Period-ontology – Treatment of Gum Diseases

Period-ontology – Treatment of Gum Diseases


Early-stage gingival diseases can lead to much more serious gingival problems if necessary precautions are not taken and treated in a timely manner. If you suspect you have any kind of gum disease, you are not alone. The number of patients who come to our clinic for gum treatment throughout the year is quite high. So, do you know what causes this gum disease, when to worry and what to do when facing any gum problem? Now is the time to learn.



What are the Types of Gum Diseases?



1. Gum Inflammations


The early stages of gingivitis are also known as gum inflammations. The most common cause of gingivitis is, of course, poor oral and dental care. When it comes to gum diseases, it is possible to say that this is the most common disease. Although gingivitis damages the pink gingiva that frames the jawbone and the soft tissue of the gingiva, it does not affect the bone or the fusion mechanism of the tooth. While you may encounter local gingivitis, you may also have to deal with gingivitis that can spread.

Symptoms: Redness, swelling, gum pain, bleeding gums when brushed or touched.


2. Chronic Periodontitis


This is a more serious gum problem compared to gingivitis, which is a gum infection. In chronic periodontitis, the bone supporting the gingiva is also involved, and the attachment mechanism of the tooth may also be affected in this process. In general, chronic periodontists is classified and treated according to whether it is local or disseminated and the danger it poses to the intraoral bones. The biggest risk of this type of gum disease is the loss of the tooth attached to the gum. The rate of loss of the tooth can be determined by a dental x-ray. It should be noted that some chronic periodontitis may occur due to untreated or improperly treated gingivitis; Therefore, any gingivitis should not be taken lightly.
Symptoms: Redness, swelling, bleeding gums, tooth pockets deeper than 5 millimeters, bone destruction, looseness of the tooth and the formation of gradually opening spaces between the teeth.

3. Periodontal Abscess


Periodontal abscess, also known as gingival (gum) abscess, is known as a local abscess infection that can occur in the gingival tissue, gum pockets or tooth root fork. Gingival abscesses can destroy the attachment mechanism of the tooth in the blink of an eye and cause the related tooth to fall out.
Symptoms: A visible, smooth and shiny swelling in the gum pocket or the fork of the root of the tooth, inflammatory discharge, pain, tenderness to external touch, loose teeth and pain in the jawbone.

4. Perio-Endo Lesions

Since the pulp tissue, nerves and vessels in the teeth are connected with the tissues that frame and support the tooth, an infection that sometimes starts in the roots of the teeth can overflow to the gums; or vice versa. In such cases, treatment should be combined with endodontic treatment and periodontology treatment.
Symptoms: Swelling, severe pain arising from the roots of the teeth, sensitivity to cold and heat.

5. Gum Recession

In some cases, as a result of chronic periodontitis, the neck of the tooth root may become open to the outside; This means that the gum is recessing. Gum recession can sometimes be caused by excessive brushing. In such cases, the causes that force the tooth root to come out should be treated rather than aesthetic solutions.
Symptoms: The top part of the tooth root is visible, the tooth appears longer than it is, the appearance of an unaesthetic and hypersensitivity to hot and cold.


How to Prevent Gum Disorders?

In cases where you are faced with a gum infection, your primary goal should be to prevent the infection from going beyond the gingivitis stage. However, there are some precautions you should take in gum care to keep all gum diseases, including gingivitis, away from yourself as much as possible:

1. Practice effective and quality oral and dental care.

Your process of preventing gum disease starts with correct and regular oral and dental care. Brushing your teeth twice a day, flossing regularly, and rinsing your mouth with hygienic mouthwash should be part of your standard dental care routine. While brushing your teeth, you should be sensitive about your gums and avoid using the brush with excessively hard movements. In other words, the force you apply while brushing the gum line should be less than the force you apply while brushing your tooth surfaces. However, it should not be forgotten that the food left between your teeth can damage not only your teeth but also your gums. Most gum diseases are caused by food deposits between the teeth that erode the gums. Taking the food between your teeth with the help of toothpicks or dental floss and cleaning between your teeth with a dental floss even when there is no food in between is one of the most important steps you should take in gum care.

2. Reducing the risk of facing gum diseases.

It would be beneficial to talk to a dentist or a periodontology specialist about the risks of the diseases that may occur in your gums. If you smoke, quitting smoking may be a suitable  alternative for maintaining a healthy gum. A healthy and balanced diet can make your gums stronger and more solid. Chewing sugar-free gum immediately after a meal also ensures the circulation of saliva in the mouth and helps dissolve the accumulated residues on your teeth. Reducing your sugar consumption and increasing your consumption of fresh vegetables and fruits are other factors that can strengthen your gum health.

3. Visit your dentist regularly.


When it comes to perfect oral and dental health, your dentist is your number one supporter. As, when going to the dentist regularly, your dentist can clearly identify the tooth and the gum problems which you cannot see and will be able to pave the way for early treatment. Do not forget that early treated gingival diseases cause minimal pain, aesthetic concerns and cost to the patient, while delaying gingival treatments can seriously harm both the health and the patient’s payment. The best solution to gum diseases will be offered by a dentist who is specialized in gum diseases.

What is Gum Aesthetics?


One of the most frequently applied branches when it comes to gingiva is gingival aesthetic applications. Gum-related problems are not limited to infection and inflammation; In most cases, patients may have as much anxiety and stress about the aesthetic appearance of their gums as the disease. In such cases, the gingival doctor, who comes into play, can apply to different treatment methods to satisfy the patient in terms of aesthetics. Here are some of them:

1. Gum Botox


While smiling. if your gums appear to be 2 mm or more, it may be a gingival smile. The main reasons for this are the excessive movement of the upper lip, insufficiently erupted teeth and normally more vertical development of the upper jaw. In such cases, the most effective solution is gum Botox. With the Botox injection which takes place from the lateral border of the nose wings to the sides, It is possible to get rid of the problem of smiling with the gums.
The treatment begins by applying numbing cream to the area to be injected and waiting for 5 minutes. Ice can be applied before or after the Botox injection; so that no swelling or bruising is seen after the application. It is possible to get the result of the treatment visibly at the end of the first 2-3 days following the end of the treatment. In order to ensure the permanence of the treatment, this method should be repeated every 4 to 8 months.

2. Gum Repairment


Another area of gingival aesthetics, also known as "pink aesthetics", is the gingival (gum) correction. The methods that come into play in problems such as gingival whitening or gingival enlargement consist of the techniques that aim to make the gums look much more aesthetic and natural. While gingivectomy refers to the cutting and reduction of the gingiva, gingivoplasty refers to the correction of crooked or crowding gingiva. Pink aesthetic problems caused by gingival recession can be repaired with a new tissue formation and repairing processes, that is, by the regeneration technique.

3. Flap Surgery


The Flap surgery is performed in order to interfere directly to the bone under the gum tissue in cases where bone destruction progresses. In addition, the flap operation, which is also performed to remove the gingival pockets formed in the gingival tissue, is completed with a simple local anesthesia and does not cause any pain to the patient.
During the procedure, the gingival tissue is removed, the pocket tissue is eliminated, and after the irregularities in the bone are eliminated, the disorders that occur if needed could be treated by using bone powders. This process, which is classified according to the extent of the disease in the gums and bones, can be completed without any side effects as long as the doctor's instructions and recommendations are followed.
To get more detailed information about the services related to gingival diseases offered in our clinic you can contact us, also to learn about the prices of gingival treatment and to make an appointment immediately.