{"id":7233,"date":"2022-12-23T10:27:17","date_gmt":"2022-12-23T10:27:17","guid":{"rendered":"https:\/\/nartclinicadental.com\/?p=7233"},"modified":"2022-12-23T10:27:17","modified_gmt":"2022-12-23T10:27:17","slug":"diagnosis-of-periodontitis-nart-barcelona","status":"publish","type":"post","link":"https:\/\/nartclinicadental.com\/en\/diagnosis-of-periodontitis-nart-barcelona\/","title":{"rendered":"How do I know if I have periodontitis?: Diagnosis of periodontitis"},"content":{"rendered":"<p><span style=\"font-weight: 400;\"><b>Diagnosis of periodontitis. <\/b>To correctly diagnose periodontitis, it is necessary to know the disease and their characteristics. According to the <a href=\"https:\/\/www.efp.org\/\" target=\"_blank\" rel=\"noopener\">European Federation of Periodontology,<\/a> periodontitis is defined as: <\/span><span style=\"font-weight: 400;\">A multifactorial chronic inflammatory disease associated with dysbiotic bacterial plaque biofilms<\/span><span style=\"font-weight: 400;\"> and characterized by a progressive destruction of the tooth-supporting apparatus.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">It is characterized by inflammation that leads to a loss of periodontal attachment. While bacterial biofilm formation initiates gingival inflammation, periodontitis disease is characterized by three factors:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>The loss of periodontal support tissues<\/b> <span style=\"font-weight: 400;\">(to hold the tooth), through clinical attachment loss (PIC\/CAL) and alveolar bone loss (through RX).<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>The presence of periodontal pockets.<\/b><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Gum bleeding.<\/b><\/li>\n<\/ul>\n<h2>Onset of periodontitis<\/h2>\n<p><span style=\"font-weight: 400;\">Periodontitis or periodontal disease usually begins in gingivitis, the inflammation of the gums due to an accumulation of bacterial plaque for a substantial time. The most common clinical signs of gingivitis are bleeding, edema (swelling), erythema (redness) and enlargement. <\/span><b><a href=\"https:\/\/nartclinicadental.com\/que-es-la-gingivitis\/\">Gingivitis<\/a> is a reversible condition<\/b><span style=\"font-weight: 400;\">, if the damage is treated, it can be repaired.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">However, if this condition is not resolved, it will evolve <\/span><b>into periodontitis, which will imply a loss of support for the tissues around the tooth (gum and bone).<\/b><\/p>\n<h2>Diagnosis of periodontitis<\/h2>\n<p><span style=\"font-weight: 400;\">When making a diagnosis, it is likely that a history of gingivitis appears in the patient&#8217;s medical history, in which case the level of attachment loss will be looked at, if there is loss of support and bone. For this, it is necessary to carry out a thorough probing, and it is very important to take X-rays to be able to assess whether or not there is bone loss, and if there is, to be able to see what type of loss it is.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The scientific literature explains that a patient is a periodontitis case when clinical attachment loss is detected interproximal (between teeth) in 2 or more non-adjacent teeth.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In case that an interproximal attachment loss cannot be detected, it will also be considered a case of periodontitis if it presents recessions with an attachment loss of at least 3mm in at least 2 teeth. Once the disease has been diagnosed, it is necessary to <\/span><b>define its stage, degree and extent or distribution.<\/b><\/p>\n<p><span style=\"font-weight: 400;\">The stage corresponds to the severity of the disease and the complexity of treating it. There are 4 types of stadiums:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Stage I: initial periodontitis.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Stage II: moderate periodontitis.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Stage III: severe periodontitis with the possibility of tooth loss.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Stage IV: severe periodontitis with loss of 5 teeth or more.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">To classify a patient in these stages it is necessary to take into account <strong>bone loss, tooth loss, probing level, furcation defects<\/strong> (bone loss between roots), dental mobility and oclusal trauma.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The grade indicates the possibility of progression of the disease that is determined by risk factors as if the patient is a smoker or diabetic, and that will cause a faster progression. It should also be taken into account whether there is evidence of progression in recent years, and the percentage of bone loss with respect to the patient&#8217;s age. There are 3 degrees:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Grade A: risk of slow progression<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Grade B: moderate risk of progression<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Grade C: risk of rapid progression<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Finally, the extension or distribution of the disease must be determined, which can be:<\/span><\/p>\n<ul>\n<li><span style=\"font-weight: 400;\">Localized (less than 30% of teeth are affected)<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Generalized (more than 30% of teeth are affected)<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Molar-incisor type.<\/span><\/li>\n<\/ul>\n<p><b>Periodontitis is a chronic and irreversible non-transmissible bacterial disease<\/b><span style=\"font-weight: 400;\">, therefore, the goal of the dentist and the patient should be to <\/span><b>maintain a state of health within the disease<\/b><span style=\"font-weight: 400;\">. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">For this, it is necessary to go through the treatment in steps: <\/span><b>infection check-ups, rehabilitation (if necessary) and the final maintenance step (necessary for everyone)<\/b><span style=\"font-weight: 400;\">, in which the patient must follow the instructions recommended by the dentist to maintain a rigorous oral hygiene and get the bacterial biofilm on the teeth professionally removed.<\/span><\/p>\n<p>We look forward to seeing you at our <a href=\"https:\/\/nartclinicadental.com\/\" target=\"_blank\" rel=\"noopener\">Nart Barcelona Dental Clinic<\/a> where you can get a periodontitis diagnosis!<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Diagnosis of periodontitis. To correctly diagnose periodontitis, it is necessary to know the disease and their characteristics. According to the European Federation of Periodontology, periodontitis is defined as: A multifactorial chronic inflammatory disease associated with dysbiotic bacterial plaque biofilms and characterized by a progressive destruction of the tooth-supporting apparatus. It is characterized by inflammation that [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":7229,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[192],"tags":[],"class_list":["post-7233","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog-en"],"_links":{"self":[{"href":"https:\/\/nartclinicadental.com\/en\/wp-json\/wp\/v2\/posts\/7233","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/nartclinicadental.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/nartclinicadental.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/nartclinicadental.com\/en\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/nartclinicadental.com\/en\/wp-json\/wp\/v2\/comments?post=7233"}],"version-history":[{"count":2,"href":"https:\/\/nartclinicadental.com\/en\/wp-json\/wp\/v2\/posts\/7233\/revisions"}],"predecessor-version":[{"id":7235,"href":"https:\/\/nartclinicadental.com\/en\/wp-json\/wp\/v2\/posts\/7233\/revisions\/7235"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/nartclinicadental.com\/en\/wp-json\/wp\/v2\/media\/7229"}],"wp:attachment":[{"href":"https:\/\/nartclinicadental.com\/en\/wp-json\/wp\/v2\/media?parent=7233"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/nartclinicadental.com\/en\/wp-json\/wp\/v2\/categories?post=7233"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/nartclinicadental.com\/en\/wp-json\/wp\/v2\/tags?post=7233"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}