Posts for tag: gum disease
Treating advanced periodontal (gum) disease takes time. If you have this destructive disease, it wouldn’t be uncommon for you to undergo several cleaning sessions to remove plaque from tooth and gum surfaces. This built-up film of bacteria and food particles is primarily responsible for triggering and fueling gum disease.
These cleaning sessions, which might also involve surgery and other advanced techniques to access deep pockets of infection, are necessary not only to heal your gums but to preserve the teeth they support. With these intense efforts, however, we can help rescue your teeth and return your reddened and swollen gums to a healthy, pink hue.
But what then — is your gum disease a thing of the past?
The hard reality is that once you’ve experienced gum disease your risk of another occurrence remains. From now on, you must remain vigilant and disciplined with your oral hygiene regimen to minimize the chances of another infection. You can’t afford to slack in this area.
Besides daily brushing and flossing as often as your dentist directs, you should also visit your dentist for periodontal maintenance (PM) on a regular basis. For people who’ve experienced gum disease, PM visits are more than a routine teeth cleaning. For one, your dentist may recommend more than the typical two visits a year: depending on the severity of your disease or your genetic vulnerability, you may need to increase the frequency of maintenance appointments by visiting the dentist every two to three months.
Besides plaque and calculus (tartar) removal, these visits could include applications of topical antibiotics or other anti-bacterial substances to curb the growth of disease-causing bacteria in your mouth. You may also need to undergo surgical procedures to make particular areas prone to plaque buildup easier to clean.
The main point, though, is that although you’ve won your battle with gum disease, the war isn’t over. But with your own daily hygiene maintenance coupled with your dentist’s professional attention, you’ll have a much better chance of avoiding a future infection.
If you would like more information on preventing and treating gum disease, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Periodontal Cleanings.”
Although your smile wouldn't be the same without them, there's more to your gums than their looks. Besides helping to hold your teeth in place, they're also an important protective barrier for their roots.
Unfortunately, gums aren't immune to disease, especially periodontal (gum) disease. This bacterial infection, triggered by built-up dental plaque on teeth due to insufficient oral hygiene, can cause the gum tissues to detach from teeth and shrink back (recede). This can make your teeth more sensitive to hot or cold foods and beverages, as well as put them at even greater risk for tooth decay.
To treat gum recession, our first priority is to stop any ongoing gum disease through aggressive plaque removal. Depending on severity, this could require clinical procedures like scaling or root planing to remove plaque and tartar (hardened plaque deposits) at or below the gum line. This is especially crucial for improving gum tissue healing and stimulating potential reattachment.
Revitalizing gum tissues this way naturally has a better chance of occurring if we're able to prevent recession before it reaches the roots. If that does happen and we have sufficient gum tissue attachment remaining, we may need to give the gum tissue a helping hand through gum grafting surgery. There are a number of techniques depending on the circumstances, but they all use either tissue from another location in the patient's mouth or prepared tissue from another human donor. This type of surgery requires great skill and expertise, not to mention an aesthetic sense, to achieve a result that's both functional and attractive.
Other than daily brushing and flossing, the most important thing you can do for gum health is to see us as soon as you notice any signs of gum problems like swelling, bleeding or tooth sensitivity. The sooner we can diagnose and begin treating the problem, the less likely any gum recession will have a long-term impact on your health.
If you would like more information on gum health, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Gum Recession.”
There are a variety of methods for treating periodontal (gum) disease depending on its severity — from routine office cleanings to periodontal surgery. But the goal behind all of them remains the same: remove bacterial plaque and calculus (tartar), the root cause for gum disease, from all tooth and gum surfaces.
The traditional method for doing this is called scaling in which we use special hand instruments (scalers) to mechanically remove plaque and calculus. Scaling and a similar procedure called root planing (the root surfaces are “planed” smooth of plaque to aid tissue reattachment) require quite a bit of skill and experience. They're also time-consuming: full treatment can take several sessions, depending on how extensive the infection has spread.
In recent years, we've also seen a new method emerge for removing plaque: lasers. Commonly used in other aspects of healthcare, lasers utilize a focused beam of light to destroy and remove diseased or unhealthy tissue while, according to studies and firsthand accounts, minimizing healthy tissue destruction to a better degree than traditional techniques. Procedure and healing times are likewise reduced.
