Beyond Inflammation – The 4 Stages of Periodontal Disease

A recent study conducted by the CDC, estimates that nearly half of Americans 30-years-of-age or older show some form of periodontal disease— whether this ranges from mild illness, with shallow pocket formation around teeth, to severe illness involving bone loss and systemic inflammation.  For seniors, the numbers are even higher— skyrocketing to an astounding two-thirds of the population sampled.  As with most complex illnesses, early intervention is often key to a better outcome; in this case, intervention may prevent tooth and bone loss, or even later manifestations of cardiovascular disease.

Unsurprisingly, oral bacteria and plaque are the main drivers behind periodontal disease.  As a bacterial biofilm, with a complex, communal structure, plaque is much more resilient than single-celled bacteria and has greater resistance to bodily defenses and antimicrobial agents.  Even in the short term, plaque biofilms have been shown to promote the release of pro-inflammatory cytokines and enzymes from immune cells; these substances, in turn, contribute to the breakdown of the periodontal ligament— the connective tissue that holds teeth in place. Read More

ESTUDIO DE CASO #3 CON PERIOWAVE™ – FRACASO DEL TRATMIENTO PERIODONTAL PREVIO

Este es el caso de una mujer de 52 años proveniente del este de la India, quien cada 4 meses asistía a su clínica dental para recibir el mantenimiento correspondiente posterior al tratamiento periodontal. La paciente había sido tratada 3 años antes por periodontitis generalizada grave. En aquel tiempo, el tratamiento consistió en raspado y alisado radicular, en cuidados en casa, equilibrio oclusal y cirugía ósea. La paciente padecía presión sanguínea alta, la cual se controlaba con lisinopril (Prinivil®) una vez al día, pero en general, contaba con buena salud. La valoración dental, mostró una bolsa entre los dientes 43 y 42, de 6 mm de profundidad que se apreciaba inflamada y sangrante. El resto de la boca se encontraba saludable.

Izquierda: Inflamación gingival cerca de la bolsa, previa al tratamiento. Derecha: Solución de la inflamación gingival después del tratamiento.

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