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In periodontal disease, not only does the bone that supports the teeth, known as alveolar bone, reduce in height in relation to the teeth, but the morphology of the remaining alveolar bone is altered. [1] The bone destruction patterns that occur as a result of periodontal disease generally take on characteristic forms.
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.
Periodontal disease; Other names: Gum disease, pyorrhea, periodontitis: Radiograph showing bone loss between the two roots of a tooth (black region). The spongy bone has receded due to infection under tooth, reducing the bony support for the tooth.
Destruction of the alveolar bone and periodontal ligament; Tooth mobility, drifting and eventual loss; Because bone loss makes its first appearance in the advanced lesion, it is equated with periodontitis, while the first three lesions are classified as gingivitis in levels of increasing severity. [15]
There may be an appearance of "arc-shaped loss of alveolar bone extending from the distal surface of the second premolar to the mesial surface of the second molar". [38] In GAP, generalized bone destruction is present that ranges from mild crestal bone resorption to severe alveolar bone destruction, depending on the severity of the disease. [38]
Necrotizing periodontitis (NP) is where the infection leads to attachment loss (destruction of the ligaments anchoring teeth in their sockets), but involves only the gingiva, periodontal ligament and alveolar ligament. If attachment loss is present in the disease, it is termed NP, unless the disease has progressed beyond the mucogingival ...
Bone loss from aggressive periodontitis that led to an exposed furcation on an upper molar. In health, the bone exists about a millimeter and a half away from the cementoenamel junction, which is the line that separates the crown from the root trunk (the line can be seen clearly in the photo).
In patients with periodontal disease, inflammation lasts longer and during the repair phase, resorption may override any bone formation. This results in a net loss of alveolar bone. [20] Alveolar bone loss is closely associated with periodontal disease. Periodontal disease is the inflammation of the gums.
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