Double chronic periodontitis-what does that mean?
The attempt of this newsletter is to inform you about the difference between chronic generalized periodontitis and chronic apical periodontitis.
The main difference is the etiology, or otherwise said the genesis, which results in bone destruction.
The periapical abscess starts in the dental pulp whereas periodontal abscess begins in the supporting bone and tissue structures of the teeth.
Chronic Apical Periodontitis is caused by dead and untreated tooth, or a bad root canal performed on a tooth. A radiographic image shows a dark spot on the root tip. The inflammation causes bone resorption, therefore the x-rays can get through much easier, which is visible as a dark spot.
Chronic Generalized Periodontitis is caused mainly by the accumulation of plaque, and the lack of periodontal therapy throughout the years. The microorganisms adhere and grow on the root surface which leads to progressive bone loss around the teeth. Fortunately, periodontitis is easily controlled by good oral hygiene. (red=bone, green=bone)
Both diseases have one thing in common: If untreated, they result in tooth loss due to bone loss.
If you are observing your x-rays and notice dark spots on the root tip and/or the jaw bone is built horizontally or vertically, please seek the help of a periodontist.
Chronic gereralized periodontitis–chronic apical periodontitis,
