Pronounced edematous swelling (GI = 3, PBI = 3–4). There are three levels of periodontitis  – mild, moderate and severe. Use fluoride-containing toothpaste to keep the teeth strong and prevent the damage that bacteria can cause. However, even without treatment, gingivitis can persist over many years in a stationary manner, exhibiting only minor variations in intensity (Listgarten et al. Early detection and prevention is your best solution. Periodontitis (Bone level infection) Gingivitis, if not treated in time, can turn into periodontitis a severe level of gum disease. Scattered PMNs transmigrate the junctional epithelium, which remains for the most part intact (HE, ×10). The treatment for the final stage requires laser therapy or periodontal surgery to clean the bacteria. With his expert diagnosis to treat gum diseases and bone loss including laser gum surgery, periodontal plastic surgery, scaling/root planning and sedation he has become a renowned doctor in a short span of time. If there are other conditions that seem to be coinciding with the signs and symptom… The main factor for the classification to a certain stage of the disease is the degree of destruction of the supporting bone. 1983). How to avoid bad breath due to face mask ? Mild periodontitis: At this level, the gum disease begins to destroy the … The inflammatory infiltrate is expansive; collagen loss is pronounced. Tap on/off image to show/hide findings. At our clinic, our team helps you with information on how to control gum disease and prevent future occurrence. Media Powerpoint slides on Gingivitis. Dr. Balasubramanya is a Periodontist located in the heart of Bangalore city in India. If this is left untreated, the infection will travel below the gum line and into the bone, causing a more serious form of gum disease called periodontitis. Over a period of time, these pockets get deeper, providing a larger space for bacteria to live. The mild infiltration that occurs even in clinically healthy gingiva may be explained as a host response to the small amount of plaque that is present even in a clean dentition. The progression of gum disease isn’t an overnight process. Recommendations for classification of mitral stenosis severity Mild Moderate Severe Specific findings: Valve area (cm 2) >1.5 1.0-1.5 <1.0 Supportive findings: Mean gradient (mmHg) a <5 5-10 >10 Pulmonary artery pressure (mmHg) <30 30-50 >50 a At heart rates between 60 and 80 bpm and in sinus rhythm. A concerted effort involving good home dental hygiene, including regular and correct brushing and flossing, and regular dental visits should be all that is required to treat and prevent gingivitis. Gum Disease Treatment for Moderate to Severe Gingivitis. Best dental clinic in Bangalore for dental implants and laser dentistry, Ground Floor, No-498, 15th Cross II stage, Indiranagar Bangalore, karnataka 560038. Generalized gingivitis involves BOP scores of greater than 30%. These deep pockets result in major bone and tissue loss, eventually leading to the extraction of the tooth. 7. Only in the apicalmost area are any remnants of intact junctional epithelium observed. These can be easily be reversed with daily brushing and flossing at home and also with professional dental treatment. Gingivitis is ubiquitous. Article 15 of the Draft Directive requires that all procedures are classified as 'up to mild', 'moderate', 'severe' or 'non-recovery' on the basis of the duration and intensity of potential pain, suffering, distress and lasting harm, the frequency of intervention, the deprivation of ethological needs and the use of anaesthesia or analgesia or both. System should, where possible, use objective measures to assess the level of pain, suffering or distress experienced by the animal during the procedure. If gingivitis continues despite the effort to prevent it, contact a doctor to investigate the possibility of an underlying illness. The classification of periodontal diseases is complex. In the chapter “Etiology and Pathogenesis,” the development and progression of gingivitis from healthy tissue to an early lesion and on to established gingivitis was described (pp. 1985). However, there are reports of loss of sense of smell in people who otherwise have no symptoms. Teeth are often extracted as it can cause severe damage. Since gingivitis has no signs it is more important to get a dental examination to diagnose which level of gum disease one has so that they can receive the necessary treatment. Similarly, the severity of gingival inflammation can be categorized as mild, moderate or severe: Mild gingival inflammation: area with a minor change in the colour and little change in texture of the tissue. 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