- 10 Reasons to Have a Dental Cleaning
- How Dental Cleaning is done?
- 1. Ultrasonic Scaler
- 2. Hand Scalers
- 3. Polishing Tool
- 4. Fluoride
- Is it going to be painful?
Periodontium is the tissue that immediately surrounds and supports the teeth. It consists of alveolar bone, periosteum, periodontal ligament, gingival sulcus, and gingiva; each of these components contributes to stabilizing the tooth within the jaws.
Gingivitis is the inflammation of the gingiva due to bacterial infection that can occur at any age but most frequently arises during adolescence. It is a disease that requires the presence and maturation of bacterial plaque
Gingivitis is diagnosed by bleeding and by changes in the colour, contour and consistency of the gingiva. Features include red swollen marginal gingiva; loss of stippling; red-purple, bulbous interdental papillae; and the increased fluid flow from the gingival crevice. Gingival bleeding and pain are induced by tooth-brushing and slight probing.
Treatment of gingivitis consists of frequent and regular removal of plaque through dental scaling and root planing. If gingivitis is left untreated for a long period of time, it will lead periodontitis which will result in loosing teeth.
After the age of 35, gum disease or periodontitis is the major cause of tooth loss in adults, far more so than tooth decay. In fact, about 80% of tooth loss can be ascribed to periodontal disease in this age group. A lot of time and money could be saved by early detection and treatment of the disease and many more people would keep their teeth if they were aware of this fact.
Periodontal disease affects the support structures of the teeth: the bone, gums and ligament (Click here for Dental Anatomy). It is long-term and slow-moving disease: painless in its initial stages, but later presenting as a chronic inflammation that damages both the gums and bone holding the teeth in place. Bacterial plaque is the main culprit here, and only fastidious daily brushing and flossing can effectively remove it.
The most common form of periodontitis is adult periodontitis. It can be localized or generalized and appears to progress episodically. During periods of exacerbationthere is advancing loss of epithelial attachment, increase periodontal pocket depth, increased gingival crevicular fluid, loss of alveolar bone and connective tissue attachment and gingival bleeding.
The predominant species associated with adult periodontitis ace Actinobaccillus actinomycetemcomitans (25-30%), Actinomyces naeslundii, Bacteriods forsythus, Campylobacter rectus, Eikenella corrodens, Eubacterium species, Fusobacterium nucleatum, Peptostreptococcus micros, Prevotella intermedia, Prophyromonas gingivalis, Selenomonas sputigena, Streptococcus intermedius and Treponema species
Adult periodontitis can be devided into 3 types base on severity:
Treatment depends on the causal factors but generally involves:
Treatments of gum disease: