If left untreated, periodontitis can lead to tooth loss. Treatment may involve deep dental cleaning or, in severe cases, surgery. Regular brushing and flossing can prevent periodontitis.
Score of 1 to 4 has an “excellent” prognosis • Score of 5 to 8 has a “good” prognosis • Score of 9 to 11 or greater has a “guarded” prognosis. It is important to realize that the keys to success are not a promise of success but a guideline that allows the patient to succeed.
Doctors use survival statistics to estimate a patient's prognosis. Prognosis is the chance of recovery. Survival statistics also help doctors evaluate treatment options. Researchers usually give survival statistics as rates for specific cancer types.
But the condition may get even worse if left untreated. They may experience receding gums, loosening teeth, or tooth loss when it progresses into severe periodontal disease. If you wonder if you can live with this disease, the answer is yes.
It consists of five categories that include good, fair, poor, questionable and hopeless (Table 1). In this system, clinicians assign each tooth to a category based on their ability to control the etiology of disease, attachment loss, presence of furcation involvement, crown/root ratio, and the degree of tooth mobility.
An accurate diagnosis can only be made by a thorough evaluation of data that have been systematically collected by: 1) patient interview, 2) medical consultation as indicated, 3) clinical periodontal examination, 4) radiographic examination, and 5) laboratory tests as needed.
Chronic periodontitis can be further classified into: Extent (can be either localised affecting < 30% of sites; or generalised if > 30% of sites are affected) Severity (slight = 1–2 mm CAL; moderate = 3–4 mm CAL; severe ≥5 mm CAL)
Yes. Regardless of the stage of infection, you can stop the progression of gum disease. The initial phase is the easiest to manage as it only requires maintaining proper oral care and dental checkups. Further stages will require specialized treatment such as scaling and root planing.
The age- and sex-adjusted death rates for all natural causes expressed as the number of deaths per 1,000 person-years of follow-up were 3.7 (95% CI 0.7–6.6) for no or mild periodontal disease, 19.6 (10.7–28.5) for moderate periodontal disease, and 28.4 (22.3–34.6) for severe periodontal disease.
The progression of periodontal disease is slow but steady. It only takes four days for plaque to reach its maximum extent, so you'll be able to physically see signs of gingivitis on day 5. Advanced stages of this disease can be seen in as little as a few weeks if you have not tried to reverse the gingivitis.
Disease prognosis has multiple aspects, including: How long a person with the disorder is likely to live (life expectancy) When signs and symptoms develop and whether they worsen (and how quickly) or are stable over time. Quality of life, such as independence in daily activities.
Hopeless teeth (terminal dentition) are teeth that have been so compromised by gum disease, infection, or decay, that they are either impossible to save, or unwise to save because they carry a hopeless long term prognosis.
Questionable prognosis: Local and/or systemic factors influencing the periodontal status of the tooth may or may not be controllable. If controlled, the periodontal status can be stabilized with comprehensive periodontal treatment.
If a patient has gingivitis this can be reversed with a gum health regimen, but a periodontitis patient remains a periodontitis patient for life, even following successful therapy, and requires life-long supportive care to prevent recurrence of disease.
In its early stage, called gingivitis, the gums can become swollen and red, and they may bleed. In its more serious form, called periodontitis, the gums can pull away from the tooth, bone can be lost, and the teeth may loosen or even fall out.
Stage Four: Advanced Periodontal Disease. In the fourth and last stage, the bacteria is aggressive, bone loss is imminent, and gum recession is serious. You are going to have immense sensitivity to cold and hot temperatures, experience chronic bad breath, and you may lose your teeth.
Professional Care for Treating Periodontitis
If left untreated, periodontitis can lead to tooth loss. While there is no cure for periodontitis, professional care by a dentist or dental hygienist can help to control the infection and prevent further damage to the teeth and gums.
Periodontal disease is not a life-threatening condition. However, it might require you to seek treatments from various medical professionals when the bacteria from the infection spread to your bloodstream to affect your overall health.
Periodontitis (per-e-o-don-TIE-tis), also called gum disease, is a serious gum infection that damages the soft tissue around teeth. Without treatment, periodontitis can destroy the bone that supports your teeth. This can cause teeth to loosen or lead to tooth loss. Periodontitis is common but can usually be prevented.
Even the most damaged teeth can often be saved with proper periodontal treatment in a periodontal office. Many studies have shown that teeth with advanced bone loss, even to the top of the tooth root, can be saved with advanced regeneration and instruments.
Periodontitis. Periodontitis is the intermediate stage of gum disease. In this stage of periodontal disease, the infection has advanced, and is no longer reversible. The bacteria in your gums will attack your gum tissue and the support structure of your teeth, causing permanent damage to your mouth.
Can bone regenerate after periodontal disease? Bone cannot regenerate on its own after periodontal disease, but bone grafts, membranes, and tissue-stimulating proteins can be used to promote regrowth in areas where bone has been lost.
If you ignore the symptoms of earlier stages of periodontal disease, you will shift into stage 4, which threatens a 50-90% chance of irreversible bone loss. Symptoms of this final stage include red, swollen gums that ooze pus, painful chewing, extreme cold sensitivity, severe bad breath, and loosened teeth.
Is there a cure for gum disease? Unfortunately, because gum disease is caused by bacteria that is forming in your mouth daily, there is not a complete cure for the disease, only management with a combination of periodontal therapy and proper oral home care.