In case of inflammation of the gums (gingivitis) or the surrounding bone (periodontitisa) the tooth gets compromised.
This disease is insidiously because it grows slowly and without pain. Suddenly, the tooth seems to move and then, it gets painfull. 40-60% of the adult population is affected by periodontitis with a growing prevalence.
What are the causes?
This disease has multiple causes like microorganism, genereal health, smoking, drugs, stress, nutrition, deficits in vitamines and genetics. The plaque which attaches to the tooth produces many toxins harmfull for the gums and the surrounding bone. New research has also shown the importance of vitamine D supply.
How to treat periodontitis?
Usualy periodontal disease are treated step by step
After consent information of the patient the dentition has to be cleaned completely to get eliminate all the smooth and hard plaque. The patient will be informed about deficits in nutrition and vitamine D levels. Then starts an individualised training in home based cleaning techniques. After a certain period the dentition will be controled and in many cases the disease has improved a lot. If some intraoral restaurations do not fit perfectly, they should be removed and replaced.
If the improvement ist not sufficient, the dentist will clean up mor thorously with local anesthetics and sometimes som local desinfections tools like chlorhexidine, antibiotics or laser activation. In most of the case the periodontal disease will cease and the patient will be recalled every 3 month to preserve the results.
In very few cases the patient needs the third step of treatment, means cleaning teeth with some surgical techniques and general antibiotics to eliminate all the microorganism in the depth of the pockets.
Deutsche Gesellschaft für Parodontologie // Renz A et al.: Psychological interventions to improve adherence to oral hygiene instructions in adults with periodontal diseases (2007) // Beirne PV et al.: Routine scale and polish for periodontal health in adults (2007)