Pediatric dentistry

Periodontitis in children

Periodontal disease is a disease in which inflamed all periodontal tissues. Occurs inflammation of the gums, destruction of the muscle bundles, the formation of abnormal formations on the gums (called periodontal) pockets, the process affects the bone, then begin to loosen and fall out teeth.

Periodontitis in children usually occurs at the age of 9 — 10 years. And though it’s not the most common dental disease, it occurs in only 3 — 5% of children, there is no guarantee that your child has this disease will not touch.

Peculiarities of the course of periodontitis in children is that the inflammatory process affects functionally immature growing constantly reconstructing tissue, which often do not adequately respond to even minor damage.

In addition to standard division on the prevalence of local and generalized, and chronic and acute by nature of course, children’s periodontitis is subdivided into prepubertal and pubertal.

Prepubertal periodontitis

It begins in the process of eruption of milk teeth or immediately upon its completion. Characterized by impaired connection of the gums to the tooth and serious destruction (restructuring) of the bone. Prepubertal periodontitis is already at a very early age leads to the loss of a large number of milk teeth, after which the inflammatory process extends to the beginnings of permanent teeth. The reasons for the development of prepubertal periodontitis are often immunocompromised, and the presence in the oral cavity of the child specific species of microorganisms, the original media which in most cases are the parents.

Pubertal periodontitis

In adolescence insufficiently thorough oral hygiene, change of hormonal background, various forms of anomalies of tooth structure, for example, open bite, and many other causes lead to the occurrence of inflammation. Itching, bloating in the gums, bad breath child, thickening of saliva, discharge from the periodontal pockets and loose teeth are the main symptoms of puberty or adolescence, periodontitis.

Main cause of periodontal disease is age-related features

It would seem that it can provoke such unpleasant disease in the child? Just features children mainly and causes periodontitis. There is also a number of etiological factors causing periodontitis, which are divided into two groups.

Causes of periodontitis in a child

Low level of oral hygiene

The inability to properly brush your teeth with a special children’s toothbrush and unwillingness to conduct regular hygiene procedures lead to the accumulation in the periodontal pockets of microorganisms and their toxins trigger an inflammatory process.

Short frenulum of tongue or lips

Not long enough frenulum provoke atrophy and inflammation of the gum area due to the constant tension of the fibers of the bridle. The inflammatory process is localized in the lower Central teeth.

Chewing food with one hand

The habit of chewing on one side is fraught with the accumulation of plaque on the teeth involved in chewing. You must explain to the child that food should be chewed on both the left and on the right side.

Anomalies and deformations of tooth-jaw system

The development of the inflammatory process in periodontal tissues may be due to functional overload of certain teeth, and insufficient load on them. This is because of a malocclusion or an incomplete set of teeth (permanent teeth have not yet grown up, and some dairy already had).

Trauma gums

This group of factors that trigger the occurrence and development of periodontal disease, includes chronic injury gums destroyed teeth or parts of the braces, as well as defects in the sealing and damage of periodontal tissues nails, pens, hair pins.


Too soft food is not conducive to a sufficient load on the masticatory apparatus of the child and the purification of the teeth, resulting in the accumulation of plaque at their base, and as a consequence — the emergence in children of Tartar.

Diseases that affect the development of periodontal disease

Some diseases, such as beriberi, disorders of the endocrine system, congenital heart disease, diabetes may serve as risk factors. In addition, a weakened immune system often contributes to the development of periodontitis.

Treatment of periodontitis in children

Treatment of periodontitis in childrenNon-surgical methods of treatment of inflammatory process of periodontal tissues are the same as in adults. This will include professional hygiene of the oral cavity and various physiotherapeutic procedures. May also be required and surgical intervention, for example, correction of frenulum of the lips. In any case, before prescribing certain procedures the child should visit pediatric dentistry for advice from three experts — physicians, surgeons, and orthodontist. They will determine the true cause of periodontal disease and will develop an individual treatment plan.

It is also important to exclude systemic diseases that can provoke periodontitis. Their treatment should be carried out with the participation of a specialist of the corresponding profile.

Home methods of treatment of periodontitis
Inflammation of periodontal tissues really possible to stop yourself, but only in the early stages.

It should be understood that in the later stages of periodontitis can be cured only by the dentist, using technically complex methods, and folk remedies will be most effective in the treatment in children gingivitis (gum disease before the spread of the inflammatory process on other tissues of the periodontium) and only at the very beginning of his transition to periodontitis.

It is better if the treatment of periodontitis in the home will be accompanied by other prevention measures: teach your child how to properly brush your teeth, assure him that this should be done regularly, teach that you need to chew on both sides and tell us what it is desirable to use a rinse aid.

Treatment of periodontitis – the cost of services

The cost of fighting periodontal disease will depend on the complexity of the clinical case. Sometimes it is enough to consider the price of ultrasonic cleaning, and more difficult to the cost is added the cost of correction of frenulum, as well as the cost of physiotherapy and other treatments.

Periodontitis is a serious disease that leads to very unpleasant consequences, in particular, the loss of teeth. Thorough oral hygiene, sufficient amount of solid food, absence of bad habits and regular visits to a pediatric dentist are important aspects of prevention of the inflammatory process of periodontal tissues in children.

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