Periodontitis of permanent teeth in children. A child has periodontitis of a milk tooth - how to avoid dangerous consequences. Periodontitis of permanent teeth in children

Periodontitis of milk teeth in children, as a rule, is a consequence of the development of caries and occurs in almost every third child. In fact, it is far from the only possible reason development of childhood periodontitis, but poor quality treatment caries of milk teeth can significantly increase the likelihood of inflammation of periodontal tissues.

Children's periodontitis is markedly different from, as far as possible negative consequences, and by what complications can accompany its development, and also it can be caused by many reasons. This disease is one of those in which you can not hesitate to visit the dentist.

At its core periodontitis is severe inflammation soft tissue adjacent to the tooth root. Since the focus of inflammation is located in close proximity to the brain and respiratory tract, you should immediately go to the dentist as soon as the first symptoms appear.

When a disease is detected in a child, it has its own characteristics. The presence of completely unformed teeth at the stage of their development, as well as the presence of the rudiments of future molars, complicates and accelerates the course of periodontal disease, allowing it to relatively quickly flow into purulent form .

Marginal periodontitis forms around the neck of the affected tooth

In the case of acute periodontitis, the child may notice the appearance of abscesses and phlegmon against the background of edema and inflammation of the soft tissues. Also getting worse general state health: the temperature rises, the erythrocyte sedimentation reaction and the number of leukocytes in the blood increase.

Purulent periodontitis in children causes abscesses and may cause and acute sepsis . The chronic variant may be accompanied by fibrosis and granulomatosis of adjacent tissues, but quite rarely. Inflammation does not stop within clear boundaries, but continues to develop, covering everything over time. soft tissues around the tooth root or germ of the future molar.

Causes of periodontitis of milk teeth

Carious formations in the cavity of the tooth are the most common cause of periodontal disease in children. Due to the fact that the rudiments of the molars have not yet been fully formed, the periodontium continues to be a relatively soft and mobile tissue, which, in addition, contains a large number of vascular routes. Due to this, inflammation can quickly be transmitted from one tooth to another.

Periodontitis is easily transmitted from one tooth to another, affecting the entire dentition

However, it is far from the only possible cause of periodontal disease. Children's jaw is very vulnerable to many factors that make the disease possible. These should include:

bone and dental injuries, received at blows, bruises and falling;
illiterate work of a dentist during filling work or treatment of pulpitis;
violation acid-base environment in oral cavity or exposure to aggressive chemical substances;
infection in periodontal tissue through external or internal sources;
autoimmune and chronic diseases connective tissue in the body.

The clinical form of the disease, however, depends primarily not on the specific cause that caused periodontitis, but on the body's response to its development, as well as on the presence of concomitant diseases.

Periodontitis in children - classification

Again, due to the variety of causes, types of inflammation and location of the disease, for convenience, the following possible classification of periodontitis can be applied:

For reasons of appearance the disease can be classified as follows:

infectious resulting from the penetration of pathogenic microorganisms into the periodontium from a tooth affected by caries;
traumatic, developing as a result of trauma to the dental or bone tissue;
toxic or medicinal, appearing due to an overdose of toxic drugs or drugs.

By type of inflammation exist:

spicy, serous and purulent like stages rapid development sudden illness;
chronic, through whose fault the periodontium can be reborn both in fibrous and granulation tissue, or become granulomatous with the formation of a purulent radicular cyst.

By location Periodontitis can be divided into two types:

apical located in the periodontium at the top of the tooth root;
marginal formed around the neck of the affected tooth.

Treatment of periodontitis in children is usually carried out under general anesthesia, as it includes long and complex dental procedures.

However, this is only one of the options, and the child may not need to be completely immersed in sleep. If it is not difficult to get to the focus of inflammation, then it is likely that local anesthesia will be enough.

Concerning removal of milk teeth, then this, if possible, is avoided, since their main function is to lay right direction for future growth permanent teeth.

Removal milk tooth may subsequently affect the correct eruption of the indigenous fellow.

