This is why the absence of bleeding gums does not mean there is no gum disease present, while the presence of bleeding always means that gum disease is present. c. [gumrecession.com]

AIM: These case series were aimed at highlighting late presentations of aggressive periodontitis (AP) in a teaching hospital as well as proffering possible reasons for such presentations which would serve as part of the solution to prevent such presentations [ncbi.nlm.nih.gov]

The term chronic means the condition has been present for a significant length of time (at least several weeks, and sometimes much longer). There may be drainage through the gums from around the tooth’s root. [toothiq.com]

• Pain

  Patients were instructed to record the presence, duration and level of postoperative pain, and analgesic medication intake. A logistic regression was used to compare the incidence of postoperative pain and the need for painkillers between groups. [ncbi.nlm.nih.gov]

  It cools and drains stomach heat, regulates qi, and suppresses pain. [healthcmi.com]

  Symptoms and Signs Pain is usually absent unless an acute infection forms in one or more periodontal pockets or if HIV-associated periodontitis is present. Impaction of food in the pockets can cause pain at meals. [merckmanuals.com]

  Don't wait until you are in pain to see a dentist. Through regular visits to your dentist, this problem can be caught early, before it becomes a dental emergency. Patients attribute emergency to pain. [sharecare.com]

  Chronic apical periodontitis is generally a non-painful condition in which the apical portion (i.e. the part around the tip) of a tooth’s root is chronically inflamed. [toothiq.com]

• Disability

  The patient had chronic generalized severe periodontitis with pathologic maxillary anterior teeth migration and mild intellectual disability. [ncbi.nlm.nih.gov]

  […] geographic variation exists.[5] MS has been characterized into four different subtypes, which include relapsing/remitting, primary progressive, secondary progressive and relapsing progressive, depending on the time course and progression of neurologic disability [medscape.com]

  Results The global smoking‐attributable burden was 251,160 disability‐adjusted life years (DALYs; 95% uncertainty interval: 190,721–324,241; sensitivity analysis: 344,041 DALYs) or 38.5 million cases. [doi.org]

• Severe Pain

  After 4 more years, the patient presented with an abscess and severe pain, complicated by paraesthesia of the left chin and lip. Radiographic examination revealed that the lesion had increased considerably to involve the mandibular canal. [ncbi.nlm.nih.gov]

  Clinical Practice Pearls: Suspect PCD clinically in patients with characteristic findings of severe swelling, blue discoloration, severe pain, and paresthesias in the lower extremity. Males are affected more than females 1.5:1. [ebmedicine.net]

  Full Text A 50 year old man, with a prior history of stage IV rectal cancer in palliative treatment, came to the Emergency Department with sudden severe pain of 12h duration in the left lower extremity. [elsevier.es]

  Severe pain is common when chewing. Bad breath is evident, and patients will constantly have a bad taste in their mouth due to the infection. The pocket depth measures more than 7 millimetres. [gummyfloss.com]

  Severe pain, rapid swelling, and bluish-skin coloring affect the area below the blocked vein. Continued clotting can lead to increased swelling. The swelling can interfere with blood flow. This complication is called phlegmasia alba dolens. [medlineplus.gov]

• Weakness

  The strengths of 2 other recommendations are weak: chlorhexidine chips and photodynamic therapy with a diode laser. Recommendations for the other local antimicrobials (doxycycline hyclate gel and minocycline microspheres) were expert opinion for. [ebd.ada.org]

  Many factors play a role in the disease of the periodontium: Inadequate oral hygiene Poor care conditions of the teeth Material intolerances of dental materials Inappropriate loads Weak immune system Metabolic disorders Genetics Unhealthy food and life [dentalclinic-becker.com]

  ST36 orders the spleen and stomach, regulates qi and blood, and strengthens cases of weakness and deficiency. [healthcmi.com]

  A weak antibody response to infecting bacteria often occurs. All teeth may be affected, which must include ≥ 3 that are not 1st molars or incisors. [merckmanuals.com]

• Trisomy 21

  Periodontal disease and blood citrate levels in patients with trisomy 21. J Dent Res. 1969;48(6):1231-1233. 25. Cutress TW. Periodontal disease and oral hygiene in trisomy 21. Arch Oral Biol. 1971;16(11):1345-1355. 26. [aegisdentalnetwork.com]

