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Periodontitis Symptoms, Causes, Treatment – Dental Care

Dental health

Periodontitis Summary


Periodontal disease is a disease with a slow progression that begins with bacteria that accumulate in the gum line so that it becomes inflamed. This leads to a pocket between the tooth and the gums become deeper and when you can no longer access the bacteria with the toothbrush.

The inflammation can then spread to the membrane around the root of the tooth and jawbone so that the tooth attachment is destroyed and the teeth eventually loosen. It is called by Cosmetic dentist and periodontitis means inflammation of the tooth.

Periodontal disease is common among the elderly, almost every second person aged over 50 have the disease in any form. Above all, it is because you do not clean the teeth properly for a long time. The risk of periodontitis is much greater if you smoke.


An early sign of an inflammation of the gums is that bleed when you brush your teeth.

The inflammation does not hurt, and the progress is slow so it can be difficult to discover for yourself that you have periodontitis. Therefore, it is important to regularly go to a dentist or dental hygienist.

If the disease is long gone, one can feel that one or more teeth are loose.


To prevent periodontal disease should be careful to brush and floss or toothpick to clean between the teeth.

Have you got bacterial plaque in periodontal pockets must be removed by a dentist or dental hygienist.

If the teeth do not be afraid to get a dental bridge or dentures.

When to seek medical care?

If you go regularly to the dental periodontal disease usually detected at an early stage.

If the gums bleed frequently or much when you brush your teeth or if one or more teeth are loose, you should contact a dentist or dental hygienist.

You can always call the medical advice of counsel.

The disease can cause tooth loss

Periodontal disease is an infectious disease which leads to the attachment of the teeth in the jaw slowly destroyed. If untreated, the disease leads eventually to the teeth loosen. However, since in most cases detected and treated in time before the tooth is loosened so periodontitis really wrong name.Therefore, using the dentist rather than the word periodontitis, which means inflammation of the tooth.

Periodontal disease begins in the gums

A tooth attachment consists of the gums, tooth root, ligament, and the jawbone. The gums are usually pale pink and fit snugly against the tooth.Between the gum line and the tooth is a pocket that is one to three millimeters deep. The tooth is attached to the jaw bone by the periodontal membrane, which connects the root of the jaw bone.

If you clean your teeth wrong or too infrequently, bacteria can accumulate at the gum line. When an inflammation occurs which leads to the pocket between the tooth and gums deepened. The bacteria that accumulate in the deeper pocket will not tighten with the toothbrush, but they can increase the amount.

When the inflammation spreads

If the inflammation is not detected and treated early, there is a risk of it spreading and attacking ligament and the jawbone. That is when the condition is called periodontitis. The pocket in the gum gets deeper and the bacteria penetrate further down, which leads to more and more of the tooth’s stronghold is destroyed. This takes a long time, usually between ten and twenty years, but can eventually lead to tooth whole stronghold is destroyed so that the teeth become loose and fall out or have to be removed.

What is that?

Bacteria causing a coating

Periodontal disease is caused by bacteria found in the mouth of most people without causing illness. It is even so that their presence prevents other infections occurring in the mouth. However, if the bacteria are not brushed away from the surface of the tooth at the edge of the gums occurs eventually a coating called plaque. If the plaque is not removed eventually disturbed balance of bacteria on the tooth surface, so that the bacteria that cause periodontitis is growing in number.

Almost every adult get periodontitis

Periodontal disease is a common disease that occurs in some form in almost half of the adult population.Sometimes it attacks the disease only a few teeth, and sometimes almost everyone. Usually the disease process very slowly and therefore tend periodontitis detected and prevented if you regularly go to dental care. In rare cases, the disease process can be quite fast.

The severe form of periodontitis, where large parts of the tooth attachment is destroyed, is very rare in younger ages but occurs in one in five people over 50 years. Although there may be a small genetic risk of developing periodontitis is the primary reason that the teeth are not cleaned properly for many years.

Smoking and stress increases the risk

If you smoke, the risk of getting periodontitis up to twenty times higher than if you do not. Smoking makes both the disease progresses faster and it heals inferior. It is probably because smoking impairs the immune system.

Even stress and diseases that affect the immune system, such as diabetes, increases the risk that you will get periodontitis.

How can you protect yourself?

You can do yourself a lot

Regular dental visits and thorough cleaning are the best ways to prevent tooth loss. Since periodontal disease mainly occurs in the space between the teeth should be in addition to brushing your teeth also use dental floss, tooth stick or interdental brush.

Periodontal disease is often a slow and painless disease course that is not itself detect the disease until one or more teeth start to feel loose. Therefore, it is important to regularly be examined by a dentist or dental hygienist.

Dental Staff can advise and propose appropriate means. But to see the results, it is important to self-clean their teeth every day. It can never be replaced with, for example, antibacterial mouthwash.

If you smoke and have had periodontitis, in addition to cleaning teeth, to stop smoking the best thing to do to stop the progression of the disease and for the treatment to be effective.


The gums may bleed

An early sign is that your gums bleed when you brush your teeth. But the smoke to get usually not the symptom because the blood vessels are pulled together by smoking. If the disease is long gone, one can feel that one or more teeth are loose.

seek care

When to seek medical care?

If the gums bleed frequently or much when you brush your teeth or if one or more teeth are loose, you should contact a dentist or dental hygienist.

Studies and surveys

Gum pockets depth measured

At a regular survey measuring the dentist or dental hygienist pockets in the gums to see how deep they are, and tests whether the light begins to bleed. A healthy gingival pockets tend not to be deeper than three to four millimeters and should not bleed. With the help of X-rays, the dentist can also see how the tooth’s underlying bone and jaw bone around the tooth looks.


Good to get treatment early

Although periodontal disease is an infectious disease can not be treated with antibiotics.

The earlier the disease is detected, the easier the treatment. One can get treatment for periodontitis, even when the disease lasted a long time, but then the treatment can be extensive and costly, and require specialized care.The treatment is to remove the bacterial plaque that is, remove the deeper periodontal pockets and to prevent a new infection.

The part of the tooth attachment that has already been destroyed by the disease usually can not be recovered, but the treatment can prevent more of the dental bracket is destroyed.

Bacteria are removed with special instruments

Bacteria that are deep in periodontal pockets can not remove yourself. It must be done by a dentist or dental hygienist uses special instruments to remove bacteria on the tooth root surface and in the periodontal pocket.Treatment is time-consuming, and often have to go several times to clean all teeth.

If the treatment is good disappears inflammation of the gingiva and the deeper periodontal pockets heals. As part of the tooth attachment destroyed by the disease are the roots closest to the tooth crown is often uncovered. The teeth can then look longer than before.

Important with aftercare

After the treatment, it is important to go on aftercare two to four times a year. It reduces the risk of new infections.When you go usually to a dental hygienist who control that keeps teeth clean and scrape off bacteria if needed.

Complications and sequelae

When the disease is more difficult

If a severe form of periodontal disease may have to be referred to a paradontology, that is, a specialist of periodontitis. They may need to do an operation to remove bacteria and deepened periodontal pockets. The surgery is done under local anesthesia and it usually does not have to be sick afterwards.

There are also surgical treatments that make it possible, in some cases, re-create part of the tooth attachment lost.

If the teeth to be removed

Sometimes dental unloading evolved so far that several teeth can not be saved and must be removed. It can affect chewing function, speech and appearance. Then you have to put in some form of dental bridge or dentures to replace the lost teeth. A bridge can also help stabilise other teeth affected by the disease.

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