General Dental Informtion

Periodontal Diseases

periodontal diseases

As time passes, periodontitis separates the gum from the teeth and creates a distance between them. Plaques form in the dent gingival junction and weaken the bones around the tooth. Periodontitis is a common disease, and many people in its early stages can be treated with correct oral and dental care, but ignoring periodontitis can cause jawbone recession and teeth loss .A diseased gum, however, is red, loose, and bleeds easily, such that the blood may spill on the pillow while sleeping. Sometimes the gum is inflamed and creates a bad mouth odor.

The Characteristics of a Healthy Gum

A healthy gum is pink, strong, thin, has acanthi matching the edges of teeth, and a gum surface with an orange skin and a scabrous condition Gums are made of soft tissues that surround the ends of teeth (dental roots). Taking care of gums is as important as taking care of teeth. Periodontitis is an infection that causes microbial plaque, which is the adhesive layer that accumulates on the teeth and gums.

healthy gum

Bleeding Gums

Gingivitis and bleeding can be symptom of the incidence of a periodontal disease that leads to the loss of the holding bone in its advancement, causes teeth loosening, and finally, teeth loss. Gum disease causes gum redness and inflammation while biting hard fruits or brushing, constant bad mouth odor, loosening of one or multiple teeth, gingival recession, and interdental spaces. Visit the dentist to implement their recommendation about oral and dental hygiene.

Gingivitis

Gingivitis is treatable with simple therapies such as dental scaling and improved oral hygiene. The inflammation and infection that spreads beyond the gum and permeates into deeper tissues around the teeth is called periodontal disease and is followed by the loss of bones around the teeth, causing loose teeth.

gingivitis

Various Periodontal Disease Types

Periodontal disease is often caused in acute (invasive) and chronic types. Chronic periodontal disease often afflicts the youth around puberty and 20 years of age. There is not much dental germ and plaque in these patients, but the decaying is high, which is mostly caused by genetic and immunologic factors. The second type of periodontal disease is chronic, often occurs after 30 years of age, and its most important cause is germ accumulation and bacterial plaque. Microbial plaque accumulation is caused by not brushing and flossing or brushing incorrectly, which is why dentists recommend regular examinations and scaling.

The Risks of Delaying Periodontal Disease Treatment

Delaying periodontal disease treatment causes the bones and tissues holding teeth to be affected, and causes loose teeth as well as toothache in some cases.

Factors Causing Periodontal Disease

In addition to microbial plaques and not observing health principles, a food regime lacking nutritional foods and vitamins a, c, and e, folates, beta-carotenes, and minerals can weaken the body’s immune system and cause periodontal disease. Psychological, mental stress and smoking also weakens the body against periodontal disease, and illnesses such as diabetes can intensify periodontal disease.

Smokers are 3 times as likely to suffer from advanced periodontal disease, and smoking delays wound healing after gingival and oral surgeries. Cigarettes cause a brown to bitumen color sedimentation, change the color of teeth structure, and increasing plaque formations on the teeth and caries.

Periodontal Disease, the Cause of Many Other Dangerous Diseases

Periodontal disease and microbial plaques are risk factors for heart disease patients who suffer from vascular congestion. Research shows that periodontal disease makes vascular congestions twice as likely.

The more severe the gingivitis, the higher the number of bacteria entering the bloodstream, and the higher the atherosclerosis risk, where blood vessels become thicker and thicker and disrupt the blood supply. These people are more susceptible to heart attacks and strokes.

Gum Surgery

In gum surgery, gums are pushed aside after anesthesia, and then sutured back in place but lower after cleaning the infected tissues and correcting the jawbone. A special dressing is then placed on top, and the sutures are removed 7 to 10 days later.

After Gum Surgery

Pain, inflammation and minor bleeding are natural after gum surgery and disappear in 3 or 4 days. Contact a dentist if they continue and intensify.

It’s better to avoid consuming cold and hot liquids, brushing the area, and using mouthwash on the first day after gum surgery, but it’s unproblematic on the second day.

The teeth become hypersensitive to thermal stimulations such as cold and heat due to gingival recession and cervical and root exposure after gum surgery. The regenerated dentin is formed and dental hypersensitivity is gradually reduced after 4 weeks, but anti-hypersensitivity toothpaste is used if this trend continues. Pregnant women suffer from gingival enlargement and gingivitis (as explained in the pregnancy section) due to hormonal changes, and gingivitis also occurs as a side-effect of certain drugs. There is a 50% gingival enlargement in epilepsy patients. Antiepileptic drugs have a chemical structure for increasing the number and size of gingival blood vessels and fibroblast followed by higher fibro collagen production, resulting in further enlargement and inflammation. Such patients are asked to better observe oral hygiene, and the doctor can prescribe similar drugs to prevent more gingival enlargement.

