Chronic mild periodontitis
Chronic mild periodontitis develops as a complication of untreated chronic catarrhal gingivitis and is characterized by progressive destruction of periodontal tissue and bone alveolar processes of jaws.
Chronic generalized mild periodontitis: a progressive destruction of bone and periodontal alveolar processes.
The clinical picture of chronic generalized periodontitis is characterized by a mild degree of almost complete absence of unpleasant subjective sensations in the patient, hence - the low uptake of medical care at this stage of the disease. Patients usually note itching in the gums and bleeding them with mechanical stimulation (brushing teeth, taking a hard food). General state of chronic generalized periodontitis Mild is not disturbed, although a detailed examination of the patient revealed changes in the immune system rejection of other organs and systems associated with periodontal pathology. From the patient's history to figure out that the disease is a chronic generalized periodontitis mild begins gradually, is long proceeded virtually without symptoms.
An objective examination of patients with chronic generalized periodontitis mild chronic indicated mild inflammation of the gums (swelling, bleeding, redness). Identifies over-and subgingival deposits of tooth (mineralized and nemineralizovannye). Teeth while standing still and not displaced.
Diagnostic criteria of chronic generalized periodontitis were mild:
- the presence of periodontal pockets with depth up to 3,5 mm, mainly in the interdental
- initial degree of destruction of alveolar bone (radiological picture - lack of a compact disc on top of interalveolar septa, foci of osteoporosis, the expansion of the periodontal gap in the cervical region)
For diagnosis of chronic generalized periodontitis mild enough to question the patient, examination of oral cavity, clinical probing pocket, to assess tooth mobility, to Schiller-Pisarev, as well as an indication and quantitative assessment of "tooth" plaque. For the diagnosis of chronic generalized periodontitis mild exercise X-ray, orthopantomography. It is advisable to make a complete blood count (KLA), and patients older than 40 years and has a blood glucose level.
Treatment for mild periodontitis are held in 3-4 visits. First, after the antiseptic treatment of gum produced a thorough removal of tooth deposits. Feasible application to the gum of antimicrobial and anti-inflammatory drugs. Of the antimicrobial agents in the case of chronic generalized periodontitis mild most effective 0,06% chlorhexidine, metronidazole (Trichopol).
From anti-inflammatories preference is given to non-steroidal anti-inflammatory drugs (NSAIDs) - aspirin, indomethacin, ortofenu etc.
Patient with chronic generalized periodontitis mild teach the rules of oral hygiene, help to choose a toothbrush and toothpaste, make recommendations on the use of floss. At this stage of chronic generalized periodontitis mild to recommend toothpastes that have anti-inflammatory and antimicrobial action, as well as the mouthparts baths with antiseptic solutions, decoction of chamomile, sage, calendula.
Good results with chronic generalized periodontitis mild gives physiotherapy:
- UV to the area of gum (an antibacterial effect)
- electrophoresis of drugs (calcium chloride, vitamin B1)
- UHF in oligotermicheskoy dose
- local hypothermia
- helium-neon laser
- plasma argon flow (anti-inflammatory effect)
Periodontitis is usually accompanied by a functional overload of the teeth, so the patient must be referred to orthopedic surgeon for the election prishlifovyvaniya and other types of orthopedic treatment.
In the second, third and fourth visit (every 1-2 days) check level of oral hygiene, continue removal of tooth deposits, application of pastes based on metronidazole and NSAIDs. After arresting inflammation in chronic generalized periodontitis is mild curettage of granulations - curettage. This procedure can significantly improve long-term outcomes.
After the described course of treatment manipulations chronic generalized periodontitis mild changes in remission. Check inspection of the patient's prescribed in 4-6 months.
If you have any questions about the diagnosis or treatment of chronic periodontitis mild, you can specify them with our dentist or dentist on the phone: (903) 167–99–20
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