牙周炎与牙龈炎如何鉴别 石晶 山西省人民医院

牙周炎与牙龈炎如何鉴别 石晶 山西省人民医院
牙龈炎和牙周炎的鉴别在临床上是比较简单的，首先牙龈炎的时候，所有的牙龈炎可能都会是刷牙出血或者检查时候牙龈有出血、牙周有溢脓等等，但是牙龈炎是牙周炎的其中一种，它和牙周炎最主要的区别，局部的菌斑或者是牙结石上面附着的成千上亿的细菌，还没有导致牙槽骨的吸收、没有形成真正的牙周袋，只是局部牙龈的炎症，牙龈的增生没有破坏到牙槽骨，真正到破坏牙槽骨的时候到牙周病这个阶段的时候，牙龈炎症和牙龈的出血、溢脓也是牙周病的临床表现之一，但是最主要的是牙槽骨的吸收、牙周附着的丧失，这时候通过在临床上用探针去检查的时候，就可以探到釉牙骨质界、真性的牙周袋的形成，可以看到牙根表面有牙结石的附着。

How to distinguish periodontitis from gingivitis
The difference between gingivitis and periodontitis is relatively simple clinically, First of all, when you have gingivitis, All gingivitis may be bleeding from brushing teeth or bleeding from gums, peridontia, etc, But gingivitis is one kind of periodontitis, The main difference between it and periodontitis, There are hundreds of billions of bacteria on the local plaque or calculus, It has not yet led to the absorption of alveolar bone and the formation of a real periodontal pocket, It's just inflammation of the local gums, Gingival hyperplasia did not damage the alveolar bone, When it comes to alveolar bone destruction and periodontal disease, Gingivitis, bleeding and pyorrhea are also clinical manifestations of periodontal disease, But the most important is the absorption of alveolar bone and the loss of periodontal attachment, At this time, by using the probe in clinical examination, We can find out the formation of enamel cementum and true periodontal pocket, We can see the attachment of calculus on the root surface.