prepubertal periodontitis
Introduction
Introduction to prepubertal periodontitis Prepubertal periodontitis refers to periodontal disease that occurs before the age of 11 and invades the deciduous teeth or mixed dentition. Diffuse prepubertal periodontitis is usually accompanied by systemic diseases such as Papielon-Lefevre syndrome and Down syndrome. , Chediak-Higashi syndrome, neutropenia, acute and acute acute leukemia, leukocyte adhesion defects, etc. The limited prepubertal periodontitis was proposed by Page et al in 1983 as an independent disease. The etiology of this disease is unknown. It has been reported that its subgingival flora has actinomyces symbiosis, carbon dioxide saliva. Fibrio, intermediate P. aeruginosa and Arkonia. The World Clinical Periodontology Symposium, held in 1989, recommended the inclusion of prepubertal periodontitis, juvenile periodontitis, and rapidly progressive periodontitis in early-onset periodontitis. basic knowledge The proportion of illness: 0.12% Susceptible people: teenagers Mode of infection: non-infectious Complications: gingivitis
Cause
Causes of prepubertal periodontitis
Periodontitis often begins in gingivitis, and is characterized by a large amount of calculus deposits under the gingival margin. The gums gradually lose their attachment to the teeth, the bone tissue begins to lose, and the periodontal pockets deepen. Support for destruction of bone tissue can be seen on X-ray films. With progressive bone loss, the teeth loosen and the gums recede. The teeth are often displaced in the late stage. There is often no pain unless it is an additional acute infection (ie, abscess formation in one or more periodontal pockets). The insertion of food into the periodontal pocket during meals can cause discomfort or pain.
Prepubertal periodontitis is an uncommon dental disease that affects the deciduous teeth. It usually occurs in a short period of time after the eruption of the deciduous teeth, mostly children around 4 years old. There are polymorphonuclear leukocyte dysfunction, frequent otitis media, widespread acute proliferative gingivitis and rapid destruction of alveolar bone. Some patients stop the disease before permanent teeth eruption; others generally turn to localized adolescent periodontitis teeth Zhou Yan self-test treatment strategy is still under study.
Prevention
Prepubertal periodontitis prevention
Apply soft hair toothbrush; use chlorhexidine mouthwash can play a certain preventive effect.
Prepubertal periodontitis is an uncommon dental disease that affects the deciduous teeth and often occurs within a short period of time after the eruption of the deciduous teeth. Mostly children around 4 years old. There is a deficiency of polymorphonuclear leukocyte function, often otitis media. The prevalence of acute proliferative gingivitis and rapid destruction of alveolar bone is characterized by it. Some patients have a disease before the permanent tooth erupts; others are generally referred to localized periodontitis in adolescents.
1. Keep your mouth clean: There are more than 20 kinds of bacteria in the mouth. New plaques form 1 to 6 hours after the tooth surface is cleaned, causing dental disease. I should learn to brush my teeth when I was 3 years old. To brush your teeth within 3 minutes of eating, brush for 3 minutes each time and brush 3 times a day. If you have difficulty, you should rinse your mouth after meals and brush your teeth in the morning and evening. Especially brushing your teeth before going to bed is more important than brushing your teeth in the morning. Toothbrush should use a soft and flexible health care toothbrush, wash it after use, and place the toothbrush head up and dry. To develop the habit of brushing teeth in turn, when brushing the upper teeth, the bristles are brushed down the teeth. When brushing the lower teeth, the brush should be brushed from the bottom to the top. Do not violently brush back and forth. Otherwise, the gums will be retracted and the teeth will be wedged. Defect.
2. Pay attention to oral exercise: Regular consumption of crude fiber food, chewing, can stimulate saliva secretion, wash away dirt, help teeth self-cleaning, and strengthen periodontal tissue. To develop a habit of chewing on both sides, otherwise it will cause disuse of the gums and facial deformity. It is recommended to use a cleaned right index finger and massage it on the upper and lower gums for 2 to 3 minutes. It can enhance the blood circulation of the gums and surrounding tissues, and is beneficial to the metabolic function of periodontal tissues. Every morning, the caries are exercised, and the empty mouth is bitten (the upper and lower teeth are gently slammed) dozens to hundreds of times, about 2 to 3 minutes, the teeth can be honed first, the front jaws are extended to the front teeth, and the cusps are flanked on both sides.
3. Reasonable eating and drinking: It is advisable to eat more fresh vegetables and fruits to keep the stool smooth. Do not eat fried foods such as fried greasy, tobacco and alcohol, sea bream. Life should be regular, go to bed early and get up early, and sleep 8 to 9 hours a day. Overwork should be avoided.
Complication
Prepubertal periodontitis complications Complications gingivitis
Some patients have a disease before the permanent tooth erupts; others are generally referred to localized periodontitis in adolescents.
Symptom
Prepubertal periodontitis symptoms common symptoms toothache gums swelling teeth loose and fall off
The disease originates from the eruption of deciduous teeth, and the age of onset can be around 4 years old or earlier.
1. Diffuse type
1 The gums of most of the teeth have obvious severe inflammation, and there is a value-added and sacral retraction or cleft palate.
2 The alveolar is destroyed quickly, the teeth are loose, and even fall off automatically.
3 neutrophil and monocyte function defects.
4 often accompanied by otitis media, skin and upper respiratory tract infections.
5 treatment of antibiotics is not well reflected.
6 can affect all deciduous teeth, permanent teeth may be affected.
2, limited type
1 A small number of deciduous teeth are involved, and the location is uncertain.
2 Gingival inflammation is mild or moderate, but can have deep periodontal bands.
3 The alveolar is slower than the diffuse type.
4 may have neutrophil or monocyte chemotactic dysfunction, but not the same at the same time.
5 whole body health.
6 pairs of treatments are still good.
7 The patient's serum has specific antibodies against Actinobacillus actinomycetemcomus or carbon dioxide phagocytic bacteria.
Examine
Examination of prepubertal periodontitis
Self-examination method:
1. Have a persistent bad breath
There are many causes of bad breath, and periodontitis is an important cause. Periodontitis causes bleeding gums, tissue inflammation, and the production of metabolites by pathogenic bacteria can cause bad breath.
2, bleeding gums when brushing or biting hard objects
Normal gums should not bleed. Many people think that bleeding gums are too much "fire" in the body. Buy a smashed toothpaste to brush your teeth or eat some medicine that can be smashed. In fact, gum bleeding is one of the earliest symptoms of periodontitis. It is a signal from the body that tells you that the gums are inflamed. If you don't pay attention to this signal, periodontitis will continue to develop.
3, feel the teeth are getting bigger and bigger
This is also due to the periodontal disease caused by the gingival and inferior alveolar bone retraction, causing the space occupied by the gums and the alveolar bone to be exposed, making the patient feel the teeth are getting bigger and bigger.
4, the teeth are loose, position changes or chewing weakness
This is because the periodontal disease causes damage to the periodontal tissue, and the support of the teeth is insufficient, causing the teeth to loosen, the position to change, or the food to be used. In fact, this is a manifestation of periodontal disease in the middle or late stage.
Diagnosis
Diagnosis and diagnosis of prepubertal periodontitis
diagnosis
Diagnosis can be performed based on clinical manifestations and examinations.
Differential diagnosis
Different from gingivitis.
