can be removed. The coverings can condense to tartar. The sequence of the pocket education is a stronger inflammation, in addition to the unpleasant smell a gradual degradation of dental apparatus and stopping the jaw bone is going on, so that in many cases it happens that the affected tooth is lost.
What makes a paradontosis / periodontitis noticeable?
Warning signs of periodontal disease, you may even say, can be a reddened gums and bleeding gums be frequent. Nausea may be resistant to tooth coverings below the gums suggest. Signs that periodontal treatment is an urgent need to be, are a retraction of the gums from the teeth, loose teeth and gums noticeable discoloration and inflammation with pus discharge under pressure.
Treatment of paradontosis / Periodontitis
The therapy should be considered when a dentist happened to the periodontal treatment is specialized. Before periodontal treatment there is a diagnosis of gum disease using various investigations. Apart from a survey of the patient, for example, according to the daily oral hygiene, the dentist examines the extent to rubbers and have explored using a special tool bags, which are between gums and teeth have trained. The depth of these pockets can be measured, to three millimeters depth is considered normal, from four millimeters this is a danger to the tooth out, so that periodontal treatment is warranted.
An X-ray examination is essential in order to see whether the bone of the jaw in the area of the teeth is already diminished. Bacteria tests can also be carried out, they have seen for themselves but only a small significance for periodontal treatment, unless there is a very extensive inflammation . When periodontal treatment must be cleaned and formed pockets be reduced. This will be first on a so-called Initial treatment attempts.
The dentist goes in this parodontitis treatment with instruments such as Scalern to the teeth and gums in the pockets and there is scratching the pads and the tartar from thoroughly. For these periodontal treatment can be as modern measure certain ultrasonic instruments, such as the Vector system can be used.
Sometimes a dose of antibiotic agents in the gum or the prescription for revenue, in addition to the harmful bacteria to fight. After the initial periodontal treatment is a regular at the dentist’s supervision is essential. Often the need for initial therapy several meetings to be carried out.
Very often this is already part of periodontal treatment successfully, and the bags, the inflammation and bone resumptions will be reduced. However, if no or only insufficient improvement can be seen, a gum-operative treatment be made.
Under such a rag after setting a local anesthetic cut the gums, so that the dentist’s office where the affected can see better. As with the initial periodontal treatment will also be here again the plaque example with the scaler .
Occasionally, when periodontal treatment, a jaw bone structure are in motion. To this end, the growth stimulating substances brought or even the body’s own bone transplant. There are also the procedures of Guided Tissue Regeneration (GTR abbreviated) and guided bone regeneration (GBR) to use: a folienartige layer is between gums and teeth restraint apparatus in order to support bone cell formation and not by fast-growing gum tissue to obstruct. At the end of the Flapoperation the gum stitched back.
After periodontal treatment
In general, the patient can then one week after periodontal treatment for pulling threads come to the dentist. If the tooth, however, already Holding apparatus so far damaged that the tooth is no longer tight, so the tooth may need to be considered. Even after a periodontal treatment may cause problems exist or arise through the therapy. When periodontal treatment can e.g. by the scalers a violation of the gums or the tooth showed. The pockets between gums and teeth can also continue to exist, the teeth remain loose, for this reason, is a regular check is always required.
Even cosmetic problems are sometimes referred to the periodontal treatment, the gums often covered less from the teeth, so that they look longer. Reinforced by the exposed tooth necks, the teeth paradontosis after treatment increased sensitive.
Whether before or after periodontal treatment, an accurate toothbrush and oral hygiene with dental floss or interdental toothbrush is in any case necessary for the preservation of teeth.
