Chronic Periodontitis

Chronic periodontitis is a category of periodontitis characterized by chronic inflammation of the soft tissues in the oral cavity. Some are similar with or worse in appearance than normal gingivitis. This disease displays several visible signs and symptoms, all of which are caused mainly by poor oral hygiene. Depending on the degree of damage, specialists treat chronic periodontitis through oral surgery.

Early stages of chronic periodontitis can be diagnosed through several signs. Reddening and bleeding of the gums are normal to all categories of periodontal disease, including chronic periodontitis. A person with this disease does not identify the problem right away, since the first changes in the appearance of the gum are not painful or irritating. Bleeding of the gum usually occurs during brushing and flossing. The sufferer must not neglect this first signs to prevent them from worsening.

Bleeding and reddening of the gums also occur in gingivitis. However, it differs from chronic periodontitis in that no detachment of gum tissues takes place. Periodontists in cities like Houston, Texas also diagnose a patient with chronic periodontitis when the gum suffers recurring swelling. Inflammation can be as apparent a sign of this disease as redness and bleeding.

Halitosis or bad breath is common in both gingivitis and chronic periodontitis, although this sign is more severe in the latter. A sufferer may experience a series of metallic taste in the mouth in response to acidic substances. A periodontist in Houston, TX, however, checks the cause of halitosis in a patient so as not to mistake it with periodontitis. Some cases are caused by underlying illnesses, such as lung and stomach diseases.

The gum experiences recession in higher stages of chronic periodontitis, making the teeth look longer as the gingival sulcus begins to tatter. A periodontitis Houston, TX, points to heavy-handed brushing as the leading cause of recession. Also, it can cause the creation of deep pockets or sulcus in the long run.

Chronic periodontitis leads to tooth loss like any other categories of periodontitis. As the gum weakens or softens over time, the foundation of the teeth is reduced, allowing for pressures of continuous grinding to rock the teeth from the holding bone structure. If not treated by a periodontitis in Houston, TX right away, the teeth will eventually fall off. However, restoration can be done by installing implant and bridge as soon as the gum is treated.

Frequently Asked Questions

QUESTION:
chronic periodontitis?
Anybody knows what’s in above , this related with mouth disease and what’s the best solution ?
- ANSWER:
  Ch Periodontitis is a set of inflammatory diseases affecting the periodontium — that is, the tissues that surround and support the teeth . Simply speaking it is a disease of gums because of deposition of plaque under the gum tissue . Happens if you dont get dental cleaning twice an year or people who smoke and drink and can be heriditary also .
  
  Treatment can be long and expensive . Go to a periodontist a doctor who specializes in this . If you cant afford this get a deep dental cleaning that removes all the plaque from underneath the gums and do regular flossing and mouth wash .
QUESTION:
Which substance causes neurolysis in chronic generalized periodontitis?Please answer before tonight.?
Why is there no pain in periodontitis?Please answer before tonight…
- ANSWER:
QUESTION:
Periodontitis Question, 21 years old [DENTISTS ONLY PLEASE]?
Please bear with me through this explanation. Years ago, I was visiting the dentist, when he told me that it appeared as if I had gingivitis. He said I should floss, but I didn’t take it very seriously (I floss a few times a month, and I was in highschool). Over the past few years, I have had exceptional dental hygiene when it comes to brushing – I brush at least twice a day, and I brush very very lightly and with soft bristles.

I have not maintained good flossing habits – at best I have flossed a few times a month over the past few years. Over the past few years, I have noticed sensitive teeth develop. I went to see my dentist a year or two ago, and they said that my gums had receded a bit from brushing too hard. At first, I believed them, but now, after doing what I would consider “extensive research” (read: Google), I know that I am not brushing too hard. I brush in a circular motion, very very lightly, and yet my teeth are still very exposed, I have chronic bad breath, my teeth are sensitive, and my gums bleed every single time I floss. Out of fear of periodontitis, I have begun flossing more regularly, and immediately after flossing, I use listerine mouthwash.

I am unable to book a dentist appointment for another month, so my fear is this: I fear that I have progressed from gingivitis to chronic periodontitis, because I have concluded that my receding gums cannot be the result of brushing too hard, and also, my gums bleed without failure every single time I floss. As a dentist, would you, hypothetically, agree with my self-diagnosis? If not, why not?

And if so, is there anything I can do now? A lot of research has told me that after progressing past gingivitis, and without early treatment, periodontitis is irreversible and can lead too tooth loss, etc. At this point, if my diagnosis is correct, I am long past the stage of early treatment.

I have come to accept that my gums will never return to normal without surgery, and I will have to live with my long and sensitive teeth for my whole life (I am only 21). What I am not prepared to accept is that this condition will only worsen, especially as I age.

Assuming I have periodontits – is it true that I cannot cure this? I know that the accepted method is to “treat” it with great oral hygiene, brushing at least twice daily, flossing daily, and using antiseptic mouthwash. I fully intend to do this, and for some time now, I have been. But, as stated, my gums still bleed every time I floss, and my bad breath, when not originating from my throat, leads me to believe that I will have this for life. (I believe I have bad breath because my girlfriend used to tell me that I “probably have rotting gums” because I occasionally had “bad breath”).

