About Periodontal Disease
What is Periodontal Disease
Periodontal diseases are infections of the gums, which gradually destroy the support of your natural teeth. Dental plaque is the primary cause of gum disease in genetically susceptible individuals. Bacteria found in plaque produce toxins or poisons, which irritate the gums.
They may cause them to turn red, swell and bleed easily. If this irritation is prolonged, the gums separate from the teeth, causing pockets (spaces) to form. Plaque can also harden into a rough, porous substance known as calculus (or tartar). This can occur both above and below the gum line.
As periodontal diseases progress, the supporting gum tissue and bone that holds teeth in place deteriorate. If left untreated, this leads to looseness of teeth and eventual tooth loss.
However, don’t be fooled. With periodontal disease, bleeding, redness and swelling do not have to be present and for this reason it may be undetected. Further, pain is usually not associated with periodontal disease until it becomes advanced.
Periodontal treament is necessary when various conditions affect the health of your gums and the regions of your jawbone which hold your teeth in place. Retaining your teeth is directly dependent on proper periodontal care and maintenance.
Healthy gums enhance the appearance of your teeth, like a frame around a beautiful painting. When your gums become unhealthy, they can either recede or become swollen and red.
In later stages, the supporting bone is destroyed and your teeth will shift, loosen, or fall out. These changes not only affect your ability to chew and speak; they also spoil your smile.
Diabetes and Oral Health
Individuals suffering from diabetes, especially uncontrolled diabetics, have a higher risk of developing bacterial infections of the mouth.
These infections may impair your ability to process insulin, resulting in greater difficulty with controlling your diabetes.
Periodontal diseases will be more severe than those of a non-diabetic and treatment more difficult. However, well-controlled diabetics can be treated predictably and expect a significant improvement in their oral health.
Steps to prevent periodontal disease include daily brushing and flossing to remove plaque from your teeth and gums, regular dental visits for professional cleaning and regular periodontal evaluation.
Your health professional must also be told of your history, the medications you are taking, your blood sugar levels and the current status of your condition.
Finally, you can help resist periodontal infection by maintaining control of your blood sugar levels.
Women and Periodontal Health
Throughout a woman’s life, hormonal changes affect tissue throughout the body.
Fluctuations in levels occur during puberty, pregnancy and menopause. At these times, the chance of periodontal disease may increase, requiring special care of your oral health.
During puberty, there is increased production of sex hormones. These higher levels increase gum sensitivity and lead to greater irritations from plaque and food particles. The gums can become swollen, turn red and feel tender.
Similar symptoms occasionally appear several days before menstruation. There can be bleeding of the gums, bright red swelling between the teeth and gum, or sores on the inside of the cheek. The symptoms clear up once the period has started. As the amount of sex hormones decrease, so do these problems.
Your gums and teeth are also affected during pregnancy. Between the second and eighth month,your susceptibility to gum infections may increase your gums may also swell, bleed and become red or tender. Large lumps may appear as a reaction to local irritants. However, these growths are generally painless and are a result of the gum becoming inflamed. They may require professional removal, but usually disappear after pregnancy. Periodontal health should be part of your prenatal care and often conservative periodontal treatment is all that is required. Any infections during pregnancy, including periodontal infections, can place a baby’s health at risk. The best way to prevent periodontic infections is to begin with healthy gums and continue to maintain your oral health with proper home care and careful periodontic monitoring.
Swelling, bleeding and tenderness of the gums may also occur when you are taking oral contraceptives, which are synthetic hormones.You must mention any prescriptions you are taking, including oral contraceptives, prior to medical or dental treatment. This will help eliminate risk of drug interactions, such as antibiotics with oral contraceptives – where the effectiveness of the contraceptive can be lessened.
Changes in the look and feel of your mouth may occur if you are menopausal or post-menopausal. They include feeling pain and burning in your gum tissue and salty, peppery or sour tastes. Careful oral hygiene at home and professional cleaning may relieve these symptoms. There are also saliva substitutes to treat the effects of “dry mouth.”
Preventing Gum Disease
Adults past the age of 35 lose more teeth to gum diseases than from cavities. Three out of four adults are affected at some time in their life. The best way to prevent cavities and Periodontal Diseases is by good tooth brushing and flossing techniques, performed daily, and regular professional examinations and cleanings.
Unfortunately, even with the most diligent home dental care, people still can develop some form of periodontal disease. Once this disease starts, professional intervention is necessary to prevent its progress.
Other important factors affecting the health of your gums include:
- Tobacco Useage
- Clenching and grinding teeth
- Poor nutrition
Periodontal Disease and Tobacco
You are probably familiar with the links between tobacco use and lung disease, cancer and heart disease.
Current studies have now linked periodontal disease with tobacco usage. These cases may be even more severe than those of non-users of tobacco. There is a greater incidence of calculus formation on teeth, deeper pockets between gums and teeth as well as greater loss of the bone and fibers that hold teeth in your mouth.
In addition, your chance of developing oral cancer increases with the use of smokeless tobacco.
Chemicals in tobacco such as nicotine and tar, slow down healing and the predictability of success following periodontal treatment. Quitting tobacco will reduce the chance of developing the above problems.
Problems caused by tobacco include:
- Lung disease
- Heart disease
- Mouth sores
- Gum recession
- Loss of bone and teeth
- Bad breath
- Tooth staining
- Less success with periodontal treatment and with dental implants.