{"id":159,"date":"2017-04-18T01:40:51","date_gmt":"2017-04-17T23:40:51","guid":{"rendered":"https:\/\/www.dentalespace.com\/patient\/?p=159"},"modified":"2018-02-28T18:11:02","modified_gmt":"2018-02-28T17:11:02","slug":"23-problemes-gencive-htm","status":"publish","type":"post","link":"https:\/\/www.dentalespace.com\/patient\/23-problemes-gencive-htm\/","title":{"rendered":"Les probl\u00e8mes de gencive"},"content":{"rendered":"

[et_pb_section bb_built=\u00a0\u00bb1″ admin_label=\u00a0\u00bbsection\u00a0\u00bb][et_pb_row admin_label=\u00a0\u00bbrow\u00a0\u00bb][et_pb_column type=\u00a0\u00bb4_4″][et_pb_text admin_label=\u00a0\u00bbTexte\u00a0\u00bb background_layout=\u00a0\u00bblight\u00a0\u00bb text_orientation=\u00a0\u00bbleft\u00a0\u00bb use_border_color=\u00a0\u00bboff\u00a0\u00bb border_color=\u00a0\u00bb#ffffff\u00a0\u00bb border_style=\u00a0\u00bbsolid\u00a0\u00bb]<\/p>\n\n\n\n\n\n
La plaque dentaire et ses bact\u00e9ries ! La plaque dentaire est une accumulation de bact\u00e9ries et de quelques d\u00e9bris alimentaires qui se forme sur la surface des dents. Si elle n’est pas \u00e9limin\u00e9e chaque jour par le brossage, elle devient de plus en plus n\u00e9faste.<\/strong><\/td>\n<\/tr>\n
<\/td>\n<\/tr>\n
\n\n\n\n
Les bact\u00e9ries de la plaque dentaire sont responsables de l’inflammation de la gencive, de la perte de l’os qui soutient les dents et de la fabrication du tartre. Le stade ultime est la perte de la dent !
\n<\/strong><\/p>\n
\n
\u00a0\u00bb Ce n\u2019est pas une fatalit\u00e9. On peut garder ses dents toute la vie, \u00e0 condition de faire ce qu’il faut pour cela ! ! \u00ab\u00a0<\/strong><\/div>\n<\/div>\n

 <\/p>\n

Un peu d’anatomie :<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row admin_label=\u00a0\u00bbLigne\u00a0\u00bb][et_pb_column type=\u00a0\u00bb1_2″][et_pb_text admin_label=\u00a0\u00bbTexte\u00a0\u00bb background_layout=\u00a0\u00bblight\u00a0\u00bb text_orientation=\u00a0\u00bbleft\u00a0\u00bb use_border_color=\u00a0\u00bboff\u00a0\u00bb border_color=\u00a0\u00bb#ffffff\u00a0\u00bb border_style=\u00a0\u00bbsolid\u00a0\u00bb]<\/p>\n

\"La

La dent c’est comme un iceberg : la partie visible, c’est la couronne naturelle. la partie cach\u00e9e, c’est la racine dans l’os. Entre la racine et l’os il y a le ligament. La gencive recouvre et prot\u00e8ge l’os.<\/p><\/div>\n

[\/et_pb_text][\/et_pb_column][et_pb_column type=\u00a0\u00bb1_2″][et_pb_text admin_label=\u00a0\u00bbTexte\u00a0\u00bb background_layout=\u00a0\u00bblight\u00a0\u00bb text_orientation=\u00a0\u00bbcenter\u00a0\u00bb use_border_color=\u00a0\u00bboff\u00a0\u00bb border_color=\u00a0\u00bb#ffffff\u00a0\u00bb border_style=\u00a0\u00bbsolid\u00a0\u00bb]<\/p>\n

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Une gencive saine est rose, adh\u00e8re \u00e0 la dent et ne saigne pas<\/p><\/div>\n

