Generalized periodontitis

Generalized periodontitis. Etiology. Soft plaque, occlusal trauma, tartar and untidy, mouth cavity content. It often develops as a complication of chronic forms of gingivitis.

Pathogenesis. Develops as a reaction to mild plaque in which the inflammatory process spreads from the gums to the underlying tissues; Weakened immunity. It complicates congenital and secondary diseases with pronounced disorders of cellular immunity, for example hemoblastosis, AIDS, etc.

Symptoms, course. Hyperemia and swelling of the gums, the margin of which is usually loosened; Damage to the dentogingival groove, formation of dentogingival pockets; Abundant dental deposits. Depending on the severity of the inflammatory process, there are violations of the chewing function, displacement of teeth, their pathological mobility, traumatic articulation. Radiographically, the destruction of the interdental septum without affecting the base of the alveolar process and the jaws is determined: the contours of the interdental septa are indistinct. Periodic exacerbations are accompanied by the formation of periodontal abscesses with pronounced general disorders (fever, malaise, leukocytosis, increased ESR).

Treatment is complex, necessarily including curettage; Surgical, rarely non-operative, removal of dentogingival pockets. With acute course and exacerbation of broad-spectrum antibiotics; In the chronic course of metronidazole. Immunomodulating drugs. General strengthening therapy. Shinning teeth and rational dentures. Grinding of the crowns of the tooth crowns. Systematic oral care with the use of anti-inflammatory therapeutic and prophylactic pastes ("Ira", "Lesnaya", "Priedite"), antimicrobial ("Chlorhexidine") and eliminating soft dental plaque ("Pomorin", "Dzintarinsh") action. Dispensary observation.

Forecast. Rational treatment and systematic hygienic care of the oral cavity allow achieving remission. In the absence of treatment or neglect of the rehabilitation regime - complete destruction of bone periodontal and loss of teeth.