Parodontologie casablanca

Periodontology

The Periodontics is the part of dentistry that is specialized in the treatment of periodontium, i.e. the tissues supporting the tooth.

Periodontal diseases are bacterial infections that affect and destroy tissues that surround and support teeth (the periodontium).

The tissues concerned are the gingiva, the attachment fibers (ligament or desmodontia) and the alveolar bone.

The tooth is made up of two parts: a visible part, the dental crown and a hidden part, the root in the bone.


Between the root and the bone is the ligament. The gum covers and protects the bone. Periodontal disease is a major public health problem. In fact, they represent, together with dental caries, the principal affections of the oral cavity.

These problems can cause gingivitis (inflammation of the gingiva that reddens and bleeds when brushing) or worse a periodontitis when the gum and bone are affected to different degrees...

The causes of periodontal disease are many. There are tobaccos, poor installation of dental restorations, tight teeth, grinding of teeth, hormonal changes, pregnancy...

Many signs prevent periodontal disease. We notice:

  • The bleeding of the gums.
  • Pain.
  • Abscesses.
  • A foul odor.
  • Loose teeth.

Care of the Periodontium



Periodontitis


Support tissues of the tooth are affected, inflammation and infection progress. Gingival recessions appear.



The alveolar bone is touched and destroyed with loss of attachment of the tooth. Destruction will progress and then become irreversible. If nothing is done in a timely manner, dental mobility will lead to tooth loss.


First Signs


Bleeding, pain, swelling. These warning signs of a gingival problem should prompt consultation. The bacteria are passed under the gum and initiate "damage" in the underlying tissues. The most common cause: biofilm or plaque


Gingivitis


Swelling of the gums increases, inflammation sets in (purplish red), pain and bleeding are more frequent. If left untreated, gingivitis can progress to a more important pathology: periodontitis.


The causes


Dental plaque bacteria, tartar, hormonal variations (pregnant women), certain medications (heart, epilepsy, and transplant), smoking, stress, diabetes, age or lack of brushing are the main causes of periodontal disease.


Treatment of Periodontal Diseases


The treatment comprises the following steps:

  • The learning of rigorous oral hygiene. This step is crucial; the patient must thoroughly remove all plaque from the toothbrush daily, cleaning the small spaces that are not accessible by the toothbrush with inter-dental brushes. It can also highlight the plate with coloring substances (plate developer) and use a hydropulseur etc.
  • The initial treatment consists of eliminating the direct causes (tartar, plaque) or indirect factors favoring (areas of retention, occlusal force, etc.) to remediate the ground: Manual or ultrasonic descaling, polishing teeth, root planning, Recoverable mobile teeth, caries treatment, distribution of occlusal forces.
  • Periodontal surgical treatment is adapted to the amount of tissue destroyed. It can be limited to the gum, gum or alveolar bone to remove bone pockets, eliminate bacteria in deep lesions, and restore the gum to a functional form.
  • Periodic control of the patient. Periodontal disease may resume its development if the cleaning conditions are not strictly observed
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