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Inflammation of the periodontium.



an acute or chronic inflammation of the periodontium and adjacent tissues. Periodontitis is usually a result of dental caries and arises as infection spreads from the root canal through the apical foramen to the apex of the root. It may also develop from frequently recurring injury to the tooth; this kind of injury can result from such occupational habits as biting thread or grasping metal nails with the teeth and from any habitual biting of hard objects, for example, pencils or the mouthpieces of pipes.

Acute periodontitis is manifested by sharp pain in the region of the tooth that intensifies when the inflamed area is touched. Swelling often occurs in the gums, lips, or cheeks, and the affected tooth becomes loose. The enlarged submaxillary lymph nodes become sensitive, and fever occasionally arises. The process may sometimes be complicated by osteomyelitis of the jaw, purulent inflammation of the soft tissues of the face and neck, and acute sepsis. Symptoms of chronic periodontitis usually include discomfort while chewing, halitosis, and sometimes fistulas on the gums and facial skin. Chronic periodontitis can lead to the formation of a cyst of the jaw, and both forms of periodontitis can sensitize the body to streptococci.

Treatment of periodontitis is usually conservative, consisting of filling the root canals. Often the tooth is removed. Abscesses are lanced, and antibiotics are used to treat pronounced general symptoms.


Groshikov, M. I. Periodontit. Moscow, 1964.
Marchenko, A. I. “Bolezni periodonta.” In Rukovodstvo po terapevticheskoi stomatologii. Moscow, 1967.
Ovrutskii, G. D., F. G. Gasimov, and S. V. Makarov. Bolezni zubov. Kazan, 1967.
Rybakov, A. I., and V. S. Ivanov. Klinika terapevticheskoi stomatologii. Moscow, 1973.


References in periodicals archive ?
3%) from the periodontal pockets of patients with aggressive periodontitis.
The Neisseria were isolated with very low levels in aggressive periodontitis (0.
Corynebacterium matruchotii is found higher in the case of aggressive periodontitis.
Clinical and immunological findings of two siblings in a family with Generalised aggressive periodontitis.
Comparison of the clinical features of chronic and aggressive periodontitis.
Generalised aggressive periodontitis in preschoolers: Report of a case in a 3-1/2 year old.
In a case of extreme premature primary tooth loss complete blood investigations, urine analysis and gingival biopsy ruled out all the most common underlying systemic disorders leading to a diagnosis of aggressive periodontitis of unknown underlying cause.
2000] may be involved in the causation and/or progression of localized aggressive periodontitis and PLS periodontitis.
It has been suggested that prepubertal aggressive periodontitis could be an allelic variant of PLS [Hart et al.
The role of cathepsin C in Papillon-Lefevre syndrome, prepubertal periodontitis, and aggressive periodontitis.

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