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CELEBRATING **25** YEARS OF DENTAL EXCELLENCE
DR. KHOSLA'S DENTAL CENTRE
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Each tooth in a person's head is more valuable than a diamond

A2 AASHIRWAD, II CROSS LANE, LOKHANDWALA COMPLEX, ANDHERI (WEST), MUMBAI 400053, INDIA

TEL: 2636 3215 / 2633 5631
2632 8682 / 3082 7053 / 98193 63215

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GUM (GINGIVAL) DISEASE

WHAT IS GUM DISEASE & ARE YOU AT RISK?

Did you know that more than 75% of all adults in India have gum disease?

-Many people have gum disease and are not even aware they have this problem.

Did you know that gum disease is the #1 reason adults lose their teeth

-Gum disease is a "silent" disease-until yyour teeth become loose and fall out--many people do not know they have it and how seriously they do.

Did you know that HIV (the virus that causes AIDS) can be passed by kissing between two people who have advanced gum disease?

-A recent report indicated that a young woman in a relationship with a man who had HIV, caught AIDS from kissing him. Both people had moderate to advanced periodontal disease and it is believed that she caught the AIDS because of a direct blood transfer between their diseased gums.

SIGNS & SYMPTOMS OF GUM DISEASE

Do your gums bleed when you brush, floss or use a toothpick?

Are your gums red, swollen and painful?

Do you have pus coming from between your gums and teeth if you push on your gums?

Are your gums pulling away from your teeth?

Has there been a change in the way your teeth come together when you bite or chew on food?

Do your teeth look longer because of receding gums?

Are your teeth loose?

Do you have bad breath?

If you wear a partial denture does it still fit the same?

If any of these statements are true then you may have a problem with your gums.You should visit your dentist and get an evaluation and schedule an appointment. You may need more than just a routine cleaning for your teeth to get your gums healthy again.

A thorough evaluation of your gums and your overall dental health includes a comprehensive examination, a complete set of x-rays, and periodontal probing.If there is bone loss and deep pocketing you may need non-surgical periodontal or surgical periodontal care.

THE VARIOUS STAGES OF GUM DISEASE

Healthy Gums

These are healthy teeth, gums and bone. The instrument is a periodontal probe and in healthy gum it should only go 1-3mm (marks) into the gum. Regular checkups with professional cleanings will help keep you in good gum health.

Gingivitis

These are teeth, gums and bone that have gingivitis-the early stage of gum disease. Notice the gum is red and puffy, and there is plaque and tartar building up around the gum. There is no bone loss, yet. The probe measures 3-5 mm into the space between the teeth and gum. Gingivitis can be reversed with proper treatment.

Periodontitis

This is periodontitis, the plaque and calculus spreads down the root infecting the bone and the ligament holding the tooth into the jaw. This causes the gums and bone to recede away from the tooth. The space between the tooth and the gum measures more than 5 mm and traps food and more plaque under the gum. With proper treatment you can prevent further damage.

Advanced Periodontitis

This is advanced gum disease. The infection has destroyed most of the bone around the tooth. The plaque and tartar has covered the tooth well below the gum and on the roots. The gums receede even further, the teeth become loose and can shift causing your bite to change. The pocket between the tooth and the gum is more than 8 mm. You are at great risk of losing your teeth.

GUM-HEALTH MAINTENANCE

Brushes

Dental Floss

Maintaining good oral health is the key to keeping your teeth for a lifetime. This includes regular visits to the dental office for cleanings, x-rays and check ups.Cleanings (Scaling & polishing) as detailed below,can be as infrequent as every six months, or as often as every three or four months, depending upon the health of your gums, and how quickly you develop tartar and stains on your teeth. Remember that 75% of all adults have periodontal disease.

Home brushing and flossing are the building blocks to a lifetime of healthy teeth and gums. Flossing removes food that might remain between your teeth after you brush. If the food is not removed it can start decay, and if the food gets trapped in your gum it can cause gingivitis, or make your existing gum disease worse.You should brush 2-3 times a day, preferably after every meal and before you go to sleep.

