Periodontitis

Periodontitis(PD), is an inflammatory disorder of tooth-supporting structures, which initiates loss of periodontal supporting tissues, with tooth mobility increasing and finally tooth loss(1). Furthermore, it is characterized by the periodontal pocket formation and recession of the gingiva. The hallmark clinical feature of established PD is clinical attachment loss(CAL) (2) (3). Chronic periodontitis(CP) is a gingivitis pathological development, which, in contrast, is a reversible inflammation in response to intraoral plaque microorganisms that is restricted entirely to the gingival soft tissues without CAL observed. Clinically, CP is different from other less common PD such as Aggressive periodontitis (4). PD is the main cause of tooth loss…

It is indicated for all types of periodontitis however it is especially effective with pockets depth of 5-7mm. The goal of the procedure is not pocket elimination but healing the periodontal pocket with minimum tissue lost. The modified Widman flap requires three incisions to separate the pocket lining from the tooth surface. The initial incision dissects the pocket epithelium and portions of the subepithelial connective tissue. The gingiva is then reflected using the elevator, but only to the…

Periodontitis and its relations to systemic health Periodontitis is considered to be an inflammatory disease which is characterized by destruction of the supporting structure of the teeth (periodontal ligament and alveolar bone). Its highly common and can change the quality of life of the affected patient. Periodontitis includes gingivitis, but the difference is that the gingivitis is reversible with good oral hygiene while in periodontitis is irreversible because it is extensive and is…

Rheumatoid arthritis is an inflammatory disease causing the destruction of extracellular space, mainly that of the joints (154). Periodontitis is a chronic inflammatory process occurring in the periodontal crevice that is considered a mini joint, in a fluid filled compartment adjacent to the bone (155). Thus both disorders are chronic inflammatory processes occurring in a fluid filled tissue adjacent to the bone, which is then gradually eroded. An association between periodontitis and rheumatoid…

Various risk factors influence the progression of periodontitis and contribute towards the ability of bacteria to invade periodontal tissue. Consequently, the inflammatory process caused by bacterial infection, causes soft tissue destruction and bone loss (Berezow & Darveau, 2011). Stress and anxiety cause an increased level of adrenocorticotropic hormones, such as cortisol in blood and saliva. Cortisol has an immunosuppressive effect on the host, strengthening the ability for pathogenic…

Yvette Alcala March 15, 2015 Relationship Between Periodontitis and Diabetes Introduction Periodontitis is a serious gum disease that can cause adverse effects on daily life. From moderate to severe cases it affects 13 to 15 percent of Americans between the ages of eighteen and sixty-five. (Page, 1998) If not routinely monitored, it is common for this disease to advance until symptoms become severely noticeable. Research confirms that periodontal disease is also linked to…

Periodontitis is a chronic infectious disease of the supporting tissues of the teeth. Due to bacterial infection, periodontal tissues become inflamed, and are slowly destroyed by the action of the inflammatory process. If the disease is left untreated, teeth lose their ligamentous support to the alveolar bone, alveolar bone itself is resorbed, and the teeth become mobile and are finally lost.1 Traditionally, periodontitis was thought to be strictly environmental in origin. Despite this belief,…

Periodontal diseases generally refer to common inflammatory disorders known as gingivitis and periodontitis, which are caused by a pathogenic microbiota in the subgingival biofilm that trigger an inflammatory response that activate the immune system. Biochemical mediators are biologically active compound, released by the immune cells as a response of the body to eliminate pathogenic bacteria when the periodontium is infected. These mediators responsible to initiate the inflammatory response are…

In 2013 The New York State Dental Journal published an article comparing and reviewing the oral hygiene between smokers and non smokers with periodontitis. The article also suggests that smoking and periodontitis are directly linked. (Gene B. Sherwim, 2013). A study on the relationship between Smoking and Periodontal disease states that periodontal diseases and smoking are in direct correlation to one another. (Gene B. Sherwim, 2013). Evidence from a 2010 study states that smoking cigarettes is…

Radiographically this presents as a diffuse radiopaque lesion, which can occur around the apex of any tooth but is often visible around posterior mandibular teeth. This condition is known as condensing osteitis and is a variant of symptomatic apical periodontitis Lesions are generally asymptomatic, but depending on whether the cause is pulpitis or pulpal necrosis, there may be a response to vitality, percussion and palpation. Root canal treatment is indicated in these cases. Acute apical…