Local Dental Care - Gingivitis Symptoms

Periodontitis and Gum Disease Treatment

It's natural to want to lump people together in some Big Category. Natural, but wrong. Like, "Baby Boomer." President Clinton and home run slugger Mark McGwire are both "Boomers." But are these two guys exactly alike?

It's the same in health and dental care. Your oral chemistry is as unique as your thumbprint. Yet magazine stories claim "you" need only one dental appointment a year to stay healthy. They don't know you. They're referring to an "average" patient. Dental insurance plans also tend to believe in this mythical "average patient" and may not pay for more than a biannual visit.

Sure, two visits are fine for many patients, even most. But some mouths build up more tartar than others. Others are naturally decay-prone. Still others - and this is critical - may be showing signs of periodontal (gum) disease.

Bleeding gums need to be taken seriously. They're signs of an infection that can be a significant risk factor for heart disease, and, in fact, many serious illnesses. If you had a bleeding sore on your hand that didn't heal you'd get to a doctor for a checkup, right? Type I periodontitis (gingivitis) consists of tender gums and a little bacteria-filled pocket between your tooth and gum. It's easily treatable at this point. But if the infected pockets are allowed to enlarge and you get swollen gums, that inflammation can extend to the bone beneath and erode it.

Your periodontist's concern is for your health and your teeth, not whether you've made the standard number of appointments for this year. He or she wants the chemistry to be right in your mouth... and between the two of you.

+Jim Du Molin is a leading Internet search expert helping individuals and families connect with the right dentist in their area. Visit his author page.

Dental Procedure For Dental Recession

Dental recession is a displacement of the gum around the teeth that results in greater tooth exposure and a longer looking tooth. As the gum that protects the root surface of the tooth is lost, not only does it create an esthetic deformity, it makes the tooth more sensitive to changes in temperature (hot and cold), touch, and to proper oral hygiene techniques. The exposed root surfaces also are more susceptible to cavities. Causes of dental recession include:

• Periodontal disease: The bacteria that cause gingivitis can release toxins that injure the gum tissues and create gum recession. Once the gum is affected by gingivitis (see article "Gingivitis"), it is even more susceptible to further dental recession and bone loss. So if the gum is red, swollen, or bleeds when probed, it is more likely to continue receding. Eventually, there may not be enough healthy gum and bone left to protect the tooth and the tooth may need to be removed. If there is less than 2 mm of healthy gum in an area of recession, a dentist may recommend a gum graft to help prevent further receding gums and help protect the tooth.
• Trauma: Medium or hard bristle toothbrushes, brushing too hard, or brushing inappropriately can damage the teeth and the gums. It is very important to use a soft bristle toothbrush when cleaning the teeth, and to follow proper technique. Mechanical trauma to the gums also can be caused by improperly fitting dental restorations or dentures. Fillings that are rough or dentures that are loose or poorly designed can injure the gums and cause them to recede.

Gums also may recede as a result of orthodontic treatment or from manipulation during restorative procedures. To prevent this from occurring, a dentist may recommend gum grafting before orthodontics or restorative treatment.

Gum grafts are indicated if an individual has root sensitivity to touch or temperature changes, if new restorative work will be done in the area of the dental recession, if the roots are susceptible to cavities, or if an individual is having problems following proper plaque control procedures. In addition, gum grafts are cosmetic periodontal procedures that can be performed to enhance smiles if recession has created esthetic problems such as long teeth or exposed roots.

By Laura Minsk, DMD