Have your tooth got loose without pain!!!

Do your gums bleed sometimes???

Do you have bed breath???

Gum diseases affect most people at some point during their lives. They are caused by the body’s reaction to bacteria that build up in the mouth and cause inflammation. There are two main forms of gum disease – Gingivitis (can reverse back to healthy state) and Periodontitis (irreversible) – and there are also Peri-Implant diseases that affect the gums and other tissues around dental implants. Good oral hygiene at home and regular visits to the dentist can help prevent the appearance of gum diseases and limit the damage they cause if they do appear.

The most important cause of gum disease is plaque and poor oral hygiene but frequently, it may occur due to an underlying medical problems and has an increased risk for complications.

  • Smoking
  • Hormonal changes in Female
  • Diabetes- Periodontitis is the 7th most common complication found in diabetic patients.
  • Other illnesses and their treatments- Diseases such as AIDS and its treatments can also negatively affect the health of gums, as can treatments for cancer.
  • Medications- Drugs reducing flow of saliva makes the mouth vulnerable to infections such as gum disease. And some medicines like Nifedipin (used in heart patients) and Phenytoin (used in epilepsy) can induce abnormal overgrowth of the gum tissue.
  • Genetic susceptibility- Some people are more prone to severe gum disease than others.

The patients with advanced gum disease are …

  • 2-times as likely to die with heart attack and 3-times as likely to die from Stroke. Bacteria from mouth may cause clotting problems in the cardiovascular system.
  • It overshoots the blood sugar level in diabetics and complicates oral diseases. People with type II diabetes are 3 times more likely to develop gum problems than are non-diabetics.
  • Smokers with diabetes increase their risk of tooth loss by 20 times.
  • We have treated one of the rare case of primary oral Tuberculosis with the incidence rate of 0.5 – 1.5% in the world.
  • Research suggests that 18 in every 100 premature births may be triggered because of pyorrhea which increases the risk of low birth weight for baby.
  • Inhaling bacteria from the mouth and throat can lead to pneumonia.
  • Loosing teeth makes it difficult to chew which leads to indigestion and nutritional deficiencies.

Till these links are well understood, we still have a very good reason to take care of oral health as controlling gum disease can save your teeth! 

Gingivitis can be reversed but not always easy to recognize. If untreated or go unnoticed, it converts into Periodontitis causing irreversible damage to the gum tissue. Diagnosis and gum treatments are very sophisticated procedures and for the best results, it is important that you chose a Gum Surgery expert (Periodontist) who has completed additional three years of full-time post-graduate training in the specialty.

Our Chief Dentist Dr. Desai has done his masters in gum care and is one of the very few gum surgery specialist (periodontist) in India holding the honor of "Highly Commended Periodontist Award 2016" (Dental Oscar). He is the receiver of the prestigious honor “Brigadier Dr. J. K. Gupta Award” by Indian Society of Periodontology for the best research paper in the field of Periodontology. His accomplishments like “Best Out-Going Postgraduate Student”, “Dr. D. S. Mehta Award” for the highest marks in the Masters exam, and securing a University rank are the proofs of his academic brilliance. He has many national and international research papers to his credit.

With careful professional assessment and treatment, it is usually possible to completely halt the progress of periodontitis. The key to success is eliminating the bacterial plaque that triggers the disease process and establishing excellent oral-hygiene practices. Dr. Desai prefers to be conservative, tries to save tooth and avoid surgery. In advance cases, if demands, we sometimes take a call to remove tooth, perform gum surgery and bone grafting.

You can check the health of your gums by asking yourself the following questions:

  1. Do you have bed breath?
  2. Are your gums swollen?
  3. Do your gums bleed when you are brushing, or when you use a toothpick or other cleaning device?
  4. Have your gums shrunk back or receded, so that your teeth appear lengthened?
  5. Are you aware of any loosening of your teeth?
  6. Do you see any yellowish, pus-like fluid at the gum line when you massage your gums?
  7. Have your teeth drifted or changed position, and have any gaps appeared between them?
  8. Have your parents or siblings lost teeth prematurely due to tooth loosening?

