Parodontosis (periodontitis, periodontitis) attacks insidiously. Periodontitis does not make itself felt for a long time. If left untreated, it leads to tooth loss. Over 10% suffer from periodontitis. people in the world, in Poland - about 70 percent. This is due to the fact that only 1/3 of us know what causes paradontosis and how to prevent it, and above all, that it can be treated effectively.

Parodontosis , otherwiseperiodontitis , has been filled with many myths. The most popular belief is that periodontitis is genetically determined, and the fight against it always turns out to be ineffective.

Contents:

  1. Periodontitis - causes
  2. Periodontitis - it favors tartar
  3. Parodontosis in children
  4. Parodontosis - disturbing symptoms
  5. Parodontosis - treatment
  6. Parodontosis - treatment in a sanatorium
  7. Parodontosis - methods for periodontitis

Periodontitis: causes

Parodontosis occurs as a result of a long-term inflammatory process caused by pathogenic microorganisms that naturally accumulate where the gums come into contact with the teeth. The sediment (professionally called plaque) contains mostly bacterial flora and food debris.

If not removed regularly, it quickly turns into tartar. The stone first hardens (mineralizes) at the edge of the gum, and then "descends" closer and closer to the root, hammering under the soft tissue.

Constantly irritating gums, causing swelling and pain. Over time, it compresses the soft tissue of the gum more and more, and it contracts, moving away from the stone.

If this process is not stopped in time, the tissues that hold the teeth in the jaw bone (i.e. the periodontium with periodontal ligaments and the alveolar bone) will be damaged and then destroyed.

Expose the necks of the teeth (this stage is easy to recognize because the exposed necks are very sensitive to changes in temperature, as well as to sweet or sour foods). The teeth are then placed quite loosely in the jaw and may fall out.

Periodontitis - it favors tartar

Basically no one gets the teeth clean enough to prevent tartar build-up. It can only be removed by a dentist with the help of a specialisthardware. Depending on your needs, you should undergo this treatment 2-4 times a year.

By the way, the doctor will replace the fillings, especially if they have broken or loosened, he will repair or change the dentures.

One of the causes of periodontitis is the deficiency of coenzyme Q10 in the cells of the oral mucosa and gums. This deficiency increases with age.

It is not true that only elderly people suffer from periodontitis. From epidemiological studies conducted in Poland by prof. Zbigniew Jańczuk, periodontist (periodontal disease specialist) from Szczecin, shows that 5 -5 percent. people aged 35-44 have 2-4 gingival pockets that require treatment and reconstruction of bone defects. People aged 45-69 have a few more pockets. But also in eighteen-year-olds acute inflammatory processes are observed that can lead to tooth loss.

Parodontosis in children

According to studies conducted in selected Polish cities, 50% of 7-year-olds and as much as 75% of adults have periodontal problems. 12 year olds.

- Parents are surprised sometimes: periodontitis in a child? How it's possible? - unfortunately possible. Although most children are not prone to typical periodontitis and periodontal disease is much less common in children than in adults, they are more violent and more rapid, the drug says. stom. Monika Stachowicz, periodontist from the Center for the Treatment and Prevention of Periodontitis Periodent in Warsaw, organizer of the preventive action "Stop periodontitis".

- These are genetic types of periodontitis and often require antibiotic treatment or surgery. They include gingivitis and aggressive periodontitis - explains the expert.

According to the American Academy of Periodontology, gingivitis of varying severity is an almost common symptom in children and adolescents. It is especially common in adolescents. Why? Hormonal changes related to puberty contribute to this, making soft tissues more prone to inflammation.

Aggressive periodontitis, formerly called juvenile periodontitis, affects young people under 25, including children and adolescents. It is fast-progressing, characterized by a low amount of plaque and tartar in the patient and a significant loss of alveolar bone (bone loss), which can lead to loosening and early loss of teeth.

It is caused by immune disorders in response to the infectious agent. Additionally, the course of the disease can be modified by genes, poor oral hygiene and diseasessystemic diseases occurring in the child, e.g. diabetes, leukemia or Down's syndrome.

Aggressive periodontitis is divided into localized and generalized. Localized aggressive periodontitis usually occurs locally in adolescence and most often affects sixes and incisors. Generalized aggressive periodontitis affects more teeth.

Young patients diagnosed with aggressive periodontitis are influenza at high risk. Permanent teeth may be lost if the parent does not visit the dentist in a timely manner. Such a patient must also be under the constant care of a periodontist throughout his life.

Important

The development of periodontitis is fostered by certain genetic factors and diseases (such as diabetes or AIDS), smoking and poorly fitting dentures, cavities, malocclusion, poorly placed fillings.

It can also be the result of hormonal disorders, pregnancy, taking certain medications (including anti-epileptic, immunosuppressive, antihypertensive, leukemia, local allergies or heavy metal poisoning).

However, all these reasons account for only 1 percent. The remaining 99 percent. any periodontal diseases is the result of insufficient oral hygiene!

Parodontosis - disturbing symptoms

  • gums red and swollen, itchy or sore
  • bleeding gums - this occurs when brushing, flossing, and even eating hard foods. The gums recede, exposing the necks of the teeth, with hypersensitivity to hot and cold foods or drinks
  • teeth start to wobble.
  • your breath smells bad
Problem

Embarrassing statistics on teeth and periodontitis

95 percent adult Poles suffer from tooth decay. Only half of the eighteen-year-olds have all their teeth. Every 10th person in the country regularly uses toothpaste, chewing gum and other accessories that can protect against tooth decay, periodontitis and the most dangerous of them - periodontitis. Although 500 years have passed since the invention of the toothbrush, it is not a basic necessity for everyone.

