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   Gum disease :   Gingivitis - Periodontitis
 


  Gum disease, (gingivitis or periodontal disease), starts as an inflammation of the gums that if left untreated can affect and gradually destroy the tissues surrounding and supporting the teeth.

Periodontal diseases are infections of the periodontal tissues, which include the gums, periodontal ligament and alveolar bone.
Gingivitis and periodontitis are the two main stages of gum disease.
Without proper treatment of gum disease, the teeth will finally become loose, fall out or have to be removed by a dentist.
Learn more in this page about :

  HEALTH RISKS
  of periodontal diseases


  THE CAUSES
  of gum diseases


  SIGNS & SYMPTOMS
  of gum disease


  THE STAGES
  of periodontal disease



General health risks caused by Periodontal Diseases
Over the recent years ther is increasing evidence to support the fact that dental problems like periodontal diseases can cause other serious health problems.
As stated by the American Academy of Periodontology, periodontal disease is a bacterial infection, and all infections are cause for concern. Periodontal bacteria can enter the blood stream and travel to major organs and begin new infections.
Research is suggesting that periodontal disease may:
Contribute to the development of heart disease, a leading cause of death.
Increase the risk of stroke.
Increase a woman's risk of having a preterm, low birth weight baby.
Pose a serious threat to people whose health is compromised by diabetes, respiratory diseases, or osteoporosis.
If you value your oral health as well as your overall health, a periodontal evaluation is a good idea that might prove especially important.

THE CAUSES OF BLEEDING GUMS (periodontal disease)

The accumulation of dental plaque and tartar is usually what causes gingivitis, and it's almost always the result of inadequate brushing and flossing.
If poor oral hygiene promotes the overgrowth of bacterial plaque, changes in the composition of the plaque occur. The bacterial balance shifts over to gram negative anaerobic bacteria, which are responsible for inflammatory diseases.
The bacteria also invade the crevices between the gum and tooth (sulcus) and infect the periodontal tissues. These bacteria that form dental plaque and tartar release toxins that stimulate the body's immune system to over produce powerful infection-fighting factors called cytokines.
The immune factors of the body, in their effort to fight the infection, attack the person's own infected cells and periodontal tissues. This way, the supporting tissues of the teeth - gums, connective tissue and alveolar bone - are destroyed.
The bacteria most implicated in periodontal disease and bone loss are : Actinobacillus (A.) actinomycetemcomitans and Porphyromonas (P.) gingivalis. Other bacteria linked to gum disease are : Bacteroides (B.) forsythus , T. denticola, T. sokranskii and P. intermedia.


Gingivitis symptoms - First signs of Gum Disease
Many people visit their dentist with serious periodontal disease because they are not aware of what gum disease looks like in its early stages.
There are some early signs of gum disease that help us to detect it and fight it before it becomes a serious problem :
Bleeding gums during brushing or flossing
Red, tender or swollen gums
Loss of attachment between teeth and gums - pocket creation
Receding gums that make teeth look longer than normal
Sensitive teeth or pain on chewing
Persistent bad breath or bad taste in the mouth
Increased mobility of teeth
Pus coming from between your teeth and gums (abscess)

Pain is usually not a symptom, which partly explains why the periodontal disease may become advanced before it is diagnosed. Many people tend to ignore the most common syptoms such as bleeding gums and receding gums, considering them as normal.

If detected in its early stages gum disease can be reversed, so see your dentist if you notice any of the gingivitis symptoms.

Follow this link for more information about Gum Disease Treatments

THE STAGES OF PERIODONTAL DISEASE


Gingivitis
The dental plaque produces toxins that irritate the gum tissue. Gingivitis is the inflammation of the gums characterized by redness, swelling, and sometimes bleeding during brushing. The gums start receding and bleeding, loosening their attachment to the tooth and exposing previously covered enamel or part of the tooth root.
At this early stage of gum disease, damage can be reversed with proper dental hygiene, since the teeth are still firmly planted in their sockets without any bone or connective tissue damage

Periodontitis
Plaque bacteria start to penetrate between the teeth and gums. The environment becomes suitable for the establishment of anaerobic bacteria under the receding gums. Gingival pockets are formed below the gumline.   The surrounding connective tissues and alveolar bone become infected. Bacterial toxins and the body's enzymes fighting the infection start to break down the bone and connective tissue that hold teeth in place.
At this stage, the supporting bone and fibers that hold the teeth in place are irreversibly damaged. Proper dental treatment and improved dental hygiene can usually help prevent further damage.

Advanced Periodontitis
As the periodontal disease progresses, the pockets deepen and more gum tissue and alveolar bone are destroyed. Ultimately all the supporting structures of the tooth may be lost. The tooth gradually loosens and, if periodontitis is left untreated, the tooth will eventually be lost (fall out or have to be removed by a dentist).

It is crucial for your dental health to be alarmed from the first signs of gum disease. Improve your dental hygiene and visit your dentist for gum disease treatment if you notice any gingivitis symptoms in order to minimize the risk of the periodontal disease progressing to periodontitis.
Related pages :
Receding Gums
Pregnancy Gingivitis
Tooth Scaling and Root Planing
Dental Problems (main page)

The cost involved with several dental treatments is significant and many patients can not afford it if they are not covered by their dental insurance. Learn how to choose a dental insurance plan that will help you provide the best dental treatment to yourself and your family.



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