a periodontal disease that is restricted to the gums is an inflammation called periodontitis.
a periodontal disease that is restricted to the gums is an inflammation called periodontitis.
a periodontal disease that is restricted to the gums is an inflammation called?
periodontitis
in five percent of cases, advanced periodontitis or gum inflammation between the second and third molars precipitates the removal of wisdom teeth. among patients with retained, asymptomatic wisdom teeth, roughly 25% have gum infections (periodontal disease). teeth with periodontal pockets of greater than 5mm have tooth loss rates that start at 10 teeth lost per 1000 teeth per year at 5mm to a rate of 70 teeth lost per year per 1000 teeth at 11mm. the risk of periodontal disease and caries on third molars increases with age with a small minority (less than 2%) of adults age 65 years or older maintaining the teeth without caries or periodontal disease and 13% maintaining unimpacted wisdom teeth without caries or periodontal disease. periodontal probing depths increase over time to greater than 4 mm in a significant proportion of young adults with retained impacted wisdom teeth which is associated with increases in serum inflammatory markers such as interleukin-6, soluble intracellular adhesion molecule-1 and c-reactive protein.
impacted wisdom teeth
gingival crevices are the small grooves between teeth and gums, and they are present in health, although they may become inflamed when gingivitis is present. the difference between a gingival crevice and periodontal pocket is that former is <3mm in depth and the latter is >3mm. periodontal pockets usually accompany periodontal disease (gum disease). there is some controversy over the role of periodontal diseases in causing bad breath. however, advanced periodontal disease is a common cause of severe halitosis. people with uncontrolled diabetes are more prone to have multiple gingival and periodontal abscess. their gums are evident with large pockets, where pus accumulation occurs. this nidus of infection can be a potential source for bad breath. removal of the subgingival calculus (i.e. tartar or hard plaque) and friable tissue has been shown to improve mouth odor considerably. this is accomplished by subgingival scaling and root planing and irrigation with an antibiotic mouth rinse. the bacteria that cause gingivitis and periodontal disease (periodontopathogens) are invariably gram negative and capable of producing vsc. methyl mercaptan is known to be the greatest contributing vsc in halitosis that is caused by periodontal disease and gingivitis. the level of vsc on breath has been shown to positively correlate with the depth of periodontal pocketing, the number of pockets, and whether the pockets bleed when examined with a dental probe. indeed, vsc may themselves have been shown to contribute to the inflammation and tissue damage that is characteristic of periodontal disease. however, not all patients with periodontal disease have halitosis, and not all patients with halitosis have periodontal disease. although patients with periodontal disease are more likely to suffer from halitosis than the general population, the halitosis symptom was shown to be more strongly associated with degree of tongue coating than with the severity of periodontal disease. another possible symptom of periodontal disease is a bad taste, which does not necessarily accompany a malodor that is detectable by others.
bad breath