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Gum Disease

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GUM DISEASE :

 

 

 

 

A serious gum infection that damages gums and can destroy the jawbone.
Periodontitis is common but fairly preventable. The cause is usually poor oral hygiene. Periodontitis can lead to tooth loss. It’s a risk factor for heart and lung diseases.
Symptoms include swollen, red, and tender gums.
Treatment includes professionally cleaning the pockets around teeth to prevent damage to the surrounding bone. Advanced cases may require surgery.
SYMPTOMS :
> swollen
> red in seen
> tender gums
> bad breath
> toothache
> bright red gums
> loose teeth
> receding gums
> tender gums
> tooth loss
> swelling or bleeding

The two most common periodontal diseases are:
Gingivitis – Inflammation of the gum at the necks of the teeth, and.
Periodontitis – inflammation affecting the bone and tissues of the teeth.
What Causes Gum Disease?
Plaque is the primary cause of gum disease. However, other factors can contribute to periodontal disease. These include:

Hormonal changes, such as those occurring during pregnancy, puberty, menopause, and monthly menstruation, make gums more sensitive, which makes it easier for gingivitis to develop.
Illnesses may affect the condition of your gums. This includes diseases such as cancer or HIV that interfere with the immune system. Because diabetes affects the body’s ability to use blood sugar, patients with this disease are at higher risk of developing infections, including periodontal disease and cavities.
Medications can affect oral health because some lessen the flow of saliva which has a protective effect on teeth and gums. Some drugs, such as the anticonvulsant medication Dilantin and the anti-angina drug Procardia can cause abnormal growth of gum tissue.
Bad habits such as smoking make it harder for gum tissue to repair itself.
Poor oral hygiene habits such as not brushing and flossing on a daily basis, make it easier for gingivitis to develop.
A family history of dental disease can be a contributing factor to the development of gingivitis.

How Does The Dentist Diagnose Gum Disease?
During a dental exam, your dentist typically checks for these things:

Gum bleeding, swelling, firmness, and pocket depth (the space between the gum and tooth; the larger and deeper the pocket, the more severe the disease)
Teeth movement and sensitivity and proper teeth alignment
Your jawbone, to help detect the breakdown of bone surrounding your teeth
How Is Gum Disease Treated?
The goals of gum disease treatment are to promote the reattachment of healthy gums to teeth; reduce swelling, the depth of pockets, and the risk of infection; and to stop disease progression. Treatment options depend on the stage of the disease, how you may have responded to earlier treatments, and your overall health. Options range from nonsurgical therapies that control bacterial growth to surgery to restore supportive tissues. A full description of the various treatment options is provided in gum disease.

Other health and lifestyle changes that will decrease the risk, severity, and speed of gum disease development include: > TOBACCO:- use is a significant risk factor for the development of periodontitis. Smokers are seven times more likely to get gum disease than non-smokers, and smoking can lower the chances of success of some treatments.
Reduce stress: Stress may make it difficult for your body’s immune system to fight off infection.
Maintain a well-balanced diet: Proper nutrition helps your immune system fight infection. Eating foods with antioxidant properties — for example, those containing vitamin E ( vegetable oils, nuts, green leafy vegetables) and vitamin C (citrus fruits, broccoli, potatoes) — can help your body repair damaged tissue.
Avoid clenching and grinding of the teeth: These actions may put excess force on the supporting tissues of the teeth and could increase the rate at which these tissues are destroyed.
Despite following good oral hygiene practices and making other healthy lifestyle choices, the American Academy of Periodontology says that up to 30% of Americans may be genetically susceptible to gum disease. And those who are genetically predisposed may be up to six times more likely to develop some form of gum disease. If anyone in your family has gum disease, it may mean that you are at greater risk, as well. If you are more susceptible to gum disease, your dentist or periodontist may recommend more frequent check-ups, cleanings, and treatments to better manage the condition.

How to Care for Your Gums???