Here are some of the symptoms of periodontitis

Gingivitis: Gums that are red or swollen that bleed while brushing and using dental floss have the initial symptoms of gum disease and can be treated by observing correct oral hygiene.

Toothache or hypersensitivity: The gum’s removal from the tooth surface causes hypersensitivity when eating or drinking hot or cold foods and liquids.

Halitosis: People who suffer from jawbone recession may pull their teeth from the root while biting. This is the most advanced stage of gum disease, called chronic periodontal disease.

Important points for preventing periodontal are as follows:

Brush your teeth and gums. Use dental floss to clean interdental spaces. Don’t forget the back of the teeth, as more plaque gathers in these areas due to inaccessibility.

Change your toothbrush once every 3 months, since old fibers remove less plaque.

Don’t stop using the brush and dental floss if you have gingival bleeding. Use softer fabrics to prevent damage to your gums. If your gingival bleeding continues, visit your dentist.

Regularly visit your dentist for diagnosis and dental scaling. Inform your dentist if you are pregnant or suffer from diabetes, since in these conditions, the body resists gum disease with more difficulty.

Look at your gums in the mirror every once in a while. Be mindful about your gum changing color or tissue. Visit your dentist if you think you have periodontitis.

You can prevent gum disease by brushing and using dental floss twice a day.

Frequently asked questions about gum disease

1-Is gum disease infectious?

Studies have shown that gum disease is caused due to an inflammatory reaction to bacteria in the gums, thus gum disease is not infectious. Still, the bacteria that cause the inflammatory reaction can be spread through saliva.

2-What disease happens along with gum disease?

Gum disease may increase the risk of respirational infections like chronic obstructive pulmonary disease (COPD) and pneumonia. Infections can be triggered by inhaling oral bacteria in your lungs and can probably lead to inflammation of your breathing airways.

3-What happens if gum disease is not cured?

If gum disease is not cured, the gingival tissue and the jawbone will be weakened.

4-Is gum disease treatable?

This disease is reversible in its early stages and usually withdraws with careful daily brushing and dental flossing. In more advanced stages of gum disease called periodontitis, the gums and bones that support the teeth are sternly damaged.

5-What is gum disease?

A person afflicted with gum disease will generally have one or more of the following symptoms: swollen, bright red gums that bleed very easily even when brushing or flossing the teeth, bad taste or persistent bad breath, white spots or plaque on the gums.

6-What causes gum disease?

Generally, such factors as poor brushing and the habit of dental flossing cause plaque to build up and get hard on the teeth. In advanced stages, gum disease may make gums bleed and cause problems like chewing painfully and even tooth loss.

7-How useful is the mouthwash in preventing gum disease?

Mouthwash is a good choice to reduce plaque, keep the breath fresh, kill germs and bacteria that cause disease in the gums; it can even kill germs for up to 12 hours.

8-How is gum disease diagnosed?

Gum disease can be diagnosed during regular dental checkups.

9-Can saline solution treat gum infection?

One way to help your gums to heal up is to wash them with saline solution. Dissolve half a teaspoon of salt in a glass of warm water. This solution soothes the irritated gum tissue and also helps eliminate infection in order to heal your gums.

10-Does gum disease lead to heart disease?

The existing bacteria in gum disease can move in the body, and cause inflammation in the veins of the heart and infections in the heart valves, particularly in patients who suffer from heart problems.

11-Is it possible for children to suffer from gum disease?

In general, it is vital for children and teenagers to take good care of their oral health and keep their teeth and gums healthy in order to decrease the risk of gum disease in the future. Make sure your children brush their teeth twice a day and practice right techniques of dental flossing. Moreover make sure you have regular dental checkups. Genetics can also play a significant role in the early development of gum disease.

Dr Abdolreza Jamilian Orthodontist
About Dr Abdolreza Jamilian Orthodontist

Dr. Jamilian, an orthodontist, has a specialized fellowship in orthodontic surgery and maxillofacial abnormalities and is a professor in the orthodontics department of the Dentistry School of the Islamic Azad University. He is member of Iranian and European Board of Orthodontics (EBO) and is a member of the Iranian, American and European Orthodontists Association.

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