In most cases, they try to heal the affected tooth and not remove it.

However, there are some indications for milk tooth extraction when it makes sense to do so:

resorption of the roots by more than 2/3 of their length, when there is little time left before the eruption of the roots;
chronic granulating osteitis causing pathological root resorption;
the development of sepsis or osteomyelitis as a result of the spread of infection;
unsuccessful attempts at self-treatment with the help of "folk" medicine;
great mobility and strong reeling of the tooth.

In other cases, the treatment of periodontitis of milk teeth in children involves dental pulp surgery passed through the open cavity. So, during the procedure, the focus of infection and pieces of dead tissue from the root canals are removed, after which a thorough filling of the cleaned cavity is carried out.

In some cases, one-time treatment is impossible and then a temporary filling is applied with the installation of a medicine, after which a permanent filling is placed after the extraction.

After the procedure is completed, it is usually prescribed course of antibiotics, which are used for several more days. If you have any chronic diseases, antibiotic therapy may have its own characteristics.

The main threat posed by periodontitis of milk teeth in a child is that, if left untreated, it can cause destruction of the pulp of a milk tooth and cause pathologies of eruption of molars in the future.

Parents should pay attention to the complaints of the child and monitor the health of his oral cavity, regularly visiting the dentist with the child.

The vast majority of cases of periodontitis temporary teeth caused carious lesion dental tissues. Since periodontal tissues have a loose structure and are rich in small blood vessels until the roots are fully formed, the inflammation quickly spreads from the diseased tooth to the surrounding structures.

The reasons:

Traumatic damage to the teeth during falls, bumps or sports.
Rough dental procedures pulpitis treatment or misuse filling materials.
Exposure to aggressive chemicals during dental procedures.
Penetration of infection into periodontal tissue through blood vessels from another source.
System and autoimmune diseases connective tissue.

Regardless of the cause of the disease, clinical form its intensity and manifestations will depend on the general reactivity child's body and the presence of comorbidities

Treatment of periodontitis of milk teeth in children

Classification

There is no single large classification of periodontitis in children. Depending on which tooth is damaged, periodontitis of temporary and permanent teeth is distinguished.

For reasons:

Acute and chronic infectious periodontitis, which develops as a result of ingestion of bacterial agents from carious cavities, through the vascular bed, or when soft tissues are damaged. This group also includes rapidly progressive periodontitis, which occurs under the action of microorganisms against the background of autoimmune disorders in the body.
Acute and chronic traumatic periodontitis that appears after various dental injuries.
Acute and chronic drug-induced or toxic (arsenic) periodontitis, the main cause of which is the action of toxic medicines and drugs.

Type of inflammation:

Acute: purulent and serous.
Chronic :
- fibrous, in which part of the periodontal fibers or ligaments is replaced by fibrous connective tissue;
- granulating, which is characterized by the rapid growth of granulation tissues with the destruction of the jaw bone;
- granulomatous, in which a cyst is formed in the region of the root apex, filled with purulent contents.

By localization:

Acute and chronic apical (apical).
Acute and chronic marginal (marginal).

Symptoms

The clinical manifestations of the disease depend on its variety.

With acute serous In a variant of the disease, the child will complain of pain in the area of the tooth, which is of a constant aching nature and slightly aggravated by pressure on it. characteristic feature is the feeling of a "long tooth", which is caused by increased intra-periodontal pressure, as a result of which the diseased tooth seems larger than the rest.
With the progression of periodontitis and passing it into a purulent form the pains intensify, become sharp, pulsating and radiating to other parts of the jaw. Due to damage to the ligaments, there may be increased mobility sick tooth. The general condition of the child also suffers. He becomes lethargic, capricious, his appetite disappears and his sleep is disturbed. Often there is an increase in temperature and an increase in the perimaxillary group of lymph nodes.
Chronic periodontitis does not have bright symptoms and often proceeds without any clinical manifestations and is found only during the examination of the dentist for another disease. Sometimes children may complain about minor discomfort or pain when pressing on a sore tooth, which periodically increase. With a granulating form, a fistula is often found on the gum, from which scanty pus flows.