[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row admin_label=\u00a0\u00bbLigne\u00a0\u00bb][et_pb_column type=\u00a0\u00bb4_4″][et_pb_text admin_label=\u00a0\u00bbTexte\u00a0\u00bb background_layout=\u00a0\u00bblight\u00a0\u00bb text_orientation=\u00a0\u00bbleft\u00a0\u00bb use_border_color=\u00a0\u00bboff\u00a0\u00bb border_color=\u00a0\u00bb#ffffff\u00a0\u00bb border_style=\u00a0\u00bbsolid\u00a0\u00bb] Les 4 stades d’atteinte de la gencive :<\/strong> [\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row admin_label=\u00a0\u00bbLigne\u00a0\u00bb][et_pb_column type=\u00a0\u00bb1_2″][et_pb_text admin_label=\u00a0\u00bbStade I\u00a0\u00bb background_layout=\u00a0\u00bblight\u00a0\u00bb text_orientation=\u00a0\u00bbleft\u00a0\u00bb use_border_color=\u00a0\u00bboff\u00a0\u00bb border_color=\u00a0\u00bb#ffffff\u00a0\u00bb border_style=\u00a0\u00bbsolid\u00a0\u00bb]<\/p>\n

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Stade I<\/p><\/div>\n

[\/et_pb_text][et_pb_text admin_label=\u00a0\u00bbStade III\u00a0\u00bb background_layout=\u00a0\u00bblight\u00a0\u00bb text_orientation=\u00a0\u00bbleft\u00a0\u00bb use_border_color=\u00a0\u00bboff\u00a0\u00bb border_color=\u00a0\u00bb#ffffff\u00a0\u00bb border_style=\u00a0\u00bbsolid\u00a0\u00bb]<\/p>\n

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Stade III<\/p><\/div>\n

[\/et_pb_text][\/et_pb_column][et_pb_column type=\u00a0\u00bb1_2″][et_pb_text admin_label=\u00a0\u00bbStade II\u00a0\u00bb background_layout=\u00a0\u00bblight\u00a0\u00bb text_orientation=\u00a0\u00bbleft\u00a0\u00bb use_border_color=\u00a0\u00bboff\u00a0\u00bb border_color=\u00a0\u00bb#ffffff\u00a0\u00bb border_style=\u00a0\u00bbsolid\u00a0\u00bb]<\/p>\n

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Stade II<\/p><\/div>\n

[\/et_pb_text][et_pb_text admin_label=\u00a0\u00bbTexte\u00a0\u00bb background_layout=\u00a0\u00bblight\u00a0\u00bb text_orientation=\u00a0\u00bbleft\u00a0\u00bb use_border_color=\u00a0\u00bboff\u00a0\u00bb border_color=\u00a0\u00bb#ffffff\u00a0\u00bb border_style=\u00a0\u00bbsolid\u00a0\u00bb]<\/p>\n

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Stade IV<\/p><\/div>\n

[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row admin_label=\u00a0\u00bbLigne\u00a0\u00bb][et_pb_column type=\u00a0\u00bb4_4″][et_pb_text admin_label=\u00a0\u00bbStade I\u00a0\u00bb background_layout=\u00a0\u00bblight\u00a0\u00bb text_orientation=\u00a0\u00bbleft\u00a0\u00bb use_border_color=\u00a0\u00bboff\u00a0\u00bb border_color=\u00a0\u00bb#ffffff\u00a0\u00bb border_style=\u00a0\u00bbsolid\u00a0\u00bb]<\/p>\n


\nStade I<\/strong><\/u><\/div>\n

La plaque dentaire et le tartre se d\u00e9posent sur les dents. Leurs effets sont les suivants :<\/p>\n

Les gencives sont un peu gonfl\u00e9es, rouges et saignent facilement au moindre contact : c’est la gingivite.<\/strong><\/p>\n

[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row admin_label=\u00a0\u00bbLigne\u00a0\u00bb][et_pb_column type=\u00a0\u00bb1_2″][et_pb_text admin_label=\u00a0\u00bbRadio\u00a0\u00bb background_layout=\u00a0\u00bblight\u00a0\u00bb text_orientation=\u00a0\u00bbleft\u00a0\u00bb use_border_color=\u00a0\u00bboff\u00a0\u00bb border_color=\u00a0\u00bb#ffffff\u00a0\u00bb border_style=\u00a0\u00bbsolid\u00a0\u00bb]<\/p>\n

\"\"

Pas de signes visibles \u00e0 la radio.<\/p><\/div>\n

[\/et_pb_text][\/et_pb_column][et_pb_column type=\u00a0\u00bb1_2″][et_pb_text admin_label=\u00a0\u00bbRadio\u00a0\u00bb background_layout=\u00a0\u00bblight\u00a0\u00bb text_orientation=\u00a0\u00bbleft\u00a0\u00bb use_border_color=\u00a0\u00bboff\u00a0\u00bb border_color=\u00a0\u00bb#ffffff\u00a0\u00bb border_style=\u00a0\u00bbsolid\u00a0\u00bb]<\/p>\n

