Pyorrhea
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Pyorrhoea, also known as periodontitis, is a bacterial infection of the gums and tissues around the teeth that leads to gum disease and tooth loss if left untreated. It is caused by a combination of factors like traumatic occlusion, poor dental hygiene, and modern diet. Symptoms include bleeding gums, bad breath, and loose teeth. Risk factors include smoking, diabetes, and poor oral hygiene. Complications of advanced pyorrhoea include tooth loss, bone destruction, and systemic infections. Home remedies and maintaining good oral hygiene through brushing and cleaning can help prevent and treat pyorrhoea.
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Pyorrhea
- 2. INTRODUCTION Pyorrhoea is a disease found in the oral cavity and associated with the teeth and its adjacent tissues. Literally, pyorrhoea mean’s pus flowing ” • and consequently our modern day practitioners interpret or diagnose any condition-of the teeth where pus- i^ present as pyorrhoea. One may even go so, for as to say that many Describe- the name Pyorrhoea to any reasonably severe inflammatory condition of the gums.
- 3. ANATOMY A brief description of a tooth and its anatomical relations is necessary to learn The tooth shown is an erupting, single-rooted tooth in' situ,Periodontal membrane has been considerably exaggerated in order that its importance, as a means of attachment to the bony socket, may be more readily understood.The fibres of this membrane merge into those of the corium of the gum and are attached to the neck of the tooth, i.e., the junction between the enamel and cementum or “ Crusta Petrosa.’ ’ The epithelial tissue is moulded over this, thus causing a potential space between the gum (superficial) and the tooth. Some authorities hold that this s^ace is sterile, its function being to act as a buffer and thus prevent injury to the neck of the tooth. Others claim that it contains phagocytes to resist infection.
- 4. CONT. . There are two further points of interest. In the incisor and premolar region the alveolus is raised into a spine .(interdental spicule) between the teeth, In the molar region it runs transversely across from tooth to tooth.
- 5. ETIOLOGY In view of the prevalence of pyorrhoea in modern times, considerable research work has been and is still being done upon it in an endeavour to ascertain the cause and so discover the remedy. Treatment and Bacteriology of the disease has revealed opinions which can only be termed assumptive. The accepted theory is that the causes of the disease may be attributed to four main factors, no one of them solely responsible, yet all contributing to its existence.
- 6. CONT.. This in order of importance are A. Traumatic Occlusion. B. Dental Hygiene. C. Modern Diet
- 7. CLINICAL APPEARANCES Swollen and puffy gums Bright red, dusky red, purplish gums or shiny surface Bleeding gums Bad breath Pain during eating Tenderness of gums Loose teeth New spaces will develop between your teeth Recession of gums Pus discharge Pocket formation between tooth and gums Bone resorption occurs in advance stages of a disease Periodontal abscess
- 8. RISK FACTORS Gingivitis Poor oral health habits Smoking or chewing tobacco Hormonal changes occur during pregnancy or menopause Substance abuse Inadequate nutrition, including vitamin C deficiency Certain medications that cause dry mouth or gingival changes Conditions such as immunocompromised patients. For e.g. leukemia, HIV/AIDS and cancer treatment Certain diseases, like diabetes, rheumatoid arthritis, and Crohn's disease Obesity Genetics Old age
- 9. COMPLICATIONS Pyorrhea causes tooth loss Alveolar Bone destruction In advance, stage bacteria can also affect the vital organs such as the heart, lungs and other parts of the body Pyorrhea may be linked with respiratory disease, coronary artery disease or rheumatoid arthritis Osteomyelitis is also observed in advance stages
- 10. HOME REMEDIES Use of Ayurvedic tooth powders for prevention and cure of pyorrhoea are recommended. Take few black raisins with water, a pinch of rock salt at bedtime. This helps us in curing pyorrhoea. Licorice root powder mixed with honey should be used for gum massage. Drink fresh juices of carrot and spinach. Rub rock salt or camphor powder on gums to improve oral hygiene and prevents pyorrhea. Applying sesame oil, mustard oil on gums and teeth reduces bacterial growth in the oral cavity for pyorrhoea. Gargling with warm sesame oil, decoctions of Triphala or some other Ayurvedic herbs prevent infections in the oral cavity and help in curing pyorrhoea.
- 11. DIET AND LIFESTYLE ADVICE People suffering from pyorrhoea need to make sure that their digestion runs properly. They should choose suitable food as per their constitution and perform physical exercises. Sedentary lifestyle, late-night meals, day sleep should be avoided as these habits can disturb the digestion. Oral hygiene should be maintained. A suitable brush or brushing technique should be used to avoid the harmful injuries of gums. Eating fresh fruits like guavas, bananas, and oranges help in maintaining oral hygiene. Avoid toxin and acid producing food.
- 12. PREVENTION Good oral hygiene: brush twice a day with proper brushing technique and use of herbal products. A regular visit to the dentist: see your dentist every 6-12 months. If you have a risk factor that increases the chance of periodontitis such as dry mouth and smoking increases the risk of disease. Cleaning of teeth is also helpful. Proper care and hygiene should be maintained by scaling and root.