Periodontal Pain

8/8/2019 Periodontal Pain

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Syed.Khaja.AliuddinM.Sc.D(Endodontics)


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Normal Periodontiumy It is defined as tissue that surrounds,support the

teeth(CEMENTUM) are collectively called the

PER IO

DO

NTIUM .

y Their main funtions are to support and providenourishment to the teeth.


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Periodontal painy It is a deep somatic pain of musculoskeletal type.

y It is more localised than pulpal pain.

y It responds to provocation proportionately and in

graduated increments,rather than thresholdresponse like pulpal.


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y The localization is identified by application of pressure to

the tooth laterally or axially. Under the load of occlusalpressure during chewing, the tooth feels S O RE orELO NGATED.

y The discomfort may sometimes be felt when the bitingpressure is released, rather than sustained.

y Lateral or axial pressure may be applied to the tooth by theexaminer as a part of clinical exam .


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AetiologyThe causes are many and varied. It may occur as a

primary periodontal inflammatory condition arisingfromO ne common thing among all of them isdestruction of periodontium.

The most common factor is PLAQUE, which is

associated with poor oral hygiene.y As plaque remain for more days it results incalcification forming CALCULUS.


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y The other cause is loss of attachment due to

chronic irritation.

y SMO KING is one of the major cause of periodontitis.

H IV which cause the H IV associatedperiodontitis results in extension of attachmentloss which extend upto soft tissue and after that till

the bone causing necrotizing stomatitis of periodontal origin.


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It may result from a spreading inflammationreaction incidental to nearby trauma or healing wounds.

It may occur as an acute inflammation of apreexisting chronic periodontal lesion as a result of infection, injury, food impaction, or loweredresistance.

It may occur by direct extension from a nearby inflammatory condition involving an adjacent tooth,

maxillary antrum, or a spreading osseous infection.


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y W hen the periodontal pain involves several teeth,especially opposing teeth, the matter of O cclusaloverloading should be considered. this may occur with little or no evidence of gross disease.

y O verloading may occur not only from unusually

heavy O cclusal contact during mandibularmovement, but also from bruxism or clenching.


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y W ith multirooted teeth, one root may beperiapically or periodontally involved, while othershows symptoms of pulpal pain. These

circumstances can certainly confuse the clinician.Sometimes the localization of the electrode of thepulp tester on the tooth may give some indicationof the condition present.

y Radiographic evidence may add confirmation.


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Th erapeutic optionsy F or the management of primary deep somatic

pain.y Analgesics for palliative relief, + counseling.

y Cause related therapy consisting of accuratelocation of the true source of pain and propertreatment.


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THA NK YOU

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Periodontal Pain