Periodontitis is the product of an untreated periodontal disease that is identical to gingivitis, except that periodontitis has a greater impact on the teeth, rendering them loose and causing them to break from the socket at a faster pace. Periodontitis is an infection that causes the periodontium (the tissues, periodontal ligament, and alveolar bone that cover the teeth) to become inflamed, which contributes to the periodontium’s infection and (at first) painless destruction. If the damage is left untreated for a long time, it can lead to medical complications such as stroke, myocardial infection, atherosclerosis, renal failure, and greater complications for those with diabetes or cancer. By clicking here we get info about Dental Implants
Chronic and violent periodontitis are the two forms of periodontitis.
Adults with chronic periodontitis experience rapid tooth loss. Periodontitis in adults is often triggered by poor glycemic regulation or fluctuating blood sugar levels. As a result, periodontitis worsens the body’s glycemic function, making it more difficult for a diabetic patient to recover from diabetes or maintain a healthy lifestyle. Diabetes and cancer cell development can also be detected using periodontitis. Clinical examinations are performed on the majority of patients who have had their periodontal disorder treated, making it easier to narrow down the patient’s medical condition.
Aggressive Periodontitis is more difficult to manage and control than Chronic Periodontitis. To clean and rehabilitate the damaged periodontium, there are four systematic steps to follow:
1. Full mouth disinfection, which includes scaling and root planning to remove all plaque from the teeth and gum line, as well as debridement of the periodontal pocket to prevent bacteria from spreading to healthy periodontium.
2.Open flap debridement is a more advanced and efficient method in which surgical intervention allows for improved cleaning of deeper pocket areas where periodontitis has spread.
3. While guided tissue regeneration (GTR) is more efficient than open flap debridement and is more costly, the benefits can outweigh the costs, especially in severe periodontitis cases. The patient’s mouth’s rapid regenerative growth of new bone and gingival tissue can compensate for the highly degenerated gum tissue that has been depleted by periodontal disease. GTR can also help to ensure the stability of implants as they are used to repair missing or dropped teeth.
4. Enamel matrix derivative (EMD) has the same cost and efficacy as GTR, with the exception of EMD’s ability to reduce pocket width.
In some respects, Aggressive Periodontitis resembles Chronic Periodontitis, but the former is characterised by rapid bone destruction and tooth attachment. Aggressive periodontitis affects a younger population and is treated with the same therapies as chronic periodontitis, with the exception that severe surgical debridement combined with strong antibiotics is more likely.
To summarise, dentists/periodontists begin the cleaning process by scraping plaque and calculus from the teeth’s enamel as well as below the gum line. Scaling and debridement may be required in some serious cases of periodontitis to fully remove plaque and tartar that has stuck below the gum line, which is a very sensitive region. The regenerative process is aided by antibiotics such as amoxicillin or metronidazole.
The first step in preventing recurrent periodontitis is to practise good oral hygiene. The patient is recommended to brush his or her teeth every day, similar to the treatment for gingivitis, and may need a special toothbrush (Proxi-brush) to remove dirt and particles that cling in-between teeth.