Posts for tag: periodontal disease
If you have periodontal (gum) disease, it's important for you to know its effects aren't limited to your mouth. A number of studies demonstrate gum disease can affect the rest of your body — and what may be going on elsewhere could likewise stimulate gum disease.
Here are 3 diseases or conditions that seem to share a link with gum disease.
Diabetes. This chronic disease results from the body's inability to interact properly with insulin, the hormone necessary for turning glucose (sugar) into energy, or producing enough of it. There's clear evidence that having diabetes increases your risk of gum disease and vice-versa. If you have diabetes, it's important that you keep it under control for your gum's sake as much as for your overall health.
Cardiovascular disease. Like diabetes, this group of heart and blood vessel diseases has a related characteristic with gum disease: inflammation. This natural function of the immune system limits tissue damage caused by disease or injury. But in both CVD and gum disease, inflammation can become chronic and itself cause damage. Further, some types of bacteria associated with gum disease can contribute to a higher risk of CVD. Minimizing gum disease occurrence with good oral hygiene could positively impact your risk of CVD.
Pregnancy. While certainly not a disease, pregnancy does trigger hormonal changes in the mother that in turn could elevate her risk of gum disease, particularly pregnancy gingivitis. Not only does this pose problems for the mother's teeth and gums, some studies connect gum disease to the increased possibility of early, pre-term birth. A sharper focus on dental care during pregnancy not only benefits the mother but may also be important for the health of the baby.
These aren't the only conditions that can be affected by gum disease: others like osteoporosis, respiratory disease or rheumatoid arthritis also share links with the disease. If you have any systemic condition like these, it pays to be extra vigilant in preventing and treating gum disease.
If you would like more information on periodontal (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 “Good Oral Health Leads to Better Health Overall.”
Advanced periodontal (gum) disease is a chronic, progressive condition characterized by bacterial infection and inflammation. Without proactive treatment, gum disease can cause extensive damage to the various tissues that hold teeth in place, and lead eventually to tooth loss.
As every war has its tactics, so the war against advanced gum disease is no different. Here’s a few of the approaches and treatments we use to stop the disease and promote healing to damaged tissues.
A Change in Behavior. Regardless of other risk factors, a film of bacterial plaque on tooth surfaces caused by a neglect of proper oral hygiene is the main culprit behind progressive gum disease. Your first step is to form new hygiene habits — brushing and flossing — that will need to be performed daily to be effective. It’s also time to end some old habits like smoking that are contributing to your gum disease.
Total Plaque Removal. Although your renewed efforts at oral hygiene are essential, it’s just as important for us to use our expertise to remove the hard deposits of plaque (known as calculus) you can’t reach with brushing and flossing. Clinging stubbornly below the gum line, these deposits will continue to be sources of infection until they’re removed. Using techniques known as scaling or root planing, we employ ultrasonic or manual instruments to access and remove as much of the offending deposits as possible. This essential step may require more than one visit to give time for inflammation to subside, and may be followed with antibiotic therapy as well.
Surgical Treatments. Although quite effective in most cases of gum disease, scaling or root planing may not be adequate in more severe cases. We still have other weapons in our arsenal, though — there are a number of surgical procedures we can use to eliminate hidden pockets of infection, or repair and regenerate damaged tissues and bone. These procedures not only help restore you to better oral health and function, but also establish a more conducive environment for maintaining future care.
Using these and other techniques, we can reduce the infection and inflammation associated with gum disease. This sets the stage for healing and renewed health, both for your mouth and your entire body.
If you would like more information on treatment for periodontal 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 Disease.”
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.”
Do you frequently experience bleeding gums during your daily brushing routine? You might assume that you are brushing too hard and that this bleeding is normal. However, you should know that any bleeding of gum tissue is abnormal and should be considered a potential sign of gum disease.
Gum tissues usually bleed because of dental plaque buildup from poor oral hygiene practices. When the plaque is left around the gum line for a long period of time, 24 hours or more, the gum tissues respond by becoming inflamed — this can quickly become a chronic inflammation.
Here are some other warning signs of gum disease:
- Bad Breath. Bad breath is one of the most common signs of gum disease. This is especially true for those who do not floss, because plaque collects in the protected areas between the teeth making them especially prone to gum inflammation. This plaque often produces a pungent smell that causes bad breath.
- Red or Sensitive Gums. If you look closely in the mirror, you might see redness of the gums. It may also seem as if your gums are swollen, and in more advanced cases, this can lead to receding gums. Finally, you might notice gum sensitivity when you brush or a sensitivity to hot and cold.
- Tooth Loss. If this disease goes untreated, over time, bone loss will cause loose teeth, movement or migration of the teeth into a new and unstable position, and ultimately tooth loss. The rate of progression will depend upon the type of gum disease that you have.
- Painful Gums. Once you start to feel acute pain and extremely sore gums, this may mean you have developed a periodontal abscess. When this happens, the bacteria are walled off inside a gum “pocket,” and since your body's defenses are overwhelmed, there is a battle between the bacteria in that pocket and your body's defense mechanisms. The result is a collection of pus and extra bone loss. Your gums will be sore, swollen, red and may even discharge pus.
As you can see, the further the disease progresses, the greater the amount of pain and damage that will occur. Therefore, upon the first sign of gum disease, such as bleeding gums, you should schedule an appointment with us immediately.