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:
“No matter how vital experience might be while you lived it, no sooner was it ended and dead than it became as lifeless as the piles of dry dust in a school history book.”
—Ellen Glasgow (1874–1945)
“False history gets made all day, any day,
the truth of the new is never on the news
False history gets written every day
...
the lesbian archaeologist watches herself
sifting her own life out from the shards she’s piecing,
asking the clay all questions but her own.”
—Adrienne Rich (b. 1929)
“It may be well to remember that the highest level of moral aspiration recorded in history was reached by a few ancient Jews—Micah, Isaiah, and the rest—who took no count whatever of what might not happen to them after death. It is not obvious to me why the same point should not by and by be reached by the Gentiles.”
—Thomas Henry Huxley (1825–95)