WHAT IS THE PERIODONTIUM?
The periodontium is made up of three states: Heath, gingivitis, and periodontitis.
GINGIVITIS and PERIODONTITIS are two basic categories of periodontal disease. Gingivitis is a bacterial infection that is in the gums it consists of tissue damage but is reversible as long as you get and stay on a hygiene regimen. Periodontitis is a bacterial infection of all parts of the periodontium which include the gingiva, periodontal ligament, the bone, and cementum. the tissue damage that occurs is not reversible however with good oral hygiene you are able stop the progression and maintain it.
HOW DOES PERIODONTAL DISEASE PROGRESS?
*Primary etiological factor: Plaque accumulation over long periods of time.
*Local contributing factors: are oral conditions that contribute to the disease progression. Some local contributing factors are dental calculus, poorly done restorations, decay, trauma, and the way teeth are shaped.
AAP CLASSIFICATION OF PERIONDONTAL DISEASE AND CONDITIONS
TYPE I: Gingival diseases
Plaque-induced gingival diseses: periodontal diseases with inflammation of the gums due to bacteria located along the margin. This is the most common form of of gingival disease.
Non-plaque induced gingival lessions: This is the less common form of gingival diseases. This form is not caused by plaque acummulation. Instead it is caused by viral and fungal infections, skin diseases or trama.
TYPE II: Chronic Periodontitis: A bacterial infection within the supporing the tissues of teeth.
Localized
Gerneralized
TYPE III: Agressive Periodontitis: Highly destrusctive form. This involved rapid loss of attachment loss.
Localized
Generalized
TYPE IV: Periodontitis as a Manifestiation of Systemic Diseases: periodontal diseases that are associated blood disorders, genetic disorders like down syndrome.
TYPE V: Necrotizing Periodontal Diseases: Associated with tissue death, along with loss of attachment.
TYPE VI: Periodontitis Associated wiht Endodontic lessions: periodontitis and pulpas disease affect the same tooth so severely that they can combine into one lesion.
TYPE VII: Developmental or Acquired Deformities and conditions: Includes conditions that exist aound the teeth that may predispose the periodontium to disease.
TYPE VIII: Absesses of the periodontium: This is a localized collection of pus that forms in a circumscribed area of the periodontal tissues.
Question number 1:
Does Periodontal disease make my teeth fall out?
I would say not right away however over a period of time with out getting periodontal treatment your teeth may eventually become mobile and they will have more of a chance of coming out then I would show my patient what bone loss looks like on a tooth with a radiograph vs a radiograph of a patient with optimal gingival health. Sometimes pictures are easier to understand than the person saying the same thing over and over.
Question number 2:
Does the treatment hurt?
I would explain to the patient that we get them numb and do the cleaning in two apointments and that there may be some tenderness afterwards but that the cleaning would be whats better for them so they can get and maintain a healthy periodontium
Question number 3:
What are some of the things that I can do to make sure that I don't get periodontal disease?
Well, first off you would have to make sure that you get a cleaning every six months, as well as making sure to brush twice a day and floss at least once a day. Also making sure that you do not smoke because smoking exasperates periodontal disease.
The periodontium is made up of three states: Heath, gingivitis, and periodontitis.
GINGIVITIS and PERIODONTITIS are two basic categories of periodontal disease. Gingivitis is a bacterial infection that is in the gums it consists of tissue damage but is reversible as long as you get and stay on a hygiene regimen. Periodontitis is a bacterial infection of all parts of the periodontium which include the gingiva, periodontal ligament, the bone, and cementum. the tissue damage that occurs is not reversible however with good oral hygiene you are able stop the progression and maintain it.
HOW DOES PERIODONTAL DISEASE PROGRESS?
*Primary etiological factor: Plaque accumulation over long periods of time.
*Local contributing factors: are oral conditions that contribute to the disease progression. Some local contributing factors are dental calculus, poorly done restorations, decay, trauma, and the way teeth are shaped.
AAP CLASSIFICATION OF PERIONDONTAL DISEASE AND CONDITIONS
TYPE I: Gingival diseases
Plaque-induced gingival diseses: periodontal diseases with inflammation of the gums due to bacteria located along the margin. This is the most common form of of gingival disease.
Non-plaque induced gingival lessions: This is the less common form of gingival diseases. This form is not caused by plaque acummulation. Instead it is caused by viral and fungal infections, skin diseases or trama.
TYPE II: Chronic Periodontitis: A bacterial infection within the supporing the tissues of teeth.
Localized
Gerneralized
TYPE III: Agressive Periodontitis: Highly destrusctive form. This involved rapid loss of attachment loss.
Localized
Generalized
TYPE IV: Periodontitis as a Manifestiation of Systemic Diseases: periodontal diseases that are associated blood disorders, genetic disorders like down syndrome.
TYPE V: Necrotizing Periodontal Diseases: Associated with tissue death, along with loss of attachment.
TYPE VI: Periodontitis Associated wiht Endodontic lessions: periodontitis and pulpas disease affect the same tooth so severely that they can combine into one lesion.
TYPE VII: Developmental or Acquired Deformities and conditions: Includes conditions that exist aound the teeth that may predispose the periodontium to disease.
TYPE VIII: Absesses of the periodontium: This is a localized collection of pus that forms in a circumscribed area of the periodontal tissues.
Question number 1:
Does Periodontal disease make my teeth fall out?
I would say not right away however over a period of time with out getting periodontal treatment your teeth may eventually become mobile and they will have more of a chance of coming out then I would show my patient what bone loss looks like on a tooth with a radiograph vs a radiograph of a patient with optimal gingival health. Sometimes pictures are easier to understand than the person saying the same thing over and over.
Question number 2:
Does the treatment hurt?
I would explain to the patient that we get them numb and do the cleaning in two apointments and that there may be some tenderness afterwards but that the cleaning would be whats better for them so they can get and maintain a healthy periodontium
Question number 3:
What are some of the things that I can do to make sure that I don't get periodontal disease?
Well, first off you would have to make sure that you get a cleaning every six months, as well as making sure to brush twice a day and floss at least once a day. Also making sure that you do not smoke because smoking exasperates periodontal disease.