Microsoft Word - Periodontal _gum_ diseasesDocument Transcript
Periodontal (gum) diseases HOME CAREBacteria is the primary culprit. Bacteria are present in everyones mouth.Some types of bacteria are much more aggressive than others. Facts About Periodontal Disease Question Answer What is the cause of most tooth loss Periodontal disease - NOT decay in adults? Can I inherit this problem? Yes, you can. You may inherit the problem of unusually heavy plaque and tartar buildup, or even problems with your immune system which leave you much more susceptible. Is bad breath a sign of periodontal Possibly, because the very same problems? bacteria can cause both problems. How long does it take for plaque to 1 day reform after a professional cleaning? Are there are factors besides Yes, stress, poor nutrition, a poor bite bacteria? and especially smoking. If bacteria causes most periodontal No, and the reason for this is that problems, is there an antibiotic that there are a multitude of bacteria (not is effective? just one) that causes this disease.
The terms periodontal disease, gum disease and pyorrhea are allsynonymous terms.Periodontal Disease is a chronic infection that slowly attacks and destroys the gumsand bone that support the teeth. The fact that it is a chronic disease means that aperson can not be "cured", rather they must work at controlling the factors which willbring on the full disease process. Other examples of chronic disease are heartdisease and diabetes - they can be managed, but NOT cured.Defining terms: • “PERIO” means around and “DONTAL” means tooth. By saying “around”, this means that periodontal disease has to do with the gum tissues and bone that support the teeth • PLAQUE is a bacteria that is collecting onto teeth and gums. In small numbers, there is no problem, but when it collects in large numbers it causes damage to the teeth (decay) and supporting tissues (periodontal disease) • CALCULUS is a hard buildup that occurs around the teeth. This must be removed with a professional cleaning. The combination of calculus and plaque is the primary cause of periodontal disease. • TARTAR is the same as calculus. • PERIODONTAL POCKETS are areas where the jawbone has been eroded away by the disease process. • GINGIVA is another word for your gums. • GINGIVITIS is used to describe the first stage of periodontal disease. The gums are puffy and bleed. THE PRIMARY STAGES OF PERIODONTAL DISEASE Healthy tissues • No bleeding or puffy gums, pockets all measure to a normal 3mm or less.
Periodontitis I (Gingivitis) • Bleeding gums when measured, puffy in appearance and pockets no greater than 3mm. No damage to the supporting bone in this stage. Periodontitis II • Bleeding and puffy gums that measure slightly more than normal at up to 5mm. Periodontitis III • Bleeding and swollen gums with pockets that will measure up to 6mm and more. Recession beginning to appearPERIODONTAL Treatment
The usual treatment sequence after proper diagnosis and documentation isperformed is: SCALING and ROOT PLANINGSCALING consists of removing the hard calculus and plaque around the collar of thetooth as well as below the gumline. ROOT PLANING removes the calculus and plaqueoff the root surface well below the gumline (into the pocket). Depending on the case,these procedures may or may not require numbing. Hand instruments called scalersas well as high-frequency polishers will be used to accomplish a complete andthorough job. SURGICAL TREATMENTWhen the pockets are very deep, procedures must be performed so that all infection,plaque and calculus may be removed. Sometimes the bone around is no longersmooth and it must be corrected. There are times that bone may be actually addedto areas where it has eroded away.