Gum Treatment

Everyone experiences gum problems at some point , from time to time and some people experience these problems on a daily bases gums can bleed , become irritated , inflamed and infected , conditions known as gingivitis and periodontitis . it is caused by toxins secreted by bacteria in a€? plaquea€? that accumulate over time along or below the gum line. This plaque is a mixture of food saliva and bacteria . as this plaque hardens / calcifies with time if not removed it is converted into calculus.

Am i Suffering form Gum disease?

- Do your gum bleed when you brush your teeth?

- Are your gums red , swollen or tender?

- Do you have bad breath?

- Do you see pus between your teeth and gums?

- Do you have loose teeth?

- Frequent changes in the fit of partial denture ?

- Achange in the way your teeth fit together when you bite?

- Teeth appears longer than before?

If your answer is yes to anyone of the above question then schedule an appointment immediately.

Symptoms of Gum Disease

Early symptoms of gum disease include gum bleeding without pain . but as the disease progresses there is separation of the teeth from the gums ( pocket formation) with the resultant loss of attachment of the tooth from the bone beneath the gum line where the teeth are held on place by structures known as periodontal ligament , leading to pai9n and loosening of the teeth.

How is Gum Disease Treated?

Treatment of early gum disease involves oral hygiene and scaling . scaling is the removal of calculus ( commonly called tartar ) and plaque that attach to the tooth surfaces. Moderate to advanced gum disease usually requires a through cleaning of the teeth and teeth roots called a€? root planninga€? and a€?sub gingival curettagea€? . root planning is the removal of plaque and tartar ( hardened plaque ) from exposed teeth roots while sub gingival curettage refers to the removal of the surface of the inflamed layer of gum tissue . both of these procedures are usually performed under local anesthesia and may be accompanied by the use of oral antibiotics to overcome gum infection or abscess. Follow up treatment may include various type of gum surgeries . in advanced gum disease with significant bone destruction and loosening of teeth, teeth splinting or teeth extractions may be necessary.

Non Surgical Therapy

a€¢ Scaling and root planning - manually removing the plaque and tartar from the root surfaces of your teeth below the gum line

a€¢ A antibiotics - antibiotics can be prescribed as pills or as an antibiotic fiber as bacteria causes periodontitis . the films are used in conjuction with scaling and root planning . they are placed directly into the pockets and are removed within 7 a€“ 10 days later. Antibacterial mouth rinses may also be recommended to help plaque control.

a€¢ Bite correction a€“ an imbalanced bite may accelerate bone destruction . teeth may be grinded for proper and better function. A bite a€“ guard ( removable retainer fitting over teeth ) may be required

a€¢ Splinting - splinting involves bending a group of teeth together so that the biting forces are shared by a large number of teeth instead of being born by the affected tooth.

a€¢ Surgical therapy a€“ in this procedure the gums are separated from the teeth creating a a€? flapa€? and access to the infected pocket. It aims to reduce pocket depth and increase the ability to maintain the remnant pockets clean

a€¢ Gingivectomy - this procedure is performed when excess amounts of gum growth around the teeth have occured . this results in false pocket formation and the inability to keep them clean

a€¢ Gingivoplasty a€“ it is the surgical reshaping of gum tissue around teeth with healthy gum . this procedure can be used to correct malformed or asymmetrical gums caused by genetics disease or trauma.

a€¢ Osseous ( bone ) surgery - this procedure is done to smooth shallow craters and defects in the bone due to mild or moderate bone loss

a€¢ Bone grafts - tiny fragments of the patients bone ,synthetic bone or bone obtained from a bone bank are used to fill a bony defect around the teeth. These grafts act as a scafflold on or around which patients own bone is conducted or induced to grow

a€¢ Soft tissue graft a€“ in cases of gum recession a graft is usually taken from the palate and transplanted onto the receding area to re a€“ surface the tin gum and to inhibit further gum recession

Maintenance Therapy

Periodontal disease ( gum disease is a chronic ( long lasting ) problem and can return without regular dental care and careful attention to oral hygiene at home. Therefore, one of the keys to successful non surgical or surgical. Maintenance therapy appointments are usually one visit with your dentist. these visits can be scheduled between two and four times a year depending on the severity of your periodontal condition.

A typical maintenance visit will include

a€¢ A periodontal examination.

a€¢ An evaluation of the amount of plaque on your teeth and your oral hygiene a review of the proper techniques for brushing, flossing or other cleaning techniques , when needed

a€¢ Cleaning and polishing of your teeth , including the removal of plaque, calculus ( tartar ) and stains

a€¢ X a€“ rays if needed

a€¢ Treatment to manage tooth sensitivity , if needed.

Fibre Splinting

If two or more teeth become loose due to accident or gum disease they can be joined to the surrounding , stable teeth . splinting is a process where the teeth are joined together to increase the strength. This procedure allows eating to become more comfortable again. However , splinting makes oral hygiene procedures difficult. Therefore to ensure the longevity of the connected teeth, special attention must be given to oral hygiene.

a€¢ Extremely then fiber-glass band to be used with fiber- bond or any light cured bonding agents. The band is 4 mm wide , which gives 30% more adhesion power to the interdental area. Strength with a certain degree of flexibility a€?tooth hugginga€? quality combine for an overall esthetic and functional result. Minimum tooth preparation . high patient acceptance.