Healthy gums are firm and pale pink that fit snuggly around teeth.
The chronic presence of plaque, tartar, and bacterial infection destroy the gums and bone structure that supports the teeth and may result in them becoming loose and needing removal.
Ongoing gum inflammation can cause periodontitis, causing pockets to develop between your gums and teeth that fill with plaque, tartar, and bacteria.
Also, ongoing chronic inflammation can put a strain on your immune system.
Periodontitis is a serious gum infection that damages the soft tissue and destroys the bone that supports the teeth.
Periodontitis is common but largely preventable.
3 Different Types of Periodontitis
Chronic periodontitis is the most common type, affecting mostly adults, though children can be affected, too.
This type is caused by plaque buildup and involves slow deterioration that may improve and get worse over time but causes destruction in the gums and bone and loss of teeth if not treated.
Aggressive periodontitis usually begins in childhood or early adulthood and affects only a small number of people.
It tends to affect families and causes rapid progression of bone and tooth loss if untreated.
Necrotizing periodontal disease is characterized by the death of gum tissue, tooth ligaments, and supporting bone caused by a lack of blood supply (necrosis), resulting in severe infection.
This type generally occurs in people with a suppressed immune system — such as from HIV infection, cancer treatment, or other causes — and malnutrition.
Most common Signs & Symptoms OF PERIODONTITIS
- Bleeding specially on touch, eating, chewing, brushing, flossing and swallowing.
- Persistent bad breath
- Receding gums
- Loose teeth.
- Salivation increased.
- Swollen or puffy gums
- A change in gum colour from pink to red
- Bright red, dusky red or purplish gums
- Gums that feel tender when touched and bleed easily
- New spaces developing between your teeth
- Pus between your teeth and gums
- Painful chewing
- A toothbrush that looks pink after brushing your teeth.
- Spitting out blood when brushing or flossing your teeth.
- A change in the way your teeth fit together when you bite
- Burning in oral cavity.
- Occasionally ulcer on the gums.
- In extreme conditions – Difficulty in speech.
CAUSES & RISK FACTORS OF PERIODONTITIS
In most cases, periodontitis begins with plaque — a sticky film composed mainly of bacteria.
It’s usually the result of poor oral hygiene.
- Genetics – family history
- Obesity
- Certain medicines that cause dry mouth or gum changes.
- Smoking or chewing tobacco.
- Hormonal changes, such as those related to pregnancy or menopause.
- Recreational drug use, such as smoking marijuana or vaping.
- Poor nutrition, including a low vitamin C level.
- Conditions that lower immunity, such as leukaemia, HIV/AIDS and cancer treatment.
- Certain diseases, such as diabetes, rheumatoid arthritis and Crohn’s disease.
Conventional prevention and treatment include regular flossing, using mouthwash that contains extracts of the herb such as thyme, chamomile, echinacea, mind, ratania and sage etc., (such as thymol, found in Listerine), and using special toothbrushing appliances.
Brushing at least twice a day and getting regular dental checkups can greatly improve your chances of successful treatment for periodontitis and can also reduce your chance of developing it.
Plaque can harden under your gumline into tartar (calculus) if it stays on your teeth. Tartar is more difficult to remove, and it’s filled with bacteria – — you need professional dental cleaning to remove it.
The longer plaque and tartar remain on your teeth, the more damage they can do.
Plaque can cause gingivitis, the mildest form of periodontal disease.
Gingivitis is irritation and inflammation of the part of your gum around the base of your teeth (gingiva).
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