Periodontitis or pyorrhea is a chronic inflammatory disease caused by bacteria from dental plaque that destroys the tissues surrounding the teeth. Periodontal pockets are produced where bacteria accumulate. This infectious process produces the loss of the support tissues of the teeth as a periodontal ligament, which holds the tooth to the bone and destroys the bone and gum. There are two forms of periodontitis, a chronicle that evolves slowly and another aggressive, that destroy tissues very quickly.
Symptoms of periodontitis
Spontaneous or provoked bleeding, in the case of smokers masks decreasing a lot. Suppuration, discharge of pus through the gum, unequivocal sign of infection. Bad taste and odor of mouth, dental mobility, dental migration, food packaging between the teeth and loss of teeth.
The diagnosis is simple, it is done by introducing a periodontal probe between the gum and the tooth, painless test. This establishes whether there is insertion loss and the severity. Once diagnosed periodontitis, we can help with microbiological tests, with DNA probes, which will indicate the bacteria and the aggressiveness of periodontal disease.. It also tells us the type of antibiotic to which these bacteria and antiseptics are sensitive.
Treatment of periodontitis
Depending on the severity of the disease we can perform a basic, non-surgical treatment, consisting of cleaning the roots of the subgingival calculus teeth with local anesthesia, in mild and moderate cases, and in advanced cases, where there are deep pockets, performs surgical treatment to deeply clean roots. In some cases , defects that have been produced by periodontal disease can be regenerated. In all these cases, the patient must be instructed in oral hygiene techniques.
Prevention is carried out with proper oral hygiene and control of your gums by the periodontist. The frequency of the reviews depends on the severity of the periodontitis.