Periodontal Disease Symptoms Treatment And Prevention Pdf
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- Is periodontal disease a public health problem?
- Dental Plaque and Gum Disease
- PREVENTING PERIODONTAL DISEASE
Retention of teeth into advanced age makes caries and periodontitis lifelong concerns.
Is periodontal disease a public health problem?
A build-up of plaque and tartar can lead to inflamed and infected gums. Mild gum disease is called gingivitis and is not usually serious. More severe gum disease periodontitis , can lead to teeth falling out. Good oral hygiene includes regular tooth brushing and cleaning between teeth - for example, by flossing. This can usually prevent gum disease and treat mild-to-moderate gum disease.
Specialist dental treatments may be needed for severe gum disease. Teeth are held in place by the gums gingivae , bone and a specialised ligament periodontal ligament which attaches the teeth to the bone and acts as a shock absorber. These three tissues are collectively called the peridontium. Gum disease periodontal disease is a general term given to an infection or inflammation of the tissues that surround the teeth. There are two main types of gum disease - gingivitis and periodontitis.
If any area of your mouth bleeds, you need to focus on it more to get rid of the bacteria. Most people tend to take a step back, but that's the opposite of what you should do. Gingiva or gingivae is the Latin term for the gums. Gingivitis means inflammation of the gums. It is a reversible condition which usually develops as a response to the presence of dental plaque on the teeth and gums - hence the name plaque-associated gingivitis.
Removal of the plaque usually results in healing within a few days and there is rarely any permanent damage to the gingival tissue. So, periodontitis literally means 'inflammation around the tooth'. In its early stages it shares all of the features of gingivitis, but as the condition progresses it can be distinguished from gingivitis by its destructive effect on the other periodontal tissues, ie the bone and periodontal ligament. The effects of this tissue damage are usually permanent.
At the start of periodontitis, the inflamed gingivae lose their attachment to teeth. This results in a gap, or pocket, between the tooth and gum a periodontal pocket. The pocket provides a safe environment for more plaque to form and this leads a localised infection inside the pocket. This infection results in destruction of the bone and periodontal ligament in that area which in turn causes the pocket to become deeper.
If left untreated this cycle will repeat itself until the tooth becomes looser and looser and eventually falls out or requires extraction. Dentists assess the severity and progression of periodontitis by measuring the depth of the pockets that form between the gum and tooth. The aim of treatment for periodontitis is to remove the plaque and calculus from around the teeth and inside the periodontal pockets to prevent or limit further destruction of tooth-supporting tissues, ie the peridontium.
Plaque can be removed from shallow pockets up to about 3 mm deep by brushing and cleaning teeth in a normal way. However, deeper pockets need to be treated by a dentist or dental hygienist, as normal brushing and cleaning will not reach the bottom of the pocket. The rest of this leaflet is about plaque and plaque-related gingivitis and periodontitis. There are other less common types and causes of gingivitis and periodontitis which are not dealt with further. Everybody has millions of germs bacteria in their mouths.
Within a few minutes of tooth brushing, plaque will start to develop on the tooth surfaces. In less than 24 hours the layer of plaque that forms will usually be thick enough to see on the teeth. This is why dental advice is to brush twice a day, morning and night. This removes the plaque deposits before they have become very large and had a chance to damage the teeth and gums.
Attendance for regular check-ups will allow your dentist to assess how effectively you are cleaning your teeth and provide oral hygiene advice and support if necessary. Everybody who allows plaque deposits to remain on their teeth and gums for more than two or three days will develop gingivitis. The severity of the condition will vary according to the size, age and distribution of the plaque deposits as well as the oral health and general health of the individual.
Many people brush their teeth fairly well but do not clean between their teeth with floss or interdental brushes. The plaque deposits which build up between the teeth often cause a localised gingivitis which is often seen as swollen interdental papillae - these are the pointy bits of gum between your teeth. Most people who floss for the first time find that their gums bleed a lot. This is very common because they are disturbing the plaque and parts of the gum that have not been cleaned properly for a long time.
After a week of flossing twice a day the bleeding will usually stop. This is because the gums have had a chance to heal because they are not being irritated by plaque between the teeth anymore. Fortunately, unlike gingivitis, periodontitis will not affect everybody.
Some people can have inflamed gums for years and experience little or no permanent damage to their periodontal tissues. However, the effects and consequences of periodontitis can be very severe in those who do have it. Gingivitis is caused by the germs bacteria in dental plaque and calculus.
The bacteria release a variety of harmful toxins which can pass through and damage the gums. In an attempt to combat the effects of these substances the body diverts more blood to the affected areas of the gums, resulting in the classic red, swollen gums characteristic of gingivitis. This is due to the increased volume of blood and the effect of hormonal changes on soft tissues around the body during pregnancy. Periodontitis is also caused by the bacteria in plaque and calculus but it is actually the body's own response to the bacteria and their toxins that causes the majority of the periodontal tissue damage.
In its attempt to combat the bacteria, the body's immune system activates several powerful defence mechanisms, As part of this process of destroying the bacteria, these defence mechanisms can accidentally damage periodontal tissues too. It's a bit like using a bomb to remove a cockroach infestation in your home. The insects might be destroyed but so is the property. An examination by a dentist to detect the presence and depth of gum pockets is needed to confirm the diagnosis of periodontitis.
Good oral hygiene helps to keep plaque levels low and will prevent gingivitis and tooth decay. To reduce the likelihood of developing pregnancy gingivitis, women should try to maintain a very high level of oral hygiene, which may be more challenging during pregnancy, and visit the dentist if the gums bleed during tooth brushing.
