It starts with the spreading of inflammation in the gums to the hard tissues. The disease deepens with the gingival crevice, swelling of the gingiva and the loss of the bone tissue around the teeth. A pocket is formed around the tooth, creating a very suitable environment for the growth of bacteria. The periodontal pocket depth is the most important criterion for the diagnosis and treatment of the dentist. In addition, X-rays should absolutely be controlled.
Periodontitis progresses very slowly, except in some cases. It can exist insidiously for long years. Bad odor in the mouth, gingival bleeding and as the disease progresses, gingival recessions are seen. In parallel, cold-hot sensitivity may occur in the mouth. In time, the teeth start to move away from each other like a fan and the abscess formations can be seen. The teeth begin to shake, and at very advanced stages, the teeth may spontaneously displace.
In some forms of periodontitis, the genetic tendency is effective; the disease progresses very quickly and patients can be faced with edentation at a very young age. If there are adults with a similar history in their family, regular check-ups with dentists gain importance.
How is the periodontitis treated?
The aim of treatment is to correct structural disorder on soft and hard tissue. In the initial treatment, the tooth surface is cleaned. Then, the root surface planing (curettage) follows. These treatments made at the early stages are sufficient for a good result.
Surgical approaches are required in advanced stages. It is possible to correct the deformations around the teeth caused by the disease and to shallow the periodontal pocket only with surgical interventions. During the intervention, it may be possible to recover the hard tissue by a number of techniques depending on the shape of the deformation in the bone. Very advanced conditions can result in tooth extraction.