There is a signal that the body sends with insistence and that too often is minimized or attributed to trivial causes: the gums that bleed while washing the teeth, the taste of blood after using the floss, the feeling that the gums have withdrawn, the teeth that seem longer than before or the breath that does not improve despite good home hygiene.

The gum bleeding should not be considered normal. It can indicate an inflammation of the tooth support tissues and, if neglected, can evolve in more complex conditions. Parodontitis is a chronic inflammatory pathology of bacterial origin that involves gums, periodontal ligament and alveolar bone. If not diagnosed and managed in time, it can contribute to dental mobility and, in advanced cases, to the loss of teeth.

I do. Studio Odontoiatrico Stere di Lecce, guided by Dr. Nicolò Stefanelli and from Dr. Rosanna Renò, offers personalized pathways of diagnosis and periodontal treatment, with updated clinical protocols and a careful approach to long-term oral health. The study is located in Via Giovanni Boccaccio 19 C/D/E in Lecce and welcomes patients from Lecce, Salento and Puglia.

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What is the parodontite

Parodontitis is a chronic inflammatory disease of bacterial origin that affects the periodont, that is, the set of tissues that support and anchor the tooth to the maxillary bone: gum, periodontal ligament, radicular cement and alveolar bone.

The disease can develop progressively. The first stage is the gums, a superficial inflammation limited to the gum, often reversible with professional hygiene and proper home hygiene. If the gums are not treated, inflammation can deepen and involve tooth support tissues, causing the formation of periodontal pockets and progressive reabsorption of the alveolar bone.

The most insidious characteristic of periodontitis is its often silent evolution: the damage can advance without pain for a long time, until bleeding, gum recession, alitosis, sensitivity or dental mobility make evident an already more complex situation.

International periodontal classifications distinguish periodontitis based on gravity, complexity of the case and speed of progression, so as to allow a more precise diagnosis and a truly personalized therapeutic plan.

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Causes and risk factors of periodontitis

The primary cause of periodontitis is bacterial. Dental plaque and tartar can promote the proliferation of pathogenic bacteria in the space between tooth and gum, activating an inflammatory response that, over time, can damage periodontal tissues.

Insufficient oral hygiene. The daily non-removal of the bacterial plaque is one of the major modifiable factors in the development and progression of the periodontitis. Household cleaning, if not done correctly, can leave residues especially in the spaces and along the gum margin.

Cigarette smoke. Smoking is an important risk factor for periodontal health. It can reduce the healing capacity of tissues, mask some inflammatory signs and worsen the response to treatments.

Diabetes mellitus. Diabetes not properly controlled can increase susceptibility to gum infections and make periodontal health management more complex. The relationship between diabetes and periodontitis is considered bidirectional: one condition can adversely affect the other.

Individual preparation. Some people have a more intense inflammatory response to periodontal bacteria, even in the presence of similar amounts of plaque. For this reason the diagnosis cannot be based only on superficial observation, but requires a complete clinical evaluation.

Stress, drugs and systemic conditions. Chronic stress, some medicines and specific general conditions may affect local defenses of gum tissues and contribute to the progression of periodontal disease.

No professional controls. The periodic failure of the subgenital tartar can facilitate the accumulation of bacteria in the periodontal pockets. For this reason the sessions dental hygiene in Lecce They are an essential part of the prevention and maintenance of the parodontal.

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Symptoms of periodontitis: how to recognize it

Parodontitis can manifest with different signals, which are often underestimated because they are not always associated with pain. The most frequent symptom is the gum bleeding during brushing, use of the floss or, in the most marked cases, even spontaneously.

Other important signs are red gums, swollen or tactile, persistent alitosis that does not improve with domicile mouthwashers or hygiene, gum recession, teeth that look longer, dental sensitivity to cold or warm and appearance of spaces between teeth.

In more advanced cases, dental mobility, deep periodontal pockets, changes in occlusion and difficulty in chewing may appear. The presence of one or more of these symptoms requires a professional evaluation, because periodontitis can progress even without obvious pain.

To learn more about connected signals, you can also read the pages dedicated to gums bleeding in Lecce, Dental sensitivity to Lecce, atAlitosi in Lecce and Dental mobility in Lecce.

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Diagnosis of periodontitis at Studio Stere

Diagnosis of periodontitis requires a thorough clinical evaluation, which goes beyond the simple visual observation of the gums. At Studio Odontoiatrico Stere di Lecce, the diagnostic path starts from listening to the symptoms reported by the patient and the analysis of daily habits, clinical history and risk factors.

Parodontal sonal

The parodontal survey allows to measure the depth of the pockets around the teeth through a millimeter probe, evaluating the degree of inflammation and the possible involvement of the supporting tissues. The bleeding index to the probe helps to understand the inflammatory activity present.

