How chronic Periodontitis affect the teeth?

Dr. Vanya Vasudeva Sharma
Chronic periodontitis is a common disease of oral cavity that contains long lasting inflammation of tissues that both surround and support the teeth.It is also known as Adult Periodontitis. It is slowly progressing disease in the presence of systemic or environmental factors which modify host response to plaque or tartar accumulation such as diabetes, smoking or stress.
Chronic periodontistis is most frequently occur in adults but can occur in children and adolescents due to plaque or calculus accumulation.
What are the symptoms?
Supergingival (above gums) and subgingival (under gums) plaque accumulation
Gingival inflammation (gum inflammation)
Pockets around the teeth known as Periodontal Pocket
Loss of Periodontal attachment
Loss of alveolar bone (bone that contains tooth socket)
Pus formation
Patient with poor oral hygiene has the following changes in gums:
Swollen gums
Pale red to magenta color of gums
loss in Gingival stippling (small elevation and depression of the gingival tissue due to connective tissue projections within the tissue)
change in the surface texture like blunted or rolled gingival margins
Flattened papillae
Disease Distribution: chronic Periodontitis is a Site-specific disease .For example, a proximal surface with calculus accumulation have loss of attachment whereas the calculus free facial (front site) surface of the same tooth may be free of disease.
Localized Periodontitis: Periodontitis is considered localized when less than 30% of the site in the mouth has bone loss and tissue loss.
Generalized Periodontitis: periodontistis is generalized when 30%or more of the sites in the mouth has bone loss and tissue loss.
The pattern of bone loss in chronic periodontitis may be vertical (when bone loss on one tooth surfaces greater than that on an adjacent surface) or horizontal (when bone loss occurs in uniform rate)
Disease Severity: With increasing age tissue loss and bone loss become more common and severe.Disease severity may be slight, moderate or severe.
Symptoms or Signs
Gums bleed when brushing or eating
Spaces occur between the teeth as a result of tooth movement or that teeth have become loose.
Gum tenderness or itchiness
Treatment: Routine checkup from the dentist every six month
The patient should avoid Smoking
Visit dentist for cleaning of teeth
Maintain oral hygiene