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Periodontics is the special field of dentistry that focuses on the study, preventive treatment, and surgery of the structures in the oral cavity that support the teeth. These structures, the gums are a very vital part of the oral cavity and must be cared accordingly.
During the first visit, the periodontist usually reviews the patient’s complete medical and dental histories. (It is extremely important for a dentist to know if any medications are being taken or if the patient is being treated for any condition that can affect periodontal care, such as heart disease, diabetes, or pregnancy.)
Periodontal diseases range from simple gum inflammation to serious diseases that may results in major damage to the soft tissue and bone that support the teeth. In the worst cases, teeth are lost.
Bleeding of gums when you brush or floss your teeth
Pulling of gums away from the teeth
Teeth loosening
Change in the way your teeth fit together when you bite (malocclusion)
Pus between teeth and gums
Pain while chewing
Teeth sensitivity
Tender, red or swollen gums
Ill-fitting partial dentures
Foul breath that doesn’t go away even after brushing
Deep space formation between gums and teeth
The stages of Gum Diseases are as follows:
This is the first stage of gum disease, caused by plaque build-up on gums. If the plaque is not gone after brushing and flossing, then it can cause irritation. In this stage, you will notice your gums bleeding while brushing and flossing. Because bone is not affected in this stage, the chances of recovery are quite high.
Gingivitis if not treated on time, can lead to Periodontitis. This stage starts affecting your bone. Spaces are formed between the bone and gum line as a result, bacteria will get a space for food lodgement. If you visit your dentist on time then Periodontitis can be prevented. Periodontitis is an advanced gum disease.
This is the final stage of your gum disease, where your bone is destroyed, making your teeth loosen further. This can only be saved with surgery. And if the case is very advanced, then even surgery cannot save your tooth; as a result, your dentist has to extract it.
The treatment option depends on the stage of Gum Disease. It also depends on your medical history and your overall health.
The treatment options range from non-surgical therapies to surgical treatments.
This is done in the very initial stage of developing a Gum Disease. Your dentist will remove the plaque or tartar (which hardens the tooth surface) from below and above the gum line. It is a preventive measure that helps you to avoid getting gum disease.
This is also a deep cleaning process. The only difference is that your dentist will give you local anesthesia to start the process. Plaque and tartar are removed from above and below the gum line ,and after that, the rough spots are made smooth. The process of smoothing helps to remove the bacteria. This is done only if your dentist finds that you have calculus deposits under the gums.
In this, incision is made on the gums to remove the tartar. Sometimes the irregular surface of the bone is smoothed so that there are no areas for bacteria where that cause disease can hide. This method is used to remove the gap between gums and teeth.
This method is used to regenerate the bone. The dentist use fragments of synthetic bone, donated bone, or your own bone that is used to replace the bone destroyed due to gum disease
This method is used if the gums are receding. Gums are taken from the roof of the mouth and is stitched to the area of gum recession.
Done along with flap surgery when the bone that supports your teeth is destroyed. Your dentist will insert a small piece of mesh-like fabric between your bone and gum tissue.