Periodontal

periodontal

Nearly three out of every four people will get some form of gum disease some time or the other in their lives. If  left untreated,  it can lead to periodontitis and even tooth loss.

The tooth is surrounded & supported by healthy bone and gums. If it is irritated by local factors like plaques & calculus done,  then it will lead to gum diseases.

Signs Of Gum Diseases:

  1. Red & swollen gums.
  2. Bad breath.
  3. Bleeding gums
  4. Food impaction
  5. Spaces appearing between teeth.
  6. Irritating/Itching gums
  7. Teeth that feel loose/migrating/shifting.

Causes:

Plague & Calculus:

The root cause of gum disease is  irregular brushing & flossing. This is a major cause for accumulation of plaque. plaque when hardens turns into tartar (calculus).

Diet:

Nutritional deficiency like Vitamin C (Scurvy).

Habits:

Smoking, Chewing tobacco, Clenching or grinding teeth or even improper use of tooth picks.

Oral /medical conditions:

Unfilled dental cavities, failure to replace missing teeth, maligned teeth, ill-fitting bridges & dentures, diabetes, pregnancy & certain medications like oral contraceptive pills, steroids etc..

Diagnosis

Probing: Helps to measure the depth of space between tooth & gum called a pocket.

Radiography: To measure the amount of bone loss that occurred due to periodontal problem.

Treatment

Scaling: Cleaning the teeth at and below the gum line.

Root Planing: Smoothing the tooth’s surface below the gum tissues. The gums can reattach to the tooth more firmly and reduce pocket depth.

Curettage/Surgery: In stages of the diseases depending on the severity,  the following procedures may be indicated.

  1. Gingivectomy (gingival trimming)
  2. Curettage (deep cleaning)
  3. Flap Surgery

Splinting

This technique attaches weak teeth together combining them into a stronger single unit, making them more stable and offering more comfortable chewing.