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Pas de signes visibles \u00e0 la radio.<\/p><\/div>\n

[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row admin_label=\u00a0\u00bbLigne\u00a0\u00bb][et_pb_column type=\u00a0\u00bb4_4″][et_pb_text admin_label=\u00a0\u00bbStade I suite\u00a0\u00bb background_layout=\u00a0\u00bblight\u00a0\u00bb text_orientation=\u00a0\u00bbleft\u00a0\u00bb use_border_color=\u00a0\u00bboff\u00a0\u00bb border_color=\u00a0\u00bb#ffffff\u00a0\u00bb border_style=\u00a0\u00bbsolid\u00a0\u00bb]<\/p>\n

Le tartre est un \u00e9l\u00e9ment dur et poreux qui se forme \u00e0 partir de la plaque dentaire. C’est un support pour les bact\u00e9ries. Il constitue donc un \u00e9l\u00e9ment irritant tant chimique que m\u00e9canique pour la gencive.<\/p>\n

Le traitement de la gingivite : c’est le d\u00e9tartrage et la motivation<\/strong>.<\/p>\n

La motivation : c’est l’enseignement de l’hygi\u00e8ne afin d’assurer l’\u00e9limination compl\u00e8te de la plaque dentaire. Le praticien montre \u00e0 son patient comment se brosser efficacement et lui prescrit le mat\u00e9riel adapt\u00e9 \u00e0 ses dents (brosse \u00e0 dents, batonnets inter-dentaires, brossettes inter-dentaires, etc…)<\/p>\n

Le prix du d\u00e9tartrage :\u00a057,84\u20ac pour 2 s\u00e9ances<\/strong> rembours\u00e9s \u00e0 70% par la S\u00e9curit\u00e9 Sociale.<\/p>\n

Le d\u00e9tartrage rembours\u00e9 par la S\u00e9curit\u00e9 Sociale ne concerne que les plaques de tartre. En cas de suppression de taches disgracieuses (tabac, nourriture,etc…) il s’agit alors d’un acte \u00ab\u00a0hors nomenclature\u00a0\u00bb.
\nLe prix du d\u00e9tartrage avec en plus ce nettoyage esth\u00e9tique : 80 \u00e0 150\u20ac par s\u00e9ance rembours\u00e9 20,24\u20ac par s\u00e9ance.
\n<\/strong>
\nA ce stade tout est r\u00e9versible, vous pouvez retrouver une bonne sant\u00e9 gingivale avec un d\u00e9tartrage et un brossage bi-quotidien efficace.<\/strong><\/p>\n

[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row admin_label=\u00a0\u00bbLigne\u00a0\u00bb][et_pb_column type=\u00a0\u00bb1_2″][et_pb_text admin_label=\u00a0\u00bbPr\u00e9sence de tarte plaque dentaire photo\u00a0\u00bb background_layout=\u00a0\u00bblight\u00a0\u00bb text_orientation=\u00a0\u00bbleft\u00a0\u00bb use_border_color=\u00a0\u00bboff\u00a0\u00bb border_color=\u00a0\u00bb#ffffff\u00a0\u00bb border_style=\u00a0\u00bbsolid\u00a0\u00bb]<\/p>\n

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Pr\u00e9sence de tartre et de plaque dentaire.<\/p><\/div>\n

[\/et_pb_text][\/et_pb_column][et_pb_column type=\u00a0\u00bb1_2″][et_pb_text admin_label=\u00a0\u00bbGu\u00e9rison photo\u00a0\u00bb background_layout=\u00a0\u00bblight\u00a0\u00bb text_orientation=\u00a0\u00bbleft\u00a0\u00bb use_border_color=\u00a0\u00bboff\u00a0\u00bb border_color=\u00a0\u00bb#ffffff\u00a0\u00bb border_style=\u00a0\u00bbsolid\u00a0\u00bb]<\/p>\n

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Gu\u00e9rison 3 semaines plus tard.<\/p><\/div>\n

