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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.
In the early stages, periodontitis has very few symptoms, and in many individuals the disease has progressed significantly before they seek treatment. Symptoms may include: Redness or bleeding of gums while brushing teeth , using dental floss or biting into hard food (e.g., apples) (though this may also occur in gingivitis , where there is no ...
Periapical periodontitis; Other names: Apical periodontitis, periradicular periodontitis: Periapical dental radiograph showing chronic periapical periodontitis on the root of the left maxillary second premolar. Note large restoration present in the tooth, which will have undergone pulpal necrosis at some point before the development of this lesion.
Photograph (left) and a radiograph (right) demonstrating extensive bone loss and soft tissue inflammation due to periodontitis. Plaque, calculus and staining. The defining feature of periodontitis is connective tissue attachment loss which may manifest as deepening of periodontal pockets, gingival recession, or both. This loss of support for ...
Gingivitis is a non-destructive disease that causes inflammation of the gums; [1] ulitis is an alternative term. [2] The most common form of gingivitis, and the most common form of periodontal disease overall, is in response to bacterial biofilms (also called plaque) that are attached to tooth surfaces, termed plaque-induced gingivitis.
Necrotizing periodontal diseases are a type of inflammatory periodontal (gum) disease caused by bacteria (notably fusobacteria and spirochaete species). The diseases appear to represent different severities or stages of the same disease process, although this is not completely certain. These diseases usually have a sudden onset.
It is the most minor form of this spectrum, with more advanced stages being termed necrotizing periodontitis, necrotizing stomatitis, and the most extreme, cancrum oris. [2] Necrotizing periodontitis (NP) is where the infection leads to attachment loss, and involves only the gingiva, periodontal ligament and alveolar ligament.
Progression of attachment loss and bone loss may be self-arresting. [19] In some patients, the disease may burnout without any cause-related therapy. [30] Caries levels have seen to be lower in cases of aggressive periodontitis. [31] [32] Staging Cases of aggressive periodontitis have been staged into Stage I, II and III based on the severity ...
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