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Pyorrhoea

Condition Overview:

Periodontitis (pyorrhoea) is a severe form of gingivitis in which the inflammation of the gums extends to the supporting structures of the tooth.

pyorrhoea is one of the main causes of tooth loss in adults and is the main cause in older people. Infection erodes the jawbone, which holds the teeth in place. The erosion weakens the attachments and loosens the teeth. An affected tooth may eventually fall out or need to be pulled out.Most pyorrhoea results from a long-term accumulation of plaque and tartar between the teeth and the gums. Pockets form between the teeth and gums and extend downward between the root of the tooth and the underlying bone. These pockets collect plaque in an oxygen-free environment, which promotes the growth of aggressive forms of bacteria. If the disease continues, eventually so much jawbone near the pocket is destroyed that the tooth loosens and could fall out.

The rate at which periodontitis develops differs considerably, even among people with similar amounts of tartar. That is because plaque contains different types and numbers of bacteria and because people have different responses to the bacteria. Periodontitis may produce bursts of destructive activity that lasts for months followed by periods when the disease apparently causes no further damage.

Many diseases and disorders—including diabetes mellitus, Down syndrome, Crohn's disease, leukopenia, and AIDS—can predispose a person to periodontitis. In people with AIDS, periodontitis progresses quickly.