
Health begins in the mouth - often also the illness...
Gingivitis - Parodontitis
Periodontitis and diabetes reinforce each other!
Diabetics should investigate their teeth and gums three times a year. According to the German periodontosis Help in Herne (North Rhine-Westphalia), they have a three times higher risk than healthy people to periodontitis. And this benefits the following diseases of diabetes on the heart, kidneys, eyes and nerves. Because the inflammation of the gums deteriorates blood glucose levels.
Background of the larger susceptibility of diabetic patients for periodontal disease is reported to be that a chronically elevated blood glucose in the oral cavity, damages the vessels. The sugar stores in the vessel walls and cause inflammation there. The vessels are constricted, no longer to receive enough nutrients and lose their defensive power. Moreover, the immune system of diabetics is weakened.
Perhaps you are surprised to learn that not only caries but also inflammations of the gums and the socket of a tooth are part of the most frequent illnesses of the man. While the caries always goes back more strongly, about 95% the 18-year-old suffer from a Gingivitis! Would you have known that caries is worldwide one of the most frequent illnesses of the man? Has a fall in the caries to be recorded within the last few years in some countries also in Germany anyway. A better mouth hygiene and Fluoridierungs measures are reason for this. Caries arises from the bacteria of the films on the teeth (Plaque) on the tooth surface. Certain bacteria, so-called Mutansstreptokokken and Laktobazillen, change sugar and dish remains into acid which attacks and destroys the enamel.
Four reason prerequisites for the emergence of caries.
For the emergence of caries four must for reason pre-end's set tongues come together: Bacteria, films on the teeth, food and one working time. Caries cannot arise if one of the reason prerequisites is missing or one or several of these factors weakened appear. At first this destruction process is still reversible. A white spot shows himself as result of the Demineralisation caused by the acid or deliming under the glaze surface. Becomes but none took counter-measure to the tooth hardening now or a "hole" which becomes bigger and bigger arises so, Remineralisierung met. Films on the teeth, common to sugar and time are the decisive prerequisites for the emergence of caries. Also genetic factors only are in rare cases involved.
Untreated caries destroyed after and after the tooth hard substance, that is enamel and Dentin. If the process reaches the Dentin, the tooth starts to be sore. The nerve fibers of the Pulpa react particularly at the consumption of sweet or cold food with a pain. This can spread across the tooth on the corresponding pine side. (the arisen hole isn't from drilledly and tooth medically provided now perhaps the dentist must one carry out root channel treatment), the bacteria advance further, the tooth goes septic, the famous "chubby cheek" gives or -- still bad diseased changes at inner organs e.g. at the heart because the bacteria have reached over the bloodstream there.
Continuous acid attacks, attacks the enamel. A hole has arisen. The caries is no longer reversible in this stage. Of the boundary between enamel and tooth marks advance along the Plaquebacteria which are permanently increasing and acid itself educating for the canals which run through the dentine (Dentin) toward the tooth marrow (Pulpa). The dentine softer as opposed to the enamel is destroyed faster by the acids. In addition, certain bacteria digest the relatively high organic share of the dentine. It is that way to explain that the attack place is bigger in the dentine than the hole in the enamel after some time. During this stage tooth pains short already lasting can appear.
By continual bacterial chemical attack the caries finally achieves the tooth marrow (Pulpa). Bacteria can cause an inflammation of the tooth marrow. This inflammation process is frequently accompanied by severe tooth pain. The tooth marrow is finally destroyed. The bacteria living in the dead tooth marrow can cause a root top abscess.
Gingivitis
What do your gums look like? Is it swelled and reddened? Do your gums bleed, if you brush your teeth? There is probably a gums inflammation or Gingivitis then, if you one or several answer this questions with "yes", with you.
About 85 % of the Cypriots suffers from this illness of the gums...
While healthy gums have a pale pink color and fill out the rooms between the teeth completely, the gums are reddened, swollen at a Gingivitis and bleed easily.
How does a Gingivitis arise?
The inflammation of the gums is caused by bacteria. Bacteria but completely are in our oral cavity a little normal and the majority of them is also harmless. At insufficient dental hygiene, however, they increase strongly and on the tooth surface and on the gums edge a sticky coating (Plaque) arises.
The bacteria contained in this coating which attack the gums and cause inflammations release poisonous substances, so-called Toxine. It comes to Reddening, swellings and bleedings. The bleedings primarily are a well visible warning sign! Healthy gums don't bleed! If the gums inflammation isn't stopped in this stage, the Gingivitis can change on the pine bone and lead to the mining in pushes. The initial Gingivitis then has changed into a Parodontitis.
How is a Gingivitis treated?
