Periodontal DiseasePeriodontal disease directly affects the tooth support and may indirectly affect vital organs, including the heart, kidneys and brain. It starts as a minor reaction to plaque (gingivitis) and often progresses to major inflammation, pain and tooth loss.
Common warning signs include:
The Four Stages of Periodontal DiseaseThere are four stages of periodontal disease. Once a specific stage is diagnosed, tailored therapy and prevention of future disease is recommended.
Stage 2: Early periodontal disease exists when <25% tooth support is lost.Therapy involves removing a small amount of gum tissue (gingivectomy) or applying a local antibiotic (Doxirobe) in cases of small pockets. Where there is gum recession, usually home preventive care is all that is recommended after the teeth are cleaned.
Stage 3: Established periodontal disease exists when 25%–50% tooth support is lost.Treatment involves decreasing or eliminating the periodontal pocket if present.
Stage 4: Advanced periodontal disease exists when >50% tooth support is lost.Because there is very little support of the teeth, extraction is the treatment of choice. Prevention of periodontal disease affecting adjacent teeth is very important.
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