Chronic periodontitis is more dangerous for the body than acute, because it proceeds without pain attacks and thereby does not cause noticeable anxiety. Some pain may occur when pressure is applied to the tooth or tapping on it. From the onset of the disease, the inflammatory process is constantly developing, which can lead to irreparable consequences. The fact is that, together with complications such as an abscess and cellulose cellulose, the chronic form causes diseases of the whole body, because it contributes to the spread of infection to the internal organs, which leads to the development of glomerulonephritis, rheumatism and heart disease.
As a rule, progressive deformation of the tissue is what underlies the disease. Chronic periodontitis may spread over time from one tooth to those adjacent to it. Very often, it affects those teeth that are poorly or poorly filled. As a rule, in this case, there is no acute pain, which does not cause a person anxiety and does not make you consult a dentist quickly. In general, this cause can also cause acute periodontitis, but in this case a dull aching pain is observed, which becomes stronger when a patient is touched with a diseased tooth.
The chronic form of the disease has several types, which differ in the form of the course of the disease and the nature of the deformation of the tissue. So, fibrous, granulating and granulomatous periodontitis are isolated.
The fibrous type is characterized by pathological changes in connective tissue. When damage occurs, immunity produces a substance that helps connective tissue cells synthesize collagen and fibronectin. And the destruction of old collagen cells in the meantime slows down. As a result of these processes, periodontal condenses, which then leads to scarring.
Fibrous chronic periodontitis does not have pronounced symptoms. A person does not feel any discomfort, changes in the gingival mucosa are not observed. As a rule, the disease can only be detected on an x-ray.
Granulating periodontitis is characterized by damage to the bone tissue, which leads to its resorption. Externally, it can be determined by the presence of an external fistulous passage, by the redness and swelling of the tissue in the affected area. Fistula appears not only on the gum, but also on the face. As a rule, granulating periodontitis in children is more common than in adults, which is explained by the specific structure of bone tissue.
The granulomatous type is characterized by the formation of a protective film on the affected area. A so-called granuloma is formed, which can be represented by:
- one granulomatous tissue;
- granulomas with epithelial tourniquets;
- connective tissue, where the layer of the epithelium is contained inside.
The formation of a granuloma does not cause discomfort and does not have any visual signs of its development. Granulomatous chronic periodontitis can be felt by the pain syndrome that occurs when pressure is applied to the tooth. As a rule, it is this type of disease that leads to infections of the internal organs due to the fact that the infection constantly enters the blood and lymph.
The treatment of periodontitis in one form or another depends on the intensity of its development, on the degree of neglect and on the cause of its occurrence. In general, all measures (drugs, machining, filling, ultrasound) are aimed at restoring a damaged tooth, but if the affected area is too extensive, then the tooth must be removed.
Remember that chronic periodontitis often does not have any symptoms, so visit your dentist regularly to prevent serious consequences for your health.