Basis of the treatment is the complete distance of all coatings. You achieve this for mouth and dental hygiene by a consistent one. You only can remove soft coatings with the toothbrush, though. Already hard coatings, so-called tartar and Konkremente, you must remove in the ProphylaxeCenter. Being able to be necessary depending on exit situation appointments for the more. Your teeth also polished and fluoridiert become at these appointments. The gums inflammation is treated so faded away after a couple of weeks completely. The gums don't bleed any more and are healthy.
Parodontitis
If a gums inflammation (Gingivitis) isn't treated, the inflammation changes on the pine bone. This so-called Parodontitis leads to a slow mining of the tooth hold apparatus. Frays, fabric and bone get round the teeth destroyed. You externally see this at a fall in the gums and the appearance caused by this of "longer teeth". In the advanced stage the teeth even can be loosened.
How does a Parodontitis arise?
As when the Gingivitis bacteria are responsible for the inflammation also at the Parodontitis. These bacteria advance slowly about the tooth surface in direction of the root of a tooth. Since the bacteria sit in a gums bag, they cannot be reached and removed by the toothbrush any more. You form a sticky coating, the so-called "Plaque" which changes himself into tartar after some time, on the root of a tooth. A continual inflammation arises, the phase way becomes weaker and stronger. This inflammation leads the bone surrounding his tooth to the mining in the end. Gums bags arise. The tooth loosens himself and at further bone mining fails.
A Parodontitis doesn't threaten only teeth and tooth hold apparatus but one also can represent danger for your complete body.
Coating (Plaque) irritates the gums for himself, which lights gums papillen. The gums bags develop by advancing further the inflammation and the connection between gums and tooth and the complete tooth hold apparatus are damaged. The tooth hold apparatus which starts with bone mining and the loosening of the tooth is destroyed largely.
Unsatisfactory oral hygiene but is the main cause for Parodontitis. However, certain risk factors which favor the emergence of this illness are also known.
Being part of this:
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stress
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diabetes
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osteoporosis
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smoking
Division of the inflammation conditional Parodontal illnesses
Inflammation conditional Parodontal illnesses are subdivided into three categories: These contain the chronic Parodontitis, parodontale illnesses due to a systemic illness as well as the aggressive Parodontitis, this one into identified or generalisierter form appears. The further classification of the chronic Parodontitis is carried out after extent and heaviness degree. She can be modified by smoking or by stress further by the appearance of diabetes mellitus, a HIV infection. Aggressive Parodontal illnesses concern about one to five per cent of the population.
The aggressive Parodontitis of the young people growing up develops with using the puberty -- at first mostly unnoticedly. Examination therefore is recommendable particularly with young patient a regular parodontale.

Category description:
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Chronic Parodontitis
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Parodontale manifestation of systemic illnesses
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aggressive Parodontitis lighter (1),
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middle (2),
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heavy heaviness degree (3)
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1st identified form
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2nd general form
How is a Parodontitis treated?
1st pretreatment (Initialtherapy):
At first hard and soft coatings are removed from the teeth in the pretreatment. In addition, you receive individual notes for your oral hygiene. A Parodontalstatus (PAR status) has to be made before the beginning of a systematic Parodontal treatment. Probe measure become the depths of all gums bags by means of a parodontalen to this investigates.
2nd Parodontal treatment: (dentist)
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after pretreatment still deep gums bags (5 mm) available.
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Furkationen
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free mattering to
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patient leads bone bags no-one or only insufficient domestic mouth hygiene by
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general illnesses which forbid an operation in the mouth
Cleaning of the root of a tooth surface (so mentioned "Kürettage") is carried out now while soft and firm coatings in the area of the crown were removed in the pretreatment. Your teeth are brushed so to speak under the gums. Tartar, Plaque and bacteria are removed so that your body gets the inflammation into the handle. Cleaning this happens painlessly in local anaesthesia. Fine hand or ultrasound instruments are used.
If the Parodontitis is already very far advanced, the gums must be taken off surgically at the teeth concerned to the distance of the coatings. After the thorough cleaning of the roots of a tooth and the smoothing of the bone the gums are laid out and stitched up to the teeth again. In some cases an antibiotic therapy can be meaningful.
3rd after-care:
With help of the Parodontal treatment the Parodontitis has come to the interruption. By thorough dental hygiene you can contribute to avoid a renewed inflammation now. Regular controls are just as important in the ProphylaxeCenter. Your teeth are examined and stated on available coatings whether the gums are inflammation free here. Your teeth remain healthily that way up to the high age.