• Periodontitis

  Merck Manual Professional Version. http://www.merckmanuals.com/professional/dental-disorders/periodontal-disorders/periodontitis. Accessed Nov. 10, 2016. Periodontal (gum) disease: Causes, symptoms, and treatments. [mayoclinic.org]

  Most cases of periodontitis are preventable through good dental hygiene. Fast facts on periodontitis Periodontitis, or gum disease, affects the area around the tooth, including the bone and the gum. [medicalnewstoday.com]

  (Gingivitis and periodontitis are two distinct stages of gum disease.) What's the difference between gingivitis and periodontitis? Gingivitis usually comes before periodontitis. [my.clevelandclinic.org]

  The classifications described here are based on the American Academy of Periodontology's (AAP) classification system for periodontal diseases and conditions (1999): Chronic periodontitis (formerly called adult periodontitis) Aggressive periodontitis [merckmanuals.com]

  Managing the bacteria that starts the cascade of events leading to periodontitis is key to beating it. This is where the periodontal vaccine fits in with treatment. [theconversation.com]

• Poor Oral Hygiene

  The most common reason for gingivitis is poor oral hygiene. Other causes could be smoking and genetical heritage. The patient is often not aware of the disease, as it does not hurt, and it is often spotted only at the visit to the dental clinic. [tandcity.dk]

  Poor oral hygiene is NOT the only cause of gum disease. While poor oral hygiene often causes gum disease, there are other factors that increase your risk. [crest.com]

  Risk factors for getting gum disease include having poor oral hygiene, being a man, low levels of income and education, smoking, diabetes and lack of visits to the dentist. [theconversation.com]

  Treatment options may include proper oral hygiene practices, professional teeth cleaning, antibiotics, and surgery. Proper Oral Care Gum disease like periodontitis is often caused by poor oral hygiene. [hawaiifamilydental.com]

• Bleeding Gums

  Signs and Symptoms of Periodontitis Redness and bleeding gums Sore and painful gums Pus from the gums Sensitivity to hot and cold foods Sensitivity to sweet foods Swollen gums Loose gums and teeth Pain on biting Bad breath Table showing the signs and [perioimplants.co.uk]

  Bleeding Gums If your gums are bleeding when you brush them, you definitely have gum disease --even if the bleeding is not at the sight of the recession. [gumrecession.com]

  Symptoms include bleeding during brushing, chronic bad breath, red and swollen gums, receding gum line, and loose or shifting teeth. When plaque builds up along the gum line, gums become inflamed and begin to pull away from the teeth. [endoperio.dental]

  In addition, receding gums can be among the early gum disease symptoms. Bleeding: Gum disease symptoms to watch for include bleeding gums when you brush or floss. [crest.com]

  Signs of periodontitis bleeding swelling receding gums with bad breath a bad taste in the mouth loose teeth Cleaning teeth can help prevent gum disease While it is tempting to avoid cleaning your gums when they are inflamed and bleeding, brushing will [dhsv.org.au]

• Halitosis

  It is a bacterial infection that causes swelling, ulcers, bad breath (halitosis) and pain. ANUG must be treated by a dentist as soon as possible. [bupa.co.uk]

  B.) bacterial infectious disease in which the supporting tissue of the teeth is aborted In Belgium, more than 40% of people over age 35 one or more "pockets" (Lambert et al, 2003) symptoms Periodontitis bleeding gums, swelling, pus breath odor ( "halitosis [parodontologie.be]

  Drainage from infections can produce a bad taste and bad breath (halitosis). [toothiq.com]

  Long-lasting halitosis is one of the crucial early signs of periodontitis Receding gums Gums that bleed during or after tooth brushing Deep pockets that form between teeth and gums Loose teeth Changes in the way teeth fit together when you bite down Causes [therabreath.com]

• Gingival Recession

  Inflammation of the gingiva, bone loss, and increased gingival recession may progress slower than with other forms of periodontitis. [dentistry.about.com]

  The patient was a 22-year-old woman who presented with the chief complaint of gingival recession. Baseline examination revealed generalized plaque deposition and gingival inflammation. [ncbi.nlm.nih.gov]

  […] phenotype, encompassing gingival thickness and width in the context of mucogingival conditions, is recognized and a novel classification for gingival recessions is introduced; 5) there is no evidence that traumatic occlusal forces lead to periodontal [doi.org]

