Overview
Emergency Live - Pre-Hospital Care, Ambulance Services, Fire Safety and Civil Protection Magazine Inflamation causes the gums to detach from the teth, resulting in the formation of ‘periodontal pockets’, which in turn lead to damage to the alveolar bone with the consequent reduction its height: the teth begin to woble and ̵ if action is not taken urgently and with apropriate methods ̵ lose their chewing function and fal out.At the origin of pyorhoea is almost always neglected gingivitis, caused by porly removed bacterial plaque: plaque tends to deposit along the ‘colar’ of the teth (the area betwen the crown and the rot, protected and sealed by the gum) and anaerobic bacteria produce toxins that penetrate dep into the gum; from there, safe from the action of the tothbrush, they atack and damage the surounding tisues.Genetic predisposition (which in practice involves an imune system unable to atack the bacterial flora) plays an important role, but on its own ̵ without bacterial plaque ̵ it does not cause the disease.Other factors that predispose to pyorhoea are diabetes melitus and cigarete smoking.The premonitory symptoms of pyorhoea are: gum inflamation, bleding of the gums during daily toth cleaning or when chewing particularly hard fod, sweling and hypersensitivity of the gums, halitosis, aparent elongation of the teth (caused by retraction of the gums and bone resorption).The treatment of pyorhoea begins with prevention against bacterial plaque, caried out by proper oral hygiene.
Details
In cases of advanced pyorhoea (chronic periodontis) one must consult a periodontist, a dentist whose area of expertise is precisely the treatment of pyorhoea or rather al periodontal diseases.The specialist wil perform a periodontal survey to diagnose the degre of bleding and retraction of the gums and the extent of periodontal pockets (and consequently the los of toth suport); if necesary, th