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Periodontal disease

Periodontal disease

Gingivitis - an inflammation of the gums caused by the impact of local and general factors and occurs without compromising the integrity dentogingival connection. In form of gingivitis distinguish:

The severity of clinical course of gingivitis gingivitis distinguish mild, moderate and severe gingivitis severity. On for gingivitis is divided into acute gingivitis, chronic gingivitis and aggravated gingivitis. The prevalence of gingivitis is divided into localized and generalized gingivitis gingivitis.

Periodontitis - an inflammation of the periodontal tissues, characterized by progressive destruction of periodontal and alveolar bone jaw. The severity periodontitis is divided into:

The clinical course is divided into periodontitis acute periodontitis, chronic periodontitis, an exacerbation of periodontitis, abscesses in periodontitis and remission of periodontitis. The prevalence of periodontitis distinguish generalized periodontitis.

Idiopathic periodontal disease with advanced periodontal tissue lysis (parodontoliz) - Lefèvre syndrome Papillons, neutropenia, agammaglobulinemia, uncompensated diabetes and other diseases.

Periodontal tumor — this is a tumor and tumor-like disease (epulis, fibromatosis, etc.).


Causes and clinical picture of chronic inflammatory periodontal disease

The root cause of chronic inflammatory periodontal disease are deposits of tooth - soft "toothbrush" plaque and tooth "plaque. Of tooth deposits are formed due to inadequate oral hygiene, dental anatomy of the system, changes in the qualitative and quantitative composition of microflora, reducing the protective factors of the organism.

If you violate the dynamic equilibrium between the pathogenic effects "tooth" plaques (microbial attack), protective forces of organism in the periodontal and gingival tissues develop chronic inflammation - chronic catarrhal gingivitis. This is a reversible condition, and if at this stage, a qualitative, complete treatment, the process of docked and comes healing. However, as a rule, at this stage, the patient does not go for help or treatment is inadequate.

If you continue, the pathogenic effects of "tooth" of plaque in the gingival tissues to the backdrop of systemic disorders occur further pathomorphological changes, and gingivitis turns into periodontitis: gingival attachment is destroyed, periodontal pocket is formed, it grows into the oral epithelium, there subgingival deposits of tooth, which in turn contributes to deeper pockets.

Long-existing inflammation in the periodontal tissues leads to atrophy of the cellular elements of the gums, periodontal, and then the bone alveoli with their replacement by granulation tissue. Pathological changes in the periodontal tissues are accompanied by impairment of the microcirculation and metabolism, the development of autoimmune reactions.

Thus, the main pathological components and links of chronic generalized periodontitis were:

  • supra-and subgingival deposits of tooth
  • chronic inflammation in periodontal tissues
  • periodontal "pocket"
  • impairment of the trophic and microcirculation in periodontal tissues

These pathological manifestations form a kind of "vicious circle", so for the effective treatment of chronic generalized periodontitis to affect all of these pathological links.

Heal has developed periodontitis is hardly possible, however, is quite achievable stable remission, ie, stopping or slowing down the pathological process (primarily alveolar bone atrophy) at the level at which treatment was initiated.


If you have any questions about the diagnosis or treatment of periodontal disease, you can specify them with our dentist or dentist on the phone:
(903) 167–99–20



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