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Paradentosis - an infectious disease
Paradentosis is the most frequent reason for tooth loss at arising. Beautiful and healthy teeth up to the high age do not have be dreams any longer with the current possibilities of dentistry.
There nevertheless still is a high deviation in Germany between the treatment need and the treatments actually carried out. Every third adult has a light, everybody sifted a difficult form of the Parodontitis. Not only the tooth loss is the threatening consequence but there is a considerable danger also for the general condition.
Final stage of a Parodontitis in the radiograph.
Heavy bone losses are the consequence of a massive infection.
How is the gum examined?
A broad variety of methods is available for this examination, essentially based on clinical and X-ray methods. The Parodontale screening index (psi) is completely new in Germany to the early diagnosis of the Parodontitis. This index can quite simply be found out by the dentist and be used also for further course control. The code can accept values of 0(no need for further treatment) to 4(severe Paradontitis). Depending on treatment neediness (PSI-Code 1-4) elimination of possible causes is always in the foreground in the so-called initial phase of the treatment. This means actually that tartar and infectious congrements have to be removed and an improvement in the oral hygiene is striven for. Filling and crown edges coming through have to be removed as well. After conclusion of the initial treatment the following should be analysed:
- Which teeth have to be preserved in the long run?
- Which kinds of treatment of Parodontitis are considered?
- Do teeth have to be removed?
- Which kind of dentures is striven for?
- Shall tooth malpositions be removed?
In every case an individual treatment strategy must be chosen. Not only Parodontitis with all the concomitants and illnesses but also the needs of the patients show extreme differences.
Further information for download (Parodontitis.pdf - not available at present)
