History
Investigation into the causes and characteristics of periodontal diseases began in the 18th century with pure clinical observation, and this remained the primary form of investigation well into the 19th century. During this time, the signs and symptoms of periodontal diseases were firmly established:
- Rather than a single disease entity, periodontal disease is a combination of multiple disease processes that share a common clinical manifestation.
- The etiology (cause) includes both local and systemic factors.
- The disease consists of a chronic inflammation associated with loss of alveolar bone.
- Advanced disease features include pus and exudates.
- Essential aspects of successful treatment of periodontal disease include initial debridement and maintenance of proper oral hygiene.
The advent of microscopy allowed later studies performed at the turn of the 19th century to report the histological structures and features of periodontal lesions, but most were limited to advanced stages of the disease. Progress in microscopy in the 1960s, such as advances in histopathology and stereology, allowed researchers to focus on earlier stages of inflammatory processes while the innovation of experimentally-induced periodontal disease in both human and animal models allowed for more detailed research into the temporal progression of the pathogenesis of plaque-induced periodontal disease.
Historically, chronic plaque-induced periodontal diseases were divided into three categories:
- subclinical gingivitis
- clinical gingivitis
- periodontal breakdown
Read more about this topic: Periodontal Disease
Famous quotes containing the word history:
“We aspire to be something more than stupid and timid chattels, pretending to read history and our Bibles, but desecrating every house and every day we breathe in.”
—Henry David Thoreau (1817–1862)
“When the coherence of the parts of a stone, or even that composition of parts which renders it extended; when these familiar objects, I say, are so inexplicable, and contain circumstances so repugnant and contradictory; with what assurance can we decide concerning the origin of worlds, or trace their history from eternity to eternity?”
—David Hume (1711–1776)
“It would be naive to think that peace and justice can be achieved easily. No set of rules or study of history will automatically resolve the problems.... However, with faith and perseverance,... complex problems in the past have been resolved in our search for justice and peace. They can be resolved in the future, provided, of course, that we can think of five new ways to measure the height of a tall building by using a barometer.”
—Jimmy Carter (James Earl Carter, Jr.)