Atrophy of periodontium.

By Dr. Vishaal Bhat on Saturday 22 December 2007 with 0 comments



Etiology of periodontal atrophy is not known, although the alveolar compact matter state plays an important role. Clinically, teeth necks get exposed, inflammatory changes are not present. Teeth remain firm, neither periodontal pockets, nor widened periodontal slits are present.

Therapy for periodontitis, parodontosis and periodontal atrophy is fulfilled according to a plan outlined at the beginning of the treatment. This plan proceeds from simple tasks to more complicated ones. At the first instance, all exogenous harmful effects are removed (plaque, tartar, teeth overload, orthodontic anomalies) including defective dental work. An inflammation should be eliminated by the local use of disinfecting and astringent solutions. Patient’s cooperation is essential at this stage, who can significantly influence results of the therapy by a regular care at home (massages, irrigation, oral hygiene). This conservative cure is followed by a surgical therapy that aims at elimination of pockets and their contents, removal of pathological tractions (high attachments of a frenum, transient folds and the shallow vestibule), ensuring sufficiently wide attached gingiva and restoring a physiological shape of gums and the bone base. If needed, therapy is supplemented with a prosthetic work that provides for functional completion of teeth and its splinting.

Category: Periodontics Notes

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