Periodontal disease is a disease of the supporting tissues of the teeth, the gingival / gums and periodontal tissue, which is a network that connects between the teeth and the bone supporting the teeth that alveolar bone. Periodontal disease is a disease that is widespread in human life, so most people have accepted this as something that is unavoidable. But the etiology study, prevention and treatment of periodontal disease indicates that this disease can be prevented. The disease most commonly affects the periodontal tissues are gingivitis and periodontitis.
Gingivitis is an inflammation of the gums caused by bacteria with clinical signs of discoloration redder than normal, swollen and bleeding gums on light pressure. Patients usually do not feel pain in the gums. Gingivitis is reversible ie gum tissue can return to normal when done cleaning plaque with a toothbrush regularly.
Periodontitis showed inflammation of the tissues supporting the teeth already deeper. This disease is progressive, usually found between the age of 30-40 years and is irreversible / can not get back to normal as before, that if not treated can lead to tooth loss, and if the tooth is lost / date means there is a failure in maintaining the presence of teeth in the cavity mouth lifetime.
Porphyromonas gingivalis is a gram-negative bacterium coccobacillus obligate anaerobes in the oral cavity associated with periodontal tissue damage in humans. Porphyromonas gingivalis is almost always found in the area subgigiva and persistent in the reservoir at mucosal surfaces such as the tongue and tonsil, but Porphyromonas gingivalis is rarely found in healthy human plaque.
As was mentioned above, direct tissue damage can be caused by a bacterial infection P.gingivalis through products bakterimaupun indirectly.
Maintain oral hygiene, is the most effective preventive medicine, namely through cleansing and elimination of local factors such as plaque by brushing and with scaling for abolishing calculus / tartar. Calculus is hard deposits from calcified plaque is usually found in the cervical / neck of the teeth and can become a chronic irritant to the gums, resulting in inflammation. Besides the prevention of periodontal disease can be done by eliminating bad habits such as bruxism / kerot, breathing through the mouth as well as correcting dental conditions occlusal trauma because malposition, which position the wrong tooth and tooth buried.
The proper way to brush your teeth and absolutely necessary because the toothbrush is wrong with the horizontal direction will cause abrasion / eroded tooth and gingival recession / gum diseases sag so much easier periondontal will occur. Use a soft bristle brush so as not to injure the gums. Toothbrush should be replaced at least once every three months, so the bristles are still effective in cleaning the teeth. Using dental floss or dental floss to clean between the teeth with the right techniques and the right should be taken not to injure the gums and create inflammation.
Dental health check to the dentist regularly is important to know the changes in the teeth and gums. If periodontal disorders have occurred, treatment and care is required. Using an antiseptic mouthwash containing chlorhexidine 0:20% for at least 1 minute of 10 cc proven effective in relieving inflammation in the periodontal tissues.
Treatment of periodontal disease include scaling is releasing a calculus of attachment to the tooth. This action is necessary because the calculus is calcified deposits attached, hard and not lost to brush your teeth. In addition it should be curettage ie periodontal pocket cleaning action which contains a lot of food debris and bacteria to prevent further inflammation.
If proved, there is a germ of involvement, both clinically and microbiologically, then your dentist will prescribe antibiotics in accordance with the cause of periodontal disease earlier. Periodontal disease is a disorder that originated from dental plaque so that the key to success in prevention is doing dick plaque and would be better if the scaling to the dentist at least 6 months.