INFECTIOUS DISEASE OF THE GUMS
Gingivitis refers to the pathological condition of the gums, characterized by inflammation and bleeding.
Inflammation extends deep into the tissues and gradually removes the gum from the teeth and damages the bone that supports the teeth roots.
Healthy gums are tight, they have a soft pink color and do not smell. In gingivitis the gums are swollen, red and usually bleed, either automatically or during brushing.
Gingivitis is a disease for which there is treatment. If left untreated it can develop into periodontitis which slowly destroys the bone surrounding the teeth and leads to their loss. One may have gingivitis without knowing it because it is seldom painful.
Both caries and gingivitis are caused by the dental microbial plaque, a set of deposits that begin to accumulate on dental surfaces, even a few minutes after brushing. This microbial plaque contains many germs that produce acids and irritate the gums, that is to say, cause scalp.
The symptoms that usually accompany gingivitis
- The gums lose their characteristic pink color and become red, swollen with irregular shape and cause pain.
- Blood is present during brushing of the teeth or when cleaning them with dental floss.
- The gums recede from the teeth, thus suffering undergrowth. Space is created between the teeth and gums. It is possible to reveal the root of the teeth.
- Persistent odor
- Pus between tooth and gums
Agents that predispose to gingivitis
- Insufficient removal of dental plaque from the teeth
- Uncontrollable diabetes
- Stress and anxiety
- Systemic Diseases
- Diseases that affect the immune system (eg aids)
- Hormonal disorders
- Poor oral hygiene
- Drug intake
Causes of gingivitis
The dental microbial plaque is a sticky, soft, white coating (mainly consisting of bacteria normally found in the mouth and affected by eating habits, eg sugars). The plaque is formed in both the teeth and the prosthetic works and filings in the mouth. By brushing after each meal, the dental microbial plate is removed before it becomes dangerous. If the plaque remains in the teeth (without frequent and proper brushing) it can harden. It takes calcium ions from the saliva, so it hardens creating the stone (tartar).
The surface of the tartar or stone is rough, resulting in further microbial plate retention and therefore difficulty in applying proper physical hygiene. As a result, harmful products called toxins from microbial bacteria cause initially inflammation of the gums, that is, gingivitis.
The cause of gingivitis is the dental microbial plaque that has now been transformed into stone. Factors that lead to gingivitis are all those that favor the accumulation of plaque, most of them poor oral hygiene. Other causes that cause gingivitis are crooked teeth, stinging seals, pouches, bridges and so on. Incorrect prosthetic work keeps food between teeth, making it difficult to brush properly and remove germs from the mouth.
It should be noted that nutrition plays a role in the generation and maintenance of gingivitis. A diet rich in sugar or acidic substances helps the growth of bacteria if the mouth is not well cleaned after eating.
If the microbial plate is minimal so that gingivitis is not justified, gingivitis is due to other factors and therefore they should be identified and treated. There are also some other causes of gingivitis, such as diabetes mellitus, pregnancy, leukemia, certain medications, lack of vitamins, etc. People who have reduced vitamin C in their diet are at increased risk for gingivitis and periodontitis. Gingivitis is also observed with intense mental stimuli and stress.
With special periodontal tools and ultrasound system, stone, microbes and toxins are removed from the root, painlessly with local anesthesia.
The patient does not feel pain either during the procedure or after going home.
Usually 2-4 visits are required. Oral hygiene instructions are given to the patient (correct brushing, interdental brushes and sometimes oral solution and / or gel).
The ideal time to evaluate the effects of conservative treatment is 3 months
Conservative laser treatment
The additional use of laser in conservative treatment greatly reduces the likelihood of requiring periodontal surgery.
In conjunction with the conservative treatment, periodontal laser therapy (LPT) is effective, allowing the patient to stay healthy and live comfortably, being able to control the disease.
Periodontal laser therapy (LPT) is a safe and absolutely painless treatment. At the same time, there are no sensitivities in the teeth and it is particularly indicated to patients with health problems such as diabetes, heart disease, patients with allergy to antibiotics, hemophilia, HIV.
The energy from the laser is transferred to the periodontal pouch in order to remove the infected gum tissue and disinfect the micro-environment of the pocket by killing the bacteria and by inactivating the toxins on the surface of the tooth root and the gum tissue, thus activating the healing process.