On chronic inflammatory periodontal more likely to provide acute and granulomatous periodontitis granulation, fibrous - less frequently. The clinical picture. Chronic periodontitis in the acute phase of clinical manifestations has much in common with acute periodontitis. It is sometimes difficult to distinguish primary arising from acute exacerbation of chronic periodontitis, which occurs much more frequently than the first.
Symptoms such as persistent pain, collateral soft tissue swelling, the reaction of lymph nodes, the mobility of the teeth and palpation of the painful transition to the crease of the causative tooth, there are chronic periodontitis in the acute stage. Patients may be noted malaise, headache, poor sleep, fever, leukocytosis and increased ESR. However, the presence of destructive changes in periodontal and sometimes fistulous a certain extent, does not develop severe inflammatory changes of surrounding tooth tissue. Exacerbations of chronic periodontitis in 37% of cases lead to abscesses and cellulitis admaxillary.
X-ray in chronic periodontitis in the acute phase of inflammation is determined by the shape prior to exacerbation. Reduced the clarity of boundaries bone loss during exacerbation of chronic fibrotic and granulomatous th periodontitis.
Chronic granulating periodontitis radiographically in the acute stage is manifested more blur the picture.
Pathological anatomy. Pathological changes during exacerbations of chronic periodontitis independent of the inflammatory process and the limitations of different immunological reactivity. They are mainly manifested an increase in exudate and the number of neutrophils, cells and fibers.
Symptoms such as persistent pain, collateral soft tissue swelling, the reaction of lymph nodes, the mobility of the teeth and palpation of the painful transition to the crease of the causative tooth, there are chronic periodontitis in the acute stage. Patients may be noted malaise, headache, poor sleep, fever, leukocytosis and increased ESR. However, the presence of destructive changes in periodontal and sometimes fistulous a certain extent, does not develop severe inflammatory changes of surrounding tooth tissue. Exacerbations of chronic periodontitis in 37% of cases lead to abscesses and cellulitis admaxillary.
X-ray in chronic periodontitis in the acute phase of inflammation is determined by the shape prior to exacerbation. Reduced the clarity of boundaries bone loss during exacerbation of chronic fibrotic and granulomatous th periodontitis.
Chronic granulating periodontitis radiographically in the acute stage is manifested more blur the picture.
Pathological anatomy. Pathological changes during exacerbations of chronic periodontitis independent of the inflammatory process and the limitations of different immunological reactivity. They are mainly manifested an increase in exudate and the number of neutrophils, cells and fibers.
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