Posts for tag: gum disease

By Carey & Aylward, DDS, PC
September 01, 2015
Category: Dental Procedures
Tags: gum disease   root planing  
RootPlaningCleansPlaquefromToothRootsWithoutSurgery

Periodontal (gum) disease is an aggressive bacterial infection caused by built-up plaque on tooth surfaces. Gum disease results in bone loss and causes loss of attachment from the teeth, leading to eventual tooth loss.

The goal of any gum disease treatment is to remove as much plaque and calculus (hardened deposits of plaque) from the gums and teeth as possible. Scaling with special hand instruments or ultrasonic equipment is the basic technique for plaque and calculus removal above and below the gum line. As the infection spreads below the gum line, it can widen the natural gap between teeth and gums to form voids known as periodontal pockets that fill with infection. Accessing and cleaning these pockets, which can occur as deep as the tooth roots, will require more invasive procedures.

Pockets that form at a depth greater than 5 mm below the gum line will most likely require surgical access through the gum tissue. But for pockets not quite that deep there’s an intermediary technique called root planing without surgical intervention. As the name suggests, the roots are physically “planed,” much like shaving a wooden board to remove minute layers of wood.

Using similar instruments as with scaling, root planing removes calculus, bacteria and other infected matter adhering to the root surfaces. It’s best to perform the procedure with local anesthesia to numb the gum tissues, which may be quite sensitive depending on the degree of infection. Working in a pain-free environment also helps us to be as thorough as possible in detecting and removing every bit of plaque and calculus we can find.

In advanced cases, it may be necessary to perform this procedure during multiple visits. As plaque and calculus are removed the inflammation in affected tissues will begin to subside, revealing more deposits of plaque and calculus. It’s also important to begin and maintain a daily habit of effective brushing and flossing to lessen the chances of a recurring infection.

Treating gum disease is an ongoing effort that requires constant monitoring and sustained efforts to remove plaque and calculus, including root planing. Saving your teeth, however, is well worth the effort.

If you would like more information on treating periodontal disease, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Root Planing.”

By Carey & Aylward, DDS, PC
October 20, 2014
Category: Oral Health
Tags: gum disease   bleeding gums  
FiveThingstoKnowAboutBleedingGums

Did you ever brush your teeth and find that your gums were bleeding slightly? This unwelcome discovery is more common than you might think — and it might have something to tell you about your oral health. Here are five things you should know about bleeding gums.

  • As much as 90% of the population occasionally experiences bleeding gums. It happens most often while brushing — and it’s often a sign of trouble, indicating that your gums are inflamed and/or you aren’t brushing or flossing optimally.
  • Bleeding gums can be an early warning sign of gum disease. In its earliest stages, this malady is called gingivitis, and it’s quite common. About 10 to 15 percent of people with gingivitis go on to develop a more serious form of gum disease, called periodontitis. If left untreated, it can lead to gum recession, bone loss, and eventually tooth loss.
  • A professional exam is the best way to tell if you have gum disease. Your dentist or hygienist may use a small hand-held instrument called a periodontal probe to check the spaces between your teeth and gums. When gum tissue becomes detached from the teeth, and when it bleeds while being probed, gum disease is suspected.
  • Other symptoms can confirm the presence of gum disease. These include the presence of pus and the formation of deep “pockets” under the gums, where gum tissues have separated from teeth. The pockets may harbor harmful bacteria, and need to be treated before they cause more damage.
  • Several factors may influence the health of your gums. How effectively you brush and floss has a major impact on the health of your gums. But other factors are important too: For instance, women who are pregnant or taking birth control pills sometimes have bleeding gums due to higher hormone levels. Diabetics and people with compromised immune systems often tend to have worse problems with periodontal disease. Certain drugs, like aspirin and Coumadin, may cause increased bleeding; smoking, by contrast, can mask the presence of gum disease by restricting blood flow.

It’s never “normal” to have bleeding gums — so if you notice this problem, be sure to have an examination as soon as you can. If you have questions about bleeding gums or periodontal disease, contact us or schedule a consultation. You can read more in the Dear Doctor magazine article “Assessing Risk For Gum Disease.”

