Weakness of the teeth

Introduction Periodontitis often manifests as bleeding gums, bad breath, overflowing pus, loose teeth, severe occlusion and persistent dull pain.

Cause

Causes of tooth occlusion

Although bad habits are not the main cause of periodontal disease, it will affect the treatment of periodontal disease and even accelerate the development of periodontal disease. These bad habits can generally include the following:

(1) chewing habits. It can cause a large amount of plaque and calculus to accumulate on the side teeth of the waste, which can cause periodontal disease. At the same time, the conventional side teeth can be severely worn, causing teeth, causing or aggravating periodontal disease.

(2) partial eclipse habits. It can cause a deficiency in protein and vitamins A, C, and D, which can cause or aggravate periodontal disease.

(3) Molaring and clenching teeth at night. It can cause severe wear of the teeth, increase the burden of periodontal tissue, can cause food impaction, or make the original periodontal lesions worse.

(4) biting the lips, biting the pen, biting the nails, breathing at the mouth, etc. These can increase the load on the periodontal tissue, and can also shift the anterior teeth, cause symptoms such as teeth, or aggravate the original lesions of the periodontal tissue.

(5) smoking habits. Smoking has an effect on the whole body bone, which can aggravate the absorption of bones. The absorption of alveolar bone is a pathological process of periodontal disease.

(6) Professional habits. For example, if the cobbler, woodworker, etc. are working, they are used to bite iron nails, shoe needles or wires, etc., which may damage the tooth and the periodontal, such as a gap in the crown or loosening or displacement of the anterior teeth.

Therefore, patients with periodontal disease should pay special attention to correcting the bad habits that have been developed. Only in this way can the treatment effect of periodontal disease be consolidated. People without periodontal disease should also quit the above habits to avoid damage to periodontal tissues.

The etiology of periodontal disease is more complicated, and the total is divided into local and systemic factors. Local factors have a very important role, and systemic factors can affect the response of periodontal tissues to local stimuli. There is a close relationship between the two.

Local factors:

1. Plaque: refers to a microbial group that adheres to the surface of a tooth and cannot be removed by mouthwash, water rinse, or the like. It has been recognized that plaque is the initiator of periodontal disease and is the main cause of periodontal disease.

2. Dental calculus: is a mineralized plaque deposited on the tooth surface. The calculus is divided into two types: iliac calculus and subgingival calculus according to its deposition site and nature. The upper calculus is located on the tooth surface above the gingival margin and can be seen directly by the naked eye. There is more deposition in the neck of the tooth, especially in the opposite part of the opening of the large parotid duct, such as the buccal side of the maxillary molar and the lingual side of the anterior dentition. The underarm tartar is located on the root surface below the gingival margin, in the sac pocket or in the periodontal pocket. The naked eye cannot be directly viewed. It must be probed to know the deposition site and deposition amount. The underarm calculus can be formed on any tooth, but with more adjacent faces and tongues.

The main source of inorganic salts in the calculus is the mineral salts such as calcium and phosphorus in saliva. The underarm calculus is mainly a mineral salt provided by the gingival crevicular fluid and exudate.

The hazard of tartar to periodontal tissue is mainly because it constitutes a good environment for plaque adhesion and bacterial growth. The calculus itself hinders the maintenance of oral hygiene, which accelerates the formation of plaque and stimulates the formation of gum tissue.

3. Traumatic occlusion: In the case of occlusion, if the occlusal force is too large or the direction is abnormal, beyond the joint force that the periodontal tissue can withstand, the occlusion that causes the periodontal tissue to be damaged is called traumatic occlusion. Traumatic occlusion includes early contact during occlusion, occlusion interference, and night molars.

4. Other factors including food impaction, poor restoration, mouth breathing and other factors also promote the inflammatory process of periodontal tissue.

Systemic factors:

Local factors are the main cause of periodontal disease. Systemic factors are a promoting factor in the development of periodontal disease. Systemic factors can reduce or change the resistance of periodontal tissues to external stimuli, making them susceptible to disease and promoting the development of gingivitis and periodontitis.

