Wednesday, March 12, 2008

Periodontal Disease

Periodontitis is outlined in the tissues around the teeth diseases. According to violations of the lesions were divided into two categories of gingivitis and periodontitis. Gingivitis lesions mainly occurred in the gingival tissues. Periodontitis lesions were also violations of gingival and periodontal ligament and alveolar bone and cementum. Early in the disease have no symptoms, easily ignored, often in the development of more serious when found. Therefore, regular inspection, early detection, early treatment is important. Pathology and pathogenesis of periodontal disease causes more complex, the total local and systemic divided into two factors. Local factors have an important role, systemic factors can affect periodontal tissue to stimulate the local reaction the two are closely related. A partial factor. Plaque is adhesion to the tooth surface of microorganisms, which can not be mouthwash, water washed to remove. Has been recognized, periodontal disease is plaque Beginning factor is the main cause periodontal disease risk factors. 2. Calculus is deposited on the tooth surface mineralization of plaque. Calculus based on their location and nature of sediment into bite on subgingival calculus and calculus two. Supragingival calculus at the margin above the surface of the teeth, eyes can see. Deposition in the neck more teeth, especially in the major salivary gland duct openings such as the Department relative to the maxillary molar buccal and mandibular anterior side of the tongue more deposition. Subgingival calculus at the margin below, gums or periodontal pocket inside the root surface, the naked eye can look, we must probe exploration, Sedimentary can know the location and deposition. Subgingival calculus on the teeth can be of any form, but neighbors face more and buds. Gingival calculus on the Salt is the major source of saliva of calcium, phosphorus and other mineral salts. Subgingival calculus is GCF and exudation with mineral salts. Calculus periodontal hazards, it is mainly constituted a plaque attached to the breeding of germs and the environment as well. Calculus itself impede the maintenance of oral health, thereby further accelerated the formation of plaque, the gingival tissue to stimulate the formation. 3. Occlusion in traumatic occlusion, and when they bite force excessive or abnormal direction, beyond the periodontal tissue can bear the joint forces causing periodontal tissue injury occlusion, known as traumatic occlusion. Traumatic occlusion always include occlusion of early contact, occlusal interference, such as molar night. 4. Other items include food impaction, bad restorations, mouth breathing, and other factors also contributed to the periodontal tissue inflammation. Systemic factors periodontal disease, local factors is a major task. Systemic factors in the development of periodontal disease is promoting factor, Systemic factors can be reduced or external changes in periodontal tissue to stimulate immunity, allowing easy illness, it will promote gingivitis and periodontitis development. Systemic factors including : endocrine disorders, such as sex hormones, adrenal hormones, thyroxine the abnormal secretion. Diet and nutrition may be the lack of Vitamin C, Vitamin D and calcium, phosphorus imbalance or lack of, malnutrition. Blood disease and periodontal tissue very close relationship, leukemia patients often had gum swelling, ulcers, and bleeding. Hemophilia may occur spontaneously gingival bleeding. Certain long-term use of drugs such as phenytoin can happen fibrous gingival hyperplasia; certain types of periodontal diseases such as juvenile periodontitis patients often have family history, therefore consider genetic factors. In short, the cause of periodontal disease is more complicated, not only in the treatment of attention to the elimination of local factors, we must also take into account the entire state, in order to obtain better treatment.

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