Prevention, Detection And Diagnosis Of Periodontal Disease

     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.

My job shadowing experience with Dr. D. Lance Taylor has helped me in learning about the quality of education and intensive clinical training conducted at the SIU School of Dental Medicine. In addition, the clinical certification course will aid in enhancing my knowledge and developing skills required to make a smooth transition into the class. More importantly, opportunities to serve at the Give Kids a Smile and Mission of Mercy clinics will help in continuing my passion for community service. Also, it will be a great opportunity to learn from the ongoing clinical research at the school and improve my critical thinking. I am particularly interested in the research of Dr. Nathalia Garcia about the role of biomarkers in the progression of periodontal

Treatment of periodontal disease can be broadly divided into two, non-surgical and surgical. Longitudinal comparison between non-surgical and surgical therapy had been studied extensively by groups of researchers, namely the Gothenburg, the Michigan, the Minnesota, the Nebraska, and the Arizona group. There are some heterogeneities between studies from different groups. Some studies focused on single rooted teeth, while others included molars. Majority of the studies are done in a university setting, while the Arizona study was done in private practices.

As stated by the Center for Disease Control and Prevention, “Each year, more than 30,000 new cases of cancer of the oral cavity and pharynx are diagnosed and over 8,000 deaths due to oral cancer occur.” (CDC). Most adults are unaware that they have periodontal disease or gum disease, this occurs because they do not maintain routine checkups with their dentist. When we insert food and other bacteria into our mouths, it affects our teeth and gums. We need routine dental checkups and cleanings throughout our lives. Dental checkups usually involve x-rays, cleanings, and the examination of the mouth.

The aim of this study is to be able to identify any risk factors for periodontal changes in adult patients with orthodontic treatment by evaluating the periodontal status of banded second molars using the gingival index.

If you have been diagnosed with periodontal disease, you need to take action right away in order to save your gums and your teeth. When it comes to treatment options, you need to take into consideration the time you have to dedicate towards the therapy and recovery period. Here is a quick breakdown of the treatment and recovery times for the top three most common ways to treat periodontal disease.

Periodontal disease is characterised by inflammation of tissues surrounding the teeth, damage to the supporting structures of teeth and the creation of pockets prone to bacterial infection (AIHW, 2015; Gehrig & Willmann, 2016). Periodontal disease is comprised of two main diagnostic categories: gingivitis and periodontitis. Gingivitis is characterised by inflammation, redness, oedema, and bleeding upon probing (Australian Research Centre for Population Oral Health, 2009; Gehrig & Willmann, 2016). Chronic untreated gingivitis can often lead to periodontitis (Gehrig & Willmann, 2016; Van der Weijden & Slot, 2015), which presents as a loss of attachment between the supporting structures of the teeth such as bones, gums and ligaments. The greatest contributing factor to periodontal disease is the chronic build up of plaque - a sticky film that adheres to the teeth, which is composed of microorganisms, microbial waste products and food debris (Australian Research Centre for Population Oral Health, 2009). Regular and effective oral hygiene practices such as frequent tooth brushing (Zimmermann et al., 2015), using a manual or power toothbrush (Van der Weijden & Slot, 2015) and interdental cleaning (Crocombe, Brennan, Slade, &

Gum diseases (sometimes called PERIODONTAL or GINGIVAL DISEASES) are infections that harm the gum and bone that hold teeth in place. When plaque stays on your teeth too long, it forms a hard, harmful covering, called TARTAR, that brushing doesn't clean. The longer the plaque and tartar stay on your teeth, the more damage they cause. This is called GINGIVITIS. If gingivitis is not treated, over time it can make your gums pull away from your teeth and form pockets that can get infected. This is called PERIODONTITIS. If not treated, this infection can ruin the bones, gums, and tissue that support your teeth. In time, it can cause loose teeth that your dentist may have to remove.

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.

According to paper published by Eke, Wei, Thornton-Evans, and Genco in 2012, about 47% of the sample representing 64.7 million adults aged 30 yr and older had periodontitis. Not only that, adults aged 65yr and older had higher percentage

Advanced periodontitis is the final stage of gum disease, where the pockets around your teeth deepen, and the bone and fibres supporting your teeth are mostly destroyed. This can cause teeth to move or loosen and can affect the way you bite. At this stage, of aggressive professional treatment is unable to save them, they may need to be

In conclusion, moderate or severe periodontitis in adults aged 45 – 74 is a valid problem in the U.S. There are many different factors which contribute to this issue. There have been studies performed that prove this issue can be mitigated by the use of sub-antimicrobial-dose doxycycline therapy and smoking cessation. However, these initiatives can only be effective if individual’s have the necessary means to treatment, are compliant in receiving such treatment and are willing to change habits such as in the case of smoking

Periodontitis is an infectious disease that affects all organs of the tooth structure: gums, root surface, bone and ligaments that tooth is attached to the bone. Periodontitis begins inconspicuously as gingivitis, which is manifested mainly by bleeding. Later, the inflammation spreads to the depth and results in a progressive loss of bone. Gums begin to recede, the roots of the teeth is exposed arise periodontal swelling and pus. Teeth start to wobble, spacing and release. The decisive factor is the quality of oral hygiene, not

BACKGROUND: Aggressive periodontitis (AgP) by definition is a group of rare, very destructive forms of periodontitis, usually manifests itself at an early age and shows a marked tendency to aggregate in families. A variety of factors, such as microbial, environmental and behavioral have been suggested as risk factors of Aggressive periodontitis.

Providing initial therapy (ex. non-surgical periodontal therapy) is key in arresting the progression of the periodontal disease that is present. NSPT’s that were used in my client’s treatment include, oral biofilm removal and control, supragingival and sub gingival scaling with hand instrumentation and the ultrasonic, oral self care indices, oral hygiene education, tobacco cessation, oral cancer screenings, and finally evaluation throughout the duration of care. One intervention that was not planned but should have been added would have been 4-6 week re-evaluation to determine further evaluation of the interventions. Since a 4-6 week reevaluation was not conducted a reevaluation of a quadrant was completed a week after debridement. The connection between the expected outcomes and the assessment findings include the remineralization of enamel and the extreme risk for decay, the moderate deposits and the client becoming deposit free, low dental IQ and expecting the client’s ability to explain certain dental terms and how to conduct an oral cancer screening. The connection between the assessment findings and expected outcomes are crucial in order for the operator to identify the need for the type of treatment and reduce the disease found in the client’s oral