Periodontal

Periodontal (gum) disease is an infection of the tissues that hold your teeth in place. It's typically caused by poor brushing and flossing habits that allow plaque - a sticky film of bacteria - to build up on the teeth and harden. In advanced stages, periodontal disease can lead to sore, bleeding gums; painful chewing problems; and even tooth loss.

There are a number of risk factors for gum disease, but smoking is the most significant. In fact, smoking can even jeopardize the success of treatment. Depending on the extent of the gum disease, treatments can range from professional deep cleaning and medications to surgery. While periodontal disease can be treated, more importantly, it can be prevented. Daily brushing and flossing, regular dental check-ups, and quitting tobacco use are the best defense against periodontal disease.

Introduction

If you have been told you have periodontal (gum) disease, you're not alone. Many adults in the U.S. currently have some form of the disease. Periodontal diseases range from simple gum inflammation to serious disease that results in major damage to the soft tissue and bone that support the teeth. In the worst cases, teeth are lost.

Whether your gum disease is stopped, slowed, or gets worse depends a great deal on how well you care for your teeth and gums every day, from this point forward.

What causes periodontal disease?

Our mouths are full of bacteria. These bacteria, along with mucus and other particles, constantly form a sticky, colorless "plaque" on teeth. Brushing and flossing help get rid of plaque.  Plaque that is not removed can harden and form "tartar" that brushing doesn't clean.  Only a professional cleaning by a dentist or dental hygienist can remove tartar.

Gingivitis

The longer plaque and tartar are on teeth, the more harmful they become. The bacteria cause inflammation of the gums that is called "gingivitis."  In gingivitis, the gums become red, swollen and can bleed easily.  Gingivitis is a mild form of gum disease that can usually be reversed with daily brushing and flossing, and regular cleaning by a dentist or dental hygienist. This form of gum disease does not include any loss of bone and tissue that hold teeth in place.

Periodontitis

When gingivitis is not treated, it can advance to "periodontitis" (which means "inflammation around the tooth.")  In periodontitis, gums pull away from the teeth and form spaces (called "pockets") that become infected. The body's immune system fights the bacteria as the plaque spreads and grows below the gum line. Bacterial toxins and the body's natural response to infection start to break down the bone and connective tissue that hold teeth in place. If not treated, the bones, gums, and tissue that support the teeth are destroyed.  The teeth may eventually become loose and have to be removed. 

Risk Factors

  • Smoking. Need another reason to quit smoking?  Smoking is one of the most significant risk factors associated with the development of gum disease.  Additionally, smoking can lower the chances for successful treatment.
  • Hormonal changes in girls/women. These changes can make gums more sensitive and make it easier for gingivitis to develop.
  • Diabetes. People with diabetes are at higher risk for developing infections, including gum disease.
  • Other Illnesses. Diseases like cancer or AIDS and their treatments can also negatively affect the health of gums.
  • Medications. There are hundreds of prescription and over the counter medications that can reduce the flow of saliva, which has a protective effect on the mouth.  Without enough saliva, the mouth is vulnerable to infections such as gum disease.  And some medications can cause abnormal overgrowth of the gum tissue; this can make it difficult to keep gums clean.
  • Genetic susceptibility. Some people are more prone to severe gum disease than others.

Who gets periodontal disease?

People usually don't show signs of gum disease until they are in their 30s or 40s.  Men are more likely to have gum disease than women.  Although teenagers rarely develop periodontitis, they can develop gingivitis, the milder form of gum disease.  Most commonly, gum disease develops when plaque is allowed to build up along and under the gum line.

Read the rest of this article, and related information from the National Institute of Dental and Craniofacial Research.

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