Local Dental Care - Mouth Problems

Gingivitis - Everything You Need To Know

Gingivitis is the most common periodontal disease, affecting 90% of the population. It is an infection of the gums caused by bacteria that form plaque.

In small amounts (when it is newly formed), plaque is invisible and relatively harmless. But when left to accumulate, it increases in volume and the proportion of harmful bacteria grows. These gingivitis bacteria release toxins that result in inflammation of the gum tissue and bad breath.

Eventually, the plaque hardens and forms hard deposits called calculus or tartar. If not properly treated, gingivitis may progress to periodontitis, a periodontal disease in which there is loss of the bone that supports the teeth.

Signs of Gingivitis

Gingivitis can be identified by red or swollen gums. In some circumstances, the gingivitis can cause bleeding gums when brushing or eating, and there may be bad breath. To diagnose gingivitis, a dentist may probe gently under the gums. In healthy gums, there should not be any bleeding with this gentle probing. A bleeding gum indicates that there is gum inflammation or gingivitis.

Who's At Risk for Gingivitis?

Certain people are more susceptible to gingivitis. Stress, smoking and poor nutrition can contribute to the development of gingivitis. Certain medications such as steroids, heart medications, cancer therapy drugs, anti-epilepsy drugs, and anti-depressants also increase the risk for gingivitis.

In the presence of plaque, these medications can lead to gum overgrowth. The enlarged gums can further interfere with oral hygiene, precipitating a vicious cycle of further gum enlargement.

Changes in female hormones can also increase the vulnerability to gingivitis. Adolescent women, pregnant women and women who take hormone replacement or birth control pills also have a greater risk of developing gingivitis.

There are several systemic illnesses that are associated with gingivitis. These include

• acute leukemia
• Addison's disease
• diabetes
• hemophilia
• immunodeficiency diseases (including HIV)

The swelling and redness of the gums may be disproportional to the amount of plaque present. To prevent further complications, meticulous plaque control is critical for people with these illnesses.

Gingivitis Treatment

For gingivitis treatment, the bacterial plaque and tartar have to be removed from the surfaces of the teeth by a dentist or hygienist. Then, the factors that contribute to plaque retention have to be altered in order to facilitate oral hygiene procedures.

This can involve re-shaping existing restorations or even moving teeth with braces so that they are not crowded. Essential to the success of the gingivitis treatment is the person's ability to control plaque build-up after initial treatment. Daily brushing and flossing are key to gingivitis prevention and helps prevent bad breath.

If there is a lot of gum inflammation, if the gums are very sensitive, or if there is a lot of tartar buildup, it may be necessary to numb the gums in order to remove the buildup of bacteria underneath the gum margins. If the gum is very inflamed and swollen, it may be necessary to remove some of the excess gum tissue surgically.

Gingivitis is reversible, and with proper gingivitis treatment and maintenance, it can be controlled. However, untreated gingivitis can result in gum defects, bone loss around the teeth, and eventual tooth loss and systemic complications. The best way to prevent gingivitis is by brushing and flossing daily, and by visiting the dentist for a routine cleaning and an examination at least every six months.

By Laura Minsk, DMD

Laser Gum Treatment of Periodontal Disease

Periodontal disease is a leading cause of adult tooth loss in the U.S. today. It can progress destructively, often unnoticed, just like undiagnosed hypertension or diabetes.

What if a magic wand or automatic treatment upgrade made a new gum disease treatment available, allowing your periodontist to provide more successful care? A treatment that would eliminate the need for periodontal surgery? What if that care could be provided comfortably and what if it was more easily affordable?

Periodontal procedures like that actually exist today. One is called the dental laser. The laser is an instrument that uses the energy provided from a focused beam of light to very selectively and gently remove delicate infected gum tissue. In the process, the laser's focused beam of light effectively seals off tiny blood vessels (so no bleeding gums!) and nerve endings while instantly stimulating healing. The bacteria causing the infection are actually vaporized!

The dental laser is extremely safe. Protective eyewear represents the chief safety precaution.

Healing is very rapid and uneventful. Secondary infection is nonexistent. There are no dressings to wear or any open wounds. The laser can be used most often with nothing more than topical anesthesia and never more than local anesthesia.

Today in dentistry, a laser is simply the source of a focused beam of light, but maybe it's really actually more of a high tech magic wand.

Ask your dentist about laser gum treatment of periodontal disease today!

+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.