periodontal atrophy
Introduction
Introduction to periodontal atrophy Periodontal atrophy is mainly a regressive lesion of the gingival and alveolar bone tissues, which is mainly characterized by gingival recession, tooth neck or root exposure. The atrophy of periodontal tissue after the regression of inflammation, the formation of atrophic periodontitis, with the increase of age, the gingival can be physiologically retracted, that is, the senile atrophy; there is an unknown age of premature atrophy, that is, did not reach the age of the emergence The full mouth periodontal tissue retracts evenly. Due to long-term mechanical stimulation of periodontal tissue, it can cause mechanical periodontal atrophy. Common mechanical stimuli such as improper brushing, too thick toothpaste particles, poor design of the prosthesis, and postoperative periodontal surgery, etc. Combined functions, such as malocclusion, lack of timely restoration of the missing teeth, chewing on the side, etc., the periodontal tissue lacks the necessary physiological stimulation, which can narrow the periodontal membrane, loose the alveolar bone, and cause disuse of periodontal atrophy . basic knowledge The proportion of illness: 0.003% Susceptible people: no special people Mode of infection: non-infectious Complications: gingivitis chronic periodontitis
Cause
Periodontal atrophy
Disease factor (30%):
Periodontitis, calculus, oral ulcers, periodontal abscess, food impaction and inappropriate dentures are all causes of periodontal atrophy. They should be regularly examined and treated in the hospital, and consultation on oral self-care knowledge should be conducted. For the periodontal that has shrunk, it can be treated surgically.Environmental factors (30%):
Intoxication of arsenic, lead and other diseases can lead to periodontitis, periodontal edema and periodontal atrophy. Therefore, we should pay attention to the quality of our work and living environment and avoid contact with toxic substances.Incorrect brushing method (20%):
Incorrect brushing methods can cause periodontal atrophy.Prevention
Periodontal atrophy prevention
1, remove the local cause, that is, remove plaque and tartar.
2, mouthwash can remove food debris and temporarily reduce the number of oral microorganisms, so it is also a good health habit to cultivate mouthwash after meal, but simply mouthwash, can not maintain good oral hygiene.
3, brushing teeth is the most effective method of oral hygiene measures, but to choose a good toothbrush and the correct method of brushing can remove plaque, food debris and some pigments.
4, gum massage can increase the thickness of the epithelium, promote blood circulation, enhance the protection of bacteria and local stimuli.
5, the toothbrush can not completely reach the adjacent gap, so the way to remedy it is to use floss and toothpick.
6, active treatment of systemic diseases, and strengthen physical exercise to improve health.
7. Regularly check the mouth of the doctor to maintain the health of the periodontal tissue.
Complication
Periodontal atrophy complications Complications gingivitis chronic periodontitis
Due to the exposure of the root, dentin hypersensitivity can often occur, and the neck and the sacral surface are cramped, and the wedge-shaped gap is increased, which is prone to horizontal food caulking, which is easy to produce inflammation and aggravate the gingival recession.
Symptom
Periodontal atrophy symptoms common symptoms toothache dentition sparse toothache gums swollen teeth chewing wear loosening teeth and gingival atrophy
1. The clinical crown becomes long, the root surface is exposed, the cold, the heat, the sweetness, etc., there is dentin hypersensitivity, the interdental space is increased, but there is no inflammation and periodontal pocket.
2, senile periodontal atrophy is a uniform reduction of the full mouth alveolar bone, accompanied by gingival recession without obvious local factors and inflammation, is a normal physiological phenomenon, if this phenomenon occurs in young people of disproportionate age For premature aging periodontal atrophy.
3, disuse of periodontal atrophy, X-ray examination revealed a narrow periodontal space, loose alveolar bone, enlarged bone marrow cavity, unclear hard bone plate and other lack of functional stimulation of atrophy.
4, mechanical atrophy more common in patients with lateral brushing habits, occurred in the 543|345 neck and wedge-shaped defects, other if the body compression, food impaction, etc., can cause gingivitis and periodontal pocket formation.
Examine
Periodontal atrophy
Check that the alveolar bone height is reduced and the gums are retracted. Gingival retraction: healthy gums cover the entire surface of the root. When the gum is retracted to the root and the root is exposed, it is called Gingival Recession. It is mainly associated with periodontitis. The gums also have alveolar recurrence. Corresponding absorption of bone. It has been reported that almost 100% of people over the age of 50 have varying degrees of gingival recession, but there is also evidence that some elderly patients with periodontal health do not have gingival recession. The so-called gingival recession may be due to the long-term exposure of periodontal tissues. Caused by the accumulation of mechanical damage and inflammatory stimuli.
Diagnosis
Diagnosis and differentiation of periodontal atrophy 1. The clinical crown becomes long, the root surface is exposed, and there is dentin hypersensitivity when it is stimulated by cold heat and sweetness. The interdental space is increased but there is no inflammation and periodontal pockets. 2, senile periodontal atrophy is a uniform reduction of the full mouth alveolar bone, accompanied by gingival recession without obvious local factors and inflammation, is a normal physiological phenomenon. If this phenomenon occurs in young people of disproportionate age Premature periodontal atrophy. 3, disuse of periodontal atrophy, X-ray examination revealed a narrow periodontal space, enlarged alveolar bone marrow cavity, hard bone plate is not clear and lack of functional stimulation of atrophy. 4, mechanical atrophy is more common in patients with lateral brushing habits, occurred in the 543|345 neck and has a wedge-shaped defect. Others such as prosthesis compression food impaction, etc., can cause gingivitis and periodontal pocket formation.