[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row admin_label=\u00a0\u00bbLigne\u00a0\u00bb][et_pb_column type=\u00a0\u00bb4_4″][et_pb_text admin_label=\u00a0\u00bbStade II\u00a0\u00bb background_layout=\u00a0\u00bblight\u00a0\u00bb text_orientation=\u00a0\u00bbleft\u00a0\u00bb use_border_color=\u00a0\u00bboff\u00a0\u00bb border_color=\u00a0\u00bb#ffffff\u00a0\u00bb border_style=\u00a0\u00bbsolid\u00a0\u00bb]<\/p>\n

Entre ces deux photos, il n’y a eu qu’un d\u00e9tartrage et un brossage efficace.<\/p>\n

Stade II<\/strong><\/u><\/div>\n

Le stade I non trait\u00e9 aboutit au stade II.<\/p>\n

La plaque dentaire progresse en profondeur. Une poche se forme entre la dent et la gencive. M\u00eame apr\u00e8s une motivation et un d\u00e9tartrage, il vous est difficile d\u2019\u00e9liminer la plaque dentaire au fond des poches.<\/p>\n

 <\/p>\n

[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row admin_label=\u00a0\u00bbLigne\u00a0\u00bb][et_pb_column type=\u00a0\u00bb1_2″][et_pb_text admin_label=\u00a0\u00bbstade II\u00a0\u00bb background_layout=\u00a0\u00bblight\u00a0\u00bb text_orientation=\u00a0\u00bbleft\u00a0\u00bb use_border_color=\u00a0\u00bboff\u00a0\u00bb border_color=\u00a0\u00bb#ffffff\u00a0\u00bb border_style=\u00a0\u00bbsolid\u00a0\u00bb]<\/p>\n

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Stade II<\/p><\/div>\n

[\/et_pb_text][\/et_pb_column][et_pb_column type=\u00a0\u00bb1_2″][et_pb_text admin_label=\u00a0\u00bbl\u00e9g\u00e8re baisse du niveau osseux\u00a0\u00bb background_layout=\u00a0\u00bblight\u00a0\u00bb text_orientation=\u00a0\u00bbleft\u00a0\u00bb use_border_color=\u00a0\u00bboff\u00a0\u00bb border_color=\u00a0\u00bb#ffffff\u00a0\u00bb border_style=\u00a0\u00bbsolid\u00a0\u00bb]<\/p>\n

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L\u00e9g\u00e8re baisse du niveau osseux<\/p><\/div>\n

[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row admin_label=\u00a0\u00bbLigne\u00a0\u00bb][et_pb_column type=\u00a0\u00bb4_4″][et_pb_text admin_label=\u00a0\u00bbStade III\u00a0\u00bb background_layout=\u00a0\u00bblight\u00a0\u00bb text_orientation=\u00a0\u00bbleft\u00a0\u00bb use_border_color=\u00a0\u00bboff\u00a0\u00bb border_color=\u00a0\u00bb#ffffff\u00a0\u00bb border_style=\u00a0\u00bbsolid\u00a0\u00bb]<\/p>\n\n\n\n\n
Traitement : curetage des poches sous anesth\u00e9sie locale<\/strong>.<\/p>\n

Apr\u00e8s vous avoir fait une anesth\u00e9sie locale, votre dentiste va nettoyer en profondeur l\u2019espace qui s\u2019est form\u00e9 entre la dent et la gencive. Le but de ce \u00a0\u00bb d\u00e9tartrage profond <\/strong>\u00a0\u00bb est d\u2019obtenir une nouvelle attache de la gencive sur la dent et une disparition de la poche.<\/p>\n

Le traitement n\u00e9cessite aussi de votre part une hygi\u00e8ne rigoureuse :<\/p>\n

    \n
  • Brossage bi-quotidien des dents et des gencives.<\/li>\n
  • Utilisation bi-quotidienne des b\u00e2tonnets inter-dentaires (et\/ou brossettes inter-dentaires)<\/li>\n<\/ul>\n

    Le prix :\u00a0150\u20ac \u00e0\u00a0250\u20ac par s\u00e9ance. <\/strong>\u00a0Acte hors nomenclature. Aucun remboursement par la S\u00e9curit\u00e9 Sociale.<\/td>\n<\/tr>\n

<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n
\n
Stade III
\n<\/u><\/strong><\/div>\n

