|
Doctor Agravat Superspeciality Dental Hospital Login: Dental Treatments Ahmedabad, Mumbai, Gujarat,delhi, Dental Treatment India| Ayurveda Massage| Medical Treatment India| Dental Treatment India is a Medical Tourism| Ayurveda is all types of Massage Services in India, Dentist, Dentistry, Dentist India Ahmedabad Mumbai, Best Dentists, Dental hospitals, Dental Surgeon India, Dental Clinic India, Dental Implants India, Cosmetic Dentistry India by Ahmedabad, Mumbai Dentist Dr. Bharat Agravat, Dental hospital In Mumbai, Ahmedabad, Delhi, Dental Tourism ,Dentistry India, Dental Care, Medical Dental, Low Cost Dental, Dental Centre Mumbai, Ahmedabad , Gujarat – Dr. Agravat’s Superspeciality dental Clinic. It Service Dr Agravat Healthcare Ltd.
|
|
|
 |
|
|
Mr. Viran Pate, UK
Mr. Mario Rivas. Guatemala
Mr.Kamlesh Goplani. UAE
More..
|
|
 |
Home
Gum (Periodontal) Diseases, Treatment & Surgeries
Bleeding Gums,Foul Smell
 Introduction
|
Bleeding gum, inflammation of the soft tissue and abnormal bone loss that surrounds the teeth and holds them in place. Gum disease is the more common cause of toothache. Gum disease known as Periodontal Diseases.
Causes of Gum Diseases
Gum disease is caused by bacteria in ‘plaque’ the sticky, colorless film of bacteria that accumulate over time along the gum line and teeth. Plaque is a mixture of food, saliva, and bacteria. These bacteria create toxins, which irritate the gums and result in a break-down of the attachment of gum tissues to teeth? These toxins can destroy gum tissues, allowing the infection to progress to bone loss.
|
Sign and symptoms of gum disease? |
 |
|
|
|
- When Brushing Gums that bleed easily .
- Red, swollen or tender gums.
- Gums that have pulled away from the teeth.
- Blood and Pus between the teeth and gums when the gums are pressed.
- Persistent bad breath, bad taste and foul smell.
- Teeth become loose or separating.
- Changes in the fitting of removable dentures.
|
Types of Gum (Periodontal) Diseases |
|
The most common types
(1) gingivitis
Gingivitis is the earliest stage, and affects only the gum tissue. At this stage, the disease is still reversible.
(2) Periodontitis
The more advanced stage of periodontal diseases. The gums, bone and other structures that support the teeth become damaged. Teeth can become mobile and fall out. At this stage, the disease may require more complex treatment to prevent tooth loss.
|
|
Step-by-step progress of gum diseases: |
|
|
Normal gum tissue and bone
anchor the teeth firmly in bone.
|
|
|
|
|
Swelling of gum-Gingivitis develops as toxins in plaque irritate the gums, and bleed easily, red, tender, swollen.
|
|
|
|
|
Periodontitis
Gums become detached from the teeth, forming pockets . Tooth roots are exposed to plaque and become susceptible to decay and sensitive to cold, air and touch.
|
|
|
|
|
Advanced periodontitis
when the teeth mobile more attachment because the supporting bone is destroyed. Unless treated, the affected teeth frequently become loose, require removal by a dental surgeon.
|
|
| Other Factors Contributing to Gum Disease
|
- People who smoke or chew tobacco are more likely to have periodontal diseases.
- Poorly fitting bridges, malocclusion (badly aligned teeth or defective restorations (fillings), can all contribute to plaque retention and increase the risk of developing periodontal diseases.
- Excessive biting forces on your teeth, such as clenching or grinding, may also accelerate the rate at which supporting bone is lost.
- Pregnancy or use of oral contraceptives increases hormone levels which can cause gum tissues to react more sensitively to the toxins in plaque and accelerate growth of certain bacteria. The gums are more likely to become red, tender and swollen and to bleed easily.
- Systemic diseases, such as AIDS or diabetes, can lower the tissues' resistance to infection, making periodontal diseases more severe.
- Medications - steroids, some types of drugs, cancer therapy drugs, some calcium channel blockers and many others - affect the gums.
|
Diagnosing Gum Diseases
Dental Surgeon will examine your gums for bleeding gum or foul smell. An instrument called a periodontal probe will be used to determine the gum tissue attachment or development of pockets between your gums and teeth.
|
|
|
 |
| Periodontal Probe |
|
|
| The depth of periodontal pockets can be measured with Periodontal probe. Dental Surgeon may also need to take X-rays to determine if any bone has been destroyed. |
|
Treatment plan of Gum Disease ( Periodontitis):
|
|
Treatment of periodontal diseases depends upon the type of disease and how far the condition has progressed
|
|
| Non-Surgical Therapy
|
- Scaling
- Polishing
- Root planning.
|
| Removing the plaque and tarter from the root surface of teeth below the gum. |
- Antibiotics: Bacteria are present in periodontitis so antibiotics are given in form of pills antibiotics fiber and antibacterial mouth rinse
- Splinting: This technique attaches weak and mobile teeth together, combining them into a stronger single unit, making them more stable and offering more comfortable chewing.
- A Bite-guard: An imbalanced bite may accelerate bone loss. . A Bite-guard or night guard (removable retainer fitting over teeth) may be required to protect teeth surfaces and relax tense muscles.
|
|
| Surgical Therapy
|
|
|
|
- Periodontal surgery with flap elevate,soft tissue removal.ultra scaling.
|
|
|
|
- Removl of soft tissue. Secondary flap from palatle side after full incision.
|
|
|
|
- Osteoplasty - Ostectomy with the Piezosurgery tip
|
|
|
|
- Root surface Debridement and calculus removal.
|
|
|
|
| A fix bridge stabilizes the bite of a patient who is missing teeth. Bridges prevent the surrounding teeth from moving or shifting in the mouth. |
|
|
|
|
- periodontist separates the gum from the teeth and create a "flap" and accesses the infected pocket. Which reduce pocket depth and increase the ability to maintain gum.
- Gingivectomy: excess amounts of gum growth around the teeth have occurred in case of gum over growth. This improves in false pocket depth and the inability to keep them clean.
|
 |
| Excess amounts of gum growth |
|
 |
| After gingivectomy |
|
|
|
- Bone surgery: This procedure is done to smooth shallow craters and defects in the bone due to mild or moderate bone loss.
|
|
|
|
|
- Guided Tissue Regeneration: This procedure is done in combination with a surgical flap operation where gum growth into a defect is barriered off to allow slower growing bone, cementum and ligament cells to populate a bony defect.
- Bone Grafts: Tiny fragments of the patient's bone, synthetic bone or bone obtained from a bone bank are used to fill a bony defect around the teeth. These grafts act as a scaffold on or around which patients own bone is produced or induced to grow.
- Oral Mucosa (Soft Tissue) Graft: in case of gum recession a graft is usually taken from the patients own palate and transplanted onto the receding area to reinforce the thin gum and to inhibit further gum recession.
|
 |
| Before soft tissue graft |
|
 |
| After soft tissue graft |
|
|
|
|
|
|
|
|
|
Top