An informative introduction to gum disease and how Camarillo Smiles can help you prevent it. Call (805) 388-5700. Your dentist Camarillo CA.
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Introduction to Gum Disease
Introduction to Gum Disease
Periodontics is one of the eight dental specialties recognized by the American Dental Association. Periodontal comes from two Greek words that mean "around the tooth." The periodontium refers to the anatomical structures around teeth: the gum, bone, and the periodontal ligament that attaches the tooth to the bone.
Periodontal disease is the major cause of tooth loss in adults. According to the American Dental Association, three out of four Americans over age 35 have some form of periodontal disease. Gingivitis is the mildest form of periodontal disease and the most common infection in the world. But if left untreated, it can progress to periodontitis -- the loss of bone and tissues that support the teeth. Periodontal diseases can be localized to a few teeth or generalized, in which most of the teeth are affected. It can affect people of all ages and without proper treatment, periodontal disease can result in tooth loss and even complications of systemic diseases.
There are several different forms of periodontal disease. Each can progress at different rates. The same disease can have periods when it develops slowly and others when it progresses quite rapidly. Most of the time, periodontal diseases are painless. But they may have acute episodes that result in severe pain and a dental emergency. The rate of periodontal disease progression is dependent on a multitude of factors, including the presence of certain risk factors that make people more susceptible to periodontal breakdown.
All periodontal diseases are caused by an accumulation of bacteria at and below the gum line. The bacteria release toxic substances that trigger the breakdown of the gum and bone. The gums become red, swollen, and bleed easily. The gum tissue then separates from the teeth, forming a gap called a periodontal pocket or exposing the root surface in what is called recession.
The body responds to the bacteria with an inflammatory response in which it essentially 'turns on itself' and destructs the bone and tissues around the teeth. This is the body's way of warding off infectious agents. The teeth can start moving and shifting and eventually if there is advanced bone loss, the teeth can be lost.
Periodontal diseases are treated in three phases. The first is to stop the disease activity and progression of bone loss. In the early stages of periodontal disease, scaling and root planing may be the only treatment needed. The bacterial deposits (plaque and tartar) that formed above and underneath the gums need to be removed and the root surfaces of the teeth smoothed to enhance healing and deter future plaque retention. During this phase of treatment, we will review the oral hygiene technique, and give advice on the modification of certain risk factors associated with periodontal disease.
If the periodontal disease is more advanced, surgical treatment may be indicated. The purpose of this phase of treatment is to create an environment that is more amenable to health and, if possible, regenerate some of the bone that was lost to the disease. In some forms of periodontitis, antibiotic treatment may be indicated. If this is the case, a bacterial culture may be required to test for harmful bacteria and to establish what antibiotics they are susceptible to.
Periodontal disease is a chronic disease that, like many other chronic diseases, has to be closely monitored, even after active treatment. The maintenance or third phase is crucial to the success of any treatment. Daily brushing and flossing is essential in controlling the ever-developing plaque. So is periodic periodontal maintenance care with professional scaling of the teeth. The periodontal status has to be closely monitored so that changes can be identified and treated as early as possible.
Everyone should be routinely screened for periodontal disease. With today's knowledge about periodontal diseases and the new advances in treatment, you can expect to keep your teeth for a lifetime and ward off the effects that periodontal disease may have on your overall health.
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