Posts for tag: gum disease
The red and puffy gums that sometimes accompany the onset of periodontal (gum) disease don't always catch your attention. You may not even get any symptoms at all, in fact, until the disease has become well advanced.
That's why regular dental visits are so important for gum health: For while you may not notice anything abnormal about your gums, we have a simple procedure known as periodontal probing that can help diagnose the condition of your gums.
Gum disease is a common bacterial infection that affects millions of people worldwide. It most often begins with plaque, a filmy, bacterial buildup on teeth. These bacteria feed and multiply on the remnant food particles in the film, increasing the chances for an infection.
As it grows—as well as the inflammation the body initiates to fight it—the infection weakens the gum attachment to teeth. This can cause the miniscule gap between gums and teeth at the gum line to widen, forming a void called a periodontal pocket. The deeper and wider the pocket, the more advanced the gum infection.
We may be able to verify the presence of a periodontal pocket by using a long, thin probing instrument with millimeter gradations. We gently insert the probe at various locations around a tooth as far as it will comfortably go. We then record the depth by reading the gradation measures lined up with the top of the gums, as well as observing how snug or loose the probe feels within the gum space.
One to three millimeters signifies a healthy attachment between the tooth and gums—anything more than that usually indicates gum disease. Measurements of 5mm indicates a problem, the higher the number, the more advanced is the periodontal disease.
We use these probe readings and other factors to guide our treatment approach in individual cases of gum disease. With a less-advanced infection we may only need to remove plaque and calculus adhering to the crown and just below the gum line. More advanced gum disease infecting the root area may require surgical access through the gums.
All in all, keeping up with regular dental visits can increase the chances of early diagnosis, when the disease is still in its initial stages. And daily oral hygiene to remove harmful plaque may help you avoid gum disease altogether.
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 “Understanding Periodontal Pockets.”
While periodontal (gum) disease could ruin your dental health, it doesn’t have to. Dentists and periodontists (specialists in gums and other supporting tooth structures) have effective methods for stopping it, especially if the infection is diagnosed and treated in its earliest stages. With effective treatment, those swollen, reddened and bleeding gums can return to a healthy shade of pink.
But even if we stop the infection, you’re not out of danger. If you’ve had at least one bout with gum disease, you’re at higher risk for another infection. We will need to maintain ongoing vigilance to prevent another infection.
If you’ve recently undergone treatment for gum disease, here are 3 things you should do to keep your now healthy gums continually healthy.
Practice daily oral hygiene. Gum disease arises most often from dental plaque, a thin biofilm of disease-causing bacteria that builds up on tooth surfaces. It’s important for everyone to remove this buildup with daily brushing and flossing, but it’s even more so if you’ve already experienced gum disease. Practicing effective oral hygiene every day will reduce the presence of bacteria that could ignite a new infection.
See the dentist more frequently. The general rule for routine dental cleanings and checkups is twice a year. But you may need more frequent visits, post-gum disease. Depending on the severity of your disease, we may recommend you make return visits at two- to three-month intervals of time. These visits may also include heightened screenings to ensure another infection hasn’t taken hold, as well as procedures to make it easier to clean certain tooth areas prone to plaque buildup.
Manage other health conditions. Gum disease’s severity is often caused by the inflammatory response your body initiates to fight the infection, which then becomes chronic. This is similar to other conditions like diabetes, heart disease or rheumatoid arthritis: There’s evidence inflammation elsewhere in the body could worsen a gum infection, and vice-versa. Managing other health conditions through medical care, medication and lifestyle changes could minimize the occurrence and severity of a future gum infection.
If you would like more information on remaining infection-free after 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.”
Here’s the bad news about periodontal (gum) disease: It’s a leading cause for tooth loss. Even worse: Half of adults over 30 will have some form of it during their lifetime.
But here’s the good news: If caught early, we can often treat and stop gum disease before it can do substantial harm to your mouth. And the best news of all—you may be able to avoid a gum infection altogether by adopting a few healthy habits.
Here are 4 habits you can practice to prevent a gum infection from happening.
Practice daily brushing and flossing. Gum disease is a bacterial infection most often arising from dental plaque, a thin film of bacteria and food particles that accumulates on teeth. Removing plaque daily with brushing and flossing will reduce your chances of a gum infection. And be sure it’s daily—missing just a few days is enough for gum inflammation to get started.
