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Types of treatment of periodontal diseases
09-09-2009
«Periodontal disease» - a collective term that represents a group of different etiology and pathogenesis of periodontal lesions.
At present, our country is following the conventional classification of periodontal diseases:
Gingivitis - inflammation of the gums caused by the impact of local and general factors and without violating the integrity of the tooth-gum attachment.
Periodontitis - inflammation of periodontal tissues, characterized by progressive destruction of periodontal and bone.
Periodontal disease - Periodontal dystrophic lesions.
Idiopathic periodontal disease with progressive lysis of periodontal tissues.
Parodontomy - tumor AND TUMOR processes in periodontitis.
Treatment of periodontal diseases should be comprehensive, incorporating local and general therapeutic measures, as well as the most individualized. Assign a complex therapy, taking into account the general state of the organism, as well as the etiology and pathogenesis of periodontal disease.
Local treatment is conducted with the use of therapeutic, surgical, orthopedic and physiotherapy techniques.
Therapeutic methods include antiseptic mouth, plaque removal, over-and poddesnevyh dental plaque, as well as applications and medical dressings with various medicinal substances:
• antiseptic;
• anti-microbial;
• anti-inflammatory;
• enzyme;
• Vitamins;
• corticosteroid;
• preparations bee glue, etc.
When hyperesthesia of hard tissues of teeth shown Remineralizing therapy.
If you have gum or periodontal pockets are recommended surgical treatment with the obligatory use of painkillers.
Surgical treatments:
• curettage;
• gingivotomiya;
• Gingivectomy;
• flap surgery;
• plastic bone pockets;
• Directions regeneration of periodontal tissues.
Orthopedic treatment is used on the testimony. It aims to eliminate traumatic occlusion, splinting of mobile teeth, replacement dentition defect prosthetic devices. Orthopedic treatment is often carried out in conjunction with physiotherapy.
Physiotherapy treatments are recommended after removal of the acute inflammatory phenomena. Apply medicinal electricity and phonophoresis (vitamins B, C, calcium gluconate, sodium fluoride, heparin, etc.), darsonvalization, hydrotherapy, various types of massage (hydro massage, vibratory), vacuum therapy, laser therapy.
General treatment of periodontal disease conducted in the light of concomitant disease, strengthening of protective-compensatory forces of the organism. At the same time seeking greater resistance of the organism, the normalization and revitalization of metabolic processes, physiological functions of organs and systems. For this purpose, use drugs, which can be divided into the following groups:
vitamins (C, B], Bg, A, E, etc.);
pyrimidine derivatives (pentoxyl, Methyluracilum);
antihistamines (diphenhydramine, suprastin, Promethazine, diazolin, etc.);
Calcium (calcium gluconate, calcium chloride);
means of stimulating regeneration of periodontal tissues (insadol, calcitonin, etc.);
anti-inflammatory drugs (sodium salicylate, sodium thiosulfate, sulfonamides, antibiotics).
Successful treatment depends on careful oral hygiene, proper use of a set of general and local events, as well as treatment of opportunistic diseases.
Patients with periodontal pathology subject dispensary observation. Time of observation depends on the stage and severity of the pathological process.
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