What is Periodonics?
Periodontal diseases are inflammatory diseases, of infectious origin, multifactorial (multiple causes), characterized by a rupture of the balance of the oral flora.
These multiple causes can be: diseases (diabetes), stress, anxiety, hormonal dysregulation, tobacco, inadequate oral hygiene, etc.
This disruption of the natural balance "good bacteria-bad bacteria" is going to be at the origin of the inflammatory manifestations: redness, pain and bleeding of the gums, even mobility of the teeth.
Thus periodontal diseases are established: gingivitis (involvement of the gums), and periodontitis (involvement of the supporting tissues of the tooth: bones, alveolar ligament and cementum). Then appears what is called a "periodontal pocket".
These two diseases are then classified into several subcategories.
Treatment of periodontal diseases
The periodontologist (dentist specializing in tooth support tissues), with the invaluable help of his team of dental hygienists, will work to restore this lost balance, and thus stop the progression of the disease or even rebuild what has been lost.
This treatment takes place in several stages:
Consultation with the specialist to make an accurate diagnosis (stage of the disease), and this from the first inflammatory signs.
2 treatment plan
Establishment of a treatment plan for:
- Understand periodontal diseases
-Determine the etiology, ie the cause of onset of the disease
-Start the initial phase of care
3 consultation with the dental hygienist
-Teaching hygiene measures to restore good "plaque control"
-Clean accessible dental surfaces, above the gums
4 treatment with the periodontologist
-Clean diseased dental surfaces not accessible or hygiene, or by the hygienist
-Sometimes put in place regeneration techniques (rebuilding what was lost from tooth support tissue) and periodontal surgeries called "pocket"
-Indispensable for maintaining oral health, consisting of regular check-ups with our team of periodontal health professionals.
The Rhône Dental Clinic Protocols
Medical approach of periodontal disease
At the Rhone Dental Clinic, beyond a purely oral approach to the management of the disease, we will complete the investigation and make every effort to research all the risk factors for these systemic diseases. who share a cluster of common co-factors.
Associated risk factors include cardiovascular pathology, lichen planus, bullous disease, Crohn's disease, rheumatoid arthritis, etc. The common factor for these systemic diseases? Chronic inflammation, as for periodontal disease. That is to say active inflammation, continuous, generating a oxidative stress.
The link between oxidative stress and periodontitis has been demonstrated: decrease in antioxidants (AO), increase in free radicals (RL). The more severe the attack, the greater the difference between the two factors. This is a way of following the evolution of periodontitis.
The production of Radical Oxygen Species (ROS) and Radical Nitrogen Species (RNS) is normal for all living organisms aerobics and does not, in itself, constitute an oxidative stress situation.
Oxidative stress becomes a pathological situation as soon as the protection system is submerged by the ROS and RONS, ie when a imbalance of the balance "free radicals - antioxidants" at the cellular level, resulting in tissue destruction. This oxidative stress caused by chronic inflammation will also modify the immune response, making it less effective.
Periodontitis is no exception!
A simple blood test of oxidative stress or a salivary test will be of great help in the management of the pathology to measure the markers of this stress (glutathione, superoxide dismutase, vitamin C, bilirubin, uric acid, thiols, etc.). and highlight the apparent imbalance AO / RL.
It is therefore important to eat well in proteins, vitamins and antioxidants so that the ratio of free radicals / antioxidants is always favorable, thus avoiding the appearance of diseases. For this purpose, nutritional counseling can sometimes be part of the treatment of periodontitis.