Dental diseases of the bus apparats such as the so-called permanent periodontitis can have fatal consequences: the often chronic inflammation of the gums and jaw increase the risk of a heart attack or stroke significantly. 70 percent of all Cypriots from 35 to 44 years suffer from periodontal disease - sometimes with fatal consequences.
Υγεία αρχίζει στο στόμα - συχνά και η ασθένεια...
Με το σύνθημα "Υγεία αρχίζει στο στόμα - συχνά και η ασθένεια" είναι το πλαίσιο τόσο του πληθυσμού καθώς και της όλο και πιο κοντά στην ιατρική αγορά. Τα επιστημονικά στοιχεία όλο και πιο στενή σχέση μεταξύ της υγείας του στόματος και της γενικής υγείας και προϋποθέτουν μια ευρεία ευαισθητοποίηση του κοινού. Οι ασθένειες των οδόντων, του στόματος και της γνάθου περιοχή αποτέλεσμα το σύνολο του οργανισμού. Για παράδειγμα, η περιοδοντική νόσος είναι αυξημένη κατά ένα παθογόνο άλλα όργανα, πρέπει γίνονται ταυτόχρονα, των συνδεδεμένων φλεγμονή ίδια μπορεί να είναι μια επιβάρυνση για το σύνολο του σώματος.
Άλλη πλευρά, υπάρχει γενική παθήσεις που επηρεάζουν άμεσα την υγεία του στόματος, όπως ο διαβήτης, η περιοδοντική νόσος μπορεί να αυξηθεί.
Είναι επίσης σημαντικό για την εικόνα της το θέμα της διατροφής: Ανάλογα με την επιλογή και η συμπεριφορά μπορεί να δίαιτα τον βιότοπο του στόματος από το σύστημα, και ενεργοποίησης, για παράδειγμα, φθορά των δοντιών, η οποία καταστρέφει τα δόντια. Εσφαλμένη/ακατάλληλη διατροφή μπορεί να οδηγήσει σε παχυσαρκία και έτσι να συμβάλλουν επίσης στην διαβήτη τύπου 2 - και με τη σειρά κρίσιμες συνέπειες για την ανάπτυξη της υγείας του στόματος. Επίσης, το κάπνισμα είναι μια "στόμα-θέμα" - η νικοτίνη κατανάλωσης δεν έχει μόνο μια ποικιλία των αρνητικών επιδράσεων για ολόκληρο το σώμα και τις λειτουργίες του, αλλά και για τη στοματική υγεία. Δεν έχει σημασία είναι επίσης από του στόματος-ζητήματα υγείας για την πρόληψη των καταχρήσεων, μέσα από το στόμα αναπνοή, ή το σκελετικό σύστημα μπορεί να επηρεάσει - και αντίστροφα.
Πολλές ασθένειες που μπορούν να επηρεάσουν προληπτικά. Έτσι, η προληπτική προσέγγιση στην οδοντιατρική σε ένα στενό πλαίσιο για την ιατρική και να προσφέρει την ευκαιρία να μην μόνο τον κίνδυνο για ασθένειες της στοματικής κοιλότητας που πρέπει να μειωθεί, αλλά και σημαντική γενική υγεία για τη μείωση των παρεμβολών.
Παροδοντίτιδα και Διαβήτη αλληλοενισχύονται!
Διαβητικούς θα πρέπει να εξετάσουν τα δόντια και ούλα τους, τρεις φορές το χρόνο. Σύμφωνα με τις Γερμανική Παροδοντίτιδα Βοήθεια στο Herne (Βόρεια Ρηνανία-Βεστφαλία), διαβητικούς έχουν τρεις φορές υψηλότερο κίνδυνο από τους υγιείς ανθρώπους σε Παροδοντίτιδα. Και αυτό ωφελεί τις ακόλουθες παθήσεις του διαβήτη για την καρδιά, τα νεφρά, τα μάτια και τα νεύρα. Λόγω του ότι η φλεγμονή των ούλων επιδεινώνει τα επίπεδα της γλυκόζης του αίματος.
Ιστορικό της μεγαλύτερης ευαισθησίας των διαβητικών ασθενών για περιοδοντική νόσος, αναφερθεί ότι ένα χρονίως αυξημένο επίπεδο γλυκόζης στο αίμα στη στοματική κοιλότητα, η αποζημίωση των εν λόγων αγγείων. Το ζάχαρη αποθήκευει στους τοίχους αγγείων και προκαλέσει φλεγμονή εκεί. Τα αγγεία είναι στενόχωρα, δεν είναι πλέον αρκετό για να λαμβάνουν τα θρεπτικά συστατικά και χάνουν την αμυντική δύναμη. Επιπλέον, το ανοσοποιητικό σύστημα των διαβητικών αποδυναμώνεται.
