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Periodontal Diseases and Esthetic Gum Procedures


Periodontal diseases are infections of the gums, which gradually destroy the support of your natural teeth. There are numerous disease entities requiring different treatment approaches. Dental plaque is the primary cause of gum disease in genetically susceptible individuals. Daily brushing and flossing will prevent most periodontal conditions.

Why is oral hygiene so important? Adults over 35 lose more teeth to gum diseases, (periodontal disease) than from cavities. Three out of four adults are affected at some time in their life. The best way to prevent cavities and periodontal disease is by good tooth brushing and flossing techniques, performed daily.

Periodontal disease and decay are both caused by bacterial plaque. Plaque is a colorless film, which sticks to your teeth at the gum line. Plaque constantly forms on your teeth. By thorough daily brushing and flossing you can remove these germs and help prevent periodontal disease.

Periodontal diseases can be accelerated by a number of different factors. However, the bacteria found in dental plaque, a sticky colorless film that constantly forms on your teeth, mainly cause it. If not carefully removed by daily brushing and flossing, plaque hardens into a rough, porous substance known as calculus (or tartar) which require professional cleaning.

Other Causes of Periodontal Disease:

  1. Physical and chemical irritants- Impacted food, smoking, alcohol and the improper use of dental floss or toothpicks may irritate gum tissue.
  2. Abnormal oral conditions or habits- Badly aligned teeth, poorly fitting bridges or partial dentures, defective fillings and harmful habits, such as grinding the teeth and chewing ice, can also cause problems.
  3. Unbalanced diet- Evidence shows a link between nutritional deficiency and the body s ability to fight off infection.
  4. Pregnancy- Due to fluctuations in hormone levels, a temporary condition referred to as pregnancy gingivitis may occur.
  5. Certain medications- Oral contraceptives, anti-epilepsy drugs, steroids and cancer therapy drugs may have a negative effect.
  6. Certain diseases- Diabetes, uremia, liver cirrhosis, anemia and leukemia are among the many diseases that may affect the health of your gums.
  7. Stress

What Are the Signs?

  1. Gums that bleed when you brush or floss your teeth
  2. Red, swollen or tender gums
  3. Gums that have receded or shrunken away from your teeth
  4. Pus between your teeth when you press your gums with your finger
  5. Pain when chewing
  6. Calculus or tartar buildup
  7. Teeth that seem loose or that change position
  8. Changes in your bite
  9. Changes in the way your partial dentures fit
  10. Bad breath or chronic bad taste in your mouth
  11. Teeth that are overly sensitive to hot and cold





Ignoring periodontal problems leads to bone loss around the teeth, teeth mobility, gum recession as you can see the disease progression chart here.




                                      TREATMENT OPTIONS


Non Surgical Treatment:


The first phase of periodontal treatment is scaling and root planning which is the removal of calculus buildup and bacterial colonization in the pocket (space between teeth and gingiva) around teeth. This is called scaling and root planning. This allows the tissues to heal and helps the gingiva reattaches to the teeth and stops the process of bone and soft tissue destruction. Removing calculus build up should be done regularly in your dental cleaning sessions. It's important to have them removed by a dental professional before the periodontal destruction continues.


Make your appointment now to get a professional cleaning session to remove calculus deposits before it's too late!









Surgical treatment for periodontal diseases


1) Flap and Osseous Surgery - In more advanced disease, bacteria and the associated inflammation can lead to changes in the normal shape of the bone around teeth. The normal contour of the bone must be reestablished in order to eliminate the pockets. The gum tissue is gently separated from the bone, making a “flap.” This provides better access to deeper areas of plaque and tartar, and makes it possible to reshape the bone, reducing areas where bacteria can grow. This procedure does not regenerate bone that has previously een lost. The objective of this surgical procedure is to reduce the depth of existing pockets to a level that can be kept clean of bacteria with normal brushing and flossing. In addition, with reduced pocket depth the periodontal maintenance cleanings can be more effective.

2)Guided Tissue Regeneration – This technique uses a “membrane” or barrier to block unwanted tissue from growing into the bone, and allowing bone and ligament fibers to regenerate.

3) Bone Grafts – Bone replacement materials are used to fill in bone defects and serve as a blue print to guide regrowth of your own bone. Grafted bone can be taken from your own mouth, from a synthetic source, or from a tissue bank.



Esthetic Periodontal surgery


A number of periodontal plastic surgical procedures are available to strengthen thin, weak gum tissue as well as enhance the cosmetic appearance of the soft tissues. They serve to help maintain teeth, treat sensitivity, or improve the esthetics of your smile.


1) Ginigval grafts to cover the unsightly gum recession exposing root surface. The graft could be taken from the roof of the mouth or from a synthetic material.

2) Gum re countering involves reshaping of the gum for esthetic reasons such as removal of excess gum tissue. An excessive display of gum tissue when smiling results in the often referred to “gummy smile”. This unsightly appearance can be corrected by altering the level of the gum line with an esthetic crown lengthening procedure. This technique is also utilized to eliminate unsightly uneven gum levels on adjacent teeth.



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