Because of these beneficial characteristics, we are seeing their use in gum disease treatment, especially for removing diseased and inflamed tissues below the gum line and decreasing sub-gingival (“below the gums”) bacteria.
Dentists who have used lasers in this way do report less tissue damage, bleeding and post-treatment discomfort than traditional treatments. But because research is just beginning, there's not enough evidence to say laser treatment is preferably better than conventional treatment for gum disease.
At this point, lasers can be an effective addition to conventional gum disease treatment for certain people, especially those in the early stages of the disease. As we continue to study this technology, though, the day may come when lasers are the preferred way to stop gum disease from ruining your dental health.
If you would like more information on treating gum disease, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Lasers Versus Traditional Cleanings for Treating Gum Disease.”
After treating you for periodontal (gum) disease for some time, we may suggest you see a periodontist, a specialist in gum conditions and diseases. There are a number of reasons for a referral, including the specific type of gum disease you may have developed.
Here are 4 more reasons why seeing a periodontist might be advantageous at this stage in your dental care.
Advanced treatment. All dentists are skilled in basic treatment procedures for gum disease, particularly removing plaque and calculus (hardened plaque deposits) that cause and sustain infections. But if your disease has advanced deeper below the gum line and has resulted in infection-filled void pockets between teeth and gums or in gum recession (the tissues shrinking back from the teeth), you may need more advanced techniques and equipment provided by a periodontist.
Advanced Cleanings. Regular, twice-a-year office cleanings are part of every dental care program. But depending on the severity of your gum disease (and your own hygiene efforts) you may need more frequent and advanced cleanings to keep recurring infections at bay. A periodontist can provide this, as well as help you develop a daily hygiene plan that meets your needs.
Your general health. There are a number of systemic conditions like diabetes, cardiovascular disease or pregnancy that can affect gum health. Many of these issues are tied to tissue inflammation, a major component of chronic gum disease, as well as slower tissue healing. As specialists in the gums and their relationship with the rest of the body, a periodontist can develop a treatment approach that coordinates with these other health issues.
Future restoration preparation. One of our treatment goals with gum disease is to try to prolong the life of natural teeth for as long as possible. In reality, though, some or all of your teeth may have a shortened life expectancy. If a comprehensive dental restoration is in your future, a periodontist can help prepare your gums for the inevitable. They may also be able to repair or restore gum tissues that enhance the appearance of a restoration to create a more attractive smile.
If you would like more information on advanced treatment for periodontal disease, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Referral to a Dental Specialist.”
One of the health issues pregnant women should be concerned about is a higher risk of periodontal (gum) disease. But you don’t have to be pregnant to have an increased risk — you also may be more susceptible to dental disease if you’re taking certain birth control pills.
Gum disease is a bacterial infection caused by plaque, food debris that builds up on tooth and gum surfaces due to poor oral hygiene. If left untreated gum disease can eventually lead to the breakdown of connective gum tissue and cause tooth loss.
Pregnant women are at greater risk because of an increased level of female hormones (estrogen) in their blood stream. This causes a change in the blood vessels that supply the gums, making them more susceptible to the effects of bacteria. A number of birth control options also increase estrogen levels, causing much of the same effect. To heighten the effect, you may also have a predisposition toward gum disease by your genetics or a high stress level.
There are some things you can do, however, to help lower your risk if you’re taking birth control medication. First and foremost, practice a consistent, daily habit of brushing and flossing. If you’re unsure if your technique is effective, we can provide guidance and training to make sure you’re performing these tasks properly. You should also visit us at least twice a year for office cleanings and checkups: no matter how effective you are with brushing and flossing, plaque can still accumulate in hard to reach places and form hardened deposits known as calculus.
You should also be on the lookout for signs of disease like gum redness, swelling or bleeding. If you see any of these signs, contact us as soon as possible for a thorough examination. As with many other issues involving health, the sooner we begin treatment for gum disease the better your chances of stopping it before it does too much harm.
If you would like more information on the relationship between gum disease and pregnancy or birth control, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Pregnancy & Birth Control.”