What 'periodontics Periodontology and 'the branch of dentistry that deals with diagnosis treatment and prevention of diseases of the teeth and supporting tissues that are part of: alveolar bone, gingiva, periodontal ligament and cement root;
The main diseases are gingivitis and periodontitis, and the first 'a reversible inflammatory process multifactorial etiology of the marginal gingiva; the second and 'an inflammatory process with multifactorial etiology in which there is irreversible destruction of the supporting tissues deep and that is' alveolar bone, periodontal ligament and cement root;
We have said that diseases are multifactorial in etiology: this means that several causes: in short we can say that in people genetically predisposed the accumulation of plaque and tartar because of insufficient oral hygiene and / or the presence of implants are not properly carried out is established an inflammation of the gingival tissues surface that gets worse if left untreated, involving the deeper periodontal tissues. The symptoms
of periodontal disease are almost 'fuzzy and not' uncommon to diagnosis at an advanced stage of periodontal disease in patients who have never been suspected of being infected;
The treatment of periodontitis is based primarily on prevention, hygiene Oral home care and professional and the patient with periodontitis must follow a strict program of inspections and hygiene, the frequency of sessions and 'established by the physician in response to gravity' and entities' disease.
In this design we look at the gums in a healthy condition: not observed deposits of plaque and tartar are not has bleeding gums and periodontal survey 'of about one millimeter, which does not penetrate the periodontal probe between the gum and tooth for more' one of two millimeters, indicating that the gum and 'firmly attached to the tooth;
In susceptible individuals, accumulation of bacterial plaque and / or plaque causes inflammation of the superficial and deep periodontal tissue destruction with worsening thereof;, bleeding gingiva, the marginal gingiva assumes a bright red color, the probe periodontal pockets measuring about 4-5 mm;
If untreated or if you do not remove plaque and tartar has the evolution in moderate periodontitis: Increased bleeding can be observed recession of the gingival margin, the poll periodontal provides values \u200b\u200baround 6-7mm, can 'be this bad breath;
We note in this design an advanced stage of periodontal disease: there is considerable tissue destruction periodontal deep, the survey reaches values \u200b\u200bof 9-10 mm and beyond, can 'be present mobility 'dental varying degrees, from the bottom of the pockets can' drain a purulent exudate;
In these two images we see a patient with severe periodontitis of 27 years, are obvious significant taratro deposits above and below the gum line, a dramatic picture of inflammation of the gums, loss of papillae and gingival margins of recessions, the patient also has malocclusion that has aggravated the clinical periodontal, it is a thin biotype in which bone resorption and 'all done by determining the thickness of the gingival margin recession, we see the picture below at a distance of about 25 days of treatment and motivation toilet hygiene oral tissues lost can not be recovered but the patient has acquired a proper oral hygiene techniques that allow him ', if maintained over time along with constant controls in the study, to block disease progression.
We see in this micrograph as the accumulation of bacterial plaque on tooth surfaces causes dilation of blood vessels in the marginal gingiva, the expression of the inflammatory process in place