Effective treatment of periodontitis

Periodontal diseases cannot always be cured by a dentist. Sometimes a surgeon has to deal with matters. This becomes necessary as the gingivitis affects the deep periodontal tissues.

The aim of surgical treatment is to remove tissues changed by the disease, and to repair or restore them. A periodontologist has several treatment methods at his disposal, including: coronaryTissue displacement, guided tissue restoration using implantable barrier membranes, bone implants (from human or animal bone) and natural or synthetic bioglass.

In healing repair processes, new tissue is created, which is a copy of natural tissue, both in terms of structure and functions. The most important thing is to rebuild the function of the attachment, i.e. the periodontal ligaments.

When the damage to the periodontium and periodontal ligaments and the bones of the alveolar process are deep, a modern preparation emdogain, containing enamel proteins, the so-called hydrophobic proteins that stimulate tissue regeneration.

The drug was produced after many years of research. It contains the so-called amelogenins - proteins obtained from piglet tooth buds (these buds have the same structure as in humans). Amelogenins play an important role in tooth formation and protection, but are only produced by the human body in utero.

It is known from the research carried out in many clinics around the world that the preparation stimulates all types of cells responsible for the restoration of periodontal tissues. In 80 percent. cases, after using the preparation, full regeneration of these tissues was achieved.

The effects are also very good when removing periodontal pockets (deeper than 6 mm), which are accompanied by vertical bone loss (gaps in the tooth). Its use was considered to be the easiest method of treating periodontal diseases for the patient and the doctor.

Before the procedure, an X-ray is necessary (preferably a pantomogram, i.e. a panoramic picture of both jaws), which will show all changes and bone defects. Before that, it is necessary to thoroughly heal the inflammation in the mouth and carefully remove the bacterial plaque, supragingival and subgingival calculus.

The procedure is performed under local anesthesia. The gum is incised and its flap is folded back. In order to reach the root surface, the inflamed root and periodontium cement tissues should be removed.

The next stage of the procedure is the removal of the so-called a smear layer that forms on the surface of the root cement. The preparation is applied to the thoroughly cleaned and etched surface of the root. You have to start from the bottom of the cavity.

Excess drug is "squeezed out" when sewing on the gums. The healing process begins almost immediately after the end of the procedure. There is no pain, no swelling and wounds usually heal quickly.

Seams are removed after 1-3 weeks. For 3-6 weeks, the patient should rinse his mouth with a solution of the antiseptic preparation that he prescribesdoctor. Teeth in the treated area can be gently brushed after 3 weeks, and interdental cleaning begins after 6 weeks.

Before your teeth achieve the desired stability, you need to refrain from eating hard foods, e.g. apples, carrots, rusks. Six months after the procedure, the X-ray clearly shows a new tooth attachment made of root cement, alveolar ligaments and alveolar bone.

The cost of the procedure - depending on the surgery in which it is performed and the extent of periodontal damage - ranges from PLN 1,000 to PLN 1,500 per tooth, which, compared to a good prosthesis, is not a large expense. The most important thing is that you can effectively cure periodontitis and keep your own teeth for many years.

This will be useful to you

Treatment of periodontitis in a sanatorium

The gums are well influenced by healing waters; mainly brines, sulfur and iron waters and sea water. In the sanatoriums of Ciechocinek, Kamień Pomorski and Busko-Zdrój, showers are used to treat periodontitis.

The procedure is simple: pressurized water thoroughly cleans the interdental spaces and gingival pockets. Such a massage makes the pockets shallow - it causes them to grow overgrown. The gums then do not hurt, they do not bleed, and the teeth are more stable. Sick gums are also smeared with peloid paste heated to 45-50 degrees Celsius.

Simple remedies for gingivitis and periodontitis

  • In inflammation, use a soft brush to minimize irritation to the gums.
  • Gingivitis - but only in the initial stage of the disease - can be eliminated with rinses. Herbal infusions (from cinquefoil rhizomes, sage and peppermint leaves, chamomile baskets, elderberry flowers, oak bark) are used, which have astringent and anti-inflammatory properties. Prepared herbal rinses with the same effect are also available in pharmacies. After consulting a dentist, you can use chemical preparations for the treatment of gums
  • In the sanatoriums of Ciechocinek, Kamień Pomorski and Busko-Zdrój, periodontitis is treated with showers: pressurized water thoroughly cleans the interdental spaces and pockets. Healing waters are beneficial, especially brines, sulfur waters, iron waters, gypsum waters, and sea water. Massage with a stream of medicinal water causes the gingival pockets to become shallow (as if overgrown). After the procedure, the gums do not hurt or bleed, and the teeth are more stable. Sick gums can be smeared with peloid paste heated to a temperature of 45 - 50 ° C. The paste is also inserted into the pockets through an appropriate massage.
  • In termshome care should also be massaged gums. This is a simple but very helpful procedure. Using a clean finger or a rubber stimulator placed on the toothbrush, we "stretch" the gum over the tooth. This operation should be repeated several times each time you brush your teeth.
  • The irrigation apparatus (the so-called water-pick) is also useful in the care of the gums. Water flows under a little pressure through a properly constructed brush, which facilitates cleaning of the interdental spaces and gingival pockets, which prevents the formation of plaque.

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Category:

Dentistry and Orthodontics