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Types of Periodontal Disease
There are many forms of periodontal disease. The most common ones include the
following.
Gingivitis
Gingivitis is the mildest form of periodontal disease. It causes the gums to
become red, swollen, and bleed easily. There is usually little or no discomfort
at this stage. Gingivitis is reversible with professional treatment and good at
home oral care.
Aggressive Periodontitis
A form of periodontitis that occurs in patients who are otherwise clinically
healthy. Common features include rapid attachment loss and bone destruction and
familial aggregation.
Chronic Periodontitis
A form of periodontal disease resulting in inflammation within the supporting
tissues of the teeth, progressive attachment and bone loss and is characterized
by pocket formation and/or recession of the gingiva. It is recognized as the
most frequently occurring form of periodontitis. It is prevalent in adults, but
can occur at any age. Progression of attachment loss usually occurs slowly, but
periods of rapid progression can occur.
Periodontitis as a Manifestation of Systemic Diseases
Periodontititis, often with onset at a young age, associated with one of several
systemic diseases, such as diabetes.
Necrotizing Periodontal Diseases
An infection characterized by necrosis of gingival tissues, periodontal ligament
and alveolar bone. These lesions are most commonly observed in individuals with
systemic conditions including, but not limited to, HIV infection, malnutrition
and immunosuppression
The periodontal disease can also be devided into two main forms.The first form
is gingivitis, and the second form is periodontitis. And the periodontitis is
devided into three srages of severity:
Early Periodontitis:In this stage plaque has already built up and hardened
around and under the gums allowing more harmful bacteria to attach the gum
tissue and bone tissue. The gums pull away from the teeth forming pockets of
bacterial infection.
Moderate Periodontitis:In this stage, the pockets that have already formed
start to deepen as they fill with more plaque, toxins, and bacteria. The Pockets
are six to seven millimeters deep. At this stage the Periodontitis can still be
treated non-surgically; however, one-third of the bone supporting the teeth has
been irreversibly lost.
Severe Periodontitis:In this stage, the gums severely recede from the tooth
and the pockets deepen and fill with pus. There may be swelling, sensitivity to
hot or cold, and or pain when brushing or cleaning teeth. As Severe
Periodontitis progresses bone continues to be lost and eventually teeth may be
lost.
The main cause of periodontal disease is the accumulation of plaque bacteria.
Another cause is the body’s immune response to the bacteria may be to “over
react” by producing too much collagenase enzyme, which destroys collagen in the
tissues around the teeth. Plaque is often a colorless mass of bacteria that
sticks to teeth, crowns and bridges, and other tissues in the oral cavity.
Plaque is constantly forming on the teeth. Plaque infects the gums, causing them
to become red, tender, and swollen. It also progresses down the root surface
destroying bone and deepening the pockets between the gum tissue and the teeth.
Recession can result from this process too. Cosmetically, periodontal diseases
can be very unpleasant to look at.
If not removed daily, plaque becomes the hard material known as calculus. (Most
people know it as “tartar”). Calculus cannot be removed by brushing and flossing
alone. A dentist, periodontist, or hygienist must remove it manually to stop the
disease process. For those people who are more susceptible to periodontal
disease, visits to the dentist for professional cleaning may be needed more
frequently than every six months.
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