Gum Disease

By Steven H. Poulos, DDS

Gingivitis and periodontal disease are names for inflammation of the gums around the teeth, which results in deterioration of the bone beneath the teeth. According to research, four out of five people have periodontal disease and dont know it. Most people are not aware of it because the disease is usually painless in the early stages. Unlike tooth decay, which often causes discomfort, it is possible to have periodontal disease without noticeable symptoms.

Plaque, a sticky, colorless film of bacteria, food debris and saliva, builds up on gums and teeth. This is the start of gum disease. As it progresses, the bacteria give off toxins (acids) that make the gums red and inflamed and eat away at the bone under the teeth. Brushing and flossing the teeth helps keep the plaque from forming and damaging gums and bone. And it is very important to have regular visits to the dentist who can determine if there is a problem with gum disease.

There can be other causes of periodontal disease besides poor oral hygiene, and things that predispose one to a greater risk for the disease.

Plaque and tartar form more easily on teeth if one smokes or chews tobacco.

Any situation that causes spaces between teeth can cause gum disease. Such situations could be defective fillings, crowded teeth or bridges that do not fit well in the mouth. These things will ensnare plaque and bacteria.

Some medications have side effects that reduce saliva " this makes the mouth dry and make it easier for plaque to stick to gums and teeth. These medications include steroids, cancer therapy drugs, blood pressure medications, oral contraceptives and others.

Pregnancy, oral contraceptives and puberty cause changes in hormone levels, which can cause gum tissue to become more sensitive to bacteria toxins.

Systemic diseases such as diabetes, blood cell disorders, HIV/AIDS can cause susceptibility to gum disease.

Genetics plays a role in predisposing a person to gum disease of an aggressive type. If relatives have a history of loss of teeth, pay attention to changes in your gums.

Signs and symptoms of periodontal disease include red and puffy gums, bleeding gums, persistent bad breath, new spacing between teeth (caused by bone loss), loose teeth, pus around teeth or gums, receding gums and any tenderness or discomfort of the gums.

Anyone can improve chances of healthy gums by taking care of the teeth and gums with regular brushing and flossing. A good diet also helps to stave off gum disease and to help cure it. Regular visits to the dentist will help prevent the disease by catching it before it causes bone damage and causes loss of teeth. - 29879

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