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Periodontitis. Treatment of periodontitis


Periodontitis is one of the most serious stomatological diseases. In fact, periodontitis is one of many possible complications of caries, an inflammatory process that affects not only dental tissues. It also has negative consequences for bone tissues that surround root apices. Generally there are 3 varieties of periodontitis: cyst, granuloma, and fibrous form of the disease.

What are the factors that cause periodontitis?

As we have already mentioned, periodontitis is a complication of caries. The disease ruins the nerve and affects the ligament that keeps teeth in the mouth cavity. Periodontitis makes teeth moveable. Patients who suffer periodontitis feel severe pain when they touch the inflamed area. Sometimes fever can be the symptom of the disease. Still, there are cases when periodontitis causes no toothache and develops symptomless. In such case bone tissue that surrounds the root of the tooth is slowly resolving to form either a cyst (cavity), or a granuloma (saccule located on the root apex).
Both cyst and granuloma demand immediate treatment. Periodontitis is a disease that influences not only teeth but the whole organism. Eventually, if one does not treat caries one can lose even more that teeth.

One can lose one`s health. Peeriodontitis is an inflammation process that causes destruction of bone tissues. Decay products of this process will poison the whole organism. That is why it is so important to treat the disease in time.

Periodontitis mostly affects teeth that were once treated. It usually concerns teeth with improperly treated root canals. There were cases when fragments of endodontic instruments were accidentally left in the root canal. Usually the only way to eliminate the risk of development of periodontitis of such teeth the dentist has to extract them. However, some dentists can re-treat such root canals and preserve teeth. To do this, dentists use special needles, ultrasound, and antiseptics. The whole procedure usually takes 1-2 hours though sometimes it can take a bit more time. Despite all possible inconveniences this procedure is reasonable. If the dentist manages to preserve the tooth, it can be restored with the help of dental prostheses.

How to treat periodontitis?

Periodontitis is a tricky disease. One cannot just start treating it at once. First of all it is necessary to cope with the inflammation process and fill the root canal. To do this the dentist has to remove all pus from the root canal. Otherwise pus will be spreading through gums and bones affecting other organs. Pus will also form sinus tracts and those are very difficult to treat. The main thing in treatment of periodontitis is to remove the inflamed pulp from the root of the tooth. The next step is an antiseptic therapy of dental tissues located around the tooth. Then a certain amount of medicine will be place inside the tooth and the cavity covered with a temporary stopping.

Usually it will take about 2 weeks before the stopping is removed. However it is not all. Your dentist will prescribe medicamental treatment. It means that you will have to take antibiotics for some period of time. If the treatment turns out to be successful and without any excesses, the dentist will fill the tooth again. It is important to use only the best filling materials. If the tooth was seriously damaged, some additional measures (restoration of the tooth or using a dental crown) may be required. So, as you see, periodontitis is a very serious disease that can affect not only teeth but other organs as well. If you suffer periodontitis, do not waste time and see your dentist.

Modern dentistry has developed numerous methods of treatment of periodontitis. It is even possible to prevent the formation of sinus tract. The only thing the dentist has to do is to remove pus through the root canal and the pulpal chamber. However, there is one inconvenience connected with this method. All procedures have to be carried out in the outpatient setting. After the pus has been removed, it is necessary to disinfect the root canal and fill the pulpal chamber.

There is one more important remark: if the root canal is too narrow, the tooth will have to be extracted.

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