[{"id": 134991, "created": "2019-09-06T19:44:21.013049", "project_id": 379, "task_id": 74776, "user_id": 138, "user_ip": null, "finish_time": "2019-09-06T20:17:19.532231", "timeout": null, "calibration": null, "external_uid": null, "media_url": null, "info": {"other": "", "translation": "Paradontosis\r\n\r\nby Karl Hermann Lorenz MD\r\n\r\nContinued\r\n\r\nIn my first essay on Parodontosis I have tried to paint a picture about the reasons that essentially cause the syndrome of Parodontosis. We have seen that the occasional irritating factors like calculus, ill fitting crowns and fillings can cause chronic inflammations, whereas like in all inflammatory phenomena there also has to be in infection factor present. Further we glanced at the importance of equal loading of all teeth and the special selection of food stuffs, At the end of our enumeration stood the deformation of the dental core and the factor of the soul. In review of my remarks it would be therefore particularly important to mention, that the symptoms of the Parodontosis only derive from the confluence of many or all factors.\r\n\r\nHow do we now get to the fearsome loosening with the final outcome of falling out? To answer this question, we have a look at the symptoms of the Parodontosis: as mentioned, calculus, food residue and bacteria cause gum inflammation, which, in its chronic state, attacks the deeper tissue layers and the underlying bones. At the same time, the epithel of the mucous membrane advances and pushes from the gum line into the space between the bone and the dental root. So both processes advance from the crown of the tooth towards the tip of the root. Those binding tissue fibres, which hold the tooth like a gun barrel on a gun carriage are quickly loosened and then destroyed. The final state has been reached, when the inflammatory process encloses the entire circumference of the tips of the root. The tooth turns into an alien body and is being rejected.\r\n\r\nThis process develops noticeably without medical intervention. How does the doctors notice early enough, that they face a real Parodontosis? There is a number of characteristic phenomena, which, if recognized in time, enable a timely and successful treatment.  One only has to know that the Parodontosis as a chronic disease stretches over long periods of time, often years.\r\n\r\n1.) The first symptom is the diastoma, which means the apparently gratuitous separation of the upper middle incisors. They are losing touch to each other. This separation progresses from the center in all directions. The same phenomenon develops later in the lower jaw. At the end, all teeth of the upper and lower jaw have lost touch with their neighbours. Hand-in-hand with this appear the first symptoms of loosening with pocket depths, to which I will come back later.\r\n\r\n2.) What picture does the gum present now? One finds a chronically inflammed gum, which, swollen at its seam and coloured dark red to slightly blue-ish, releases a puss-like secretion from its depth when pressured with a finger. The affected patients  complain about a bad taste and smell in their mouths. The gum tips have shrunken and sometimes entirely disappeared."}}, {"id": 155876, "created": "2021-06-17T13:06:23.769266", "project_id": 379, "task_id": 74776, "user_id": 2286, "user_ip": null, "finish_time": "2021-06-17T13:06:47.494854", "timeout": null, "calibration": null, "external_uid": null, "media_url": null, "info": {"other": "", "translation": "Periodontosis \r\n\r\nby Doctor of Medicine Karl-Hermann Lorenz\r\n\r\nContinuation\r\nIn my first essay on periodontosis I have tried to present to you a picture of the reasons which mainly result in the disease pattern of periodontosis . We have seen that occasional stimulus factors like tartar, ill-fitting tooth crowns and fillings can cause chronic inflammations - as in general an infection (infection factor) is the reason for inflammatory symptoms. \r\nHow does the feared loosening with the resulting failure come about? To answer this question, let us look at the clinical picture of periodontosis: As already mentioned, tartar, food residues and bacteria cause inflammation of the gums, which, due to its chronic state, attacks the deeper layers of the tissue and the underlying bone. At the same time, the epithelium of the oral mucosa pushes and pushes from the gum line into the space between the bone and the root of the tooth. Both processes thus move from the \"crown\" of the tooth towards the tip of the root. Those connective tissue fibres that hold the tooth in its carriage like a gun barrel are loosened briefly and then destroyed. The final state is reached when the inflammatory process encloses the root tip of the tooth in question from all sides. The tooth becomes a foreign body and is rejected.\r\nThis process develops without any medical intervention. How can the doctor tell early enough that it is a real periodontal disease? There are a number of characteristic features which, if recognised in time, allow early treatment with success. It is important to know that periodontal disease is a chronic disease that lasts for a long time, usually years.\r\n1.) The first conspicuous feature is the diastema, i.e. the seemingly unprovoked separation of the upper central incisors.\r\nThey lose contact with each other. This separation continues from the middle to all sides. The same picture can be seen later in the lower jaw. In the end, almost all teeth of the upper and lower jaw have lost contact with their neighbours. Hand in hand with this picture, the first signs of loosening with pocket depths begin, which I will come back to later.\r\n2.) What is the picture of the gums? One finds chronically inflamed gums, which are swollen, dark red to slightly bluish in colour, and which discharge a purulent secretion from the depths when pressed with the finger. The patients concerned therefore also complain of bad taste and smell in the mouth. The tips of the gums have shrunk, in some cases disappeared completely."}}]