RELATED TOPIC
TOOTHPASTES

SCALING & ROOT PLANING (NON SURGICAL TREATMENT)

Scaling and Root Planing is usually the first dental treatment a patient receives for periodontal disease. Scaling and root planing attempts to remove all of the unwanted irritants under a patient's gums in an attempt to eliminate inflammation and infection.

PROCEDURE

Scaling
Scaling

Root Planing
Root planing

Half of the patient's mouth is numbed so that the dentist can comfortably remove any hardened food ( calculus ) from below the patient's gums. This is called scaling and it's like removing the scales from a fish. In addition to hand scaling, we use ultrasonic vibrating tools to blast unwanted hardened deposits off of the patient's teeth during this phase of scaling and root planing. Scaling leaves a rough tooth surface so planing is needed next.

A carpenter planes wood so that it's smooth. Essentially we perform the same procedure on a surgical level on the surface of the teeth. This allows the gums to regenerate without irritation. The gum tissue normally shrinks and becomes tight around the teeth after this scaling and root planing because there is no longer anything there to irritate the gums. Scaling and root planing can also reduce or eliminate the bleeding gums.

After scaling and root planing is completed the gum tissue is allowed to heal and the results are later documented by charting the patient's pocket depth. Our aim is to achieve a 1 to 3 millimeter thickness of gum tissue after scaling and root planing.

Before scaling

Tartar on the inside
of lower front teeth

After Scaling

After scaling & root planing

AFTER SCALING & ROOT PLANING

In some patients, scaling and root planing is the most aggressive treatment needed to control their periodontal disease. This is because scaling and root planing can often eliminate the inflamation and infection that promotes the tissue destruction around teeth with periodontal disease. Because scaling and root planing is a non-surgical treatment, patients often feel comfortable with it, however, scaling and root planing is most effective is treating early periodontal disease.

Unfortunately, scaling and root planing is not a cure. Many patients have scaling and root planing done every two years to continually remove irritants that accumulate over this period.

Non surgical periodontal treatment is appropriate in the early and moderate stages of periodontal disease, otherwise known as periodontitis.

If there is a great deal of bone loss, a situation known as moderate to advanced periodontitis, then surgical periodontal treatment is required.

All patients that undergo periodontal treatment-whether it be non-surgical or surgical periodontal treatment need to have their teeth cleaned and their gums checked on a regular basis. This will be as often as every three to four months. It is vitally important to do this to prevent further periodontal problems.

Periodontal disease is a chronic problem, without ongoing treatment the infection and disease will recur, and each time it does, more bone can be lost, until eventually the teeth become loose and need to be removed.

The goal of non-surgical periodontal treatment is to bring the gums back to good health by shrinking or eliminating the pockets around the teeth that are the site of infection, without having to have gum surgery.

