Periodontosis — the damage of periodontal tissue degenerative nature. Periodontal disease develops gradually over 10-15 years, against the backdrop of trophic disorders of the central or peripheral parts of the nervous system, Arteriosclerosis, metabolic diseases with severe delay of the synthesis of proteins, renovation and construction of bone tissue, systemic osteoporosis.
The clinical picture of periodontal disease is characterized by a retraction of the gums, exposing the necks and roots of teeth. Inflammation of the gums at the same time absent. Gums with periodontitis is pale and anemic in color. Gingival and periodontal pockets in periodontitis are also absent. The presence of tooth with periodontitis is not characteristic of sediment. Even at 2-3 degrees of atrophy of alveolar process with periodontitis teeth are stable. Marked the damage of non-carious teeth of origin: the erosion of enamel, wedge-shaped defects, hypersensitivity, etc.
X-ray picture of periodontal disease is characterized by a uniform reduction in the height of the interdental partitions without destroying the integrity of the cortical plate, alternating foci of osteosclerosis and osteoporosis in the deeper parts of the alveolar process and body of the mandible, as in other skeletal bones. When periodontitis are associated diseases of the cardiovascular system (atherosclerosis, hypertension), endocrine, metabolic disorders.
Examination of the patient with periodontitis should be directed at identifying the causes of impairments of the trophic periodontal tissues, predicting further course of the process and opportunities for the development of inflammatory complications. For diagnosis in this case, spend the next volume of diagnostic manipulation:
- sensing gingival groove tooth mobility
Schiller-Pisarev case of periodontitis was negative. To assess the severity of the processes of osteoporosis of the jaw bone is shown radiography (orthopantomography). To assess the severity of microcirculatory disorders in periodontitis spend biomicroscopy gum or reoparodontografiyu. In addition, when periodontitis is necessary to assess the severity of non-carious lesions. Patients with periodontal disease requires in-depth survey of general practitioner to identify and treat somatic pathology.
Comprehensive treatment of periodontal disease has its own characteristics. When planning the treatment of patients with periodontal disease should first seek to slow down the degenerative processes in periodontal tissues and prevent the development of inflammatory complications. In addition, when periodontitis should be scheduled non-carious lesions treated teeth. In parallel with periodontitis should be conducted treatment available to patients of common diseases.
Combined therapy of periodontitis includes the control of oral hygiene, timely indication and removal of tooth deposits. If periodontitis is required normalization of the occlusal relationship: selective prishlifovyvanie dental prosthesis with the use of splinting elements, etc.
Effective in periodontitis topical application of biogenic stimulators (aloe extract, vitreous, Actovegin, Vinylinum, etc.), vitamins, and tools to improve the microcirculation (heparin, nicotinic acid).
In the treatment of periodontitis should be widely used physiotherapy (physical therapy), which improves the microcirculation, mineral and protein metabolism, nervous trophic periodontal tissue:
- galvanization and electrophoresis with aloe extract, ascorbic acid, heparin, nicotinic acid, etc.;
- diadynamic currents;
- darsonvalization gum;
- UHF in oligotermicheskoy dose;
- IGNL to the area of gums;
- massages of gums;
- hyperbaric oxygen therapy;
- local hypo-hyperthermia;
- ultrasound therapy.
Comprehensive treatment of periodontal disease should also include the elimination of hyperesthesia, filling of erosions and wedge-shaped defects. In addition, the treatment should be made of common diseases: diseases of the cardiovascular system (atherosclerosis, hypertension), vascular dystonia, metabolic disorders, etc.
If you have any questions about the diagnosis or treatment of periodontitis, you can specify them with our dentist or dentist on the phone:
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