Features of the flow

Periodontitis of temporary teeth has a number of differences from the disease that affects the permanent set of teeth:

Main Feature this disease in children is the fact that all its forms can develop only in teeth with fully formed roots. In children with unformed roots, a granulating variant of periodontitis occurs.
More often, the chronic form develops primarily without a previous acute stage.
Periodontitis can develop even with a closed tooth cavity and a slight carious defect.
Extensive inflammation can lead to damage or death of the permanent tooth germ.
Various variants of the disease can both accelerate the processes of resorption of the roots of milk teeth, and slow down or even stop them.

Complications

The death of the rudiments of permanent teeth with the development of adentia.
Premature eruption of permanent teeth.
Periostitis and osteomyelitis.

Treatment

Despite the difficulty of treating periodontitis in temporary teeth, most often medical measures end in success and full recovery little patient. This is due to the high rate of recovery processes in the child's body and the ability to regenerate even significant amounts of lost bone tissue.

In the process of treatment, they try to save the milk tooth. But there are a number of conditions under which deletion is shown:

Septic condition of the child caused by damage to the teeth.
The absence of any effect from the treatment and the gradual deterioration of the condition.
The threat of death of the germ of a permanent tooth.
Severe loosening of the tooth.
Chronic periodontitis of a milk tooth, before the change of which there is less than a year and a half left.
The presence of an erupted molar tooth.

In both acute and chronic variants diseases healing process consist of several stages.

At the first visit to the dentist's office, cleaning of carious cavities removal of dead periodontal tissues and channel processing solutions of antiseptics with the imposition of a temporary bandage.
During a second visit, the doctor examines the channels and evaluates the effectiveness of the measures taken. If a inflammatory phenomena subside, then they cement the canals or fill them with special pastes with the imposition permanent filling . If the effect of the treatment is insufficient, then the manipulations to clean the tissues and treat them with antiseptics are repeated.

In acute periodontitis, if the general condition of the child suffers, in without fail antibacterial and anti-inflammatory drugs are prescribed.

The danger of periodontitis in childhood is that in its chronic course, the absence of complaints and treatment can lead to the death of the rudiment of a permanent tooth, to anomalies in the eruption of the root set. Therefore, parents need to carefully monitor the condition of the oral cavity of children and regularly visit the dentist for preventive examinations.

Much more dangerous than permanent. What are the features of the disease?

Some parents do not pay enough attention to milk teeth. It is widely believed in society that problems with milk teeth will disappear along with their loss.

Unfortunately, this is far from the case. Under the milk teeth are the rudiments of the permanent ones, so the health of future permanent teeth directly depends on the condition of the milk teeth.

The cause of many dental diseases in both adults and children is insufficient oral care.

Regular thorough cleaning of the teeth and their timely treatment will help prevent diseases such as:

periodontitis and many other diseases of the oral cavity.

Believing that caring for baby teeth is unimportant, many parents make a big mistake. If by the time the bite is changed, the first teeth of the baby are in an unsatisfactory condition, then permanent teeth will be predisposed to various diseases.

Thus, it is possible to spoil what is not yet there. Therefore, it is important to provide sufficient care for the child's oral cavity and visit the dentist more often for preventive examinations.

You need to start brushing your teeth after the first “tenant” appears in the baby’s mouth.

Let it be only one and very, very tiny, but this is already a tooth, which means that it requires regular care.

This will contribute not only to the preservation of milk teeth, but will also serve as a prevention of dental diseases in adulthood.

Healthy milk teeth are a guarantee beautiful smile and strong teeth in the future. Do not scare your child by going to the dentist.

Children who do not have such home “preparation” go through a trip to the doctor and treatment without tears and shocks.

Do not delay a visit to the dentist at the slightest suspicion of caries or stomatitis. Young children are not afraid of dentists, unless, of course, parents are afraid of this.

Babies are not given anesthetic injections; a special spray is used instead.

