Signs & Symptoms of Periodontal Disease and Cause of Mouth Odour (Odor)

Signs & Symptoms of Periodontal Disease and Cause of Mouth Odour (Odor)

(i) SYMPTOMS OF PERIODONTAL DISEASE


a. Local symptoms:

  1. Pain.
  2. Gum bleeding.
  3. Foul taste.
  4. Discharge of pus.
  5. Hypersensitivity of teeth.
  6. Excessive salivation.

b. Systemic symptoms:

  1. Fever.
  2. Anorexia.
  3. Headache
  4. Loss of appetite.
  5. Constipation.

(ii) SIGNS OF PERIODONTAL DISEASE.

  1. Formation of plaque and calculus.
  2. Loosening of the teeth.
  3. Pocket formation.
  4. Bone destruction-Vertical and Horizontal.
  5. Gingival signs:
  6. Local lymphadenopathy.

PERIODONTAL PAIN BY ITS DISEASE

ANUG : Constant radiating, growing pain, intensified by hot food or mastication.
Chronic periodontitis : Localized dull steady pain, intensified by pressure.
Chronic periodontal abscess : Dull, growing pain, diminished by bite down on and grind.
Periodontal pocket : Localized pain after eating, radiating deep to the bone.
Traumatic periodontitis : Throbbing pain, intensified by pressure.
Acute periodontal abscess : Throbbing radiating pain.
Desquamative gingivitis : Burning sensation, intensified by air inhalation or thermal changes.

CAUSES OF MOUTH ODOR

A. Local causes of mouth odour

B. Extra oral causes of mouth odor/systemic causes:

  1. Disease of adjacent structure associated with rhinitis, sinusitis, tonsillitis etc.
  2. Disease of the lung, for example-
  3. Alcoholic breath.
  4. Acetone odour of diabetes.
  5. Uremic breath in kidney diseases.

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