Very good oral hygiene will also limit the effects of periodontitis but it is important to understand that there is no cure for this condition. If you are one of the one in seven people who are susceptible to periodontitis, it is essential that you always maintain an excellent level of oral hygiene. As well as brushing your teeth very carefully you need to remove plaque deposits between the teeth and under the gums too.
If there are low numbers of plaque germs bacteria present then your body will not initiate a big immune response and inadvertently damage the peridontium while it is attempting to defend itself.
Regular visits to the dentist or dental hygienist will help to ensure that plaque and calculus deposits underneath the gums are removed. Your dentist may recommend minor surgery under local anaesthetic to adjust the shape of your gums to make them easier to clean at home.
Your dentist may also refer you to a specialist in treating periodontitis-related conditions a periodontologist if they think your condition requires it. Quitting smoking is also a very important factor in limiting the harmful effects of periodontitis in susceptible individuals. Of course there are many other health benefits to be achieved from quitting smoking. Good oral hygiene means brushing your teeth - for two minutes, at least twice a day.
Ideally, brush your teeth either just before eating, or at least an hour after eating. See separate leaflet called Oral Hygiene for further details. If your gums bleed when you brush your teeth try to see where the bleeding is coming from. If it is just from one or two sites on the gums then careful tooth brushing and flossing in those areas will usually resolve the problem within a day or two.
If the gingivitis is more severe and your gums bleed a lot you should visit your dentist. He or she will provide appropriate oral hygiene advice and probably carry out a 'scale and polish'. This is a tooth-cleaning procedure using an ultrasonic scaler and polishing instrument to remove plaque and calculus deposits from around your teeth and gums. This procedure may be a bit tender, especially if your gums are very inflamed; however, it is necessary to remove the germs bacteria that have caused the problem, and the teeth usually feel lovely and clean afterwards.
These help to kill bacteria in the mouth and help to resolve any gum infection. Chlorhexidine is a commonly used antiseptic mouthwash. If you are advised to use it you should rinse your mouth well with water between brushing your teeth and using chlorhexidine.
This is because some ingredients in toothpaste can inactivate chlorhexidine. Chlorhexidine may also stain teeth brown when used daily for more than days. This staining can be easily polished away by a dentist or hygienist.
Staining can be reduced by:. This condition will be diagnosed by your dentist during your routine dental inspections or if you attend for an emergency appointment. In addition to the measures described above to treat gingivitis, you are likely to need specific dental treatment.
Your dentist will assess the extent of your periodontitis and implement measures to try to stop or slow its progress. People with periodontitis do not lose their periodontal tissues gum, bone and periodontal ligament at a continuous rate from the age of 30 onwards. Instead there are phases of inactivity which may last months or years. These are followed by short intense periods of disease progression when the body reacts to plaque and calculus deposits around the teeth or in the periodontal pockets.
It is during these active periods that the destruction of the periodontal tissues takes place. The aim of treating periodontitis is to help the individual to achieve the highest possible standard of oral hygiene and to remove bacteria from deep pockets at appropriate intervals so that the body undergoes as few periods of destructive periodontitis as possible.
It's impossible to predict when the body might suddenly react to the bacteria so it is necessary to keep the bacteria levels as low as possible continuously. Standard treatment for periodontitis involves measuring the depth of any periodontal pockets, using a dental probe, around all of the teeth to identify which ones are deeper than 3 mm. All of these deep pockets are carefully cleaned by the dentist or hygienist to remove plaque and calculus deposits.
Effective cleaning of multiple deep pockets can be a very sore process so you will usually be offered local anaesthetic to make the treatment more comfortable. To avoid having your whole mouth anaesthetised at the same time it is customary to have the treatment carried out over several appointments. After cleaning, ideally the gum will reattach itself to the tooth surface and reduce the depth of the pocket.
However, because of the effects of the disease process on the periodontal tissues and the roots of the teeth it is not usually possible for the pockets to heal completely. If appropriate oral hygiene measures are not maintained then plaque and calculus will quickly build up again in the pockets and lead to further tissue damage over time.
Dental Plaque and Gum Disease
Questions about Gingivitis? Find out more about the symptoms, causes, signs, and possible treatments. What is Gingivitis? Symptoms, Causes, and Treatments Questions about Gingivitis? What Causes Gingivitis?
A build-up of plaque and tartar can lead to inflamed and infected gums. Mild gum disease is called gingivitis and is not usually serious. More severe gum disease periodontitis , can lead to teeth falling out. Good oral hygiene includes regular tooth brushing and cleaning between teeth - for example, by flossing. This can usually prevent gum disease and treat mild-to-moderate gum disease. Specialist dental treatments may be needed for severe gum disease.
This can lead to gum recession or even tooth loss. In addition, research has shown that gum disease may be associated with other diseases, such as diabetes and heart disease. Luckily, periodontal disease can be preventable. Adding these habits to your daily routine can help. Brush your teeth. Brushing after meals helps remove food debris and plaque trapped between your teeth and gums.
We include products we think are useful for our readers. If you buy through links on this page, we may earn a small commission. Scurvy is the name for a vitamin C deficiency. It can lead to anemia, debility, exhaustion, spontaneous bleeding, pain in the limbs, and especially the legs, swelling in some parts of the body, and sometimes ulceration of the gums and loss of teeth. Scurvy has been known since ancient Greek and Egyptian times.
PREVENTING PERIODONTAL DISEASE
We include products we think are useful for our readers. If you buy through links on this page, we may earn a small commission. Gingivitis is an inflammation of the gums, usually caused by a bacterial infection.
Potential problems go beyond inflamed gums, too. Fortunately, you can take steps to prevent this serious disease. Periodontitis causes your gums to become very inflamed. They may turn red, swell and bleed. The inflammation is so severe that pockets of air also develop between your gums and teeth.
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Дэвид… Слава Богу. Я думала, что потеряла .
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