In addition, due to the peculiarities of the structure of milk teeth, the procedure for their treatment does not cause the child such discomfort as is familiar to adult patients.

The tissues of children's teeth have a different composition, therefore, completely different materials are used to treat such teeth.

Often parents are afraid to take their baby to the dentist because:

the child is still too small and will not sit still;
the first unpleasant impression will remain for life;
the doctor will not cope with the baby;
the child will not survive the procedure.

In fact, all these problems exist only in the head of the parents. Children's doctor This is not just an ordinary dentist. During the day, the doctor sees several dozen patients, among them there are children under one year old.

Pediatric dentists are not ordinary dentists. In their work, they use not only special children's tools and materials, their working methods are also different.

They profile not only at work with children's teeth, but also know how to find an approach to a child, even the smallest one.

Features of children's periodontitis

The reason for the development of periodontitis of milk teeth in children is most often an infection.

The disease develops from neglected caries or pulpitis. The disease first affects the crown, then the pulp, and then the periodontal infection occurs.

Because bone tissue the child is softer than in adults, the disease progresses rapidly. Periodontal tissues are the link between the jaw bone and human teeth.

If the disease is started, then inflammatory process can also affect the bones of the jaw. This can lead to very big problems and end up with a long and expensive treatment.

Most often, the disease affects the fourth and fifth teeth in a row - premolars. The anterior teeth, due to their structure, are less susceptible to periodontitis, and damage to the incisors and canines can occur if the crown is deprived.

This is possible due to advanced caries. The rooted part of the neck is much thinner than the crown, and the tissues are softer than in adults, so the disease progresses very quickly.

The neck of the tooth becomes thinner and breaks, as a result, the crown breaks off, and the parents do not even understand how this could happen.

Like an adult children's periodontitis may be acute or chronic.

The acute course of the disease is characterized by the intensive development of connective tissue damage and may be accompanied by:

edema;
abscesses;
rise in temperature.

The indicators of the blood test also change - the number of leukocytes and the erythrocyte sedimentation rate increase.

This indicates an inflammatory process in the body, but not every doctor will guess that periodontal inflammation was the cause of this.

The child may be treated for non-existent respiratory or viral infections while the disease continues to progress.

At chronic forms The disease most often affects certain areas of the subgingival tissue and has a granulating course.

The disease is constantly progressing, affecting the connective tissue both at the roots of milk teeth and affecting the rudiments of permanent teeth.

The chronic form of periodontitis is most often asymptomatic, and when parents learn about the disease, it already has time to cause significant damage to oral health. Sometimes it takes years to pay for such inattention to the baby's teeth.

Prevention similar pathologies is the preservation of milk teeth in a satisfactory condition.

The change of a milk bite to a permanent one begins at the age of 5-6 and lasts up to 10-12. The canines are the last to change. But before this time, most children are already familiar with caries.

Of course, oral diseases have other factors that influence their occurrence.

But having provided quality care behind the oral cavity younger age and by accustoming the child to careful self-care in the eldest, it is possible, if not to prevent the disease, then to significantly reduce the number of foci.

Preventive medical examinations are also important. The structure of milk teeth differs from permanent ones, their sensitivity is somewhat lower, and the tissues are looser.

Therefore, the disease can be asymptomatic, and only a doctor can detect it in time.

How is periodontitis in children treated?

Prevention of the disease is also important because the treatment of periodontitis in children is quite complicated.

Though the immune system child and copes with inflammatory processes more easily, but the absence early diagnosis leads to many complications.

The consequences of periodontitis not detected in time can be:

numerous pathologies of tooth development;
damage to the hard tissues of the jaw;
formation of jaw fistulas.

For these reasons, any diseases of the baby's oral cavity should be treated in a timely manner. It is impossible to remove milk teeth affected by caries before the eruption of permanent ones.

Removal can lead not only to the formation malocclusion but also to the development of other pathologies.

There may be a displacement of the roots and rudiments of the teeth, which, in turn, will lead to their abnormal location with visible asymmetry, and will cause a malfunction digestive system due to bad chewing food.

