Essay On Periodontal Disease

My ambition to study for a degree in Dental Hygiene and Dental Therapy has developed out of several years’ experience of working as a dental nurse in support of professional dental technicians and a growing interest in the science involved in dentistry. I am very much aware of the importance of the hygienist’s role in maintaining the patient’s dental health, and indeed ultimately helping to secure general health through careful attention to oral conditions. My work as a nurse has made me realise the importance of a full understanding of the physiology of the mouth and gums and of the whole body. I have been struck by how common periodontal diseases are in patients who come for dental treatment and have an immense faith in the value of preventive

Any of these indications may flag a significant issue, which ought to be checked by a dental practitioner. At your dental visit: The dental specialist will get some information about your medicinal history to recognize fundamental conditions or hazard elements, (for example, smoking) that may add to periodontal illness. The dental practitioner or hygienist will inspect your gums and note any indications of irritation. The dental specialist or hygienist will utilize a little ruler called a "test" to check for periodontal pockets and to gauge any pockets. In a sound mouth, the profundity of these pockets is more often than not somewhere around 1 and 3 millimeters. The dental practitioner or hygienist may take a X-beam to see whether there is any bone misfortune, and

better the process and the causes of periodontal disease ( I talked to the patient

A root planing and scaling procedure could help or stop these problems at any stage. It cannot undo the damage caused by these progressive stages. Recent studies show scaling and root planning may help address chronic periodontitis. This is a promising development, as surgery was one of the only methods to slow the progression of chronic

     Periodontal disease is more commonly known as gum disease or gingivitis. This infection is serious enough, that it can lead to tooth loss if left untreated. This chronic infection starts around the tooth and it affects the supporting bone and gums. Periodontal disease can affect anywhere from one tooth to all thirty-two teeth. The disease pathology starts with the plaque that builds up on your teeth everyday.

Some studies have been conducted but the World Workshop on Periodontics stated that controlled clinical trials that evaluated the role that occlusion had on the progression of periodontal disease in humans, was unethical. To avoid unethical situations, patient records from a private practice facility were collected and studied to see if there was a connection between occlusal discrepancies and the progression of periodontal disease. The records that were studied were from patients that had periodontal evaluations as well as occlusal assessments. All of the patients studied had periodontal disease but only some of them had occlusal decencies. After a twelve month period some patients returned and had another periodontal evaluation and occlusal assessment and the data was compared to the data that was collected twelve months prior. The data collected was compared. Patients without occlusal discrepancies and patients with occlusal discrepancies both had worsening periodontal disease after twelve months of no treatment but, the progression of periodontal disease and increased pocket probing depths

The goal of endodontic treatment is to promote the healing by prevention of apical periodontitis (AP) and to re-establish healthy periapical tissue 1. In spite of advances in endodontics, there are numerous factors contribute to endodontic treatment failure which includes residual necrotic pulp tissue, root canal over fillings, presence of periradicular lesions and periodontal disease. When root canal therapy fails, treatment options include orthograde re-treatment, periradicular surgery or extraction. Nonsurgical endodontic retreatment procedures are performed as the first choice to eliminate or reduce the microbial infection when the initial root canal therapy fails. The main goal of nonsurgical endodontic retreatment is to completely remove

When a procedure as basic as scaling and root planning and the sight of reduced post-operative inflammation – seeing the gingiva turn to a benign pink from red gives you a sense of fulfillment and satisfaction that is incomparable, you know that being a Periodontist is everything you have ever wanted. Holding a scalpel, incising the gingival and periodontal tissues and raising a flap almost perfectly for the very first time, is perhaps one of the most exhilarating experiences I have ever had and, at the risk of sounding too dramatic, the clockwise and anti-clockwise turning of the wrist during suturing is nothing short of sheer poetry in motion to me.

Nonsurgical periodontal treatment is the first step in the treatment plan for a periodontally involved patient. The goal of nonsurgical therapy is to prevent further alveolar bone destruction and improved biofilm control. A positive response to nonsurgical periodontal treatment involves a 1-2 mm reduction in probing depths or probing depths that have not progressed further (Gehrig & Willmann, 2013). After completing a re-evaluation with a positive response the patient will be put on a 3 periodontal maintenance. A 3 month periodontal maintenance is necessary because the pathogenic bacteria within the oral cavity will continue to grow within 90 days to be at the same amount as the first appointment (Darby & Walsh, 2015). However, a negative response

(178) published a paper in the form of a clinical trial in order to examine the effect of periodontal treatment on the biological and clinical parameters of RA. Their proposed study was randomized controlled trial including participants with both RA and periodontitis. The investigators plan to involve a total of 40 individuals into two groups (intervention group including full-mouth SRP, followed by systemic antibiotics, amoxicillin or clindamycin, if allergic to penicillin, for seven days, oral hygiene instructions, and rinsing with 0.12 % chlorhexidine gluconate for 10 days after periodontal treatment). Patients will be followed for three months, and the same intervention will then be applied to the control group. The primary outcome of this study was a change in DAS28 score by decreasing RA activity. A major drawback of this study is the use of amoxicillin or clindamycin adjunctive to SRP. This antimicrobial approach should not be used as periodontal pathogens have been shown to be resistant to these

Healthy bone and gum tissue are designed to fit snugly around the teeth, but periodontal

Periodontitis patients had undergone scaling, and root planning by using hand and ultrasonic instruments once a week for eight weeks and the patients were instructed to establish good oral hygiene in the form of regular tooth brushing & dental flossing.

The second approach for treatment of periodontitis is the surgical approach that, involves the flap surgery (reduction of periodontal pocket) which permits access for deep cleaning of the root surface, deletion of diseased tissue, and repositioning and shaping of the bones, gum, and tissue supporting the teeth. In some cases of sever bone loss, it may be tried to encourage regrowth and restoration of bone tissue that has been lost through the disease progression by procedure called bone grafting. Guided tissue regeneration is a more advanced technique that may be used along with bone grafting.

Purpose: To study and meta-analyze the effectiveness by means of clinical attachment level, probing depth reduction, bleeding, suppuration and recession of PRP for periodontal intrabony defects on randomized clinical trials (RCT)

Profound infra-hard imperfections connected with periodontal pockets are the great sign for periodontal regenerative treatment. Furthermore, distinctive degrees of furcation association in molars and upper first premolars are a further sign for regenerative methodologies as the furcation range stays hard to keep up through instrumentation and oral cleanliness. A third gathering of signs for regenerative periodontal treatment are confined gingival subsidences and root presentation since they may bring about a noteworthy tasteful sympathy toward the patient. The stripping of a root surface with resultant root affectability speaks to a further sign to apply regenerative periodontal treatment keeping in mind the end goal to accomplish both the decrease of root