By Carey & Aylward, DDS, PC
September 24, 2014
Category: Oral Health
Tags: gum disease  
BleedingGumsareaPossibleSignofPeriodontalGumDisease

If you notice your gums bleeding when you brush your teeth, you’re not alone — it’s estimated that as many as 90% of the population have at some time had the same experience. That doesn’t mean it’s normal, though; in fact, unless you’re pregnant, have a systemic condition like diabetes or take blood-thinning medication, it’s more likely a sign that an infection has caused your gums to become inflamed and tender. The infection arises from a bacterial biofilm that’s been allowed to accumulate on tooth surfaces due to inadequate brushing and flossing.

If not treated, the early form of this infection known as gingivitis can develop into a more serious form of gum disease in which the various tissues that help attach teeth to the jaw become infected and eventually detach. As it progresses, detachment forms voids known as periodontal pocketing between the teeth and gum tissues. The end result is receding gum tissue, bone loss and eventually tooth loss.

If you begin to notice your gums bleeding when you brush, you should make an appointment with us for an examination — and the sooner the better. During the exam we’ll physically probe the spaces between your teeth and gum tissues with a periodontal probe, a thin instrument with a blunt end marked in millimeters. As we probe we’ll determine the quality of the gum tissue — whether the probe inserts easily (a sign the tissues are inflamed) or gives resistance (a sign of healthy tissue). We’ll also determine the degree of detachment by measuring the depth of the insertion with the millimeter scale on the probe.

The presence of bleeding during this examination is a strong indication of periodontal disease. Taking this with other signs we encounter during the exam (including the degree of pus formation in any discovered pockets) we can then more accurately determine the existence and level of advancement of the disease.

While gum disease is highly treatable, the best results occur when the condition is discovered early, before the infection severely damages tissues around the teeth. Being on the lookout for bleeding and gum tenderness and responding to it quickly can significantly simplify the necessary periodontal treatment.

If you would like more information on bleeding gums and other symptoms of gum disease, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Understanding Gum (Periodontal) Disease.”

By Carey & Aylward, DDS, PC
June 24, 2014
Category: Oral Health
Tags: loose teeth   gum disease  
TreatingLooseTeethandtheUnderlyingCauses

Adult teeth aren’t meant to be loose — it’s a sign that something is wrong. And while there are treatments, time is of the essence before permanent tooth or bone loss occurs.

Loose teeth can occur for many different reasons. Bite-related problems are fairly common, referred to as occlusal trauma (“occlusal” – bite; “trauma” – injury). This could be the result of excessive force placed on otherwise normal teeth and jaws — chronic clenching or grinding habits, for example. On the other hand, even normal biting or chewing can cause teeth to loosen if bone loss from gum disease has become excessive, reducing the remaining attachment to bone to inadequate levels. In some cases it can be a result of both excessive force and weakened bone levels.

Of these reasons, the most common cause is the weakened attachment of the teeth to the bone due to gum disease. If this is the case, it’s important first to treat the gum disease by an appropriate strategy for the disease present and then implement an effective dental hygiene program to inhibit reoccurrence.

As for the problem of loose teeth, there are measures to address it. Occlusal bite adjustment reduces the degree of force when biting or chewing by reshaping the biting surfaces through selective grinding. Splinting is another technique in which the teeth are joined together to make them more rigid and to redistribute the biting force among several teeth. This can be done with material bonded across the outside of several teeth or with a metal splint affixed within a pre-cut channel across the teeth. A more permanent option is to create a series of crowns to affix to the teeth and then fuse them together.

Although more complex, orthodontics to correct misaligned teeth is another option. Not only will it improve the bite and potentially reduce bite forces, it may also improve the health of the supporting periodontal attachment.

Before undertaking any treatment, you should first undergo a thorough exam to determine the true cause of your loose teeth and any underlying conditions. From there we can recommend the best approach for treating and preserving your teeth.

If you would like more information on treatments for loose teeth, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Treatment for Loose Teeth.”