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В периодонте находятся нервы, кровеносные и лимфатические сосуды, питающие зуб [1](https://www.VIDAL.ru/encyclopedia/stomatologiya/periodontit). \n\nРазличают **острый** и **хронический периодонтит** [1](https://www.VIDAL.ru/encyclopedia/stomatologiya/periodontit)[13](https://profismile.ru/stati/periodontit-vospalenie-kotoroe-nelzya-ignorirovat).\n\n\n\n## Причины\nНекоторые причины периодонтита: \n* **Запущенный кариес и пульпит** — инфекция через кариозную полость проникает в пульпу, вызывая её отмирание, а затем выходит за верхушку корня, заражая периодонт [6](https://UliSTOM.ru/hronicheskij-periodontit/). \n* **Некачественное стоматологическое лечение** — например, оставшийся под пломбой кариес или не полностью удалённый нерв [6](https://UliSTOM.ru/hronicheskij-periodontit/). \n* **Травма зуба** — сильный удар в зуб или челюсть может привести к отмиранию пульпы без видимого разрушения зуба [6](https://UliSTOM.ru/hronicheskij-periodontit/). \n* **Сопутствующие инфекции** — в редких случаях инфекция попадает в периодонт гематогенно (с кровотоком) или из близлежащих очагов [6](https://UliSTOM.ru/hronicheskij-periodontit/).\n\n## Симптомы\nПроявления периодонтита зависят от его формы [12](https://ProBolezny.ru/periodontit/): \n* **Острая форма** — нарастающая боль при нажатии или жевании, ощущение давления в десне, повышение температуры, отёк мягких тканей лица или десны, появление гнойного отделяемого [13](https://profismile.ru/stati/periodontit-vospalenie-kotoroe-nelzya-ignorirovat). \n* **Хроническая форма** — могут отсутствовать острые симптомы, периодические боли ноющего характера, свищ — маленькое отверстие на десне, через которое выходит гной, потемнение зуба, неприятный запах изо рта [13](https://profismile.ru/stati/periodontit-vospalenie-kotoroe-nelzya-ignorirovat).\n\n## Диагностика\nДля диагностики периодонтита используют: \n* **Осмотр полости рта и пальпацию** [13](https://profismile.ru/stati/periodontit-vospalenie-kotoroe-nelzya-ignorirovat). \n* **Рентгеновский снимок** — визуализация очага воспаления [13](https://profismile.ru/stati/periodontit-vospalenie-kotoroe-nelzya-ignorirovat). \n* **Конусно-лучевую томографию** — 3D-изображение зуба [13](https://profismile.ru/stati/periodontit-vospalenie-kotoroe-nelzya-ignorirovat). \n* **Тест на жизнеспособность пульпы (ЭОД)** [13](https://profismile.ru/stati/periodontit-vospalenie-kotoroe-nelzya-ignorirovat).\n\n## Лечение\nГлавная цель лечения — удалить источник инфекции и восстановить зуб, если возможно [13](https://profismile.ru/stati/periodontit-vospalenie-kotoroe-nelzya-ignorirovat). 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