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Periodontitis

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What is periodontitis?

When gum disease begins to affect the bone support of the teeth, it is called periodontitis.

Periodontitis literally means "inflammation of the tissues around the teeth."

There are varying degrees of periodontitis:
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In early periodontitis, there are signs of slight bone loss around the teeth in some areas. Pockets around the teeth are from four to five millimeters. This is something to be concerned about, because, left untreated, it will without a doubt progress until the teeth are weakened. However, in early periodontitis there is no noticeable weakening of the teeth and no immediate danger of teeth falling out or other serious problems. It's a chronic, slow-moving problem that should be stopped so it doesn't go any further.

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Moderate periodontitis is more serious. There could be substantial bone loss on some teeth. Some of the teeth could be loose. Pockets around the teeth are deeper—they are generally four to six millimeters or more and are general around a number of teeth—not just a few. In moderate periodontitis we have some significant loss of attachment between the gum and the tooth.

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In advanced periodontitis there is generalized serious bone loss all over the mouth. Pocket depths are six millimeters and more. There may be around five millimeters of attachment loss around a number of teeth. The teeth are generally loose, and, as the disease progresses, they may even fall out spontaneously. Teeth often drift in advanced periodontitis.
Treatment of advanced periodontitis is difficult, and may be futile.

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