RELATED NEWS ITEMS

FDA okays gum disease pill - Oct 02, 1998 (USA Today)
Gum Disease Bacteria Lead To Bigger Problems - Mar 15, 1999 (Ivanhoe)
Treating Gum Disease with Antibiotics - Oct 18, 1999 (Ivanhoe)
Gum Disease Linked To Enzyme Deficiency - Dec 01, 1999 (Intelihealth)
Periodontists say fear of procedures is overblown - Dec 23, 1999 (Yahoo)
Periodontal Disease Related to Obesity - Apr 24, 2000 (E-Dental)
New toothpaste cures gum disease - May 23, 2000 (HealthCentral)
Study Links Smoking, Gum Disease - May 30, 2000 (Yahoo)
Bad Gums, Bad Heart Link Questioned - Sep 19, 2000 (Yahoo)
Gum Disease Raises Stroke Risk - Oct 28, 2000 (DrKoop)
Warn patients of the hazards of toothpicks - Dec 22, 2000 (E-dental)
Unhealthy Gums Linked to Worsening Lung Disease - Jan 30, 2001 (Yahoo)
Chronic Perio Disease Could Lead to Diabetes - Apr 23, 2001 (E-Dental)
Tea fights cavities, reduces plaque - May 22, 2001 (E-Dental)
Genome of periodontal disease bacterium - Jun 12, 2001 (E-Dental)
Heart attack-related protein tied to gum disease - Sep 28, 2001 (HealthCentral)
Gum Disease May Nourish Other Maladies - Oct 17, 2001 (InteliHealth)
Scientists Discover First Gene In Gum Overgrowth - Apr 02, 2002 (InteliHealth)
New findings further tie gum, heart disease - Apr 11, 2003 (DentalReach)
Pathogens In Dental Plaque Implicated In Pneumonia - Dec 07, 2004 (Science Daily)
Raisins fight oral bacteria - Jun 12, 2005 (Dental Bazaar)
Effect of vitamin D and calcium on periodontitis - Sep 22, 2005 (Medical News Today)
Researchers Find Nine Risk Indicators For Tooth Loss - Nov 08, 2005 (E-Dental)
Got Gum Trouble? Your Heart Might Be Next - Nov 29, 2005 (SimpleSteps)
Grapefruit 'may cut gum disease' - Dec 25, 2005 (BBC News)
Red Wine May Ward Off Gum Disease - Mar 10, 2006 (Forbes)
Electric Toothbrushes Provide Many Options for Consumers - Jul 29, 2006 (Dent News)
Common Antacids Could Help Keep Gingivitis At Bay - Nov 06, 2006 (Medical News Today)
Can teeth cleaning affect delivery of your baby? - Dec 05, 2006 (MSNBC)
Gum Disease and Tooth Loss Boost Pancreatic Cancer Risk - Jan 16, 2007 (MedPage Today)
Arteries Healthier After Treatment for Periodontal Disease - Mar 07, 2007 (SimpleSteps)
Despite Dentists' Urging, Many Don't Take Proper Care of Teeth - Apr 28, 2007 (Health Central)
African twig brushes offer all-day dental care - Jun 18, 2007 (Reuters)
Gum Disease In Postmenopausal Women Linked To Oral Bone Loss - Jun 20, 2007 (Medical News Today)
Periodontal Disease May Increase Risk for Early Death - Jul 31, 2007 (SimpleSteps)
Cell Damage Caused By Brushing May Help Keep Gums Health - Aug 06, 2007 (Science Daily)
Stress and Periodontal Disease: Questions and Answers - Aug 14, 2007 (Anxiety Connection)
Miswak beneficial for dental health, study finds - Oct 02, 2007 (Yemen Observer)
Wrong Choice of Mouthwash Could Have Negative Side Effects - Dec 29, 2007 (Kansas City Infozine)
Routine Intake Of Dairy Products Can Help Reduce Periodontal Disease - Feb 07, 2008 (Medical News Today)
Healthy Gums Are Something To Smile About - Apr 01, 2008 (Medical News Today)
Choosing a Toothbrush: The Pros and Cons of Electric and Disposable - Jul 10, 2008 (Web MD)
Gum Infections can Make Men Infertile - Aug 25, 2008 (MedIndia)
Help stave off heart attacks... keep your teeth clean - Sep 11, 2008 (Daily Mail)
Rheumatoid Arthritis Can Affect Your Pearly Whites - Oct 22, 2008 (Newswise)
Dieting May Cut Risk For Gum Disease, Mostly In Males - Dec 18, 2008 (Medical News Today)

Antibiotics | Baby Teeth | Bad Breath | Bleaching | Bonding | Brushing | Bruxism | Caries (Decay) | Cosmetic Dentistry | Crowns & Bridges | Dentures | Dry Mouth | Emergencies | Endodontics | Extraction | Flossing | Gum Disease | Implants | Migraine | NTI | Oral Cancer | Orthodontia | Pregnancy | Preventive | Sealants | Silver fillings | Tobacco | Toothpastes | Veneers | Wisdom Teeth | XRays | Dental Tourism

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