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The importance of periodontics

Periodontics is the specialty of dentistry that studies the prevention, diagnosis and treatment of diseases or abnormalities affecting the tissues that support the teeth. The main periodontal diseases are gingivitis and periodontitis.

Early treatment

Periodontal disease manifests as gingivitis (inflammation and bleeding of the gums without affecting the bone) or periodontitis, where the destruction of the tooth supporting bone occurs. If not treated in time can lead to tooth loss. A periodontal treatment is from the correction of technical hygiene to control bacterial plaque, to the elimination of triggers it (dental calculus or tartar and periodontal pockets).

Clinical cases

  • Periodontics clinical case V

    Paciente de 45 años de edad con recesiones o pérdida de encía en los dientes incisivos inferiores causadas por tener una encía fina y un cepillado traumático. El Dr. José Nart realiza ...

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  • Periodontics clinical case IV

    El paciente acude con una periodontitis (piorrea) avanzada en el segundo premolar derecho. Con el tratamiento de regeneración periodontal podemos recuperar el hueso perdido como se observa ...

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  • Periodontics clinical case III

    La periodoncia es la especialidad de la Odontología que estudia la prevención, el diagnóstico y el tratamiento de las enfermedades o anomalías que afectan a los tejidos que soportan los ...

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  • Periodontics clinical case II

    With a non invasive and a painless surgery we can bring the gum down to it´s original position achieving natural results....

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What is the Periodontal disease?

Periodontal (gum) diseases, including gingivitis and periodontitis, are serious infections that, left untreated, can lead to tooth loss. Periodontal disease is a chronic bacterial infection that can affects the gums and bone supporting of one tooth or many teeth.
The main cause of periodontal disease is bacterial plaque, a sticky, colorless film that constantly forms on your teeth and causes the gums to become inflamed.
Periodontal disease is often silent, meaning symptoms may not appear until an advanced stage of the disease.

What is gingivitis?

Gingivitis is the mildest form of periodontal disease. It causes the gums to become red, swollen, and bleed easily. There is usually little or no discomfort at this stage. Gingivitis is often caused by inadequate oral hygiene. Gingivitis is reversible with professional treatment and good oral home care.

What is periodontitis?

Untreated gingivitis can advance to periodontitis. With time, plaque can spread and grow below the gum line. Toxins produced by the bacteria in plaque irritate the gums. The toxins stimulate a chronic inflammatory response in which the body in essence turns on itself, and the tissues and bone that support the teeth are broken down and destroyed. Gums separate from the teeth, forming pockets (spaces between the teeth and gums) that become infected. As the disease progresses, the pockets deepen and more gum tissue and bone are destroyed. Often, this destructive process has very mild symptoms. Eventually, teeth can become loose and may have to be removed.

What are the most common forms of periodontitis?

Aggressive periodontitis occurs in patients who are otherwise clinically healthy. Common features include rapid attachment loss and bone destruction and familial aggregation.
Chronic periodontitis results in inflammation within the supporting tissues of the teeth, progressive attachment and bone loss. This is the most frequently occurring form of periodontitis and is characterized by pocket formation and/or recession of the gingiva. It is prevalent in adults, but can occur at any age. Progression of attachment loss usually occurs slowly, but periods of rapid progression can occur.
Periodontitis as a manifestation of systemic diseases often begins at a young age. Systemic conditions such as heart disease, respiratory disease, and diabetes are associated with this form of periodontitis.
Necrotizing periodontal disease is an infection characterized by necrosis of gingival tissues, periodontal ligament and alveolar bone. These lesions are most commonly observed in individuals with systemic conditions such as HIV infection, malnutrition and immunosuppression.

What are the symptoms of the gum disease?

Periodontal disease is often silent, meaning symptoms may not appear until an advanced stage of the disease. However, warning signs of periodontal disease include the following:

  • Red, swollen or tender gums or other pain in your mouth
  • Bleeding while brushing, flossing, or eating hard food
  • Gums that are receding or pulling away from the teeth, causing the teeth to look longer than before
  • Loose or separating teeth
  • Pus between your gums and teeth
  • Sores in your mouth
  • Persistent bad breath
  • A change in the way your teeth fit together when you bite
  • A change in the fit of partial dentures

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