Parodontitis and Periodontitis

Стоматологія «Варшавський» на Виноградарі

Pathogenesis of Periodontitis and Periodontitis

Periodontitis is the result of gingivitis (inflammation) of the gums. The disease usually develops due to poor oral hygiene – inflammation is triggered by a large amount of dental calculus and plaque. Among other factors that contribute to the disease:

mechanical trauma to the gums;
blood disorders;
endocrine system dysfunction;
HIV.

In periodontitis, the inflammatory process spreads to the tissues of the periodontium – the gums, periodontium, tooth cementum, hard bone tissue of the tooth socket walls. In advanced stages, the pathological process reaches the alveolar process. As a result, the periodontal ligaments of the tooth unit are destroyed – it loses its former support, becomes loose, and falls out.

If periodontitis is characterized by defects in gum tissue, periodontitis is a complication of dental caries – a tooth disease. In the latter case, inflammation spreads to the tissues surrounding the tooth and holding it in the socket.

Doctors at the "Varshavsky" Dental Center in Vinohradar, Kyiv, rightly consider periodontitis a consequence of periodontitis. In most cases, the inflammation starts from the gums. If the patient ignores the problem, it progresses downward and spreads to the deep tissues around the tooth unit.

Symptoms of Diseases

The clinical picture of the diseases is quite similar, which is why periodontitis and periodontitis are often confused. As inflammatory processes progress, patients may experience the following common symptoms:

bad breath;
plaque and dental calculus, inflamed periodontal pockets;
redness, swelling, bleeding, sensitivity of the gums;
increased tooth mobility (manifests with prolonged absence of therapy).

How to distinguish periodontitis from periodontitis?

At the initial stages, periodontitis may be almost asymptomatic. As the disease progresses, in addition to the aforementioned symptoms, the patient may notice increased saliva viscosity, purulent discharge from periodontal pockets. Sometimes, local lymph nodes may become inflamed in the patient.

A characteristic manifestation of periodontitis is a mild periodic pain. Intense pain sensations occur in response to any contact with the affected unit.

In addition to visual examination and medical history collection, diagnosis of periodontitis involves palpation and percussion. In the "Varshavsky" Dental Center in Vinohradar, Kyiv, X-rays are always performed for suspected periodontitis. The diagnostic results help identify the stage of inflammation and choose the appropriate therapeutic approach.

The diagnostic procedures for periodontitis are almost the same. In cases of unclear clinical picture, the doctor may additionally recommend ultrasonic examination and blood sampling for general analysis.

Treatment of Periodontitis and Periodontal Disease at "Varshavsky" Dental Center in Vinohradar, Kyiv

The treatment of both diseases depends on the stage of inflammatory development. If it is possible to preserve the tooth unit in the case of periodontitis, cleaning of the tooth canal and placing a filling are indicated. The dentist removes exudate (bacterial waste products) from the canal. Concurrently, the doctor prescribes antibacterial and mineral rinses for the patient.

In the early stages of periodontal disease, professional teeth cleaning followed by treatment with fluoride-containing agents is usually sufficient. Additional medication allows restoring the immune system and eradicating bacteria completely.

If tooth mobility is observed in the patient due to the development of these diseases, splinting may be necessary. In cases where it is not possible to preserve teeth during periodontitis and periodontal disease therapy, extraction becomes necessary, followed by prosthetic rehabilitation using removable structures, dentures, or dental implantation.

Preventive Measures

Since both diseases are primarily a consequence of poor oral hygiene, the dentists at "Varshavsky" Dental Center in Kyiv encourage patients to dedicate sufficient time to oral care, not neglect professional cleanings and preventive dental check-ups.

You can always receive more detailed consultation regarding these diseases, their treatment, and prevention from our doctors during an in-person appointment.