Gingivitis is the inflammation of the soft tissues around the teeth and is an incipient and reversible stage of the disease.
The symptoms of gingivitis are:
- Red and swollen gums
- Bleeding when touched, during brushing or flossing. In certain cases, even mastication can cause micro-injuries which can lead to minor bleeding. These are normal symptoms, but if they occur daily, professional help must be sought.
In its incipient stage, gingivitis can cause a minor discomfort or present no symptoms whatsoever.
Contributing factors are poor hygiene, smoking, and diabetes, eating habits (rich in minerals and low in fruit), stress, some drugs and various hormonal factors (pregnancy gingivitis).
The treatment for gingivitis consists in removing the main etiologic cause-plaque and tartar through plaque removal, professional brushing and air flow with powder sodium hydrogen carbonate. You will need to continue this treatment through a better hygiene, flossing and toothbrushes which reach between the teeth. Regular visits to the dentist and hygienist are mandatory.
GUM DISEASE PERIODONTITIS
They are the next stage of untreated gingivitis. The plaque on the surface of the teeth spreads along the gum line and turns into tartar. The toxins in the plaque become a constant irritating factor and can result in extensive damage to the soft tissue and the bone around the teeth. They pull away from the teeth, thus forming periodontis bags.
This process is slow and a-symptomatic, and can only be detected during a professional dental check. In more advanced stages, you can experience retraction of the gum, the teeth start to move out of the position and eventually fall out.
Periodontics health should be restored, as much as possible, through minimally invasive techniques, non surgical (SRP-scaling root planning), or closed curettage, which consists in thorough cleaning of the exposed radicular surface, removing the tartar and the plaque from the periodontitis bags area, smoothing the surface and removing any bacteria. An indicator of the healing process is gum bleeding.
Depending on the case, adjuvant therapy can be carried out. Many times, following SRP, patients no longer need surgical treatment.
Even if the gum bleeding stops, it’s recommended you obey a strict program and an adequate personal hygiene.
The non-surgical treatment has its limitations, so when it’s not enough, regenerating surgical procedures must be performed. Their purpose is to reduce the depth of the periodontis bags and clear the damages caused by the peridontic disease. During this procedure, the gum is pulled away from the teeth, and the dentist clears all the tartar and the toxic residue at the root and periodontis bags. The process is carried out with direct visual access. Depending on the case, it may involve bone, membranes and other materials which help the body regenerate through Guided bone and tissue regeneration. This procedure, coupled with adequate daily oral hygiene and a professional maintenance program, increases the chances of preserving the teeth for a long period of time.