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The advanced lesion is no longer localized to the area around the gingival sulcus but spreads apically as well as laterally around a tooth and perhaps even deep into the gum tissue papilla. There is a dense infiltrate of plasma cells, other lymphocytes and macrophages. The clusters of perivascular plasma cells still appears from the established ...
Flap surgery/pocket reduction surgery: In advanced gum disease, flap surgery may be needed to reduce pocket depth and make cleaning the teeth and gums easier. During this surgery, the gum is ...
Chronic periodontitis is initiated by Gram-negative tooth-associated microbial biofilms that elicit a host response, which results in bone and soft tissue destruction. In response to endotoxin derived from periodontal pathogens, several osteoclast-related mediators target the destruction of alveolar bone and supporting connective tissue such as the periodontal ligament.
The pain pathway is mostly transmitted via myelinated Aδ (sharp or stabbing pain) and unmyelinated C nerve fibers (slow, dull, aching, or burning pain) of the trigeminal nerve, which supplies sensation to the teeth and gums via many divisions and branches. [18] Initially, pain is felt while noxious stimuli are applied (such as cold).
These bacteria infect the gum tissue surrounding the teeth, leading to inflammation and, if left untreated, progressive damage to the teeth and gum tissue. [9] Recent meta-analysis have shown that the composition of the oral microbiota and its response to periodontal disease differ between men and women .
Necrotizing gingivitis: painful, bleeding, sloughing ulceration and loss of the interdental papillae (usually of the lower front teeth) Necrotizing gingivitis, is a common, non-contagious infection of the gums. If improperly treated necrotizing may become chronic and/or recurrent.
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