You can remove a diseased tooth only in the following cases:

the root has already begun to dissolve and the tooth is loose;
the germ of a permanent one is already on the way and should erupt in the coming months;
to provide access if, during the course of the disease, the rudiment of a permanent tooth or jaw bones was damaged, which requires immediate treatment;
the chosen method of treatment does not bring the desired effect.

The treatment of periodontitis in milk teeth is not much different from the treatment of permanent teeth. The dentist opens the pulp and sanitizes. If necessary, a gum incision is also made.

A drain is inserted into the wound to ensure the outflow of exudate. If you can do without an incision, then mouth rinses are prescribed with antimicrobial and antiseptic solutions. In any case, antibiotics are prescribed.

Visits to the doctor are made daily or every other day, depending on the patient's condition. If the milk tooth is in the resting phase, then its treatment, as a rule, proceeds successfully.

Difficulties can arise in cases where the root is just being formed or has begun to dissolve. At this time, the probability of damage to the rudiments of permanent increases significantly. If therapy does not bring the desired effect, then the diseased tooth has to be removed.

If the inflammatory process can be stopped and the disease recedes, then carious cavity processed with antiseptics and sealed first special paste(temporarily), then a permanent filling.

For treatment in initial stages diseases can be managed with two or three visits to the doctor. Running periodontitis is treated for a long time.

As in adults, periodontitis in children most often occurs due to infection. After infection, the periodontium becomes inflamed - a thin layer of connective tissue located in the gap between the root of the tooth and its hole. The structure of the nursery dental system affects the development of the disease, accelerating destructive processes. To prevent complications, you need to pay attention to the complaints of the child and take him to the dentist in a timely manner.

While permanent teeth are being formed, periodontal tissues remain soft, loose and mobile. They are laced large quantity blood vessels. The structure of children's periodontium contributes to the rapid penetration of infection into its tissues and the occurrence of periodontitis with different characters currents.

Basically, periodontitis of milk teeth in children appears during the development of caries, especially cervical and root. Infection is also possible with inflammation of the nasal sinuses, pulp - the neurovascular bundle of the tooth, periodontal tissues - gums, periodontal processes, jawbone, alveoli - tooth sockets.

Risk factors

It is possible to encounter periodontitis in a child after the treatment of dental pathologies. A milk tooth has a wide pulp chamber surrounded by thin hard layers. With inaccurate drilling of the carious area, the dentist can touch the pulp, cause inflammation, which will quickly spread to the periodontium.

Additional Influencing Factors

The disease can occur due to damage to the periodontal tissues by the nozzle of the drill. Unprofessional installation of fillings, braces, shortcomings in the correction of dental defects can provoke inflammation of the periodontium, as well as the following factors:

the influence of dental and medical preparations;
filling material toxicity;
damage to the teeth when falling, hitting, trying to gnaw on hard objects;
allergies, medications or filling material, as well as general, as a reaction of the child's body to a foreign gene;
drug overdose;
violations of microflora and acid-base environment in the oral cavity;
the occurrence of a deficiency of vitamins, micro and macro elements;
serious disruption at work internal organs and systems.

Two main forms

Periodontitis of milk teeth has two main forms: acute and chronic. They differ in symptoms and signs.

The disease can proceed in an acute form. Under the influence of inflammation, first serous and then purulent fluid is released from periodontal tissues. Accumulating under the affected tooth, it begins to put pressure on the dental and adjacent tissues.

These changes cause unpleasant symptoms. Aching, sometimes sharp and throbbing pains are felt. They are aggravated by touching the aching tooth, eating food with bright tastes and different temperatures. If pain began to shoot at different departments head, which means that pus began to stand out from the periodontal tissues.

The child may complain of lethargy, drowsiness, nausea, aching joints - true symptoms of poisoning the body with cell decay products and toxins. There is an increase in temperature. The lymph nodes under the jaw and part of the face increase, the gums in the area of the damaged tooth swell, sometimes turn red.