Will my condition worsen? Is there anything else I can do (apart from seeing my dentist and addressing my concerns with him)? When I see my dentist, what can I expect from this? Is “treatment” enough? I am very young and I do not smoke, so I am heartbroken by the possibility that my gums may continue to recede and there is nothing I can do about it. I am a very healthy individual, I eat right, I have a very intense fitness regime, and I take pride in my hygiene and appearance. I do not want to loose my teeth, nor do I want my teeth to become more exposed, or to have bad breath my entire life. This is not a problem anyone in my family has experienced before me, and in case you’re wondering, yes, I use toothpaste for sensitive teeth. I just don’t know what to do with myself – I cannot wait another month under this stress (I have had these concerns for several months now).

I understand you cannot give me “medical” advice, being online, but any professional opinion whatsoever is anxiously awaited, and I appreciate anyone taking the time out to read and respond to this lengthy question. Thank you.
- ANSWER:
  How about a dental student’s opinion? To diagnose periodontitis, you need to go to your dentist. As I’m sure you’ve read from google, periodontitis is characterised by loss of attachment of fibres from your bone to your tooth. This leaves a pocket around your tooth. When you go to your dentist, he will measure the depth of your pockets, if there is any loss of attachment and if the teeth is moving. This will be done only if he suspects you have periodontitis. If there is any calculus (calcified or hardened plaque), he will remove that by either a hand or ultrasonic scaler. He may also scale below the gum line and onto the root surface. Calculus collects plaque as does fillings which overhang the natural contours of the tooth, so it is likely that he will fix these too.
  
  In the meantime, address your oral hygiene. You should be using a medium textured brush in an ordered was around your mouth ie left to right inside and out, so as you don’t miss any areas. You should brush your teeth with the brush held at a 45 degree angle to the gum and move from the gum line to the end of the tooth in short gentle strokes. You should always brush the gums and not brush anymore than two teeth at a time. Your gums will bleed due to the swelling. Plaque also gathers between the teeth so it’s essential that you remove it. If you don’t like flossing, you can buy “interdental brushes” which look like little bottle brushes that fit in the spaces between teeth. You insert then in the space and do between 20 and 30 strokes of a backwards and forwards motion.
  
  If you do indeed have periodontitis and your oral hygiene improves there is no reason why your oral status shouldn’t improve. Unfortunately, without having a look in your mouth, it’s difficult to give a prognosis. However, stop worrying, up your oral hygiene, and book an appointment with your dentist asap, as the sooner its diagnosed, the better the outlook. Best of luck.
QUESTION:
ANY Parents that have Children diagnosed with Neutropenia and/or Periodontitis!?!?!?!?
My daughter(6 yrs old) has Severe Chronic Neutropenia (cyclic)…..here is a link to better understand: http://www.neutropenia.ca/about/index.html……she got sick for the first time at 9 months old and was finally diagnosed at 1yr old. She has been through so much you could not even begin to imagine….If it is one thing it is another….She has had gingivitis for years now due to her Neutropenia and now this past week we have come to find she may have Periodontitis. Please anyone that may empathize…..NO rude comments please thank you but NO thanks…..i deal enough with some of my husbands ignorant family that don’t know and what i believe is no to care to know…Thank you for your time….I just want to reach out to parents that truly understand…. I NEVER wish this on any child or being for that matter…I just wish i could just rid her of all this……My heart goes out to all you that have Neutropenia and or have a loved one diagnosed with this……
- ANSWER:
  My son was diagnosed with “Auto Immune Neutropenia” (that’s what the doctors call it) when he was 8 months old and got sick for the first time. He has gone through so much since then…..I can understand what you must be going through. He had to be hospitalized every time he got sick and it was traumatizing for all of us. He was prescribed neupogen shots every other day for few months but his doctor stopped that just to see how he does without it. He seems to be doing O.K as of now……he is now 23 months old.
  I am not aware of “periodontitis” and don’t know if it has anything to do with Neutropenia…..
  I pray for your daughter and hope she gets better soon.
QUESTION:
Need help, very confused about teeth.?
Ok, so i got a letter from my othodontist today and he said alot about my lack of oral hygiene and i admit i dont brush as often as i should and i should change that.
But he has said i have an anterior openbite condition and i should either get 4 back teeth extracted or get surgery, and tbh i really dont wanna go through either of them.but he says if i remove the 4 teeth i will not need my wisdom teeth extracted. he also refers me to a gum specialist about “chronic periodontitis” and that i have “loss of alveolar bone height” … all in all, i have so many problems with my mouth and im really confused… is this all due to my lack of oral hygiene over the years or what? i just want some1 to comment on each of the different thingsi m going through… and, if i have really bad gums and stuff ( chronic periodontitis) how can i counter it now? and loss of bone? do i drink more milk and orange juice? its also very hard for me to floss with braces. so i dont know how to look after my teeth..
sorry about the massive rant, but i had my hopes all up about getting my braces off soon, and now i get this letter only to find out all these problems. im really confused on it all.
thanks a bunch guys.
- ANSWER:
  Leanne gave a solid answer and I have heard that over and over from my dentist. If you drink alcohol or smoke that could be part of your problem, both play havoc with your gums and teeth. Despite good oral hygiene I am in a similar situation due to smoking and the beers I like. Despite good oral hygiene, if you drink or smoke, you are not doing your teeth or gums any favors. Just something else to consider. Take care.