Essay On Periodontal Disease

When a procedure as basic as scaling and root planning and the sight of reduced post-operative inflammation – seeing the gingiva turn to a benign pink from red gives you a sense of fulfillment and satisfaction that is incomparable, you know that being a Periodontist is everything you have ever wanted. Holding a scalpel, incising the gingival and periodontal tissues and raising a flap almost perfectly for the very first time, is perhaps one of the most exhilarating experiences I have ever had and, at the risk of sounding too dramatic, the clockwise and anti-clockwise turning of the wrist during suturing is nothing short of sheer poetry in motion to me.

Drugs might be utilized with treatment that incorporates scaling and root planing, yet they can't generally replace surgery. Contingent upon the seriousness of gum illness, the dental practitioner or periodontist may in any case recommend surgical treatment. Long haul studies will be expected to figure out if utilizing meds lessens the requirement for surgery and whether they are powerful over a drawn out stretch of time. At the point when gingivitis is not treated, it can progress to "periodontitis" (which signifies "aggravation around the tooth.") In periodontitis, gums pull far from the teeth and structure "pockets" that are tainted. The body's insusceptible framework battles the microscopic organisms as the plaque spreads and develops underneath the gum line. Bacterial poisons and the body's chemicals battling the disease really begin to separate the bone and connective tissue that hold teeth set up. If not treated, the bones, gums, and connective tissue that backing the teeth are devastated. The teeth may in the long run turn out to be free and must be

better the process and the causes of periodontal disease ( I talked to the patient

     Periodontal disease is more commonly known as gum disease or gingivitis. This infection is serious enough, that it can lead to tooth loss if left untreated. This chronic infection starts around the tooth and it affects the supporting bone and gums. Periodontal disease can affect anywhere from one tooth to all thirty-two teeth. The disease pathology starts with the plaque that builds up on your teeth everyday.

Some studies have been conducted but the World Workshop on Periodontics stated that controlled clinical trials that evaluated the role that occlusion had on the progression of periodontal disease in humans, was unethical. To avoid unethical situations, patient records from a private practice facility were collected and studied to see if there was a connection between occlusal discrepancies and the progression of periodontal disease. The records that were studied were from patients that had periodontal evaluations as well as occlusal assessments. All of the patients studied had periodontal disease but only some of them had occlusal decencies. After a twelve month period some patients returned and had another periodontal evaluation and occlusal assessment and the data was compared to the data that was collected twelve months prior. The data collected was compared. Patients without occlusal discrepancies and patients with occlusal discrepancies both had worsening periodontal disease after twelve months of no treatment but, the progression of periodontal disease and increased pocket probing depths

A root planing and scaling procedure could help or stop these problems at any stage. It cannot undo the damage caused by these progressive stages. Recent studies show scaling and root planning may help address chronic periodontitis. This is a promising development, as surgery was one of the only methods to slow the progression of chronic

Periodontal disease is more commonly known as gum disease or gingivitis. This infection is serious enough, that it can lead to tooth loss if left untreated. This chronic infection starts around the tooth and it affects the supporting bone and gums. Periodontal disease can affect anywhere from one tooth to all thirty-two teeth. The disease pathology starts with the plaque that builds up on your teeth everyday.

The treatment of chronic periodontitis involves a sequence of therapeutic procedures, which is termed periodontal

According to paper published by Eke, Wei, Thornton-Evans, and Genco in 2012, about 47% of the sample representing 64.7 million adults aged 30 yr and older had periodontitis. Not only that, adults aged 65yr and older had higher percentage

The goal of endodontic treatment is to promote the healing by prevention of apical periodontitis (AP) and to re-establish healthy periapical tissue 1. In spite of advances in endodontics, there are numerous factors contribute to endodontic treatment failure which includes residual necrotic pulp tissue, root canal over fillings, presence of periradicular lesions and periodontal disease. When root canal therapy fails, treatment options include orthograde re-treatment, periradicular surgery or extraction. Nonsurgical endodontic retreatment procedures are performed as the first choice to eliminate or reduce the microbial infection when the initial root canal therapy fails. The main goal of nonsurgical endodontic retreatment is to completely remove

(178) published a paper in the form of a clinical trial in order to examine the effect of periodontal treatment on the biological and clinical parameters of RA. Their proposed study was randomized controlled trial including participants with both RA and periodontitis. The investigators plan to involve a total of 40 individuals into two groups (intervention group including full-mouth SRP, followed by systemic antibiotics, amoxicillin or clindamycin, if allergic to penicillin, for seven days, oral hygiene instructions, and rinsing with 0.12 % chlorhexidine gluconate for 10 days after periodontal treatment). Patients will be followed for three months, and the same intervention will then be applied to the control group. The primary outcome of this study was a change in DAS28 score by decreasing RA activity. A major drawback of this study is the use of amoxicillin or clindamycin adjunctive to SRP. This antimicrobial approach should not be used as periodontal pathogens have been shown to be resistant to these

The long-term treatment plan for managing chronic periodontitis should include periodic monitoring of periodontal status and appropriate maintenance procedures.28 Experimental studies have reported very successful treatment outcomes when patients are professionally maintained at two-week intervals,161 but such a program is impractical for most chronic periodontitis patients. Therefore, to maximize successful therapeutic outcomes, patients must maintain effective daily plaque control. It also appears that in-office periodontal maintenance at three to four month intervals can be effective in maintaining most

Nonsurgical periodontal treatment is the first step in the treatment plan for a periodontally involved patient. The goal of nonsurgical therapy is to prevent further alveolar bone destruction and improved biofilm control. A positive response to nonsurgical periodontal treatment involves a 1-2 mm reduction in probing depths or probing depths that have not progressed further (Gehrig & Willmann, 2013). After completing a re-evaluation with a positive response the patient will be put on a 3 periodontal maintenance. A 3 month periodontal maintenance is necessary because the pathogenic bacteria within the oral cavity will continue to grow within 90 days to be at the same amount as the first appointment (Darby & Walsh, 2015). However, a negative response

The second approach for treatment of periodontitis is the surgical approach that, involves the flap surgery (reduction of periodontal pocket) which permits access for deep cleaning of the root surface, deletion of diseased tissue, and repositioning and shaping of the bones, gum, and tissue supporting the teeth. In some cases of sever bone loss, it may be tried to encourage regrowth and restoration of bone tissue that has been lost through the disease progression by procedure called bone grafting. Guided tissue regeneration is a more advanced technique that may be used along with bone grafting.

Purpose: To study and meta-analyze the effectiveness by means of clinical attachment level, probing depth reduction, bleeding, suppuration and recession of PRP for periodontal intrabony defects on randomized clinical trials (RCT)