Periodontitis (Pyorrhea?- Causes, Signs and Symptoms, diagnosis and treatment?

Pyorrhea or periodontal disease to give it a proper medical term, is a disease of the teeth socket. It is one


Authors: Dr Pooja BDS
Dr Ranjeet Singh ( Ayurvedacharya)


Pyorrhea or periodontal disease to give it a proper medical term, is a disease of the teeth socket. It is one of the most widely prevalent disease these days. It affects the membrane surrounding the teeth root, with loosening of the teeth, pus formation and shrinkage of the gum. This disease is the primary cause for tooth loss among adults.

Pyorrhoea affects persons of all ages. About half the adult population over the age of 18 suffer from early stages of this disease. Even children of 5 years or so may have signs of the disease. It progresses with increasing age. Unless treated properly, it may lead to loss of supporting bone of teeth and ultimately to tooth loss.

What are the Symptoms of Pyorrhea?

The gum becomes tender on pressing, pus oozes out along the margin of the teeth. Pus from the cavities continually finds its way into the stomach. When the disease is far advanced, the gums become swollen and stomach, being closed with increasing quantities of pus, does not function properly. Sepsis may appear in various forms, digestion is disturbed, liver trouble sets in and the whole system is adversely affected.

What are the signs of Pyorrhea?

  • Bleeding on pressure
  • Halitosis
  • Tooth mobility
  • Swelling of gums
  • Redness of gingiva
  • Gingival recession
  • Deep sockets between teeth and gums

How to diagnose pyorrhoea?

It is made on the basis of signs and symptoms. Radiography shows reduced level of the alveolar bone.

Causes of Pyorrhea?

Pyorrhea is triggered by bacterial activity. A thin layer of harmful bacteria is continuously building up in our teeth. If it is not removed by tooth cleansing, especially after meals, it forms and organised mass on the tooth surface in a short time this is referred to as a “bacterial plaque“when accumulated, bacteria in plague produce many toxins which irritate the gums, cause them to become inflamed, tender and bleed easily. The bacterial activity is, however facilitated by the lowered vitality of the system caused by acidosis as a result of wrong feeding habits. The habitual use of white bread, white sugar, refined cereals and much meat, leads to swamping of the blood and tissue with acid waste matter and to the development of disease in one form or another. Pyorrhea is one of the many forms this swamping of the system with acid impurities takes.

How to manage Pyorrhea?

Any treatment for pyorrhea, to be effective, should be constitutional. It should aim at cleansing the blood and tissues of the acid impurities which are at the root of the trouble. The extraction of teeth affected with the disease will not help clear the systemic toxaemia.

White bread, white sugar and all refined and tinned foods must be completely given up. Condiments, sauces, alcohol, coffee and strong tea as well as meat and other flesh foods should also be avoided. Patient should also keep away from starchy and sticky foods.

Chewing unripe guava is an excellent tonic for teeth and gums. It stops are bleeding from gums due to its styptic effect and rich in vitamin-C. Chewing its tender leaves also helps in curing bleeding from gums and keep the teeth healthy. A decoction of the root bark can also be beneficially used as mouthwash for swollen gums.

Lemon and lime are also useful in pyorrhea due to their high vitamin-C content. They strengthen the gums and teeth and are very effective for preventing and curing acute informations of the gum margins.

Some other important methods are also helpful in treating Pyorrhea; such as- maintenance of proper oral hygiene, dental flossing, use of inflammatory drugs, proper method of toothbrushing, use of antibiotics to control infection and scaling ( is the procedure used to remove infected deposits like plague, calculus and stains formed on the tooth surfaces).

One should also do:

  • Regular massage of dantavesthari on affected area.
  • Regular use of Danta Prabhakara Manjan.
  • Gargles of decoction of catechu, babul bark, nimb bark and lemon leaves.