Changes in the clinical picture

If the disease is not treated, it becomes chronic. Gradually, a fistulous canal is formed, starting in the focus of inflammation and going to the cheek, nose, gums, and mouth. A serous or purulent fluid flows through it. Through this process, almost all symptoms disappear. Mild pain and swelling of the gums remain. A specific smell appears, the tooth enamel turns gray.

Chronic periodontitis of a milk tooth can develop independently, bypassing the acute phase. For example, under a sealed but not cured tooth. Or as a complication after a viral or infectious disease: influenza, rubella, tonsillitis, SARS, chicken pox.

What can inaction lead to?

brightly severe symptoms return during periods of exacerbation. The rest of the time, the disease proceeds calmly, but continues to develop. Chronic periodontitis in children has three subspecies:

granulating: transformation of connective tissue into granulation tissue, slight damage to bone and dental tissues;
granulomatous: the formation of a granuloma - a capsule of overgrown cells, transforming into small nodules, the destruction of neighboring tissues continues;
fibrous: uniform growth of periodontal tissues, severe damage to bone and dental tissues.

At advanced periodontitis molars that have not yet erupted die, which leads to the development of adentia - partial or total absence teeth. Inaction can lead to inflammation or death of tissues adjacent to the periodontium, the appearance of festering abscesses, infection circulatory system. Only timely treatment periodontitis of milk teeth will help to avoid the consequences.

Diagnosis

Before starting treatment, the dentist must examine the small patient: appearance, lymph nodes, condition of the oral cavity. Probing the carious area and gums, tapping a suspicious tooth. With the development of periodontitis, unpleasant sensations appear only when tapping.

To compile a complete clinical picture a survey is conducted and the child and his parents are not the subject of symptoms. In addition, an x-ray is taken, urine and blood tests of the child are taken.

Preparation for procedures

Many children are afraid of the pain they think dentists can cause. In addition, getting rid of pathology is a long and complicated process. Therefore, in the treatment childhood disease not only local anesthesia is used. Very young patients are treated under general anesthesia. Older children and teenagers are given sedatives or combine local anesthesia with sedation - half asleep.

General anesthesia has a number of contraindications, it is recommended to consult with a pediatrician and pass necessary tests. Giving children painkillers on their own sedatives It is strictly forbidden - only a dentist should do this.

One or more visits

Treatment of periodontitis in children is aimed at preserving both milk and molars. conservative method consists in the complete cleaning of the inside of the tooth from carious particles, dead and overgrown tissues, restoration of damaged periodontium.

If the diseased tooth has one root, then, after careful processing, disinfection of its insides and periodontium through the root clearance, a permanent filling is immediately installed.

If a multi-rooted tooth is damaged, its root and crown parts are first filled medicinal paste based on anti-inflammatory, antimicrobial and restorative substances. A temporary filling material is applied. After a few days, the tooth is cleaned again, washed with an antiseptic and a permanent filling is placed.

If the cause of periodontitis was not caries or pulpitis, then a self-absorbable paste is placed inside a single-rooted tooth.

Reasons for removing a temporary tooth

Dentists try to save a damaged milk tooth, as its loss is fraught with complications. For example, the bite may deteriorate or the structure of permanent teeth may be disturbed. The deformation of the jaw is not excluded, due to which the shape of the face may change or speech may be disturbed.

However, there are a number of reasons why temporary tooth extraction is prescribed. These include: severe damage to the dental crown, maximum loosening of the tooth, its incorrect location or inclination, and the ineffectiveness of the drug treatment.

If the roots of a milk tooth have resolved by more than half, then there is no point in preserving it. After all, the root will soon cut through. Temporary tooth is subject to urgent removal if the inflammation has passed to the tissues adjacent to the periodontium or has begun general infection organism.

Fixing therapy

Despite the fact that the child's body has a high rate of tissue repair, any treatment must be consolidated with physiotherapeutic procedures: laser therapy, heat treatment, use electric current or electromagnetic fields of ultra-high frequency.

