Chronic periodontitis
A complete view of chronic periodontitis
Chronic periodontitis is a multifactorial inflammatory disease characterized by progressive destruction of the supporting tissues of the teeth, including the periodontal ligament and alveolar bone. It results from a complex interaction between dental plaque biofilm and the host immune response.
Clinically, chronic periodontitis presents with gingival inflammation, periodontal pocket formation, clinical attachment loss, gingival recession, tooth mobility, and eventual tooth loss. Disease progression is typically slow and is influenced by risk factors such as poor oral hygiene, smoking, diabetes mellitus, and genetic susceptibility.
Management involves non-surgical periodontal therapy (scaling and root planing), risk factor control, and maintenance therapy. Surgical intervention may be required in advanced cases to reduce pocket depth and regenerate lost periodontal tissues.