Βρετανό κορίτσι έχει πεθαίνει της πείνας μετά οδοντιατρείο:
Μια οκτώ ετών κορίτσι με φόβο για τον οδοντίατρο έχει πεθαίνει της πείνας επειδή το στόμα της δεν ανοίξει, μετά από οκτώ δόντια γάλακτος είχαν τράβηξε, μια δικαστική έρευνα αρχίζει...
Health begins in the mouth - often also the illness...
With the motto "Health begins in the mouth - often also the illness" is this context of both the population as well as increasingly close to the medical market. The scientific evidence increasingly close relationship between oral health and general health and require a broad public awareness. Diseases of the teeth, mouth and jaw area effect the whole organism. For example, a periodontal disease is increased by a pathogen other institutions must be held simultaneously, the associated inflammation itself can be a burden on the entire body.
Other hand, there is general diseases that directly affect the oral health, such as Diabetes, a periodontal disease may increase.
It is also important to the portrayal of the theme nutrition: Depending on the selection and behavior can diet the biotope mouth from the system, and trigger, for example, tooth decay, which destroys the teeth. Incorrect/unhealthy diet can lead to obesity and thereby also contribute to type 2 diabetes - and in turn critical implications for developing oral health. Also smoking is a "mouth-theme" - the nicotine consumption has not only a variety of negative influences on the entire body and its functions, but also on oral health. Not unimportant is also oral-health issues to prevent abuses, through the mouth breathing, or the skeletal system can influence - and vice versa.
Numerous diseases can influence preventively. Thus, the preventive approach in dentistry in a narrow context to medicine and offers the chance to not only the risk for diseases of the oral cavity to be reduced, but also important general health to reduce interference.
British girl starved after a dental surgery:
An eight-year-old girl with a fear of the dentist starved because her mouth would not open up after eight milk teeth had been pulled, a judicial inquiry was opened...
Gesund beginnt im Mund - krank sein oftmals auch...
Mit dem Motto "Gesund beginnt im Mund - krank sein manchmal auch" soll dieser Zusammenhang sowohl der Bevölkerung wie auch verstärkt der Ärzteschaft nahe gebracht werden. Die wissenschaftlichen Erkenntnisse belegen zunehmend die enge Verbindung von Mundgesundheit und Allgemeingesundheit und erfordern eine breite Aufklärung der Öffentlichkeit.
Erkrankungen des Zahn-, Mund- und Kieferbereiches wirken sich einerseits auf den gesamten Organismus aus. Bei einer Parodontitis beispielsweise ist von einer erhöhten Keimbelastung anderer Organe auszugehen, gleichzeitig stellt die damit verbundene Entzündung ihrerseits eine Belastung für den gesamten Körper dar.
Andererseits gibt es Allgemeinerkrankungen, die direkt die Mundgesundheit beeinflussen, wie z.B. Diabetes, der eine Parodontitis verstärken kann.
Sehr wichtig ist auch die Darstellung des Themas Ernährung: Je nach Auswahl und Verhalten kann die Ernährung das Biotop Mund aus dem System bringen und beispielsweise Karies auslösen, die die Zähne zerstört. Falsche/ungesunde Ernährung kann zu Übergewicht und hierdurch auch zu Diabetes Typ 2 führen - und damit wiederum kritische Folgen für die Mundgesundheit entwickeln. Auch Rauchen ist ein "Mund-Thema" - der Nikotinkonsum hat nicht nur vielfältige negative Einflüsse auf den gesamten Körper und seine Funktionen, sondern auch auf die Mundgesundheit. Nicht unwesentlich sind zudem kiefergesundheitliche Aspekte zur Vorbeugung von Fehlentwicklungen, die über den Mund die Atmung bzw. das skelettale System beeinflussen können - und umgekehrt.
Zahlreiche Erkrankungen lassen sich präventiv beeinflussen. Somit steht der Präventionsansatz in der Zahnmedizin in einem engen Kontext zur Medizin und bietet die Chance, nicht nur das Risiko für Erkrankungen der Mundhöhle zu vermindern, sondern auch wichtige allgemeingesundheitliche Störungen zu reduzieren.
Britisches Mädchen verhungerte nach einer Zahnoperation:
Ein achtjähriges Mädchen mit Angst vor dem Zahnarzt verhungerte, weil es den Mund nicht aufmachen wollte, nachdem acht Milchzähne gezogen worden waren, eine gerichtliche Untersuchung wurde eröffnet...
Dictionary - Tooth-ABC - Tooth-known - Trident - Parodontitis
E-mail: Ehrlich@PROPHYLAXECompany.com - Mr. Willi Ehrlich Tel.: +49 2234-9491540
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