Periodontitis is a disease characterized by the swelling of the dental periodontium (the tissue surrounding the tooth, the gum, and the bone), leading to the deterioration of the apparatus sustaining the teeth and alveolis (socket), the appearance of mobility, and eventually the loss of teeth.
Periodontitis is not a tooth disease! Most of the time, these are healthy. Statistics show that the disease affecting the sustaining apparatus of the teeth causes more tooth loss than cavities. How does periodontitis appear?
The causes of this disease are numerous and diverse. Different factors have been suggested, among which genetics, bacteria proliferation, food preservatives (due to which it was also called the “disease of civilization”). However, the most important factor remains the accumulation of debris at the base of the tooth, called plaque and tartar, which constitutes an optimum environment for bacterial culture, apart from causing chronic irritation.
The harmful substances resulted from the metabolism of the bacteria can cause inflammation or swelling, which is the first stage of periodontitis.
A healthy gum has a pink color, is well attached to the teeth and the papilla (the gum area between the teeth), is whole and does not bleed when brushed (image 1). A sick gum is red and swollen or pale and retreated, bleeds easily, and plaque can be frequently seen at the base of the tooth (image 2). This is the preliminary step towards periodontitis and is called gum disease (Gingivitis).
The tissues sustaining the teeth start to deteriorate in time. Gum pockets appear. In this case, the debris can infiltrate under the gum and cannot be stopped or accessed by brushing the teeth.
The changes due to the variety of bacteria increase the inflammation. When the periodontium is under attack, the teeth lose their stability and become mobile, due in fact to the loss of bone that sustains them (image 4).
In order to maintain the periodontium healthy, rigorous hygiene must be maintained. The toothpaste and the toothbrush are the main instruments for cleaning the lateral and occlusal surfaces of the teeth, tongue, and gums. For the areas that are more difficult to reach, helping instruments can be used: mouth wash has an important role in reducing the activity of the bacterial plaque by balancing the PH through its antibacterial substances content, and has a massage effect that stimulates the blood circulation locally and thus maintains health, in addition to irrigating less accessible areas around the teeth; dental floss allows the removal of food debris from the spaces between the teeth; periodic professional cleaning removes the plaque that cannot be removed by the previous methods mentioned.
An existing inflammation leading to tooth loss can be stopped only through careful examination and individual treatment. In order to accomplish this, the bacterial plaque or tartar needs to be removed from the teeth and their roots. Based on the severity of the disease, the dentist can recommend a treatment program consisting of multiple steps, as warranted by the particular situation. For long-term effects, your contribution is necessary and great care should be employed when removing the bacterial plaque and maintaining personal hygiene.
Modern science is prepared for visible results in the treatment of these diseases. A series of treatments have been developed with remarkable results, so to say that periodontitis cannot currently be treated is a sign of incompetence.
Look for the specialist you can trust, who can offer treatment options regardless of your situation, and start treatment as soon as possible. Do not forget that it is always easier to prevent than to treat. You can participate responsibly in the maintenance of your health and enjoy a lifetime with beautiful teeth!
allow thorough plaque
keeping gums healthy
Gingivitis: gum is red,
swollen and bleed easily
Gums gradually withdraw and
teeth begin to migrate.
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Make an appointment here at Asclepimed clinics
Assoc. Prof. Dr. Daniel Traian Iordachescu
Specialty doctor: oral and maxillofacial surgery, implantology, and periodontology
Doctor of Medical Sciences
12 Dr. Grigore Romniceanu Street
District 5, Bucharest, ROMANIA
T. +4031.421.24.73 M. +40721.257.427
M. for emergencies, call: +40722.717.789