 <\/p>\n

Le stade II non trait\u00e9 aboutit au stade III. Les bact\u00e9ries se sont multipli\u00e9es, la perte de l’os s’accentue. Les dents deviennent mobiles. C’est la \u00ab\u00a0maladie parodontale\u00a0\u00bb<\/strong> appel\u00e9e auparavant \u00ab\u00a0pyorrh\u00e9e alv\u00e9olaire\u00a0\u00bb ou \u00ab\u00a0arthrite dentaire\u00a0\u00bb ou encore \u00ab\u00a0d\u00e9chaussement des dents\u00a0\u00bb.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row admin_label=\u00a0\u00bbLigne\u00a0\u00bb][et_pb_column type=\u00a0\u00bb1_2″][et_pb_text admin_label=\u00a0\u00bbStade III\u00a0\u00bb background_layout=\u00a0\u00bblight\u00a0\u00bb text_orientation=\u00a0\u00bbleft\u00a0\u00bb use_border_color=\u00a0\u00bboff\u00a0\u00bb border_color=\u00a0\u00bb#ffffff\u00a0\u00bb border_style=\u00a0\u00bbsolid\u00a0\u00bb]<\/p>\n

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Stade III<\/p><\/div>\n

[\/et_pb_text][\/et_pb_column][et_pb_column type=\u00a0\u00bb1_2″][et_pb_text admin_label=\u00a0\u00bbPerte importante\u00a0\u00bb background_layout=\u00a0\u00bblight\u00a0\u00bb text_orientation=\u00a0\u00bbleft\u00a0\u00bb use_border_color=\u00a0\u00bboff\u00a0\u00bb border_color=\u00a0\u00bb#ffffff\u00a0\u00bb border_style=\u00a0\u00bbsolid\u00a0\u00bb]<\/p>\n

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Perte importante du soutien osseux.
Le probl\u00e8me est s\u00e9rieux, il faut agir vite!<\/p><\/div>\n

[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row admin_label=\u00a0\u00bbLigne\u00a0\u00bb][et_pb_column type=\u00a0\u00bb4_4″][et_pb_text admin_label=\u00a0\u00bbFin stade III + Stade IV\u00a0\u00bb background_layout=\u00a0\u00bblight\u00a0\u00bb text_orientation=\u00a0\u00bbleft\u00a0\u00bb use_border_color=\u00a0\u00bboff\u00a0\u00bb border_color=\u00a0\u00bb#ffffff\u00a0\u00bb border_style=\u00a0\u00bbsolid\u00a0\u00bb]<\/p>\n

Le traitement : la chirurgie \u00e0 lambeau.<\/p>\n

    \n
  • pr\u00e9paration initiale : d\u00e9tartrage, curetage, motivation.<\/li>\n
  • chirurgie dite \u00ab\u00a0\u00e0 lambeau\u00a0\u00bb (sous couverture antibiotique):<\/li>\n<\/ul>\n

    Cette intervention consiste \u00e0 \u00e9carter la gencive de fa\u00e7on \u00e0 d\u00e9couvrir l’os et les racines dentaires. Les buts sont les suivants:<\/p>\n

      \n
    • \u00e9liminer le tartre et la plaque dentaire pour polir les racines (surfa\u00e7age).<\/li>\n
    • am\u00e9liorer l’environnement osseux.<\/li>\n
    • favoriser la r\u00e9adaptation intime de la gencive sur la dent, ce qui supprimera la poche.<\/li>\n<\/ul>\n

      Ce traitement arr\u00eate la progression de la maladie mais malheureusement, ne reconstruit pas l’os que vous avez perdu.<\/strong> La gencive en se raffermissant d\u00e9couvre davantage la racine de la dent. Cette\u00a0nouvelle position de la gencive peut donner une impression de dent longue et parfois inesth\u00e9tique.<\/p>\n

      Les nouvelles techniques de dentisterie cosm\u00e9tique peuvent corriger ces aspects disgracieux.<\/p>\n

      Le prix: entre 300 \u20ac et\u00a0500 \u20ac.<\/strong> Acte hors nomenclature. Aucun remboursement par la S\u00e9curit\u00e9 Sociale.<\/p>\n

      Des techniques avanc\u00e9es viennent compl\u00e9ter la chirurgie \u00e0 lambeau :\u00a0 ces techniques se r\u00e9alisent pendant l’intervention \u00e0 lambeau.<\/p>\n

