Gum Treatment

Gum Treatment

Gum disease is an inflammation of the gums that can progress to affect the bone that surrounds and supports your teeth. Gum Disease should be treated by Peridontist. At Oraa Care Smile Dental Clinic a Periodontist takes care of all our patients having gum disease.


Gum disease is caused by the bacteria in plaque; a sticky, colorless film that constantly forms on your teeth. If not removed through daily brushing and flossing, plaque can build up and the bacteria infect not only your gums and teeth, but eventually the gum tissue and bone that support the teeth. This can cause them to become loose, fall out or have to be removed by a dentist.

Symptoms of Periodontal Infection:

Gum disease is known to be a silent disease. Periodontal infection is usually painless until it reaches an advanced stage. However, there are some symptoms that can indicate the presence of periodontal infection.

These include:

  • You notice bleeding when brushing or flossing
  • An attentive look show your gums red or swollen
  • You feel tender gums that some times are itchy and ache
  • A closer look show teeth to have become longer which is actually receding gums
  • Bad breath that does not go after use of a mouthwash
  • Sores in your mouth
  • Change in your bite
  • A touch gives you feel of loose teeth
  • An abscess or pus formation indicating infection
  • Increased spaces between teeth

There are three stages of gum disease:

Gingivitis: Gingivitis is a form of periodontal disease. Periodontal disease is an inflammation and infection that destroys the tissues supporting the teeth and the gums.

Gingivitis is also caused due to the long-term effects of plaque deposits on your teeth. Plaque develops on the exposed parts of the teeth and is a major cause of tooth decay. The plaque remaining in the mouth for more than 2 to 3 days becomes hard under the gum line, forming tartar, and through the influence of the tartar, plaque becomes a lot harder to get rid of by brushing.

  • Hormonal changes: Changes such as those occurring during pregnancy, puberty, menopause, and monthly menstruation, make gums more susceptible to gingivitis.
  • Illnesses: Diseases that interfere with the immune system like diabetes affects the body's ability to use blood sugar and so they are at a higher risk of developing infections.
  • Medications: Medications affect oral health because some lessen the flow of saliva, which has a protective effect on teeth and gums. Various drugs can cause abnormal growth of gum tissue.
  • Harmful habits: Habits such as smoking and excessive drinking make it harder for the gum tissues to repair themselves.
  • Poor oral hygiene: Not brushing and flossing on a daily basis may lead to gingivitis.
  • Family history of dental disease: There is a possibility that family history can be a contributing factor for the development of gingivitis.

Periodontitis: At this stage, the supporting bone and fibers that hold your teeth in place are irreversibly damaged. Your gums may begin to form a pocket below the gumline, which traps food and plaque. Proper dental treatment and improved home care can usually help prevent further damage.


Advanced Periodontitis: There are several stages of periodontitis of which the major classifications include chronic periodontitis, aggressive periodontitis, periodontitis caused by systemic disease, periodontitis associated with pulpal infection, necrotizing ulcerative periodontitis and periodontitis as a result of developmental or acquired deformities. In its advanced stage, Periodontitis or pyorrhea becomes very serious when bone loss occurs which is irreversible. When periodontitis has progressed to the advanced stage, the gums severely recede (pull away from the tooth); pockets deepen and may be filled with pus. There may be swelling around the root and you may experience sensitivity to hot or cold or feel pain when brushing your teeth. This is due to the severely receding gums exposing the root surface. As bone loss increases, your teeth may lose so much support that they may fall out or need to be removed to preserve the overall health of your mouth. This is a very aggressive form of gum disease and often leaves gum surgery as your periodontist’s only treatment option.


Treatment of Gum Disease

The Periodontist or the Gum Specialist at this centre provides the following treatments for Gum Diseases:

  • Oral prophylaxis: This involves Scaling and root planning, which is the most common and conservative form of treatment for periodontal (gum) disease. Scaling is the removal of calculus (commonly called tartar) and plaque that attach to the tooth surfaces, especially below the gum line along the root surface. Because plaque is more likely to stick to rough surfaces, the root surface is smoothed down in a process called root planing. Root planing removes any remaining calculus and smoothes root-surface irregularities.
  • Curettage: A removing of the diseased gum tissue from underneath the gums (the infected pocket), which allows the infected area to heal.
  • Flap surgery: Involves lifting the gums and removing the deposits of tartar. The gums are then placed back in place so that the tissue fits snugly around the tooth. This method also reduces the pocket and areas where bacteria grow.
  • Bone Grafts: Used to replace bone destroyed by periodontitis. Tiny fragments of your own bone, synthetic bone, or donated bone are placed where bone was lost. These grafts serve as a platform for the regrowth of bone, which restores stability to teeth.
  • Soft tissue grafts: Reinforce thin gums or fill in places where gums have receded.
  • Guided tissue regeneration: Stimulates bone and gum tissue growth. The periodiontist does it in combination with flap surgery, a small piece of mesh-like fabric is inserted between the bone and gum tissue. This keeps the gum tissue from growing into the area where the bone should be, allowing the bone and connective tissue to regrow to better support the teeth.
  • Bone (osseous) surgery: Smoothes shallow craters in the bone due to moderate and advanced bone loss. Following flap surgery, the bone around the tooth is reshaped to decrease the craters. This makes it harder for bacteria to collect and grow.
  • Medications: These may be in pill form or oral rinses. These are used to help kill the germs that cause periodontitis or suppress the destruction of the tooth's attachment to the bone. There are also antibiotic gels, fibers or chips applied directly to the infected pocket. In some cases, the periodontist will prescribe a special anti-germ mouth rinses to help control plaque and gingivitis.

Things we can do to prevent gum disease:

  • Brush your teeth well at least twice a day
  • Clean between your teeth every day
  • Eat a balanced nutritious diet
  • Visit your dentist regularly
  • Say no and if not possible limit your intake of tobacco

Gums Treatment for aesthetic appearance (Gums Treatment under Cosmetic Dentistry)

Gingivectomy

Gingivectomy is the procedure to trim abnormally enlarged gums (gingiva). This procedure is usually done by a periodontist (Gum specialist). Gingivectomy may also be done in order to achieve a more aesthetic appearance and/or functional contour. Gingivectomies are frequently performed using LASERS to cauterize away the undesired gum tissue without pain and bleeding.

Advantages

Gums might sometimes get abnormally enlarged either due to tartar deposition because of poor oral hygiene or because of the side effects of certain medicines if used for a longer time. This leads to swelling in the gums due to increased blood supply (Inflammation) which manifests as bleeding gums. Gums appear red & spongy. These enlarged gum tissue might harbour lot of bacteria in it which ultimately might loosen your teeth. Also enlarged gums looks unaesthetic (ugly),making your smile unpleasant.

  • Gingivectomy cures bleeding gums
  • It brings back the enlarged gums to normal size
  • It improves your smile line

Get in touch with us to get the right treatment at Oraa Care Smile Dental Clinic in Dwarka

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with Dr. Yogesh Rao