Systemic factors include: endocrine disorders, such as sex hormones, adrenocortical hormones, thyroxine and other secretion abnormalities. Diet and nutrition may have vitamin C deficiency, vitamin D and calcium, phosphorus deficiency or imbalance, malnutrition and the like. The relationship between blood diseases and periodontal tissues is extremely close. Leukemia patients often have swollen gums, ulcers, and bleeding. Hemophilia can occur spontaneous bleeding of the gums. Long-term use of certain drugs, such as phenytoin, can cause fibrosis in the gums; some types of periodontal disease, such as adolescent periodontitis, often have a family history, so genetic factors are considered. In short, the cause of periodontal disease is more complicated. At the time of treatment, it is necessary to pay attention not only to the elimination of local factors, but also to the state of the whole body in order to obtain a better therapeutic effect.

an examination

Related inspection

Oral endoscopic pulp electrical activity measurement pulp temperature test (cold and hot diagnosis) occlusion relationship check oral X-ray examination

Dental occlusion

Early symptoms are not obvious, and patients often have only episodes of gingival hemorrhage or bad breath, similar to sputum inflammation. At the time of examination, the swelling of the gingival margin, licking nipple and attached sputum, the softness of the sputum, the dark red or the dark red color, the bleeding is easy to detect.

As the inflammation spreads further, the following symptoms occur:

Periodontal pocket formation: Due to the expansion of inflammation, the periodontal ligament is destroyed, the alveolar bone is gradually absorbed, and the gingiva is separated from the root of the tooth, so that the sulcus is deepened to form a periodontal pocket. The depth of the periodontal pocket can be measured with a probe. X-ray examination revealed that the alveolar bone has different degrees of absorption.

Periodontal empyema: ulcers and inflammatory granulation tissue are formed in the periodontal pocket wall, and purulent secretions remain in the bag, so the gums are lightly pressed and the pus is visible. And often have bad breath.

Loose teeth: Due to the destruction of periodontal tissues, especially when the alveolar bone is aggravated, the supporting teeth are insufficient, and the teeth are loose and displaced.

At this time, the patient often feels occlusal weakness, dull pain, bleeding gums and bad breath. When the body's resistance is reduced and the periodontal bag is not well drained, periodontal swelling can be formed. At this time, the gums are oval-shaped, red and swollen, and the tooth looseness increases, which is aching. The patient felt severe strenuous pain, sometimes multiple abscesses appeared at the same time, called multiple periodontal abscess. At this time, the patient may have symptoms such as elevated body temperature, general malaise, submandibular lymphadenopathy, tenderness and the like.

Differential diagnosis

Tooth occlusion is confusing and confusing

Dislocation of teeth is misaligned: the clinical manifestation of crowded dentition is that the teeth are crowded and misaligned, mainly because the amount of teeth is larger than the amount of bone, and the shape of the arch is abnormal. The clinical manifestation is that the teeth are crowded and misaligned, mainly because the amount of teeth is larger than the amount of bone, and the shape of the arch is abnormal.

Large gaps in the teeth: It is because of the poor development of the teeth or the large gap between the teeth caused by the damage of the posterior teeth, which leads to eating teeth or affecting the appearance of the teeth. First, when the teeth are changed, the growth of the permanent teeth is deviated, and the unevenness of the growth leads to sparseness and large gaps. Second, the gums may not develop well. The gums are the basis of dental support. If malnutrition occurs, it may lead to poor tooth development.

Abnormal tooth structure: refers to the abnormal development of teeth caused by various obstacles during tooth development or matrix calcification during tooth development, and leaves permanent defects or marks on the tooth tissue. Common enamels are: Dysplasia, dentine hypoplasia, dental fluorosis and tetracycline staining teeth.

Loose teeth and shedding: refers to the loosening of the teeth caused by external impact, periodontal disease, gum atrophy, nutritional aging of the old gums, etc., causing tooth loss after severe. Most adults suffer from periodontal disease. Most periodontal diseases progress slowly. Most of them are gingivitis at the beginning. There are not many symptoms other than occasional brushing, so it is not noticeable. The development of gingivitis to a certain extent is periodontitis. At this time, severe oral odor can occur, the abscess is repeated in the periodontal period, the teeth are loose, the teeth are getting bigger and bigger, and the teeth are getting sparse. If the patient is seen at this stage, the doctor can control the deterioration of inflammation, but the damaged periodontal tissues (including gum atrophy) are irreversible and difficult to recover completely.

Early symptoms are not obvious, and patients often have only episodes of gingival hemorrhage or bad breath, similar to sputum inflammation. At the time of examination, the swelling of the gingival margin, licking nipple and attached sputum, the softness of the sputum, the dark red or the dark red color, the bleeding is easy to detect.

The material in this site is intended to be of general informational use and is not intended to constitute medical advice, probable diagnosis, or recommended treatments.