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While some general dentists treat less serious periodontal cases, many will refer their patients to periodontists for the more challenging periodontal cases. Similarly, while some general dentists perform dental implant procedures, many will refer their patients to periodontists for the more challenging implant cases as well. Periodontal treatment should be managed to assure the establishment of firm gingival margin prior to tooth preparation for restoration. Absence of bleeding tissue during restorative manipulation provides accessibility and aesthetic outcome. [42] The non-surgical phase is the initial phase in the sequence of procedures required for periodontal treatment. [41] This phase aims to reduce and eliminate any gingival inflammation by removing dental plaque and calculus, restoration from tooth decay and correction of defective restoration, as these all contribute to gingival inflammation, also known as gingivitis. [41] Phase I consists of treatment of emergencies, antimicrobial therapy, diet control, patient education and motivation, correction of iatrogenic factors, deep caries, hopeless teeth, preliminary scaling, temporary splinting, occlusal adjustment, minor orthodontic tooth movement and debridement. [41] Re-evaluation phase [ edit ] Signs and symptoms of periodontal disease: bleeding gums, gingival recession, halitosis (bad breath), mobile teeth, ill-fitting dentures and buildup of plaque and calculus. [16]
Receding gums are not always due to gum disease. This can also result from brushing your teeth too hard, which injures the gum tissue. A periodontist can fix this issue for cosmetic purposes, potentially lowering your risk of gum problems in the future.Nannan M, et al. Periodontal disease in pregnancy and adverse pregnancy outcomes: Progress in related mechanisms and management strategies. Frontiers in Medicine. 2022; doi:10.3389/fmed.2022.963956. Good oral care. This means brushing your teeth for two minutes at least twice a day — in the morning and before going to bed — and flossing at least once a day. Flossing before you brush allows you to clean away the loosened food bits and bacteria. Good oral care keeps your teeth and gums clean and removes the bacteria that cause periodontal disease.
Also acute necrotizing ulcerative gingivitis and necrotizing ulcerative periodontitis, it is a type of periodontal disease different than many other periodontal diseases. Clinical characteristics include gingival necrosis (breakdown of the gums), gingival pain, bleeding, halitosis (bad breath), as well as a grey colour to the gingiva and a punched out appearance. [ clarification needed] It is treated through debridement, usually under local anaesthetic due to immense pain. To maintain and treat the condition completely, a chlorhexidine mouthwash should be recommended to the patient to use twice daily, oral health instruction should be provided (using a soft bristle toothbrush or electric toothbrush twice a day) and an interdental cleaning aid, such as floss or interdental brushes, which cleans the areas that the toothbrush cannot reach. The patient should also be educated on proper nutrition and diet and healthy fluid intake. Smoking cessation should occur not only to completely eradicate the disease but also for the health of the patient. Pain control can be done through ibuprofen or paracetamol/acetaminophen. In the case of an immunocompromised patient, antibiotics should be prescribed. Assessment of treatment should be done after 24 hours of treatment and continued every 3–6 months until signs and symptoms are resolved and gingival health and function restored. [55] Chronic periodontitis [ edit ] Mordohai, N.; Reshad, M.; Jivraj, S.; Chee, W. (27 January 2007). "Factors that affect individual tooth prognosis and choices in contemporary treatment planning". British Dental Journal. 202 (2): 63–72. doi: 10.1038/bdj.2007.23. PMID 17255985. Neiva, Rodrigo F.; Steigenga, Jennifer; Al-Shammari, Khalaf F.; Wang, Hom-Lay (July 2003). "Effects of specific nutrients on periodontal disease onset, progression and treatment". Journal of Clinical Periodontology. 30 (7): 579–589. doi: 10.1034/j.1600-051x.2003.00354.x. PMID 12834494.
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In addition to handling challenging periodontal and implant cases, periodontists also provide a variety of other specialized services. These include scaling and root planing (in which the infected surface of a tooth’s root is cleaned), root surface debridement (in which damaged root tissue is removed), oral inflammation treatment, and cosmetic periodontal procedures. You have a personal or family history of heart disease, stroke, diabetes, respiratory disease, osteoporosis, or cancer. Healthy gums are firm and fit snugly around teeth. The color of healthy gums can vary. They may range from light pink in some people to dark pink and brown in others. The type of treatment you will have will depend on how serious your gum disease is. The aim of treatment is to control any existing gum disease and prevent further problems arising.
Armitage, Gary C. (February 2004). "Periodontal Diagnoses and Classification of Periodontal Diseases". Periodontology 2000. 34 (1): 9–21. doi: 10.1046/j.0906-6713.2002.003421.x. PMID 14717852. Gum recession that doesn’t result from too much brushing is usually a sign of later-stage gum disease, however. At this point, a periodontist can examine the issue and advise on appropriate treatment. What to Expect at the Periodontist Welcome to CDAC". CDA-ADC.ca. Commission on Dental Accreditation of Canada. 2013 . Retrieved 27 February 2023.At Meadows Dental Care, we use the differences between a dentist and periodontist to ensure that our team can support you. How Meadows Dental Care Helps Whilst there are many different types and stages of periodontal disease, there are some common symptoms which indicate the presence of periodontal infection and should not be overlooked. Symptoms of gum disease can include red, swollen, tender or bleeding gums, bad breath, receding gums, migration & loosening of your teeth, a change in your bite and spaces developing between your teeth. a b c d e Cope, Graham; Cope, Anwen (1 July 2011). "The periodontium: an anatomical guide". Dental Nursing. 7 (7): 376–378. doi: 10.12968/denn.2011.7.7.376. Hormonal changes in women and people assigned female at birth, such as pregnancy or using birth control pills, can increase your chances of developing periodontitis. Dental bone grafts: If you have a lot of bone loss, your dentist or periodontist may recommend a bone graft. During this procedure, they’ll place bone-grafting material in the areas where you’ve lost bone tissue. (The material may be your own bone, donated bone or a synthetic material.) The graft serves as a scaffolding for new bone growth. The goal is to reduce your risk of future infection and tooth loss.
Bacterial transportation: bacteria will readily adhere to the acquired pellicle through adhesins, proteins and enzymes within one to two hours. [19] Gingivitis: This is early-stage gum disease and it’s less severe than periodontitis. With gingivitis, your gums become red and swollen, but you haven’t started losing bone around your teeth yet. Gingivitis is reversible if you clean your teeth better and go to your dentist regularly for cleanings.Periodonditis also needs a professional clean, which includes deep scaling and root planning to clean between the gums and teeth down the roots. In severe cases, surgery may be required to remove all bacteria. Occasionally, soft tissue grafts are required. After treatment, an improved oral hygiene regimen is essential. How do I prevent gum disease? In 2017 the American Academy of Periodontology (AAP) and the European Federation of Periodontology (EFP) together collaborated to revise and adopt a new classification system for periodontal conditions to aid in a more personalized approach to patient care. In 2018 they released an updated classification system which includes a multi-dimensional staging and grading system for periodontitis classification, a recategorization of various forms of periodontitis, and the inaugural classification for peri-implant diseases and conditions. [18] Periodontal health, gingivitis, and gingival diseases and conditions [ edit ] Healthy gingiva Gingivitis after treatment
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