        \n
      • Les greffes osseuses<\/strong>: votre dentiste vous pr\u00e9l\u00e8ve dans la bouche un peu d’os pour le greffer l\u00e0 o\u00f9 il en manque.
        \n<\/u>Dans ce cas la greffe osseuse est autog\u00e8ne ( le donneur c’est vous ! ). Il peut \u00e9galement utiliser un mat\u00e9riau synth\u00e9tique qui va stimuler le reconstruction de l’os.<\/li>\n
      • La r\u00e9g\u00e9n\u00e9ration tissulaire guid\u00e9e<\/strong>: pose d’une membrane comme une toile de tente entre la gencive et la perte osseuse. L’os repousse vers ce plafond artificiel.<\/li>\n
      • Un antibiogramme cibl\u00e9<\/strong> \u00e0 l’aide de pr\u00e9l\u00e8vements bact\u00e9riens dans les poches, il augmentera l’efficacit\u00e9 du traitement antibiotique qui accompagne ces interventions.<\/li>\n<\/ul>\n

        Ces techniques\u00a0augmentent d’environ 150 \u20ac<\/strong> le co\u00fbt du traitement, sans remboursement.<\/p>\n

        Cette sacr\u00e9e plaque dentaire commence \u00e0 vous co\u00fbter cher !<\/p>\n

        Les gens avertis que vous serez d\u00e9sormais, pr\u00e9f\u00e8reront la pr\u00e9vention !<\/p>\n

        Stade IV<\/u><\/strong><\/div>\n

        [\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row admin_label=\u00a0\u00bbLigne\u00a0\u00bb][et_pb_column type=\u00a0\u00bb1_2″][et_pb_text admin_label=\u00a0\u00bbTrop tard photo\u00a0\u00bb background_layout=\u00a0\u00bblight\u00a0\u00bb text_orientation=\u00a0\u00bbleft\u00a0\u00bb use_border_color=\u00a0\u00bboff\u00a0\u00bb border_color=\u00a0\u00bb#ffffff\u00a0\u00bb border_style=\u00a0\u00bbsolid\u00a0\u00bb]<\/p>\n

        \"\"

        Trop tard !
        La dent est \u00e0 extraire. Elle devra \u00eatre remplac\u00e9e par un implant ou un bridge.
        Vous entrez maintenant dans le domaine de la r\u00e9habilitation dentaire par des moyens proth\u00e9tiques.<\/p><\/div>\n

        [\/et_pb_text][\/et_pb_column][et_pb_column type=\u00a0\u00bb1_2″][et_pb_text admin_label=\u00a0\u00bbStade IV\u00a0\u00bb background_layout=\u00a0\u00bblight\u00a0\u00bb text_orientation=\u00a0\u00bbleft\u00a0\u00bb use_border_color=\u00a0\u00bboff\u00a0\u00bb border_color=\u00a0\u00bb#ffffff\u00a0\u00bb border_style=\u00a0\u00bbsolid\u00a0\u00bb]<\/p>\n

        \"\"

        Stade IV<\/p><\/div>\n

        [\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row admin_label=\u00a0\u00bbLigne\u00a0\u00bb][et_pb_column type=\u00a0\u00bb4_4″][et_pb_text admin_label=\u00a0\u00bbTexte\u00a0\u00bb background_layout=\u00a0\u00bblight\u00a0\u00bb text_orientation=\u00a0\u00bbleft\u00a0\u00bb use_border_color=\u00a0\u00bboff\u00a0\u00bb border_color=\u00a0\u00bb#ffffff\u00a0\u00bb border_style=\u00a0\u00bbsolid\u00a0\u00bb] Voil\u00e0 donc comment on peut perdre ses dents : [\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row admin_label=\u00a0\u00bbLigne\u00a0\u00bb][et_pb_column type=\u00a0\u00bb1_2″][et_pb_text admin_label=\u00a0\u00bbStade I\u00a0\u00bb background_layout=\u00a0\u00bblight\u00a0\u00bb text_orientation=\u00a0\u00bbleft\u00a0\u00bb use_border_color=\u00a0\u00bboff\u00a0\u00bb border_color=\u00a0\u00bb#ffffff\u00a0\u00bb border_style=\u00a0\u00bbsolid\u00a0\u00bb]<\/p>\n

        \"\"

        Stade I<\/p><\/div>\n

        [\/et_pb_text][et_pb_text admin_label=\u00a0\u00bbStade III\u00a0\u00bb background_layout=\u00a0\u00bblight\u00a0\u00bb text_orientation=\u00a0\u00bbleft\u00a0\u00bb use_border_color=\u00a0\u00bboff\u00a0\u00bb border_color=\u00a0\u00bb#ffffff\u00a0\u00bb border_style=\u00a0\u00bbsolid\u00a0\u00bb]<\/p>\n

