The symptoms and treatment of periodontitis , including children


1. Acute periodontitis

2. Chronic periodontitis

3. Features of periodontitis in children

4. treatment of disease

Periodontitis -inflammation of the connective tissue (periodontal) which fills the space between the tooth and bone bed in which it resides.In periodontal located nerves, lymph and blood vessels that nourish the tooth.In the process of chewing periodontal evenly distributes the load on the bones attributable to a tooth.

Most often periodontitis results from periodontal infection.Microorganisms and their toxins get into the periodontal pocket after periodontal, root canal or transferred blood and lymph flow.

infection usually enters through the root canal as a result of chronic and acute diffuse gangrenous pulpitis (inflammation of the neurovascular bundle of the tooth) or pulp necrosis.

Periodontitis can be non-infectious origin.Perhaps the appearance of the disease in the treatment of tooth illiterate.It provokes getting into periodontal hard drugs during

the expansion of root canals and their sterilization, arsenous paste.Contribute to the development of periodontitis traumatic injuries.They may be chronic nature - frequent pressing tooth pencil, thread and other snacking.There are sharp, cross-sectional injury - injury, stroke, razgryzaniya bones, sharp, biting uncomfortable.

Acute periodontitis

Acute periodontitis comes in two forms - serous and purulent.

serous form.The main symptom of periodontal disease in this form is a pain syndrome.It occurs due to the accumulation of inflammatory exudate in periodontal (the liquid part of the blood), which compresses the nerves.When biting on the tooth, pain intensity increases dramatically.

edema contributes to periodontal small vertical nomination tooth.Patient acute periodontitis complains of a feeling of elongation of the affected tooth, its premature closure of the teeth on the opposite jaw.Another common symptom of this form of periodontitis can be a small swelling of the soft tissues of the face near the tooth of the patient.On palpation it is usually painless.

purulent form.Usually after two days serous form of acute periodontitis becomes purulent.Much worse signs of the disease.Pain acquire pulsating character with infrequent rest intervals.

Due to the melting of pus ligamentous apparatus of the tooth, there is its mobility.A symptom of purulent periodontitis form often large swelling of the soft tissues of the face.Near sick tooth gums is very painful when pressed.

acute purulent periodontitis in the form of the following stages of development:

  • Periodontal stage - appears mikroabstses (purulent inflammation of the tissue);the patient has a feeling of tooth elongation.
  • endosseous stage - suppurative process begins in the bone tissue.
  • subperiostally stage acute periodontitis - an accumulation of pus under the periosteum.There are pain, pronounced swelling of soft tissues and gums.
  • submucous stage - the periosteum is destroyed and pus gets into the soft tissue.Decrease pain, but becomes large soft tissue swelling.

Chronic periodontitis

Chronic periodontitis may be the result of an acute process or start your own.Usually, the disease is asymptomatic.Symptoms appear only in case of acute periodontitis due to hypothermia or reduced immunity.

Chronic periodontitis has three forms of the disease.

fibrous form.There is a gradual replacement of fiber ligamentous apparatus of the tooth connective fibrous tissue.Symptoms of this form of periodontitis are virtually absent, the pain is very rare.The diagnosis can be put on the basis of X-ray.

granulating form.The most active form of chronic periodontitis, in which in the tops of the roots of the tooth appears granulation tissue.This grainy, loose fabric of red color has the ability to grow rapidly.There is a bone destruction and its replacement by granulation tissue.Symptoms of this form of periodontitis are aching pains, which are often exacerbated.Tapping on the aching tooth cause little pain.On the gums near the affected tooth is sometimes formed a fistula from which pus.

Granulomatous form of chronic periodontitis.Periodontal abscess is formed in the shape of a thick purulent pouch mucosa.Depending on its size, there are three varieties of granulomatous form:

  • granuloma with a size of less than 0.5 cm in diameter;
  • kistogranulema with the size of 0.5 - 1 cm in diameter;
  • cyst with dimensions greater than 1 cm.

cyst can reach large sizes, which sometimes results in a fracture of the lower jaw.

At the beginning of the development of this form of the symptoms of periodontal disease are virtually absent.In the later stages of development of symptoms is greatly enhanced.

Features of periodontitis in

children Periodontitis in children can occur in acute or chronic forms.

In the acute form of the disease the child complains of persistent pain in the tooth, which increases with pressure.There is a swelling of the gums, deterioration of general condition, possible fever.

can identify the main symptoms of acute periodontitis in children:

  • gingival swelling, and adjacent soft tissue;
  • tooth mobility;
  • increase in nearby lymph nodes.

On examination, the doctor observes a violation of the symmetry of the face.The lymph nodes on the side of the tooth of the patient not only increased, but also painful on palpation.The acute form of periodontal disease in children is growing rapidly.There are abscesses, swollen soft tissues.

Chronic Periodontitis in children usually develops due to the death of the dental pulp and periodontal infection hit.Most often, children do not feel pain, missing teeth response to temperature stimuli.Sometimes there is a proliferation of granulation tissue, disrupting the formation of high-grade fabrics permanent tooth.This may lead to cyst formation, displacement and even death bud.Upon detection of such a form of periodontal disease in children, a temporary tooth to be removed.


disease most commonly for the treatment of periodontal therapeutic methods are used, which allow you to save the tooth.

process of treatment of periodontitis consists of removing the inflamed pulp from the root canal cleaning and filling of channels.After that, to reduce inflammation spend antiseptic therapy radicular tissue.

In the acute form of periodontitis tooth cavity is first opened to drain fluid from the inflamed tissues.Only then proceed to treat periodontitis.For a few days in the tooth lay antimicrobial and anti-inflammatory medication.After a marked improvement on tooth filling is placed.

periodontitis treatment is long enough, with the need to visit the doctor a few times.After filling root canal for some time can be painful to pass over time.


This article is available exclusively in the educational purposes and is not research material or professional medical advice.

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