If the child had an acute form of the disease, antibiotic therapy will be needed for at least three days. Whether to prescribe antibiotics after treatment of the chronic form, the dentist decides individually.

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Symptoms, the nature of the course and in many ways the methods of treatment of milk teeth are largely similar to.

But, unlike adults, it is much harder for children to endure the disease, as it is accompanied by severe pain, the appearance of tumors, swelling and significant discomfort. Let us consider in more detail the causes of periodontitis of temporary teeth, possible forms this disease, the nature of the course, the symptoms that accompany it, as well as treatment and prevention measures.

Decay in baby teeth can lead to more serious problems.

Causes and risk factors

The causes that provoke the development of periodontitis in a child are not much different from those in adulthood. First of all, the provocative factor is the neglected one, which is very quickly able to destroy the milk tooth, in order to then get to the periodontium and the root system.

Periodontium, in turn, has many blood vessels and a loose structure, which leads to a rapid and painful spread of inflammation to nearby tissues. Based on this, we can say that the main risk factor for the development of the disease in childhood is the presence of neglected caries.

Also, diseases can be provoked by:

Convenient and clear classification

There are many different ones, but we will list the most common types and forms of this disease that are typical for children. Depending on the intensity and stage of development of the disease, it may have or.

Features of the course of acute and chronic forms of the disease

Chronic and acute form diseases have various symptoms. In chronic periodontitis of temporary teeth in a child, there are no pronounced painful symptoms, only "signs-hints" are possible:

periodical mild pain in the area of the affected tooth and tissues adjacent to it;
when pressing on the tooth, pain occurs;
discomfort and pain are observed with a sharp change in temperature in the oral cavity (hot drinks, breathing in frosty air, etc.);
occasionally there may be a slight inflammation,;
if the disease has been developing for a long time, then it can cause a general deterioration in health: feeling unwell, fever, weakness.

Acute periodontitis is much more intense and is characterized by the following negative symptoms:

in the area of the tooth discomfort and constant strong pain, which eventually becomes pulsating, is more sharp;
tooth becomes ;
when pressing on the gum, even in the process of eating, the pain intensifies even more;
the gum becomes edematous, there is severe inflammation;
the general condition of the child's body also deteriorates significantly, he becomes weak, exhausted, the body temperature rises, the normal sleep pattern is disturbed, and appetite is lost.

Features of diagnostics

Diagnosis of the disease in general does not cause big problems and includes the following methods:

studying the clinical picture, listening to the complaints of a small patient and his parents, probing, percussion (tapping of individual parts of the tooth);
, - it is she who is the main method of thorough research;
sometimes such a diagnostic technique as translucence is also used.

Methods and features of treatment

Treatment of periodontitis of a milk tooth is one of the most difficult procedures for a dentist. The treatment process for both acute and exacerbated chronic periodontitis as follows:

the doctor cleans the root canals;
then it is necessary to remove the inflammation, for this the channels are processed special antiseptics and medical solutions;
when the inflammation subsides is carried out.

main feature treatment of the disease lies in the fact that each stage must be performed very efficiently and not proceed to the next until you receive desired result on the previous one. For example, it is very important to clean the canals well, completely remove the inflammation, and only after that perform filling.

In case of unsuccessful conservative therapy the question is raised about.

Professionally about the treatment of periodontitis of milk teeth:

The main thing that affects the prognosis is the timeliness of treatment. How earlier problem been identified and treated, the greater the chance that the tooth can be saved in normal condition. The main conditions for a favorable prognosis are the absence of complications and the preservation of bone tissue.

If in question about advanced cases it is quite possible to lose a tooth. In especially difficult cases, there is a possibility of occurrence, inflammation and even sepsis.

Prevention measures

To prevent the development of periodontitis, you must first accustom your child to constant - It is necessary to rinse the mouth regularly and after each meal.

It is also very important to monitor the condition of the child's teeth and in case of caries on them, do not delay treatment.

These measures will be sufficient to big share chances of avoiding the occurrence of periodontitis of the milk tooth.