Periodontitis - the first symptoms
The first and main symptom of acute periodontitis is severe pain, which does not subside, but increases with time, radiating to the temple, ear, eye, and sometimes to the temporomandibular joint, chin. Touching the sore tooth, pressing it causes a sharp increase in pain, so sometimes patients are forced to refuse food - any load on the affected part of the jaw brings extremely unpleasant sensations. Sometimes patients note mobility and the feeling of "increasing" a tooth - this is caused by swelling of the surrounding tissues, which causes it to somewhat protrude from the dentition.
Acute periodontitis is characterized by rapid development - the aching pain is quickly replaced by a pulsating pain, on the gum near the patient's tooth a noticeable swelling is formed. Possible swelling of the cheek by the causal tooth, changing the shape of the face.
In the absence of timely treatment, fever, impairment of general well-being, and headache are possible.The nearby lymph nodes grow in size and become painful. In children, symptoms of a general disorder are often more pronounced than in adults.
The formation of a fistulous passage on the gum near the causal tooth leads to an outflow of pus from the inflamed periodontium. Most often, after the formation of a fistula, the pain subsides, there is a decrease in edema.
X-ray examination at the beginning of the development of acute periodontitis, as a rule, does not reveal pathological changes in the tissues surrounding the tooth.
Chronic periodontitis may not manifest itself for a long time - patients do not complain of pain, inflammation proceeds almost imperceptibly. Sometimes the disease is detected by chance during a visit to the dentist. Symptoms of periodontitis in such cases appear at a late stage of the disease or during a decrease in the body's defenses (infection, hypothermia) - most often these are unpleasant sensations or moderate pain when biting on a bad tooth or tapping it.
On the gum in the area of the diseased tooth there may be a fistula opening, through which pus is released from time to time.If the fistula is located so that the patient cannot see it in the mirror on his own, the recurring unpleasant taste and the characteristic smell of mouth can speak of his appearance.
A common sign of the development of periodontitis is a change in tooth color and enamel dimming. The gums near the sore tooth may look slightly reddened and edematous, and touching it with chronic periodontitis is also often painful.
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