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:
“The history is always the same the product is always different and the history interests more than the product. More, that is, more. Yes. But if the product was not different the history which is the same would not be more interesting.”
—Gertrude Stein (1874–1946)
“I believe that history might be, and ought to be, taught in a new fashion so as to make the meaning of it as a process of evolution intelligible to the young.”
—Thomas Henry Huxley (1825–95)
“There is a constant in the average American imagination and taste, for which the past must be preserved and celebrated in full-scale authentic copy; a philosophy of immortality as duplication. It dominates the relation with the self, with the past, not infrequently with the present, always with History and, even, with the European tradition.”
—Umberto Eco (b. 1932)