During a periodontal evaluation, periodontists use a periodontal probe to measure the spaces between the teeth and gums. In a healthy mouth, this is usually less than 3 mm deep. As the disease progresses the pocket depths deepens.The treatment rendered is based on the stage of the disease. If the disease is caught early periodontal-services(Gingivitis), and no damage to the bone and supporting tissues of the tooth is evident, then just a professional cleaning will suffice. But when the disease progresses to cause pocketing and bone loss, scaling and root planing is the first step in treating the disease.
The main cause of periodontal disease is the bacteria in the form of plaque that constantly form on the teeth. As the disease progresses, deep pockets are formed facilitating the bacteria to take shelter. Dr. Flores and Dr. Toloue may recommend a procedure to decrease pocket depths when the pockets get too deep to clean with daily at-home oral hygiene and a professional oral treatment.
During the procedure, gums are carefully lowered to reach the infected area of pocket and removing the plaque. In major cases, damaged teeth have a chance to hide bacteria in between gums and teeth which lead to gum disease, so the dentist smoothes the surface of the bone to limit the space where bacteria cannot hide. Now the gums are attached to bone by removing little gum tissue or just cleaned the gums to prevent future dental diseases.
Gum disease also known as periodontal disease is an infection of the gum and bone that support the teeth. If gum disease is not treated, it can get worse and lead to tooth loss. Periodontal disease is a silent disease and you may not be aware of the problem until your gums and supporting bone are damaged. Gum diseases are classified based on the severity of the disease as – Gingivitis, Early periodontitis, Moderate periodontitis and Advanced periodontitis.
A few hours after brushing and flossing, plaque (a sticky bacterial film) accumulates over the tooth surfaces. If this plaque is not removed regularly, it will harden to form tartar, which will irritate the gums causing bleeding and redness. At this stage, there are no pockets or bone loss. This disease process is completely reversible with a professional cleaning and good home care.
As the disease progresses, the bacteria penetrates deeper detaching the gums from the tooth surface. The space formed between the tooth surface and the detached gum tissue is referred to as a periodontal pocket. Bleeding, redness and slight bone loss as seen on x-rays and recession of the gums are some of the signs of early periodontitis.
Without professional intervention, the disease progresses uninterrupted. The bacterial flora changes into anaerobic type. These bacteria can multiply without oxygen and release toxins, which causes bone loss between teeth and between roots. The slight mobility of teeth is noticed. These areas are very difficult to clean with regular instruments and require gum surgery.
The tell-tale signs and symptoms of advanced periodontitis are – spontaneous bleeding of gums, pus discharge, red swollen gums, bad breath, extensive bone loss affecting more than half of the root and tooth mobility affecting normal function. When gum disease reaches this stage the prognosis is poor.
Necrotizing Ulcerative Gingivitis and Necrotizing Ulcerative Periodontitis The gum tissues in between teeth are called as interdental papillae. NUP and NUG is a disease where there are ulcers in between teeth which cause the loss of papillae. People with poor oral hygiene and smokers are at risk of getting this disease.
This disease involves the fibrous growth of the gums. Medications such as Dilantin, Nifedipine and Cyclosporine cause an altered response of the gums to a plaque. Instead of the usual red, bleeding and swollen gum response to plaque, there is a pink fibrous overgrowth of the gum tissue. Hence it is crucial for these patients to maintain excellent plaque control. The excess gum tissue is removed to enable adequate plaque control. Sometimes the medication must be changed to control the gingival overgrowth. Your periodontist will evaluate your gums and suggest the appropriate treatment.
The treatment of gum disease depends on the type of the problem. Our periodontists have various tests to check the status of gums before going ahead with a treatment. If the disease is in its beginning stages our periodontist performs the Scaling and Root Planing or Laser gum therapy. Gum surgeries are suggested for Advanced Periodontitis. Gum surgery involves reflecting a gingival flap to expose the tartar at the depth of the pockets. This helps to completely remove the tartar, treat the root surfaces and perform bone grafting. Gingival surgery is performed to reduce the activity of bacteria in the gums. The disease is kept under control through the treatment. The healing time is normally less and patients get back to normal life soon after the treatment is complete. Gum disease treatment is not a one-time therapy. Our periodontist advises patients to visit our practice frequently just to ensure that the infection is under control.
Gum disease is one of the dental related problems caused by inflammation of gums and damaging nearby supporting structures of teeth. Initial stages of gum disease (gingivitis) can be easily reversed by properly brushing, flossing and cleaning your tongue. This will remove all the food particles and plaque that is stuck between the teeth easily rather than facing advanced gum diseases.
To prevent from gum disease, you need to follow certain factors to protect your teeth and gums for a longer period of time:
If you have more queries on how to prevent gum diseases, call Dr. Steve Flores 512-443-5704 at Austin, TX and make an appointment.
There are few common signs of gum disease to identify at initial stages, some of them are:
Caring your gums is very important because it holds the teeth strong and reduces the chances of gum disease. Neglecting gum care will lead to serious periodontal diseases over a period of time.
If you want to care your teeth and gums at earlier stages, call Dr. Steve Flores (512)-443-5704 at Austin, TX and make an appointment.
Earlier stages of gum diseases do not require any surgery but require a professional dental cleaning to remove plaque and tartar that is stuck to the teeth. If the dental problem is too severe, then our dentist may recommend periodontal surgery.
Yes, there are chances that gum disease may lead to tooth loss or dental decay. So, maintaining regular oral care habits such as brushing, flossing and cleaning your tongue will reduce the chances of tooth loss or dental decay.
For more queries on Gum Disease Care at Austin, TX, Call us or visit our office to make an appointment.
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