Symptoms of periodontitis, diagnosis and treatment

Symptoms of periodontitis, inflammation of one of the root shells of the tooth, can manifest itself in the acute and chronic form of this disease with almost the same intensity. Usually it develops as a consequence of neglected caries and its unprofessional treatment, and also because of the inflamed nerve.

Symptoms of periodontitis and its diagnosis

The mechanism of penetration of the infection into the root canal and surrounding tissues can be different. But the symptoms of periodontitis are similar in all cases: sharp pain (localized near a certain tooth), which becomes intolerable from touches and hot drinks, the syndrome of an enlarged tooth (the patient feels that it seems to protrude out of the gum and becomes mobile), swelling and soft tissue swelling . This ailment can also provoke a worsening of the general condition of the patient - the temperature rises, the head may get sore, the white blood cell count increases.

Diagnosis of periodontitis is complicated by the fact that the type of periodontal gap practically does not change and the X-ray can not show any signs of the disease. In order to assess the condition of the tooth, consultation of an experienced dentist is needed. Symptoms of periodontitis can be a reaction to medications, systemic diseases transferred (diabetes and some others), a lack of vitamins in food. Also, the cause may be untimely removal of calculus, poor oral care. Acute periodontitis is accompanied by abundant development of pathogenic flora on the surface of the gums (staphylococci can coexist with pneumococci and streptococci). If it is not treated in a timely manner, then it threatens to destroy the ligament of the tooth and the surrounding bone tissue.

One of the subtypes of the disease is fibrous periodontitis - periodontal degeneration into fibrous tissue. In this case pathogenic processes proceed slowly, they are difficult to diagnose. Also, for a complete picture, one should call granulomatous and granulating periodontitis. The first is characterized by the formation of a connective tissue sac at the tip of one of the roots of the tooth. But the appearance of fast-growing granulation tissues, which destroy the plate of the alveoli, is peculiar to such a disease as granulating periodontitis. The case history in this case often contains information about fistulas opening on the chin or near the jaw. And the closure of the fistula is usually accompanied by an increase in pathology.

Treatment of periodontitis

First, it is necessary to eliminate the focus of acute inflammation and create conditions for the regeneration of the diseased tooth and restore its functions. The dentist will clean the canals by removing the remains of the affected tissue and seals from their lumen, if they have been delivered. This process occurs in stages using special tools and antiseptic drugs. After cleaning, an antibacterial agent is added to the canal, which is left for a day and replaced as needed with a new portion. After the inflammation has been eliminated, it is necessary to stimulate the regeneration of periodontal disease and only then to make a temporary or permanent filling.