Forms of periodontitis
After caries and periodontitis, pulpitis takes 3rd place on the negotiability of the population in dental offices.
The leading requirement fordentist in the treatment of periodontitis, is a full treatment, ie elimination of periapical inflammatory focus in an extremely short time, treatment should be conducted in the minimum number of visits and not accompanied by a worsening of the inflammatory process.
The cause of periodontitis can be infected periodontal, trauma, toxic effects of drugs.
The origin of periodontitis are divided into:
Infectious periodontitis It develops as a result of the directintroduction into periodontal pathogens of tooth canal. If periodontitis is not usually found in certain types of microbes and their various associations. The composition of the flora is dominated by anaerobic gram-positive cocci (mostly streptococci) and staphylococci. Usually they are planted together with other microorganisms - veyllonellami, lactobacilli, korinobakteriyami, yeast-like fungi.
Traumatic periodontitis arises or immediately after directeffects on periodontal tooth traumatic factor, while the cause may be an acute injury (stroke, perforation of the root), including in surgical interventions (tsistektomiya, removal of the tumor, turning a tooth, etc.), or with long-term traumatic effects on periodontal ( chronic injury, improperly made fillings, dentures, long-term overload of the tooth during orthodontic treatment, occlusal trauma).
Periodontitis as a direct consequence of the injuryIt is developing rapidly, with sharp phenomena. With long-term injury of periodontal changes are increasing gradually: first, periodontal adapts to inadequate stimuli.
Medical periodontitisUsually develops in overdosepharmacological means or by exposure to periodontal potent drugs. They also include periodontitis and developing as allergic effects on the use of the drug that can provoke local immunological conflict (antibiotics, eugenol).
The most common medications periodontitispulpitis arise after treatment with arsenous paste, paraformaldehyde, formalin treatment of root canals, phenol, strong acids. They also include periodontitis, developing in response to administration in the treatment of periodontal pulpitis pins cement phosphate, resorcinol-formalin paste and other filling materials.
Medical periodontitis often developsafter application of filling materials (cement, plastics, composite materials) and various pastes containing formalin, thymol, tricresol-formalin. Division periodontitis depending on the causative factor is important for the choice of treatment.
But often it begins as periodontitistraumatic, due to injury, and then as a result of penetration into the periodontal infection develops infectious periodontitis, and it is difficult to distinguish between types of infectious and traumatic inflammation. In these cases, a thorough clinical examination allow to specify the cause of the disease and to apply the treatment.