Gum diseases are a major cause of about 70% of tooth loss. Three fourth of adult Indian population is suffering from one or other type of gum disease.
Gum disease refers to inflammation (swelling) of the soft tissue (gingiva) and untimely loss of bone around the teeth that holds them in place with the help of millions of elastic fibers. Gum disease is the second most common cause of toothache.
Gum disease is caused by toxins secreted by bacteria in "plaque" that accumulates over time along the gum line. This plaque is a mixture of food, saliva, and bacteria.
Red swollen gums and bleeding without pain are the early symptoms of gum disease. The disease may progress without pain destroying the supporting bone and receding (lowering) gum around the teeth leading to untimely fall of the teeth. Pain is a symptom of advanced gum disease as the loss of bone around the teeth without the recession of gum leads to the formation of gum pockets. Bacteria in these pockets cause gum infection, swelling, pain, and further bone destruction. Advanced gum disease can cause loss of otherwise healthy teeth.
Treatment of early gum disease involves oral hygiene and removal of bacterial plaque. Moderate to advanced gum disease usually requires a thorough cleaning of the teeth and teeth roots called "root planning" and "sub-gingival curettage." Root planning is the removal of plaque and tartar (hardened plaque) from exposed teeth roots while sub-gingival curettage refers to the removal of the surface of the inflamed layer of gum tissue. Both of these procedures are usually performed under local anesthesia and may be accompanied by the use of oral antibiotics to overcome gum infection or abscess. Follow-up treatment may include various types of gum surgeries. In advanced gum disease with significant bone destruction and loosening of teeth, teeth splinting or teeth extractions may be necessary.
It is the clinical name for the gum disease It is a progressive inflammatory disease of the gums and the surrounding tissue around the teeth. It was commonly referred to as pyorrhea . It is estimated that up to 80% of the population above the age of 40 may suffer from this disease with the severity varying drastically from one person to another. Periodontitis is the number one cause of tooth loss after the age of 40.
Certain medical conditions or medications can make one more susceptible to gum disease. They include pregnancy, diabetes, epilepsy, and such medications as chemotherapy, birth control pills, antidepressants, and those for heart problems.
THE SUCCESS OF THE PERIODONTAL TREATMENT DEPENDS UPON THE WILL OF THE PATIENT TO MAINTAIN A GOOD ORAL HYGIENE WITH THE HELP OF HOME CARE PRODUCTS, COUPLED WITH REGULAR FOLLOW UP AT THE DENTAL OFFICE.
Prof. DR. ANIL SHARMA/ DR, SONIA SHARMA
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