Periodontitis Types & Treatment@ Reward Me

Periodontitis - Understanding Types, Symptoms and Treatment of Gum Problems

Know what periodontitis is. Learn the four most common types, the symptoms and the treatments. Learn more about Oral Hygiene with For Me.

Bacterial plaque is a whitish mass composed of bacteria, that forms daily, and that adheres strongly to the surface of the teeth and gums. This accumulates in large amounts in the gum furrow (space between the tooth and gum) and in the spaces between the teeth. The bacteria in plaque causes tooth decay and periodontol diseases (diseases that affect tooth support, including the gums and bone surrounding the teeth), and anyone can eliminate them through proper oral hygiene techniques.
Periodontitis is a disease of the gums, resulting from a non cured/treated gingivitis. If not treated effectively and in a timely manner, the evolution of gingivitis proves to be quite complex and can reach the state of periodontitis, affecting the periodontium, i.e., all tissues that surround and support the teeth, including the gums, bone and periodontal ligaments holding the teeth.
Any type of periodontal disease is the direct result of poor oral health, by shortcomings in tooth brushing and flossing, its appearance and development can also be related to viral and fungal issues and associated systemic diseases. When proper oral hygiene is systematically neglected, the bacteria in plaque that accumulates in the mouth, begin to have a direct action on the gums and other tissues surrounding the teeth and even on bone. The bacteria release toxins into the oral cavity, causing the body to respond through an inflammatory process, and if not quickly treated, this can begin to initiate a loss of support of the gums and the bone.

What are the types of Periodontitis?

The four most common types of periodontitis are:
  1. Chronic Periodontitis: the most common form of periodontitis and though it mostly affects adults, anyone can develop it. Inflammation of the gums, bone loss and loss of gum support can evolve more slowly than happens with other types of periodontitis. It is most common in adults.
  2. Aggressive periodontitis: affects anyone, even the most healthy, and develops quickly and destructively, leading to bone loss and profound changes of the gums. It is most common in youth and adolescents.
  3. Periodontitis associated with systemic diseases: Periodontitis may be exacerbated or contribute to the severity of systemic diseases such as diabetes, arthritis and diseases of the heart.
  4. Necrotizing ulcerative periodontitis: is one of the most severe forms of periodontitis, manifesting itself through the death of gingival tissues, leading to serious lesions in the mouth. Anyone suffering from immune deficiencies, malnutrition and diseases such as HIV/AIDS have a higher risk of suffering from this type of periodontitis.

What are the symptoms of Periodontitis?

To recognize or prevent this type of disease is important to be aware of the following symptoms:


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  • Bleeding from the gums while cleaning the teeth and/or using dental floss
  • Bleeding from the gums when eating certain types of foods, such as an apple
  • Gums are swollen and red
  • There is pus between the teeth and gums
  • Persistent bad breath
  • Changes in the position of the teeth, speech, chewing etc.

Although Periodontitis can lead to irreversible changes of the periodontium, this condition is treatable and the first step is an oral screening, to define the appropriate treatment plan, a plan that will always include removing plaque and tartar accumulated, by smoothing the roots of the teeth and by the assessment of inflamed soft tissue and bone. Other possible treatments can be done through laser, treatments with adjunct medication and if necessary and conditions are favorable, you may need surgical intervention.
To reduce or eliminate periodontal diseases, prevention is the key, and since Periodontitis is a disease with consequences that can be severe, early detection is critical. It is very important that you have a regular "check-up", control oral hygiene daily: brushing teeth, at least twice a day, one of which is accompanied by flossing, or another means of removing interdental plaque.
It is important to be aware of any changes in your oral health by visiting your hygienist/dentist whenever anything you deem "unusual", and even routinely, to better prevent problems and to control your oral health.

You should make an appointment with your hygienist/dentist if you notice one or more of the signs and symptoms mentioned above.

Also, read 5 tips to get healthier gums today at Reward Me.

Read expert tips for oral health and dental care here.

Read more health tips to stay fit.

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