periodontitis & periodontosis
Parodontosis is the chronic inflammation of the periodontium, the gums, the fiber / ligamentous apparatus and the bone components. The acute form of periodontal disease, combined with increased bleeding and pain, is referred to as periodontitis.
Both are a medical condition and form a completely separate field of activity in dentistry. Periodontal disease is the most common cause of tooth loss in dentistry and, if left untreated, will sooner or later lead to loss of all teeth. An increased mobility of the teeth or a higher degree of bleeding when brushing teeth could be the first signs and should be examined immediately by the specialist.
What are the hallmarks of a periodontal disease??
Swelling of the soft tissue parts, increased bleeding, pocket formation, secretion and flushing through the bag, bad breath, bad taste, increased degree of loosening of the teeth, pain in heavy use (chewing pressure).
How does periodontitis and periodontitis develop??
This can be considered as a cycle. There must be sufficient time, nutrients from sugar and other foods and a specific germ spectrum. If only limited oral hygiene performance, this may be enough to open the door to the periodontal disease.
In the soft deposits on the tooth surface, in the interdental spaces and also on the tongue highly concentrated bacteria are settled. These produce as metabolites a variety of products, including toxins. It is these toxins that have a great influence on an inflammatory process.
Beginning with a superficial inflammation with mild pain and bleeding gums, this is called gingivitis. This gingivitis is reversible and can heal without permanent damage. If left untreated, gingivitis may develop periodontitis in a creeping process.
Periodontitis is always accompanied by a loss of height of the bone, which is radiologically detectable and measurable. The bone resorbs in regions of the inflammatory process. It can not be achieved complete healing by healing, you can only convert the acute form of periodontitis in a stable, inflammation-free form.
The pocket measurement along the tooth is a good indicator of the course of the periodontal disease. In periodontal pockets between 2-3 mm is physiologically normal, healthy situation, everything that goes beyond that is due to the periodontal disease.
How can the periodontal disease and also the acute form be treated?
Please read the explanations in our Praxiskonzpet as PDF for you to download.
Are there any other health risks in addition to tooth loss??
Periodontitis is a risk factor for a number of general diseases. Due to the massive presence of bacteria and the associated possibility of germ transmission, inflammation processes are also possible far away from the area of origin. There is an increased risk of myocardial infarction, heart valve inflammation, stroke risk, diabetes mellitus, joint inflammation, infection of artificial endoprostheses such as hips or knees, and respiratory diseases.
Which factors favor the development of periodontitis?
There are a number of factors that favor the manifestation of periodontal disease. These include, among other things: inadequate oral and dental care, only irregular checks by the dentist, refusal of the special recommended teeth cleaning programs (prophylaxis ect.), Smoking, stress, general conditions such as diabetes mellitus, genetic diseases, HIV, blood diseases. If some or many of these factors apply to you, then you should take this issue seriously and talk to us as a specialist on it.
Is the periodontal disease contagious?
Since it is essentially a bacterially controlled course, these can also be transmitted by contact. There are a variety of different germs that act differently aggressive on the periodontium apparatus, but this particular germ spectrum is transferable from one person to the next.
What else can I do at home to avoid the disease??
Here one can say in principle that the optimization of the domestic dental care is a basic building block in the fight of this illness picture. In the context of our offered prophylaxis programs, it is important to recognize the individual risks and to create the appropriate program.
This includes the education about the disease, advice in questions of dental care and optimization with the individually most suitable dental care articles, such as. Interdental bust, special silk floss, mouthwashes, mouthwashes, etc.
The professional cleaning of teeth, which is provided by a trained specialist staff, should also be provided on a regular basis every six months to close the remaining gaps in the system. Here you always have the opportunity to ask individual questions in exchange with the technical staff.
How do I get rid of the exposed unsightly tooth necks??
After successful periodontal therapy, it may well come to exposed tooth necks. The gum, which has filled the interdental spaces before the treatment, is tightened in the inflammation-free state and goes back a bit. But the dangerous gum pockets have also been eliminated.
Should it now come to unsightly cosmetic defects in the visible range, it can be counteracted by surgical measures on the soft tissue shares here. If the necks of the teeth are now more free and sensitive, but are not a cosmetic problem, desensitization can be achieved by suitable fluoridation measures.
This can be done in the home care by suitable preparations, which can be bought usually over the pharmacy. Which drug is suitable in your case, must be decided in individual cases.
Does the health insurance cover the costs?
The health insurance usually covers most of the costs. However, if it concerns recessed gum pockets with questionable long-term prognosis, the billing may not be made through the health insurance.
In general, the treatment attempts must not be billed to the detriment of the health insurance. There are billing recommendations, which have been prepared by representatives of the health insurance with the dental profession and have legal validity. Here is exactly regulated, which teeth over the health insurance, with which measures may be treated.
However, if regenerative measures, such as the use of bone substitute materials, certain products such as enamel matrix proteins or membranes, as well as the dental laser must be used, these measures are no longer regulated in the catalog of benefits of the statutory health insurance and must be charged privately. However, this can be planned in advance and can be displayed transparently by means of a written cost estimate.
Links and documents on this topic
Link to the society of the DGZMK
Link to the professional society of periodontists
Link to PDF Download: FB Patient PA treatment
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