Radiographic analysis when indicated

When clinically indicated, radiographic analysis allows to evaluate the level of the alveolar bone and the distribution of possible bone reabsorption. The evaluation of dental mobility and occlusion completes the diagnostic framework, so as to define a therapeutic plan consistent with the stage of the disease and the needs of the patient.

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Treatment of periodontitis: how to care

Parodontitis does not permanently improve without professional treatment. The therapeutic path at the Studio Odontoiatrico Stere di Lecce is defined after the diagnosis and may include multiple stages, depending on the severity of the case.

causal therapy and professional hygiene

The first step is professional removal of plate and tartar over and under the gum margin. This phase reduces the bacterial load and helps the gum tissue reduce inflammation.

Radicular sanding

In the deeper periodontal pockets radicular sanding can be indicated, a procedure that allows to determine the radicular surfaces contaminated by tartar and bacteria, favoring conditions more favourable to the stabilization of tissues.

Parodontal revaluation

After the initial phase of treatment, a clinical revaluation is performed to measure the response of tissues and decide whether to continue with further procedures.

periodontal surgical therapy

In the most advanced cases, when deep pockets or significant bone defects persist, a periodontal surgical therapy can be evaluated, with corrective or regenerative purposes when clinical conditions allow it.

Parodontal maintenance

At the end of the active phase, the patient enters a maintenance program with periodic checks and professional hygiene. This phase is essential to reduce the risk of relapse and maintain the stability achieved over time.

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Parodontitis and general health

Parodontal health may have important relationships with general health. Scientific literature describes associations between periodontitis and certain systemic conditions, such as diabetes, cardiovascular disease, pregnancy complications and respiratory disorders in predisposed or fragile subjects.

This does not mean that periodontitis directly causes every systemic disease, but indicates that chronic inflammation of the mouth should not be underestimated. Maintaining healthy gums, controlling inflammation and following a dental prevention program can help improve oral and general health management.

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What to avoid in case of periodontitis

In the presence of gums that bleed, persistent alitosis, gum recession or dental mobility, it is important to avoid delaying the visit by attributing everything to the toothbrush or to a momentary sensitivity. Time can make the management of periodontal disease more complex.

It is not recommended to rely only on antibacterial collutors, because they can temporarily reduce some inflammatory signs but do not remove tartar and bacteria present in periodontal pockets. Also continue smoking during and after treatment can worsen the response of tissues and increase the risk of relapse.

The most prudent choice is to book a parodontal evaluation, identify the cause of the problem and define a personalized care and maintenance program.

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Parodontite a Lecce: why choose Studio Stere

I do. Dental Stere Study is located in Via Giovanni Boccaccio 19 C/D/E in Lecce and offers pathways of diagnosis, treatment and maintenance of periodontitis. The Dr. Nicolò Stefanelli and the Dr. Rosanna Renò evaluate each patient with clinical attention, clear communication and a personalized therapeutic plan.

For those looking for a dentist in Lecce for gums that bleed, parodontitis, gums, persistent alitosis, dental mobility or gum recession, Studio Stere welcomes patients from Lecce, Salento and Puglia with an approach oriented to the prevention and stability of oral health.

You can learn more about the other treatments available by visiting the pages dedicated to dental hygiene in Lecce, implantology in Lecce, Dental aesthetics in Lecce and transparent orthodontics in Lecce.

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Frequently Asked Questions about Parodontitis in Lecce

Does the periodontitis heal completely?

Parodontitis can be stabilized with proper treatments and regular maintenance. The already lost bone tissue cannot always be recovered spontaneously, but a timely diagnosis can help reduce the risk of further progression.

Does the periodontitis hurt?

In the initial and intermediate stages it often does not cause pain. Pain may appear in the presence of periodontal abscesses, deep pockets or acute conditions. Precisely for this bleeding, alitosis and dental mobility should not be ignored.

How long does the treatment of periodontitis last?

The duration depends on the severity of the case. The active phase may require more sessions, while the parodontal maintenance is a continuous path with periodic checks scheduled according to the individual risk.

Is periodontitis contagious?

Parodontal bacteria can be transmitted through saliva, but transmission does not automatically imply the development of the disease. They also include oral hygiene, individual predisposition, smoking, diabetes and other risk factors.

Can I do the implants if I have the periodontitis?

Before evaluating implant treatment it is important to diagnose, treat and stabilize periodontitis. An active periodontal disease can increase the risk of complications around plants. Learn more about the page dedicated toimplantology in Lecce.

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At Studio Odontoiatrico Stere you can find a complete range of preventive and curative dental treatments.

If you are looking for a dentist in Lecce for dental prevention, in Salento or Puglia, our team is ready to welcome you with expertise, technology and attention to detail. Learn more about studiostere.it and book your check-up today.
Article written by Dr. Nicolò Stefanelli – Dentistry

 

 

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Article written by Dr. Nicolò Stefanelli – Dentistry