Periodontal and Gum Disease

Periodontal treatment is necessary when various conditions affect the health of your gums and the regions of your jawbone that hold your teeth in place. Retaining your teeth is directly dependent on proper periodontal care and maintenance. Healthy gums enhance the appearance of your teeth, like a frame around a beautiful painting. When your gums become unhealthy, they can either recede or become swollen, red and infected. In later stages, the supporting bone is destroyed and your teeth will shift, loosen, or fall out. These changes not only affect your ability to chew and speak, they also spoil your smile.

Periodontal Disease

Periodontal diseases are infections of the gums that gradually destroy the support of your natural teeth. “Perio” means around and “dontal” means tooth. Dental plaque is the primary cause of gum disease in genetically susceptible individuals.

Plaque is the accumulation of bacteria, which sticks to teeth and gums forming a soft whitish deposit. Bacteria found in plaque produce toxins or poisons that irritate the gums. They may cause them to turn red, swell, and bleed easily. If this irritation is prolonged, the gums separate from the teeth causing pockets (spaces) to form. Plaque can also harden into a rough, porous substance known as calculus (or tartar). This can occur both above and below the gum line.

As periodontal diseases progress, the supporting gum tissue and bone that holds teeth in place deteriorate. If left untreated, this leads to tooth loss. However, don’t be fooled. With periodontal disease, bleeding, redness, and swelling do not have to be present. Further, pain is usually not associated with periodontal disease. This disease damages the teeth, gum, and jawbone of more than 80 percent of Canadians by age 45.

Male and Female Smiling

Preventing Gum Disease

Periodontal Treatment – Mississauga, Ontario

Adults over the age of 35 lose more teeth to gum disease than from cavities. Three out of four adults are affected at some time in their life. The best way to prevent cavities and Periodontal Disease is by daily thorough tooth brushing and flossing techniques and regular professional examinations and cleanings. Unfortunately, even with the most diligent home dental care, people can still develop some form of periodontal disease. Once this disease starts, professional intervention is necessary to prevent its progression.

Other important factors affecting the health of your gums include:

  • Smoking
  • Diabetes
  • Stress
  • Clenching and grinding teeth
  • Medication
  • Poor nutrition

Periodontal Disease & Smoking

You are probably familiar with the links between smoking and lung disease, cancer, and heart disease.

Current studies have now linked periodontal disease with smoking. These cases may be even more severe than those of non-smokers. There is a greater incidence of calculus formation on teeth, deeper pockets between gums and teeth as well as greater loss of the bone and fibers that hold teeth in your mouth. Your chance of developing oral cancer increases with the use of smokeless or chewing tobacco.

Chemicals in tobacco smoke such as nicotine and tar slow down healing and the predictability of success following periodontal treatment.

Problems caused by smoking include:
Lung disease, heart disease, cancer, mouth sores, gum recession, loss of bone and teeth, bad breath, tooth staining, less success with periodontal treatment, and with dental implants.

Quitting smoking will reduce the chance of developing the above problems.

Diabetes & Oral Health

Individuals suffering from diabetes, have a higher risk of developing bacterial infections of the mouth. These infections may impair your ability to process insulin, resulting in greater difficulty with controlling your diabetes. Periodontal diseases will be more severe than those of a non-diabetic therefore treatment more difficult. Well-controlled diabetics have a lower incidence of cavities.

Steps to prevent periodontal disease include daily brushing and flossing to remove plaque from your teeth and gums, regular dental visits for professional cleaning, and regular periodontal evaluation. Your health professional must also be told of your history and the current status of your condition. Finally, you can help resist periodontal infection by maintaining control of your blood sugar levels.

Heart and Periodontal Health

It is possible that if you have periodontal disease, you may be at higher risk for cardiovascular disease. It has been known that bacteria may affect the heart. Evidence is now mounting, that suggests people with periodontal disease may be more at risk for heart disease, and have nearly twice the risk of suffering a heart attack, than patients without periodontal disease.

While more research is needed to confirm how periodontal bacteria may affect your heart, one possibility is that periodontal bacteria enter the blood through inflamed gums and cause small blood clots that contribute to clogged arteries. Another possibility is that the inflammation caused by periodontal disease contributes to the buildup of fatty deposits inside heart arteries.

One out of 5 Canadians has one or more types of heart disease. If you are one of these people, or you are at risk for periodontal disease, see a periodontist for an evaluation, because healthy gums may lead to a healthier body.

Women & Periodontal Health

Throughout a woman’s life, hormonal changes affect tissue throughout the body. Fluctuations in levels occur during puberty, pregnancy and menopause. At these times, the chance of periodontal disease may increase, requiring special care of your oral health.

Pregnancy

Your gums and teeth are also affected during pregnancy. Between the second and eighth month, your gums may also swell, bleed, and become red or tender. Large lumps may appear as a reaction to local irritants. These growths are generally painless and not cancerous. They may require professional removal, but usually disappear after pregnancy.

Periodontal health should be part of your prenatal care. Any infections during pregnancy, including periodontal infections, can place a baby’s health at risk.

The best way to prevent periodontic infections is to begin with healthy gums and continue to maintain your oral health with proper home care and careful monitoring.

Oral Contraceptives

Swelling, bleeding, and tenderness of the gums may also occur when you are taking oral contraceptives, which are synthetic hormones.

You must mention any prescriptions you are taking, including oral contraceptives, prior to medical or dental treatment. This will help eliminate the risk of drug interactions, such as antibiotics with oral contraceptives – where the effectiveness of the contraceptive can be lessened.

Menopause

Changes in the look and feel of your mouth may occur if you are menopausal or post-menopausal. They include feeling pain and burning in your gum tissue and salty, peppery, or sour tastes.

Careful oral hygiene at home and professional cleaning may relieve these symptoms. There are also saliva substitutes to treat the effects of “dry mouth.”

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