        \"\"

        Stade III<\/p><\/div>\n

        [\/et_pb_text][\/et_pb_column][et_pb_column type=\u00a0\u00bb1_2″][et_pb_text admin_label=\u00a0\u00bbStade II\u00a0\u00bb background_layout=\u00a0\u00bblight\u00a0\u00bb text_orientation=\u00a0\u00bbleft\u00a0\u00bb use_border_color=\u00a0\u00bboff\u00a0\u00bb border_color=\u00a0\u00bb#ffffff\u00a0\u00bb border_style=\u00a0\u00bbsolid\u00a0\u00bb]<\/p>\n

        \"\"

        Stade II<\/p><\/div>\n

        [\/et_pb_text][et_pb_text admin_label=\u00a0\u00bbTexte\u00a0\u00bb background_layout=\u00a0\u00bblight\u00a0\u00bb text_orientation=\u00a0\u00bbleft\u00a0\u00bb use_border_color=\u00a0\u00bboff\u00a0\u00bb border_color=\u00a0\u00bb#ffffff\u00a0\u00bb border_style=\u00a0\u00bbsolid\u00a0\u00bb]<\/p>\n

        \"\"

        Stade IV<\/p><\/div>\n

        [\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row admin_label=\u00a0\u00bbLigne\u00a0\u00bb][et_pb_column type=\u00a0\u00bb4_4″][et_pb_text admin_label=\u00a0\u00bbFin texte\u00a0\u00bb background_layout=\u00a0\u00bblight\u00a0\u00bb text_orientation=\u00a0\u00bbleft\u00a0\u00bb use_border_color=\u00a0\u00bboff\u00a0\u00bb border_color=\u00a0\u00bb#ffffff\u00a0\u00bb border_style=\u00a0\u00bbsolid\u00a0\u00bb]<\/p>\n\n\n\n\n
        N’attendez pas d’en arriver l\u00e0 !<\/p>\n

        La maladie parodontale peut-\u00eatre aggrav\u00e9e par des maladies g\u00e9n\u00e9rales comme le diab\u00e8te ou par le tabac.<\/p>\n

        A propos, voici ce que contient une cigarette, c’est tr\u00e8s \u00e9difiant,<\/span> cliquez, \u00e7a vaut la peine !<\/strong><\/a><\/span><\/td>\n<\/tr>\n

        <\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n
        Quelles peuvent \u00eatre les r\u00e9percussions sur l’organisme de la maladie parodontale ?
        \n<\/strong>
        \nNous savons maintenant que cette infection permanente des gencives (bact\u00e9ries contenues dans la poche parodontale) peut consistuer un facteur aggravant de certaines maladies et non des moindres. Les plus importantes sont\u00a0 :<\/p>\n
          \n
        • la\u00a0maladie coronarienne<\/strong> (angine de poitrine, infarctus du myocarde) : les bact\u00e9ries contriburaient \u00e0 la formation de plaque d’ath\u00e9rome sur la paroi interne des art\u00e8res coronaires.<\/li>\n
        • l’ endocardite<\/strong> (infection du muscle interne du coeur) : fixation et multiplication des bact\u00e9ries au niveau de l’endocarde.<\/li>\n
        • la \u00a0naissance pr\u00e9matur\u00e9e.<\/strong><\/li>\n
        • la pneumonie<\/strong> chez le sujet ag\u00e9.<\/li>\n
        • l’instabilit\u00e9 de l’\u00e9quilibre de la glyc\u00e9mie (diab\u00e8te).<\/strong><\/li>\n<\/ul>\n

          Que seront les traitements de la maladie de gencive au 21 \u00e8me si\u00e8cle ?<\/strong><\/p>\n

          Les donn\u00e9es <\/strong>:<\/p>\n

          Nous ne sommes pas tous \u00e9gaux devant les probl\u00e8mes de gencive. Avec la m\u00eame quantit\u00e9 de plaque dentaire certains individus pr\u00e9senteront une atteinte tr\u00e8s mod\u00e9r\u00e9e tandis que d’autres pr\u00e9senteront une destruction s\u00e9v\u00e8re des tissus de soutien de la dent.<\/p>\n

