Periodontitis - symptoms

Periodontitis of the tooth is called periodontal inflammation, characterized by certain symptoms. Before we begin to describe the symptoms directly, it is worth considering what periodontium is. Only at first glance it seems that the tooth is a simple formation, located in the jaw bones. In fact, between the hole in the jaw, called the dental alveolus, and the tooth itself, there is a whole tissue complex that provides several functions. It is called periodontium.

Classification of periodontitis

By the nature of the current distinguish:

1. Acute periodontitis. He can be:

• serous;
• purulent;

• fibrous periodontitis;
• granulating periodontitis;
• granulomatous periodontitis.

There is also a classification of periodontitis by causative factors:

1. Infectious. They can be primary and arise from complications of caries. And also - secondary, due to inflammatory diseases of surrounding tissues (eg osteomyelitis or sinusitis ) or medical errors in the treatment of caries and pulpitis.
2. Traumatic. Trauma leading to periodontitis can be either single or chronic (eg with an incorrect bite),
3. Medicamentous. Treatment of pulpitis with arsenic paste can lead to the development of periodontitis, as well as the use of irritating materials for sealing the root canals.

Acute periodontitis - symptoms

Each kind of periodontitis is characterized by certain signs. Thus, with acute periodontitis, the main symptom is pain, of varying degrees of severity, noted at one point. When you press on the causal tooth, the pain intensifies. When you go to the purulent stage, it becomes very intense, pulsating, with short periods of relaxation.

The pain intensifies from a simple touch to the tooth, often gives into the ear, adjacent teeth, throat. Body temperature can be increased, local lymph nodes increase. The mucous gums become edematous, pus may appear from the socket of the tooth, there is mobility of the tooth, which indicates the melting of collagen fibers and the violation of fixation of the tooth in the hole.

Symptoms of chronic periodontitis

Chronic periodontitis often passes painlessly and its symptoms are blurred. The first thing that the patient notes with fibrous pulpitis is a change in the color of the tooth enamel in the direction of darkening. In the tooth is often present carious cavity, painless when probing. Diagnosis by a dentist is made on the basis of an X-ray examination, which clearly shows the expansion of the periodontal gap in the apex of the root of the tooth.

Granulating periodontitis can pass as asymptomatic, and with complaints of a feeling of raspiraniya in the tooth. Periodic tenderness can be observed when nibbling and chewing. On the gums may appear fistula, from which periodically stands out pus. Lymph nodes can be enlarged. When pressing on the gum in the root area of ​​the causative tooth, there is a slight depression. On X-ray, the doctor will see the focus of rarefaction of the jawbone with uneven contours.

Granulomatous periodontitis often occurs due to trauma or as a consequence of untreated or poorly cured pulpitis. Painful sensations are often not observed, less often the patient notes not pronounced painful sensations during meals. In the region of the apex of the root, the bulging of the bone under the gum may be observed. When you touch it, you feel pain. When carrying out the X-ray, a circular section of the bone is revealed.

All kinds of periodontitis should be treated by a dentist.