Kerge ja mõõduka levikuga parodontiit on enamasti krooniline

Mild and moderate periodontitis

Mild and moderate periodontitis is present in around 40% of people. This is usually a chronic disease. During the course of the disease, the bone and connective tissue keeping the teeth attached to the bone are resorbed slowly. The symptoms characteristic to this disease develop during decades and if prevention and treatment is started late, the loss of bone may lead to receding of gums around the teeth causing the teeth to seem longer and become more sensitive. If the disease progresses, the patient may lose his or her teeth.

 

Timely diagnosis of gingival diseases is important and improves the outcome of treatment. Patients do not often notice the symptoms of gingival diseases. They go to the doctor already when teeth begin moving or a tooth cannot be saved any more. Therefore, it is important to increase awareness among patients as well as dentists so that they notice early signs of inflammation of the teeth attachment apparatus and can change oral hygiene practices at home to prevent more extensive problems later. To diagnose gingival diseases, gingival pockets are measured and biofilm is detected with a special blunt tip probe with millimetre gradation. This enables to measure the gingival pockets and determine the periodontal status, so that the extent of the disease can be identified and further treatment planned. The procedure also helps to determine bleeding and plaque around teeth, specifics of teeth anatomy and teeth mobility.

Diagnosing gingival diseases and periodontal X-ray examination

Another important part in diagnosing is a periodontal X-ray examination, which usually involves taking around 20 shots showing the extent and character of bone loss around every tooth (whether the bone loss has occurred evenly or if there are defects with various depth around teeth). While a panoramic X-ray is a good examination method to see the general state of the jawbone system, it is usually insufficient to plan a more detailed treatment.

Periodontitis treatment

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