          La pr\u00e9vention <\/strong>:<\/p>\n

          Elle sera bas\u00e9e sur l’identification des patients \u00e0 risques qui devront \u00eatre trait\u00e9s avant l’apparition de la maladie.<\/p>\n

          Le praticien a maintenant \u00e0 sa disposition des tests qui permettent un d\u00e9pistage de la pr\u00e9disposition \u00e0 la maladie parodontale.<\/p>\n

            \n
          • Pr\u00e9sence de bact\u00e9ries virulentes.<\/li>\n
          • Nombre insuffisant ou mauvais fonctionnement de certaines cellules sanguines (polynucl\u00e9aires) qui doivent \u00eatre pr\u00e9sentes entre la gencive et la dent (tests PST).<\/li>\n
          • Pr\u00e9sence de tartre, de plaque dentaire, de proth\u00e8se d\u00e9fectueuses.<\/li>\n<\/ul>\n

            D’autres facteurs pourront compromettre la r\u00e9sistance \u00e0 la maladie parodontale: le diab\u00e8te, le tabac, le stress, le sida et certains m\u00e9dicaments.<\/p>\n

            Les fumeurs pr\u00e9sentent un risque majeur de maladie parodontale.<\/p>\n

            Les traitements <\/strong>:<\/p>\n

              \n
            • Patients \u00e0 risque faible :<\/li>\n<\/ul>\n

              D\u00e9tartrage, conseils d’hygi\u00e8ne, r\u00e9fection de proth\u00e8ses mal adapt\u00e9es pouvant retenir la plaque dentaire.
              \nVisites de contr\u00f4le r\u00e9guli\u00e8res.<\/p>\n

                \n
              • Patients \u00e0 risque \u00e9lev\u00e9 :<\/li>\n<\/ul>\n
                  \n
                1. Utilisation d’antiseptiques locaux et d’antibiotiques cibl\u00e9s afin de supprimer les bact\u00e9ries virulentes.<\/li>\n
                2. Apprentissage d’une technique d’hygi\u00e8ne bucco-dentaire efficace.<\/li>\n
                3. Suppression des \u00e9l\u00e9ments qui retiennent la plaque dentaire (tartre, proth\u00e8ses et reconstitutions d\u00e9fectueuses).<\/li>\n
                4. En cas de destruction osseuse et gingivale, la chirurgie peut \u00eatre n\u00e9cessaire.<\/li>\n
                5. Visites de maintenance tous les trois \u00e0 six mois.<\/li>\n<\/ol>\n

                  La maladie parodontale est un v\u00e9ritable probl\u00e8me de sant\u00e9 public qui n’est pas encore pris en compte \u00e0 sa juste valeur. La carie dentaire est une affection qui diminue dans les pays occidentaux, tandis que la maladie parodontale est la cause principale de la perte des dents apr\u00e8s l’\u00e2ge de 40 ans !<\/strong><\/p>\n

                  La carie dentaire provoque des rages de dents, en revanche l’atteinte de l’os et des gencives est une affection qui \u00e9volue \u00e0 bas bruits et ne se manifeste pour le patient que lorsque le mal est d\u00e9j\u00e0 fait.<\/p>\n

                  La pr\u00e9vention est donc la notion la plus importante dans la prise en charge de cette maladie.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

                  [\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"

                  La plaque dentaire et ses bact\u00e9ries ! La plaque dentaire est une accumulation de bact\u00e9ries et de quelques d\u00e9bris alimentaires qui se forme sur la surface des dents. Si elle n’est pas \u00e9limin\u00e9e chaque jour par le brossage, elle devient de plus en plus n\u00e9faste. Les bact\u00e9ries de la plaque dentaire sont responsables de l’inflammation […]<\/p>\n","protected":false},"author":1,"featured_media":543,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_bbp_topic_count":0,"_bbp_reply_count":0,"_bbp_total_topic_count":0,"_bbp_total_reply_count":0,"_bbp_voice_count":0,"_bbp_anonymous_reply_count":0,"_bbp_topic_count_hidden":0,"_bbp_reply_count_hidden":0,"_bbp_forum_subforum_count":0,"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"categories":[4,18],"tags":[],"class_list":["post-159","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-gencive","category-soins-dentaires","et-doesnt-have-format-content","et_post_format-et-post-format-standard"],"yoast_head":"\nLes probl\u00e8mes de gencive - Dentalespace<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.dentalespace.com\/patient\/23-problemes-gencive-htm\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Les probl\u00e8mes de gencive - 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