Get regular dental cleanings and checkups. Even the most diligent personal hygiene can miss plaque, which may then harden into a calcified form impossible to remove with brushing and flossing called calculus (tartar). At least twice-a-year professional dental cleanings will clear away any remnant plaque and tartar, which can greatly reduce your risk for dental disease.
Make gum-friendly lifestyle changes. Smoking more than doubles your chances of gum disease. Likewise, a sugar-heavy diet, which feeds disease-causing bacteria, also makes you more susceptible to infection. Quitting smoking, cutting back on alcohol consumption and following a dental-friendly diet could boost your teeth and gum health and avoid infection.
Watch for signs of infection. Although you can greatly reduce your risk of gum disease, you can’t always bring that risk to zero. So, be aware of the signs of gum disease: sometimes painful, swollen, reddened or bleeding gums. If you notice any of these signs, make a dental appointment—the sooner you’re diagnosed and begin treatment, the less likely gum disease will ruin your dental health.
If you're over 30 your chances for developing periodontal (gum) disease are better than half. And it's not a minor matter—untreated gum disease can lead not only to tooth loss, but to an increased risk of cardiovascular disease and other inflammatory conditions.
Fortunately, we have effective ways to treat gum disease, even in advanced stages. But the best approach by far in avoiding a devastating outcome for your teeth is to prevent gum disease from developing in the first place.
It helps first to know how gum disease begins. The most common cause is dental plaque, a thin biofilm of food particles on tooth surfaces that harbors the bacteria that triggers the disease. If you keep your teeth clean of built-up plaque and tartar (calcified plaque) with daily brushing and flossing and regular dental cleanings, you'll minimize the growth of disease-causing bacteria.
If you don't practice effective oral hygiene, however, within a few days you could develop an initial infection called gingivitis. This form affects the outermost layers of the gums and triggers a defensive response from the body known as inflammation. Ordinarily, inflammation helps protect surrounding tissues from infection spread, but it can damage your gums if it becomes chronic. Your weakened gums may begin to detach from the teeth, forming voids filled with inflammation known as periodontal pockets. Eventually, the infection can spread to the supporting bone and lead to tooth loss.
In addition to a dedicated oral hygiene and dental care program, you should also be on the lookout for early signs of gingivitis. Infected gums can become red, swollen and tender to the touch. You may notice they bleed easily while brushing and flossing, or a foul taste or breath that won't go away even after brushing. And if some of your teeth feel loose or don't seem to bite together as they used to, this is a sign of advanced gum disease that deserves your dentist's immediate attention.
Practicing preventive hygiene is the best way to stop gum disease before it starts. But if gum disease does happen, catching it early can be a game-changer, both for your teeth and your smile.
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 “How Gum Disease Gets Started.”
We’ve developed a number of effective treatments for periodontal (gum) disease. Depending on how far and deep a patient’s infection has advanced, treatment can be quite invasive and even require surgery. The more invasive, the longer and more uncomfortable the healing process can be.
But using a medical laser could make that less so. Although its use for gum disease treatment is still in its infancy, the latest observations from the field seem to show patients undergoing laser treatment may have less tissue trauma and bleeding, less discomfort after the procedure and quicker healing times.
Gum disease is a bacterial infection mostly caused by dental plaque, a thin film of food particles that build up on teeth in the absence of effective oral hygiene. The infection can advance deep below the gum line, weakening gum attachment to teeth and destroying supporting bone. Ultimately the affected teeth can be lost.
Traditionally, the only way to stop the disease is to manually remove plaque buildup on teeth and gum surfaces, which is continuing to sustain the infection, with special hand instruments called scalers or ultrasonic equipment. Because it’s important to remove as much plaque and diseased tissue as possible, we may need to perform a surgical procedure called flap surgery to move some of the gum tissues out of the way to get to these deeper areas. As with any surgery, this can create tissue trauma that may cause discomfort during the healing process.
Our new alternative is to use an Nd:YAG medical laser in a procedure known as Laser Assisted New Attachment Procedure or LANAP. With light energy delivered through a small fiber no more than the width of three human hairs, the laser can pinpoint diseased tissue and destroy bacteria through intense heat. Because of the laser beam’s tiny width and pulsing action, healthy tissue is at less risk for trauma than with the traditional treatment.
Coupled with other techniques, LANAP procedures could remove as much infected tissue and plaque as traditional methods, but with less healthy tissue trauma. In the future, then, patients with advanced gum disease undergoing laser treatment could have less bleeding and discomfort and faster healing times.
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 “Treating Gum Disease with Lasers.”