Traumatic periodontitis

Inflammation of periodontal disease, or traumatic periodontitis can be triggered by a traumatic factor. Most often the injury is, it would seem, the usual, unconscious actions:

• Those who are engaged in sewing, especially professionally, can have the habit of snapping threads with their teeth.
• Many office workers have a habit of gnawing pens, pencils.
• The habit of constantly eating something is a match, a toothpick, another object.
• The habit of gnawing nuts with teeth, the constant use of seeds.
• The habit of opening bottles of bottles with teeth.

Also, traumatic periodontitis can be caused by incorrect, overly aggressive use of dental floss, mechanical trauma - bruise, stroke, hit on the tooth with a piece of solid food (bone), incorrect filling or poorly fitted crown. In addition, the periodontal tissue does not permanently lack a tooth and overload other teeth, an incorrect bite, professional actions are the mouthpieces of musical wind instruments.

Traumatic periodontitis is localized in the upper part of the periodontal - apical, less often - in the marginal - along the edges.

A single intense injury provokes a sharp form of periodontitis, which is accompanied by bleeding gums, pain, mobility of the damaged tooth. Chronic traumatization causes a slow development of the inflammatory process. Periodontent tries to adapt to pressure for some time, gradually its tissues become denser, the interdental spaces become wider. Depletion of adaptive resources of gum tissue and periodontal leads to the onset of inflammation and the beginning of destruction of the apex of the root of the tooth.

Treatment of traumatic periodontitis

First of all, actions are taken to eliminate damage from traumatic damage: crowns are being corrected, excess fillings, particles of the damaged tooth are removed and so on. Then symptomatic treatment, including pain medications, anti-inflammatory drugs, very effective physiotherapy is shown. If the tooth is displaced, a check of the viability of the pulp and the integrity of the root is carried out using X-ray and electrodontodiagnostics. Obligatory is a repeated picture 3 weeks after treatment.

The treatment of traumatic periodontitis is aimed at arresting the focus in order to prevent the spread of infection to nearby structures. Also, priority tasks include elimination of the cause of inflammation - correction of the established crown, grinding of the filling material, orthopedic methods of correction of occlusion and so on.

Obligatory is anesthesia, since traumatic periodontitis is characterized by a strong pain symptom for two reasons:

• Pain from the bruise or stroke. Pain from mechanical trauma associated with dental problems (incorrectly placed crown or filling).
• Pain caused by inflammation in periodontal tissues.

In addition to anesthesia, physiotherapeutic procedures that are carried out from the first day of seeking help are very effective. If, as a result of the injury, the tooth is displaced, after checking the viability of the pulp (electrosensitivity) and the X-ray, endodontic treatment and strengthening of the tooth with the help of orthopedic structures is performed.

Treatment of traumatic periodontitis does not presuppose the appointment of antibiotics, if they are used then as local applications, but are more effective in the sense of arresting inflammation, antiseptics. For the traumatic type of inflammation, the main thing is to relieve pain, swelling and provide temporary rest to the injured tooth. Further treatment is appointed depending on the situation and possible complications. The forecast is also related to several factors:

• The severity of injury, the force of impact.
• Single injury or permanent injury.
• Patient's treatment time for help.
• Concomitant diseases of the oral cavity (periodontitis, caries, gingivitis, pulpitis and so on).

 The prognosis of treatment is related to the severity of traumatic injury, and also to the fact that the patient turned to the dentist. If the diagnosis and therapy were carried out in a timely manner, the forecast is favorable in 95% of cases. If the injury provoked an inflammation that was not treated, the process often goes into a chronic form and affects a large periodontal zone, there may be scars at the site of tissue fiber rupture, granuloma formation and other complications.