Periodontal disease is a very common oral disease, its main clinical manifestations are gingival inflammation, periodontal pocket formation and a series of symptoms, serious teeth can fall out or lead to tooth extraction.
In order to prevent the occurrence of periodontal disease, from the cause of periodontal disease, symptoms, harm, treatment for you to explain the full range of periodontal disease knowledge.
1. Oral hygiene: The causes of periodontal disease are mostly caused by local plaque, tartar, calculus, food impaction, and poor prostheses. The main cause of periodontal disease is dental plaque, which is simply the damage caused by poor oral hygiene.
The main composition of dental fungi is bacteria, mixed with some exfoliated cells in the mouth and some organic matter, but not the usual large food residue.
2. Others: some of them can be caused by systemic diseases, such as R prevention defects, endocrine disorders, malnutrition, tuberculosis, kidney disease, genetics, etc.
The disease occurred at all ages.
There was no significant difference between sexes.
2. Symptoms of periodontal disease 1. The main manifestations of gingiva are gingiva and gingival papilla becoming round and pure, bright, dot color disappearing, gingival powder soft and fragile, lack of elasticity, gingival detection is easy to bleed, and local tartar or dental calculus exists.
2, periodontitis in addition to gingivitis, there are periodontal pocket formation.
There may be pus overflow in the peri-pocket.
The teeth were loose to different degrees, and the alveolar bone was resorbed to different degrees by X-ray.
3, the harm of periodontal disease 1, the local infection of periodontal disease can also cause some important organs of other parts of the body as lesions.
2, epidemiological investigation showed that because of periodontal disease tooth extraction accounted for about 40% of the total number of teeth extraction, thus affecting the patient’s appearance, pronunciation, chewing and eating.
3. When the inflammation continues, the alveolar bone surrounding the tooth will be absorbed, resulting in tooth loosening and displacement and widening of the dental space. If not treated in time, it will eventually lead to tooth loss.
4. The development of periodontal disease is a chronic process. Patients often have no obvious symptoms or discomfort in the early stage.
Fourth, the first stage of periodontal disease treatment is the basic treatment stage: the use of conventional treatment to eliminate pathogenic factors, control gingival inflammation, also known as etiological treatment.
The second stage is the periodontal surgical treatment stage. 1. Flap surgery: After root debridement and soft tissue debridement under direct vision, the flap is repositioned and sutured to make the periodontal pocket shallow or eliminated.
2, Bone grafting: in the root bifurcation disease or vertical absorption by autologous bone, bone allogeneic bone, bone substitutes to achieve the purpose of alveolar bone repair.
3. Guided tissue regeneration: New attachment is formed on the root surface of the diseased tooth previously exposed in the periodontal pocket, that is, the regeneration of periodontal tissue, and the formation of new cementum, alveolar bone and periodontal membrane. This method is under development and research, and it is difficult to carry out in primary hospitals.
4, membranous gingival surgery: it is used to correct the attached gingival too narrow, gingival retraction and lip and cheek in the belt Gping strap attachment results are not good, so as to consolidate the periodontal treatment effect and solve the aesthetic problems.
5. Dental implantation: Implant the root of the artificial tooth into the alveolar bone by surgical means, but the implantation must be performed under the condition that the periodontitis of the whole mouth is controlled.
The third stage: restorative treatment stage, it is an important part of the treatment of periodontal disease, especially the permanent repair and fixing the remaining loose teeth while repairing the missing teeth, in the general operation treatment of 2-3 months to start, for the doable orthodontic treatment to establish a balanced jaw, is conducive to periodontal health.
Stage 4: periodontal support therapy is also called the maintenance period, curative effect is a precondition to maintain, whether or not need operation and repair maintenance period began, the content including 1, regular review, treatment just at the end of the review period 1 to 2 months, if they are in stable condition after 3-6 months review, a year or so taken X-ray monitoring alveolar bone changes.
2. Review contents, plaque control, soft scale, amount of calculus, gingival, depth of periodontal pocket, alveolar bone height, density and shape, occlusal condition and function, degree of tooth loosening, and control of systemic risk factors.
3. Retreatment; retreatment plans and measures shall be formulated and implemented according to the reexamination findings.
