Periodontal Disease

Periodontology (Gum diseases diagnosis and treatments)

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After having tartars and plaques removed, providing proper root surface, it is important to continue with an effective oral hygiene routine in the early stages of the disease. This treatment helps gum return to its original and healthier size and stage. Different stages of the disease might require surgical procedures. The aim of this treatment is to get rid of the tartars placed deep in periodontal pockets and to minimize these pockets to their original state. Afterward, providing a proper root surface is required for far more easily maintainable gums.

Non-surgical periodontal treatment

Scaling and root surface debridement: is simply removing hard and soft formations on the surface of the teeth. 

Subgingival Curettage: This is performed to treat the inflamed area on the gums or numbing the gums to prepare them for periodontal treatment. Once the area is numbed, inflammatory formation surrounding the gums and teeth are removed.

Surgical periodontal treatment

Periodontal Flap Surgery: It is the process of cleaning the root surface and inflammatory tissues by anesthetizing the area. The operation progresses with exposing the bones by flapping the gums so that the inflammatory tissues and formations can be treated.

Gingivectomy: This method is the process of removing the excess gingiva in the areas where deep pockets are formed. Then the process follows as teeth are adjusted accordingly. Gums are formed and shaped to deliver an aesthetically pleasing appearance.

Gingivectomy is the surgical removal and reshaping of the gum to treat deformities. With the help of local anesthesia, patients are treated without feeling pain. Full porcelain laminates or zirconium porcelains without metal support deliver a far more appealing look once applied.

The removal of a frenulum, a little fold of tissue that stops an organ in the body from moving too far, is known as a frenectomy.

Resective and regenerative periodontal therapy: Under certain circumstances where gum disease progresses to a certain level, bones surrounding the teeth are reshaped or supported with the help of graft materials once necessary. Regenerative procedures are performed to stimulate the body’s own mechanism to regenerate the distorted tissues anew. Tissues affected by the disease might be removed to support the usage of stimulating proteins, membrane, or bone graft to form the support structure anew.

A soft tissue graft is a surgical procedure that is performed with the aim of concealing tooth roots or replacing soft gum tissue that has been lost due to extreme gingival recession. Healthy gum tissue is obtained from the palate or from another donor source and joined to the receding soft tissue area.

Crown lengthening: This procedure involves removing gum tissue and shaving away the bone as needed to expose more of the tooth above the gum line. This helps teeth appear longer than usual.

Botox: Botox is mostly preferred when there are issues that can not be treated with surgical procedures. Botox is another treatment option apart from surgical operations. A gummy smile simply means exposing gums prominently while smiling, and it is also known as the excessive gingival display.

What is gum disease (Periodontal disease)?

Gum diseases are inflammatory diseases that mainly occur on the tissues surrounding the teeth. In early periods of the disease, most have bleeding during brushing and flossing the teeth. This phase is referred to as “gingivitis” If it is not treated, the disease might progress into periodontitis where plaque and tartar are observed underneath the gum—progression of Periodontitis results in the loss of the supporting bone and teeth.

Signs of Health Gums?

Healthy gums are pink and firm around the teeth. Gums have textured tissue that surrounds the teeth securely.

Signs of Gum Diseases?

Gums should not be soft, shiny, and swollen and should not feel tender.

What Causes Gum Diseases?

Gum diseases mainly occur due to poorly maintained oral hygiene and tartars and bacteria plaques forming over the teeth. Smoking, diabetes, stress, and individuals’ immune systems are also among the significant factors playing in the loss of periodontal tissues.

Causes of Tartars (Calculus) ?

Tartars occur when food particles calcify with saliva minerals and form hardened layers around teeth and gum. Tartars are accepted as the foremost cause of almost all dental diseases.

What are the common symptoms of gum diseases?

Bleeding is the most common symptom of gum diseases. If you have bleeding while brushing the teeth, painful tender gums, redness, itchiness, gum recession, loose teeth, or feel like they are moving in your mouth, you might have gum disease.   

What causes gum bleeding?

Bleeding indicates inflammation in that area. Disruption in the vessels that help dental tissue to maintain healthy and strong leash blood cells out of these vessels as a result of inflammation mainly triggered by gum diseases. This causes bleeding gum.  

How to treat bleeding gums?

A thorough oral hygiene procedure can cure gum diseases as long as the disease only exists in the gums instead of reaching the bone underneath. However, once the disease reaches the bones underneath, diseased tissues need operating by a dental surgeon to hygienist the area.

Is scaling of teeth harmful?

Once scaling is operated with the right equipment by professionals, it should not pose any threat. Since scaling mainly helps you get rid of the tartar, plaque builds up, and discoloration in your teeth, it does not harm your oral health.

Causes of bad breath?

Accumulation of food particles in the mouth creates malodorous composites inside the mouth. Therefore gum diseases and cavities caused by not maintaining proper mouth hygiene will aggravate gum diseases even further.  

Smoking and gum diseases?

It is known that smoking will also feed into gum diseases while decreasing tissue responsiveness during treatment. There is quite a lot of research showing that smoking accelerates bone loss.

Do gum diseases affect your general health?

Microorganisms causing gum diseases can also trigger various cardiac diseases, diabetes, respiratory tract, and lung diseases. They also cause low-birth-weight babies and the threat of premature birth.

Do general well-being and medication have an impact on gum diseases?

Diabetes, diseases related to the immune system, and hormonal changes along with certain medications can affect gum diseases.

What happens if gum disease is not treated?

Gum disease will not stop receding until it is properly treated. It can cause loose teeth and, eventually, loss of teeth.

Causes of receding gums?

Two things can cause gums to recede. One of these is mainly caused by not having the gum treated. The disease keeps on progressing and causes receding gums. The other reason is mainly seen among individuals who show great care and attention to their oral health and in a wrong and rough way that is harmful to gums and teeth. These patients generally face corrosion, sensitivity in teeth together with the recession in gums. A surgical operation might be required to treat the area with soft tissue grafts.

Does periodontal treatment (scaling) hurt?

Local anesthesia prevents you from feeling any pain during the process. However, it is natural to feel subtle pain temporarily after the treatment. Removing the tartars from root surfaces caused by gum recession is the cause of the pain.

How often do you need to have scaling (periodontal treatment)?

It is advised you visit your dentist at least twice a year, in 6 months rotation. Scaling might be applied once it feels necessary. 

Do periodontal diseases recur?

It is important to maintain oral hygiene properly on a regular basis to avoid diseases from recurring. Otherwise, periodontal diseases might repeat.

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