• Leukopenia

  You may be more likely to get periodontitis if you have: Leukopenia (a lower number of white blood cells which can make you more likely to get sick) Early symptoms of periodontitis include: Sore gums Swollen gums Bleeding and redness of your gums Later [msdmanuals.com]

Periodontal treatments and procedures. American Academy of Periodontology. https://www.perio.org/consumer/treatments-procedures. Accessed Nov. 11, 2016. Brushing your teeth. [mayoclinic.org]

Treatment The main aim of treatment is to clean out bacteria from the pockets around the teeth and prevent further destruction of bone and tissue. [medicalnewstoday.com]

Treatment of risk factors Scaling and root planing Sometimes oral antibiotics, antibiotic packs, or both Surgery or extraction Treatment of modifiable risk factors such as poor oral hygiene, diabetes, and smoking improves outcomes. [merckmanuals.com]

Treatment Options: In office treatment: Once any necessary active therapy is complete and your periodontitis is stable, your condition is kept in check through Phase IV therapy, which includes regular periodontal maintenance sessions with oral examinations [strobeldentistry.com]

Saving the tooth requires definitive treatment. Surgical amputation (apicoectomy) of the tooth’s root tip may be recommended, with or without conventional root canal (endodontic treatment). [toothiq.com]

Regenerative therapy offers reconstruction of the periodontium; however, certain advanced cases with a questionable prognosis might remain a challenge. [ncbi.nlm.nih.gov]

The bacterial etiology of destructive periodontal disease: current concepts. J Periodontol. 1992;63:322–31. [PubMed] [Google Scholar] 4. Socransky SS, Haffajee AD, Smith GL, Dzink JL. [ncbi.nlm.nih.gov]

Although no one knows the exact cause of a given case of sudden sensorineural hearing loss (SSNHL), the potential etiologies of SSNHL are vast. [audiology.org]

This fact may be due the multifactorial etiology of periodontal disease that requires an association among bacteria and diverse risk factors to induce the development of gingivitis. [oatext.com]

Case definition of periodontitis in epidemiological studies A recent review of analytical epidemiology revealed a conspicuous lack of uniformity in the definition of periodontitis in epidemiological studies [ 5 ]. [bmcoralhealth.biomedcentral.com]

A multidimensional approach to the assessment of periodontitis would facilitate an improved understanding of its epidemiology and consequences. © 2017 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd. [ncbi.nlm.nih.gov]

[…] and Dental Science, Periodontics and Prosthodontics: Open Access, Dental Health: Current Research, Research & Reviews: Journal of Dental Sciences, International journal of Oral Science, Oral Diseases, Periodontology 2000, Community Dentistry and Oral Epidemiology [omicsonline.org]

The main objective of this mini-review is to focus on the mechanisms of action of dietary polyphenols in improving the pathophysiology underlying chronic inflammatory diseases like periodontitis based on pre-clinical and clinical models. [ncbi.nlm.nih.gov]

Because glutamine, CTNF and AH target pathophysiologic mechanisms known to underline periodontitis, they are compelling candidates in clinical and mechanistic investigations of complementary medicine approaches to the management of periodontitis. [clinicaltrials.gov]

Good oral hygiene Regular brushing with a soft brush and fluoride toothpaste can help prevent gum disease. Good oral hygiene should be followed daily, even if the teeth and gums are healthy, to prevent infection. [medicalnewstoday.com]

How can it be prevented? Good oral hygiene is paramount to preventing gum disease. Most people clean their teeth with a toothbrush, but also cleaning between teeth is important to help prevent gum problems. [theconversation.com]

Prevention The best way to prevent periodontitis is to follow a program of good oral hygiene, one that you begin early and practice consistently throughout life. Good oral hygiene. [mayoclinic.org]

Prevention of Peridontitis A sensitive toothbrush is always the first step, and proper oral hygiene is a must to help prevent peridontitis. If you're a smoker, quitting is also highly recommended. [colgate.com]

Treatment Goals: Prevent new occurrence of active infection Control bacterial plaque to prevent worsening of stable condition Long-term outcomes depend on the patient’s compliance with home care and periodontal maintenance at the recommended 3 or 4 month [strobeldentistry.com]