PROGRESSION OF GUM DISEASE

Periodontitis ˌ is an inflammatory disease affecting the periodontium, i.e., the tissues that surround and support the teeth. Periodontitis involves progressive loss of the alveolar bone around the teeth, and if left untreated, can lead to the loosening and subsequent loss of teeth. 

Periodontitis is caused by toxins or poisons produced by the bacteria in plaque and start to break down the bone and connective tissue that hold teeth in place. As the disease progresses, the pockets deepen and more gum tissue and bone are destroyed.

 

A diagnosis of periodontitis 

1.  Inspecting the soft gum tissues around the teeth with a probe (i.e., a clinical examination)

2.  By evaluating the patient's X-ray films (i.e. a radiographic examination), to determine the amount of bone loss around the teeth.

pocketing ( space between tooth & gum)

xray it show bone level

 

GINGIVITIS:

The gum mildly inflamed. It may appear swollen or reddish and easily bleed during tooth brushing.

The teeth are still firmly planted in their sockets. No irreversible bone or other tissue damage has occurred at this stage.

Reversible gum inflammed

bone level normal

EARLY STAGE OF PERIODONTITIS

In a person with periodontitis, the inner layer of the gum and bone pull away from the teeth and form pockets. These small spaces between teeth and gums collect debris and can become infected.

 

ADVANCE PERIODONTITIS

Supporting fibers and bone are destroyed. Teeth become loose and may need to removed.

severe bone loss