Periodontics - Aregak

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Gingivitis

What is gingivitis? ↓

In the educational literature it is possible to find the following definition: gingivitis is an inflammatory periodontal decease that may arise because of some regional and general factors and proceed without distorting dentogingival unity.
The following types of gingivitis are distinguished: catarrhal,hypertrophic, necrotizing ulcerative.
Catarrhal gingivitis
This type of gingivitis is considered to be the most widespread. In this case hyperemia of gums arises, the gums are swollen and hard and soft dental deposits are also possible.
The patient himself can notice the inflammation of gums and bleeding while cleaning teeth.

Hypertrophic gingivitis
The second type of gingivitis is hypertrophic gingivitis. This type is found rarely in comparison with the catarrhal gingivitis. Hypertrophic gingivitis mostly occurs in the organism because of endocrine changes.
We differentiate between: gingivitis in pregnancy, gingivitis in teenagers,gingivitis in diabetes.
The most common feature of the disease is the widening of gingival papillae in sizes, thus from here comes the name - hypertrophic gingivitis, besides, the gums may take bright red or purple colors. The illness is accompanied with the following symptoms: bleeding, unpleasant odor in the mouth, formation of pseudopockets, as well as dental plaque and dental tartars.
Necrotizing ulcerative
The following type of the gingivitis develops on the background of the so called ‘Vincent's acute necrotizing Stomatitis’ and appears to be its clinical expression. In the mouth cavity inflammation of mucosa with interdental necrosis of papillae, bleeding, unpleasant odor is to be found. Often it is told on itself in case of flu, quinsy, blood diseases, ADIV, tuberculosis, etc.
The treatment of gingivitis
Different methods are performed from professional oral cleaning to surgery depending on the degree of severity of the illness.

Periodontitis

Periodontitis is a set of inflammatory diseases affecting the periodontium. Today dentistry struggles against the periodontitis effectively due to the new methods of diagnosis and treatment. The sooner the disease is diagnosed the easier it is treated and no necessity for surgical intervention rises.
First symptom of this chronic disease may be bleeding gums while cleaning teeth.
Some of the reasons of the development of this disease might be tooth caries, rough edges of tooth inlays, etc. But the main reasons of the development of periodontitis are dental deposits and dental tartars.

As a result of the accumulation of dental deposit an inflammatory pathologic process is developed at the gum line called gingivitis. During 2-3 weeks it penetrates under the gums eroding dentogingival firmness.
Gingivitis is a curable disease. It is cured after removal of dental deposits and tartars and after passing a course of treatment. In case of keeping oral hygiene properly the level of health would be stable. But in case the oral hygiene is ignored dental deposits and tartars would gather, an inflammatory process would develop spreading over the bone and connective tissues; as a result periodontitis would develop, which would lead to irrevocable changes in periodontium.
For the productive treatment of periodontitis complex examinations are necessary based on which the treatment and health recovery of pathological process of gums is planned. It is necessary to start with examination and diagnosis.

Parodontosis

Parodontosis (periodontal disease) is a disease of the teeth of primary degenerative nature. This means that periodontitis is an infringement of the trophic (food) jawbone and periodontal tissues (violation of updates tissues, circulatory disorders gums, impaired mineral metabolism).
Causes of gum disease are the changes caused by diseases of internal organs and systems (atherosclerosis, hypertension, vegetative dystonia), and bone disease (osteopenia).
There are three degrees of severity of this disease: light, middle, difficult.
One of the reasons why periodontal diseases grow progressively worse is poor oral hygiene or simply plaque. Patients are often afraid of removing plaque because of the fear to loose their “last teeth”, i.e. the teeth they have. New ultrasound methods are absolutely painless. In complicated cases we make periodontal operations allowing us to cut tooth mobility and pull the gum if the teeth are uncovered. If a patient is at risk for tooth loss or has large bone pockets we would offer to replant bone tissues and use special membranes. These methods let us stop inflammation.Our specialists also know the most advanced techniques (nonoperational) of restorative medicine applied for treating periodontal diseases. They include laser therapy (laser beaming of gum inflamed tissues) and photophoresis (administration of medicines into gums by means of laser). Due to these methods for complex treatment of periodontal diseases in most cases we will be able not only stop the inflammation process in periodontal tissues but also prolong the therapeutic effect as much as possible. After eliminating inflammation we recommend our patients special prosthetic methods helpful for preserving the integrity of dentitions.

Inflammation of gingiva

Inflammation of gums may be expressed by gingivitis and periodontitis. The first sign of inflammation of gums is bleeding while cleaning teeth. The appearance of gums may also witness about the existence of inflammation. If normal gingiva should be light pink, if they are red and swollen it means the gums are inflamed.
The gum diseases usually start from inflammation of iterdental papillae. They have bright red color and they bleed while cleaning teeth. If nothing is done to treat them then the inflammation would spread over all gingiva and bones. In case of not consulting with the dentist a necessity will arise to treat not gingivitis, but periodontitis.
According to the degree of inflammation the methods of treatment are chosen. Only the dentist can diagnose correctly the illness and its degree of severity with the help of special methods of observations, and based on them plan a productive treatment of that very case.
The treatment depends on the expression of the pathologic process. If it is connected with the hormonal changes, then firstly professional oral cleaning is performed. When the hormonal background is stabilized the mentioned problems disappear. But if the matter concerns to serious illnesses, then firstly the main illness should be paid attention to.
If gingivitis or parodontosis is observed, then the reason-factors should be eliminated, then dental plaque and tartars should be cleaned and, if necessary, make a periodontological treatment.
It is important to remember that, no matter what is the reason of gum bleeding, the oral hygiene should be carried out sufficiently so that the already existing situation would not worsen.

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