Posts for tag: gum disease
Gum disease, or periodontitis, is caused by a sticky film of bacteria called plaque. Plaque is always forming on your teeth, but if your teeth aren’t cleaned well, the bacteria in plaque can cause your gums to become inflamed. When this happens, your gums will pull away from your teeth and form spaces called pockets. Plaque then gets trapped in these pockets and cannot be removed with regular brushing. Plaque then hardens and becomes tartar, or calculus. Plaque and calculus create a perfect home for bacteria to thrive and cause periodontal disease. Scaling and root planing remove plaque and calculus from the teeth and creates a healthy oral environment.
Fortunately, when treated early, periodontal disease can be stopped so that it does not progress and become more severe. If periodontal disease is left untreated, tooth mobility, bone loss, and tooth loss can occur. Scaling and root planing is an effective method for stopping the spread of periodontal disease. This treatment can be performed by Dr. Charles Felts, Dr. Elizabeth Randall, and their hygienists at Chattanooga Periodontics and Dental Implants.
Scaling and root planing may take more than one appointment to complete, and a local anesthetic is often used to minimize any discomfort. This treatment can be compared to having an irritating splinter removed from an infected finger. The procedure involves thoroughly scaling all plaque, bacteria and calculus deposits from your teeth and root surfaces. Root planing smoothes all rough areas on the root surfaces. Smooth root surfaces keep bacteria, plaque, and tartar from re-adhering underneath the gumline, which will allow your gums to heal and reattach themselves more firmly.
If your gums are inflamed, show signs of pulling away from the teeth, or bleed after brushing or eating, you may have periodontal disease. The non-surgical treatment of scaling and root planing is an effective, minimally invasive therapy that will aid in stopping the progression of periodontal disease. When followed by regular dental visits and good oral hygiene habits, your oral health can be greatly improved.
For treatment of periodontal disease in Chattanooga, TN, visit Chattanooga Periodontics and Dental Implants. To schedule an appointment with Dr. Felts or Dr. Randall, call (423) 756-2450.
Are bleeding gums something you should be concerned about? Dear Doctor magazine recently posed that question to Dr. Travis Stork, an emergency room physician and host of the syndicated TV show The Doctors. He answered with two questions of his own: “If you started bleeding from your eyeball, would you seek medical attention?” Needless to say, most everyone would. “So,” he asked, “why is it that when we bleed all the time when we floss that we think it’s no big deal?” As it turns out, that’s an excellent question — and one that’s often misunderstood.
First of all, let’s clarify what we mean by “bleeding all the time.” As many as 90 percent of people occasionally experience bleeding gums when they clean their teeth — particularly if they don’t do it often, or are just starting a flossing routine. But if your gums bleed regularly when you brush or floss, it almost certainly means there’s a problem. Many think bleeding gums is a sign they are brushing too hard; this is possible, but unlikely. It’s much more probable that irritated and bleeding gums are a sign of periodontal (gum) disease.
How common is this malady? According to the U.S. Centers for Disease Control, nearly half of allÂ Americans over age 30 have mild, moderate or severe gum disease — and that number increases to 70.1 percent for those over 65! Periodontal disease can occur when a bacteria-rich biofilm in the mouth (also called plaque) is allowed to build up on tooth and gum surfaces. Plaque causes the gums to become inflamed, as the immune system responds to the bacteria. Eventually, this can cause gum tissue to pull away from the teeth, forming bacteria-filled “pockets” under the gum surface. If left untreated, it can lead to more serious infection, and even tooth loss.
What should you do if your gums bleed regularly when brushing or flossing? The first step is to come in for a thorough examination. In combination with a regular oral exam (and possibly x-rays or other diagnostic tests), a simple (and painless) instrument called a periodontal probe can be used to determine how far any periodontal disease may have progressed. Armed with this information, we can determine the most effective way to fight the battle against gum disease.
Above all, don’t wait too long to come in for an exam! As Dr. Stork notes, bleeding gums are “a sign that things aren’t quite right.” Â If you would like more information about bleeding gums, please contact us or schedule an appointment. You can read more in the Dear Doctor magazine article “Bleeding Gums.” You can read the entire interview with Dr. Travis Stork in Dear Doctor magazine.
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.”
Gum disease affects half of American adults, according to the Centers for Disease Control and Prevention. Luckily, there are a few things you can do to decrease your risk of developing the disease. Dr. Charles Felts and Dr. Elizabeth Felts Randall, your Chattanooga, TN, periodontists at Chattanooga Periodontics & Dental Implants, share information on the types of gum disease and explain how you can avoid becoming another statistic.
Gum disease types
Gingivitis, the mildest form of gum disease, is often ignored because it doesn't cause dramatic symptoms. If you have gingivitis, your teeth may bleed when you brush and floss, and you may notice that your gums are red and swollen. Unfortunately, if you don't take steps to reverse the disease, it can turn into periodontitis, the more severe form of gum disease.
Periodontitis can cause receding gums, bad breath, tooth sensitivity, an unpleasant taste in your mouth, loose teeth and a change in the way partial dentures fit. You may also notice that your gums have pulled away from your teeth, creating pockets that harbor bacteria. Bone and tooth loss can occur if you have periodontitis.
How can I prevent gum disease?
- Brush and Floss: Good oral hygiene is the best way to avoid gum disease. Brushing and flossing, daily, removes bacteria-laden plaque. If plaque remains on your teeth long enough, it turns into a hard deposit called tartar. Tartar buildup causes receding gums and pockets.
- Don't Skip Dental Visits: Because tartar can only be removed with special dental instruments found at your Chattanooga, TN, dentist's office, it's important to not skip your twice a year cleanings. If tartar has begun to cause gum problems, you may benefit from a deep cleaning that removes tartar from below the gum line.
- Replace Poorly Fitting Crowns: Crowns that don't fit well make it difficult to clean around your teeth, which can lead to tartar buildup.
- Quit Smoking: Smokers have a higher risk of developing gum disease. Quitting smoking is a simple way to decrease your risk.
If you do develop gum disease, periodontists offer a variety of treatments that can help control the infection. Call your Chattanooga, TN, periodontists at Chattanooga Periodontics & Dental Implants, at (423) 756-2450 to schedule your appointment.