How can you tell the difference between acute and chronic periodontitis?

In chronic periodontitis, there is no well-defined pattern of bone loss. In generalized aggressive periodontitis, most permanent teeth are affected. In localized aggressive periodontitis, there is no agreement on the number of teeth included, but in one case series, about three to six teeth were included.
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What is the difference between acute and chronic gingivitis?

Chronic gingivitis comes from the biofilm (plaque) that covers the teeth and causes inflammation. Acute gingivitis usually comes from specific infections or trauma to the gums. In most cases, a professional dental cleaning by your local dentist and proper oral hygiene can help cure patients of gingivitis.
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What are the signs and symptoms of chronic periodontitis?

Signs and symptoms of periodontitis can include:
  • Swollen or puffy gums.
  • Bright red, dusky red or purplish gums.
  • Gums that feel tender when touched.
  • Gums that bleed easily.
  • Pink-tinged toothbrush after brushing.
  • Spitting out blood when brushing or flossing your teeth.
  • Bad breath.
  • Pus between your teeth and gums.
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How is chronic periodontitis diagnosed?

Measure the pocket depth of the groove between your gums and teeth by placing a dental probe beside your tooth beneath your gumline, usually at several sites throughout your mouth. In a healthy mouth, the pocket depth is usually between 1 and 3 millimeters (mm). Pockets deeper than 4 mm may indicate periodontitis.
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What are the characteristics of chronic periodontitis?

Common symptoms of chronic periodontitis include: Gum redness or bleeding when brushing the teeth, flossing or eating hard food. Reoccurring gum swelling. Halitosis, bad breath or a persistent metallic taste.
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Diagnosis of Periodontitis



What is acute periodontitis?

Acute periodontal diseases are clinical conditions of rapid onset that involve the periodontium or associ- ated structures and may be characterized by pain or discomfort and infection. They may or may not be related to gingivitis or periodontitis.
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What is acute apical periodontitis?

Periapical periodontitis or apical periodontitis (AP) is an acute or chronic inflammatory lesion around the apex of a tooth root, most commonly caused by bacterial invasion of the pulp of the tooth.
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How do you know if you have generalized or localized periodontitis?

The main difference between the localized and generalized form of aggressive periodontitis is in the number of teeth affected. GAP includes attachment loss involves more than 30% of sites on teeth.
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What are different categories of chronic periodontitis?

Chronic periodontitis can be further classified into:
  • Extent (can be either localised affecting < 30% of sites; or generalised if > 30% of sites are affected)
  • Severity (slight = 1–2 mm CAL; moderate = 3–4 mm CAL; severe ≥5 mm CAL)
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Is chronic periodontitis painful?

Chronic periodontal diseases such as gingivitis and periodontitis are usually painless, but they may cause mild, episodic or persistent dull pain due to inflammation or low-grade infection. In contrast, sharp periodontal pain is often associated with high-grade infection and inflammation [3, 4].
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How do you classify periodontal disease?

The designations recommended are A, B, or C, signifying slow or no progression, moderate progression, and rapid progression, respectively. The assessment is based on past progression, presence of risk factors such as diabetes and/or smoking, and the systemic impact of the periodontitis.
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How quickly does periodontitis progress?

Slight Periodontal Disease

During the early gingivitis stages, gum inflammation can occur in as little as five days. Within two to three weeks, the signs of generalized gingivitis become more noticeable. If you still leave this untreated, it would progress to slight periodontal disease.
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How common is chronic periodontitis?

Chronic periodontitis is more prevalent than the general population recognizes. Around 80% of adults in the US have at least one site with attachment loss. More severe chronic periodontitis affects roughly 35% of the US population.
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How can you tell the difference between gingivitis and periodontitis?

For patients diagnosed with gingivitis, it is not all doom and gloom. Not all gingivitis progresses to periodontitis. The major difference between the two is that gingivitis is reversible, while periodontitis is not.
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What is chronic periodontitis?

Chronic periodontitis is a common disease of the gums consisting of chronic inflammation of the periodontal tissues which is caused by the accumulation of large amounts of dental plaque.
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What is the main difference between gingivitis and periodontitis?

Gingivitis and Periodontitis are both types of periodontal disease. The key difference though is that gingivitis is reversible, while periodontitis is not. This is because periodontitis involves bone loss, which cannot be recovered.
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What is the difference between aggressive and chronic periodontitis?

1. In chronic periodontitis, there is no well-defined pattern of bone loss. In generalized aggressive periodontitis, most permanent teeth are affected. In localized aggressive periodontitis, there is no agreement on the number of teeth included, but in one case series, about three to six teeth were included.
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What are the two main types of periodontal disease?

Periodontal disease is one of the most common diseases in America, affecting nearly 65 million adults over age 30. There are two types of periodontal disease – gingivitis and periodontitis. Each refers to an accumulation of bacteria along the gum line though one is more severe than the other.
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What is the most common type of periodontitis?

Gingivitis. Gingivitis is the mildest and most common form of periodontitis. This condition is caused by the toxins in plaque, and can escalate to more severe forms of periodontal disease.
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How is aggressive periodontitis diagnosed?

At present, the diagnosis of aggressive periodontitis is achieved using case history, clinical examination and radiographic evaluation. The data gathered using these methods are prone to relatively high measurement errors.
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What is periodontitis stage3?

Stage 3: Moderate Periodontitis

Infections in the area can create bleeding, pus development, and pain around the teeth. Gum recession can make the teeth sensitive and uncomfortable. As the gums pull away from the teeth, the teeth lose their natural support system and they can become loose.
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What is Stage 1 Grade A periodontitis?

Stage 1: Gingivitis

Gingivitis results from a build-up of plaque around the teeth, causing swelling and redness in the gums, bleeding when brushing or flossing, and occasional bad breath. At this point, the infection is mild and has not attacked the tooth root or bones, which means it is reversible.
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How is acute apical periodontitis treated?

The treatment will either be to extract the tooth or to open the pulp chamber and root canal system, debride away necrotic debris, irrigate with an antiseptic and dressing with a combined steroid and antibiotic paste. The use of antibiotics is ineffective and they should not be prescribed.
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How is chronic apical periodontitis treated?

How Do You Treat Apical Periodontitis?
  1. Root canal. In some cases, a root canal can minimize the inflammation of your gums by removing the bacteria and infected tissue from the tooth's pulp.
  2. Apicoectomy. If the infection develops or continues after the root canal, you might require an apicoectomy.
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Does chronic apical abscess need antibiotics?

Clinical guidelines recommend that the first‐line treatment for teeth with symptomatic apical periodontitis or an acute apical abscess should be removal of the source of inflammation or infection by local, operative measures, and that systemic antibiotics are currently only recommended for situations where there is ...
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