Posts for tag: periodontal disease

UnderlyingFactorsforGumDiseaseRequireLong-TermTreatmentStrategy

You’ve been doing “all the right things” — brushing, flossing, and keeping up regular office cleanings and checkups. But you’re still struggling with gum disease — in fact, you’ve recently noticed loose teeth and other signs of infection.

While the primary cause of gum disease is dental plaque and calculus not adequately removed by regular oral hygiene and cleanings, you may also be among a small group of individuals with other risk factors that can worsen the effects of the disease. One of the most common of these factors isn’t something you can do much about — the physical characteristics you inherited from your parents. In reality, some people are more genetically prone to disease than others because their body doesn’t respond effectively to certain bacteria.

Chronic stress may also play a role in your body’s resistance level: it can both increase your risk for the disease and magnify its effects. In addition, the type of bacteria causing the disease could be a factor — our mouths contain thousands of strains, with some bacteria more difficult to control than others.

If your gum disease persists regardless of all our best efforts, we may be able to test for whether any of these other factors are involved. Determining the presence of any of these underlying factors can help us fine-tune our treatment approach.

You should know, however, that it might not be possible to effectively address every factor involved. If that’s the case, at some point it may be necessary to consider a tooth replacement option. The best choice by far are dental implants — not only are they functional and life-like in appearance, with proper care they could foster a healthier environment in your mouth by being stronger and more durable than the diseased teeth they’ve replaced.

Our ultimate goal as dentists is to alleviate gum disease and restore health and function to your teeth and gums. If that isn’t completely possible due to uncontrollable factors, we then adopt a strategy to control the disease as much as possible to preserve your teeth for as long as is prudent. This can give you time, then, to prepare yourself mentally, emotionally and financially for future teeth replacement and restoration.

If you would like more information on 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 “Periodontal (Gum) Treatment and Expectations.”

TreatingtheImmediateandLong-TermEffectsofaGumAbscess

If you have recently noticed swelling, bleeding or pain in your gums, you may have developed a gum abscess. It's the result of periodontal disease, an infection in the gum tissue caused by bacterial plaque that has adhered to the teeth. It's important in the short term to treat the abscess, and in the long-term the underlying gum disease for the survival of the affected tooth and your overall health.

A gum abscess is a sac filled with infection that has developed between the tooth and gum. Besides swelling, you may also notice tenderness when you bite down on a tooth or feel that the tooth is loose. If the abscess originates from a root canal infection it tends to be much more painful, and the pain will seem generalized rather than from a specific tooth.

The first step in treatment is to drain the abscess. We would numb the area with a local anesthetic and then allow the infection to drain. After drainage we would clean and irrigate the infected root surfaces to remove any noticeable bacterial plaque, and possibly prescribe antibiotics and anti-inflammatory medication to reduce swelling and pain. The drained abscess should heal in a few days to a week.

The next step is to treat the underlying cause of the abscess. Depending on what we find in our examination, this can include root planing and scaling (deep plaque and tartar removal), or a root canal treatment where the infected pulp within the root canal is removed, and the canal is then cleaned, filled and sealed.

It's also a good idea for patients with gum disease to have a thorough health checkup. It's possible that other general health conditions such as diabetes or heart disease may be contributing to the gum disease, and vice-versa.

Treating a gum abscess and the underlying cause is about more than relieving pain or discomfort — you're also protecting your dental and general health.

If you would like more information on the treatment of abscesses or 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 (Gum) Abscesses.”

TakeCareofYourGumsandTheyWillTakeCareofYou

If your gums appear reddish, puffy and bleed easily — especially at the margins where they meet your teeth — instead of their normal pink, you have gingivitis (“gingiva” – gums; “itis” – inflammation). Gingivitis is one of the first signs of periodontal disease (“peri” – around; “odont” – tooth) that affects the tissues that attach to the teeth, the gums, periodontal ligament and bone. Other common symptoms of periodontal disease include bad breath and taste.

If periodontal (gum) disease is allowed to progress, one possible consequence is gum recession exposing the root surfaces of the teeth. This can cause sensitivity to temperature and touch. Another sign is that the gum tissues may start to separate from your teeth, causing pocket formation; this is detectable by your dentist or hygienist. As pocket formation progresses the bone supporting the teeth is destroyed leading to loose teeth and/or gum abscesses. Unchecked or untreated it leads to tooth loss.

Inflammation, a primary response to infection is actually your immune (resistance) system's way of mounting a defense against dental plaque, the film of bacteria that concentrates between your teeth and gums every day. If the bacteria are not removed, the inflammation and infection become chronic, which literally means, “frustrated healing.” Smoking is a risk factor for periodontal disease. Smokers collect plaque more quickly and have drier mouths, therefore, cutting down or quitting smoking can reduce the severity of gum disease. Stress has also been shown to affect the immune (resistance) system, so stress reduction practices can help here as well as in other parts of your life. Gum disease can also affect your general health especially if you have diabetes, cardiovascular or other systemic (general) diseases of an inflammatory nature.

Periodontal disease is easily preventable. The best way to stop the process is to remove each day's buildup of plaque by properly brushing and flossing your teeth. Effective daily dental hygiene has been demonstrated to be effective in stopping gingivitis. It sounds simple, but although most people think they're doing a good job, they may not be. Effective brushing and flossing requires demonstration and training. Come and see us for an evaluation of how well you're doing. Regular checkups and cleanings with our office are necessary to help prevent gingivitis and periodontal disease. In addition if you already have periodontal disease you may need a deep cleaning known as root planing or debridement to remove deposits of calcified plaque called calculus or tartar, along with bacterial toxins that have become ingrained into the root surfaces of your teeth.

Gum disease is often known as a silent disease because it doesn't hurt, so see our office for a periodontal exam today.

Contact us today to schedule an appointment or to discuss your questions about gingivitis and periodontal disease. You can also learn more by reading the Dear Doctor magazine article “Understanding Gum (Periodontal) Disease.”