If you have answered one or more of these questions with ‘yes’, you should contact your dentist & preferably a periodontist (Specialist of gum diseases) for a comprehensive assessment. Don’t forget that regular check-up appointments with your dentist (at least twice yearly) will enable your dentist to check your periodontal health.

Wisdom teeth, or third molars, are the last permanent teeth to appear (erupt) in the mouth. These teeth usually appear between the ages of 17 and 25. Some people never develop wisdom teeth. For others, wisdom teeth erupt normally — just as their other molars did — and cause no problems.

Many people develop impacted wisdom teeth — teeth that don't have enough room to erupt into the mouth. It may erupt only partially or not at all. Most of the time it results in pain, infection or swelling, you'll likely need to have it pulled out. It's difficult to predict future problems with impacted wisdom teeth. Most of the patients do not like the recommendation of getting them removed and some of the patients fear the surgery.

However, here's the rationale for preventive extraction:

  • It usually traps the food around and damage to a nearby tooth or surrounding bone. It often causes tooth decay and gum disease around it.
  • Chronic chick bites and ulcers can be the potential risk factor of developing cancer.
  • They are difficult to clean.
  • Symptom-free wisdom teeth could still harbor disease.
  • In long term, due to bad bite, it aids to TM Joint disorder.

Gum diseases (commonly known as Pyorrhea in India) are very common oral disease affecting most people at some point during their lives. More than 10 million cases per year in India and around 60% of US population is suffering from this infection! They are caused by the body’s reaction to bacteria that build up in the mouth, especially around the tooth, and cause inflammation. The good news is that you just need to maintain proper oral hygiene and regular visits to the dentist to prevent the appearance of gum diseases and can limit the damage that they cause if they do appear.

The bad news is that, if left untreated, gum disease can lead to the loss of teeth – which means your smile is less attractive and you can have problems with chewing and speaking. On top of that, untreated gum disease can increase your risk of suffering serious conditions including diabetes, hypertension, cancer, stroke and arthritis. It can increase the risk of complication with pregnancy and even in Covid-19 infection.

One of the first signs that you may become aware of is bleeding from the gums! They usually go unnoticed and slowly turn aggressive in nature. The gums may look red and swollen and you may develop bad breath. Later the teeth starts migrating and creating space in between. The teeth eventually come loose and are lost, or require extraction. In my opinion, untreated periodontitis only lead to physical, mental and social disability.

Peri-Implant Disease Explained:

There are also gum diseases that affect the tissues around dental implants, known as peri-implant diseases. If oral hygiene is poor, bacteria build up on the implant surface and causes inflammation of the tissue that surrounds the implant. This is called peri-implant mucositis and, if it is not treated, the more dangerous disease of peri-implantitis can appear, which involves more inflammation and the destruction of bone around the implant. Eventually, the implant loses its support in the bone and becomes loose. Peri-implantitis is difficult to treat and can often lead to the loss of implants and the need for additional surgery.

Gum inflammation (gingivitis) will not develop if there is no bacterial plaque on the teeth, and periodontitis will not develop if there is no gingivitis. Continuous good oral hygiene at home, the regular removal of tartar in the dental practice, and addressing risk factors (such as smoking and poor diet) are the key steps to preventing periodontitis. This means adopting good habits in oral hygiene and getting regular professional check-ups (at least once a year) is enough to take care of you.

Oral hygiene at home:

The basic elements of good oral hygiene are:

  • Brush your teeth at least twice a day, for at least two minutes, using a manual or an electric toothbrush. Brushing at night before sleeping is important. You need to use soft bristle toothbrush and fluoride containing toothpaste. You can use modified bass or stillman tooth brushing technique.
  • Clean your tongue. You can use a tongue cleaner or the back side of your brush.
  • Clean between teeth at least once a day using interdental brushes (also called interproximal brushes) and dental floss if the gaps are too small for brushes. You may need to use differently sized brushes for differently sized gaps. This interdental cleaning should be done before brushing your teeth.
  • Rinse well after eating.
  • Avoid using mouthwashes without prescription. Do not store your toothbrush in toilet.

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