Brush daily: Brushing your teeth at least twice a day ensures that the sticky plaque does not accumulate along your gum line and irritate your gums. This reduces the risk of developing gingivitis, the first stage of gum disease.
Floss regularly: Flossing removes the food debris that collects between your teeth. While less noticeable than plaque build-up on your gum line, the plaque between your teeth is just as harmful to your gums and oral health. Keep the plaque under control to ensure you do not develop cavities or gum disease.
Rinse your mouth: Rinsing your mouth daily with fluoride mouth wash can help loosen and remove the food debris that you may have missed while brushing and flossing. Mouth wash also rinses away any bacteria that may have accumulated in your mouth.
Eat healthily: Not surprisingly, food plays a big role in the health of your gums and teeth. Stick to a well-balanced diet full of fruits, vegetables, and dairy, and minimize sugary foods and sodas. Drinking the daily recommended amount of water can also help wash away food particles and bacteria inside your mouth.
Don’t smoke: Smoking and tobacco use greatly increases your risk of gum disease. Smoking weakens your immune system, making you more susceptible to the bacteria-releasing plaque that accumulates on your teeth. It also makes it difficult for your gums to heal if you need treatment.
HOW YOU KNOW IF YOU HAVE A GUM PROBLEM ???

Have you seen a bit of blood in your sink when you brush your teeth lately? That bleeding can be one of the first warning signs that you’ve got gum disease.
The mild variety is called gingivitis. When you have that, only your gums are infected. If you don’t treat it, the infection can travel below your gum line and into your bone. Then it becomes a more serious form of gum disease called periodontitis.

Both gingivitis and periodontitis have been shown to raise your risk of things like diabetes, heart disease, osteoporosis, pneumonia, and cancer. Early detection is your best bet.

BAD BREATH:

Your mouth is a nice, warm, and wet home for millions of bacteria. They feed on the plaque, so the more of that you have, the bigger the buffet. “Bacteria release toxins that can irritate the gums and teeth and have a foul smell”.

It can also be a symptom of serious gum disease. Your breath usually doesn’t change much if you’ve got gingivitis.

GUMS THAT GET SMALLER: If your teeth look longer than they used to, chances are they’re not growing — your gums are shrinking.

When bone starts to break down, the gums start separating from the tooth, creating a pocket.

This pulling away is called receding gums.

SENSITIVE TEETH: If a sip of a cold drink makes you wince, your teeth may be telling you something. That’s a symptom of gum disease that often goes hand in hand with shrinking gums. “With receding gums, the sensitive part of the tooth is exposed — called the dentin – causing sensitive teeth when exposed to cold water and air.

WIGGLY OR SHIFTING TEETH: Does your smile look a little different lately? Gum disease can attack the bones that hold your teeth in place, making them loosen or move. Periodontitis is the main cause, and it can even change the way your teeth fit together when you bite.

TREATMENT:
The goal is to control your infection. Your dentist will look at what’s affected to figure out where to start.

DEEP CLEANING: The first line of treatment for gum disease is a careful, in-depth cleaning.

Unlike a regular cleaning, which is usually only done above the gum line, deep cleaning goes under the gum line.

Your dentist can do something called scaling. That’s scraping off tartar both above and below your gum line. She may also do something called root planing. That’s when the rough surfaces of the roots of your teeth are smoothed out. It helps the gums reattach to your tooth.

Both methods may take more than one visit to the dentist.

ANTISEPTIC CHIP OR ANTIBIOTIC MICROSPHERES: You insert these tiny gels or particles into pockets in your gum, and they release medication slowly over time to help reduce the size of the pocket and get rid of bacteria.

ANTIBIOTIC GEL: You spread this on gum pockets after a deep cleaning to help control infection.

ENZYME SUPPRESSANT: You take this tablet after a deep cleaning to block certain enzymes in your mouth from breaking down gum tissue.

ORAL ANTIBIOTICS: For more serious infections, you can swallow these capsules or tablets.

SURGERY: If deep cleaning can’t take care of the whole problem, you may need to go deeper to fix it. Your dentist may recommend:

GUM GRAFT SURGERY: A surgeon takes tissue from another part of your mouth (like your palate) and covers any exposed tooth roots to prevent bone loss or decay and help sensitive teeth.

FLAP SURGERY: Your gums are lifted up so the surgeon can get at tartar deep underneath your gum line. Then she stitches your gum back in place so it’s tight around the tooth to help prevent more tartar from forming.

Your dentist may also recommend antimicrobial mouthwash. You swish this in your mouth as part of your daily brushing routine to help control bacteria. It’s available both by prescription and over-the-counter.

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