What is Gum Disease?
Gum disease leads to the gradual loss of the bone that supports your teeth. This bone acts as the foundation, and as it deteriorates, the chances of tooth loss increase. Since bone loss can be permanent, our primary focus is on preventing further damage and preserving your teeth before the situation becomes irreversible.
How do we measure Gum Disease?
Gum disease is evaluated by measuring the depth of the ‘pocket’ around each tooth. This pocket is the small space between the tooth and gum, which, in a healthy mouth, is typically no deeper than 3mm. As part of a comprehensive gum examination, we also assess factors such as gum bleeding, gum recession, and your bite. When bacteria accumulate around the tooth, they can cause gum inflammation, leading to a deepening of the pocket. Once the pocket reaches a depth of 5mm or more, the type of bacteria present changes, increasing the risk of further damage. Any pocket 5mm or deeper requires treatment to prevent progression. If left untreated, the pocket is likely to deepen further, leading to bone loss and, ultimately, tooth loss.
What causes Gum Disease?
· Dental Plaque Dental plaque is a thin, sticky film that naturally forms on your teeth throughout the day. It contains bacteria that, if not removed with proper brushing, can harden into calculus (tartar). Your gums may react to this buildup, potentially leading to the onset of gum disease. · Smoking Smoking is one of the most significant risk factors for developing gum disease and can also impact how effectively your gums respond to treatment. Quitting smoking is essential to reducing your risk and improving the long-term success of any gum disease treatment. · Genetics Some individuals are genetically more prone to gum disease. If you have a family history of gum problems, regular dental check-ups for you and your family are highly recommended to catch and treat any issues early. · Medical Conditions (e.g., Diabetes) Research has found a connection between gum disease and overall health. Certain medical conditions, such as diabetes, heart disease, rheumatoid arthritis, and kidney disease, can worsen gum disease. If you have any of these conditions, regular dental visits are advised to help manage your oral health and detect gum issues early.
How do we treat Gum Disease?
Treatment of Gum Disease Managing gum disease involves two key steps: 1. Excellent Oral Hygiene We’ll guide you on how to properly brush your teeth to minimize the bacteria that accumulate around them between dental visits. Maintaining good oral hygiene is essential for the success of your treatment, both during the process and in the long term. We recommend using an electric toothbrush and inter-dental brushes, such as TePe brushes. Together, we’ll determine the most suitable brushes to help you achieve optimal daily cleaning. 2. Deep Cleaning of the Pockets In-surgery treatment focuses on removing bacteria that cannot be reached with your toothbrush, either because it has hardened into calculus above the gum or because it’s located beneath the gum. The treatment typically begins with numbing the affected areas of your mouth, followed by thorough cleaning over two to four appointments. In some cases, antibiotics may be prescribed to support the treatment. This initial phase can significantly reduce the problem areas and shrink pockets to a depth of less than 5mm. However, some areas may still require further surgical treatment. Surgical Therapy: This involves gently lifting the gum to clean the area underneath thoroughly. Afterward, the gum is stitched back, sometimes repositioned, with the stitches removed after 1-2 weeks. In certain cases, we may also be able to restore some of the lost bone through bone regeneration. If this is an option for you, we will discuss it in detail during your reassessment appointment.
What can I expect after treatment?
The most crucial point to remember is that gum disease can recur, which makes proper aftercare essential. To maintain a healthy mouth following your treatment, it is important to follow these steps: Regular Hygiene Appointments: Attend maintenance sessions with your dental hygienist at least three times a year to remove bacterial deposits from around your teeth and gums. Annual Periodontal Review: Schedule a yearly check-up with your periodontist to assess and monitor the depth of the gum pockets. Consistent Oral Hygiene Routine: Practice excellent oral hygiene by brushing twice daily and using interdental cleaning aids as recommended by your oral healthcare team.
How do I know if my Gum Disease getting worse?
Regular Check-Ups The most effective way to detect gum issues before symptoms arise is through regular check-ups with your periodontist or dentist. During these visits, they will measure the ‘pockets’ around your teeth to identify any early signs of potential problems. Bleeding Gums Bleeding gums while brushing can be an early warning sign that your gums are in trouble. This is often caused by a buildup of bacteria around the teeth, leading to gum irritation and inflammation, which results in bleeding. Although this irritation doesn’t always lead to gum disease or bone loss, it’s best to consult your periodontist or dentist if you have any concerns. Loose Teeth As the bone supporting your teeth recedes, the stability of your teeth may weaken. This, combined with ongoing gum inflammation, can cause teeth to feel loose. Ideally, it’s best to treat gum disease before the teeth become loose to preserve as much bone and support as possible. Teeth Drifting As the bone support around your teeth decreases, the teeth may begin to drift, shift, or rotate. This gradual process can lead to widening gaps or noticeable changes in tooth position. Although we aim to treat gum disease before it reaches this stage, treatment can still prevent further movement. Once the gums are healthy, options may also be explored to reposition the teeth if neede
