There are two main forms of gum disease: gingivitis and periodontitis.
Gingivitis means ‘inflammation of the gums.’ This is when the gums around the teeth become very red and swollen. Often the swollen gums bleed when they are brushed during cleaning. Gingivitis is a temporary condition which can be treated and prevented. It does not cause any permanent damage.
Periodontitis is an infection, which causes the destruction of the tissues which hold the teeth in place (gum, bone and ligament) and can lead to tooth loss.
Some of the signs and symptoms of periodontal disease include:
Persistent bad breath or a bad taste in your mouth
Gums that bleed when brushing or flossing
Red, swollen and/ or tender gums
Teeth that appear longer because your gums have receded
Gum boils or abscesses
Teeth that seem loose
Spaces unexpectedly developing between your teeth
Periodontal disease is generally a painless condition; therefore you may be unaware of its presence in your mouth. We can examine you for this condition.
Periodontal disease is caused by a build up of bacterial dental plaque. This is a soft, colourless film of bacteria, which forms on the tooth surface daily. Toxic substances from the bacteria enter the gums and cause a reaction (inflammation).
Dental plaque can be controlled by good oral hygiene (tooth brushing and cleaning in-between the teeth). If plaque is not removed it may become a hard material – calculus (tartar).
If you do not brush and floss regularly you are more likely to get periodontal disease no matter what your age or general state of health. However there are other factors that may place you at an increased risk of developing periodontitis.
The gums are affected because smoking causes a lack of oxygen in the bloodstream, so the infected gums don't heal. Smoking causes people to have more plaque and the gum disease to get worse more quickly than in non-smokers. Gum disease is a major cause of tooth loss in adults.
Unfortunately, gum disease does not usually cause pain as it gets worse so you do not notice the damage it is doing. However, the bacteria are sometimes more active and this makes your gums sore. This can lead to gum abscesses, and pus may ooze from around the teeth. Over a number of years, the bone supporting the teeth can be lost. This results in the teeth becoming loose and falling out/ needing extracted.
You should make an appointment with us for a thorough examination of your teeth and gums. We will check if your gums are healthy and we will take X-rays to check that you have not lost more bone from around your teeth than is appropriate for someone your age.
This is called root planing. It uses the same equipment as a normal ‘Scale and Polish’ but takes longer. It is performed under Local Anaesthetic to keep things comfortable for you. Your dentist/ dental hygienist will clean your teeth to remove plaque and calculus (tartar). The roots of the teeth are cleaned with hand instruments to leave them clean and smooth – this is called root planning.
Deep Cleaning is normally carried out over 2-4 visits.
Successful treatment of your periodontal disease is dependent on YOUR oral home care – effective brushing and cleaning in-between your teeth.
If the destruction of the bone supporting the tooth is too severe, tooth extraction may be the required treatment.
Periodontal surgery with a Periodontal Specialist may be required in certain cases.
Regular follow-up and care is essential in the long term management of the periodontal condition. Regular ‘scale and polish’ visits will be recommended.
There is no cure for periodontal disease in that if you are genetically susceptible to it you will always be genetically susceptible to it. The aim is to manage it so that the loss of bone around the teeth happens as slowly as possible. The aim is to prevent loss of teeth.
Yes. There are new findings which support something that dental professionals have suspected for a long time: infections in the mouth can be linked with problems in other parts of the body.
Problems which may be caused or made worse by poor dental health include:
However, recent large-scale studies have shown that the medical costs for patients with diabetes, cardiovascular disease or strokes, and for pregnant women, can be significantly less if their gum disease is treated thoroughly. This is just another reason to make sure you always look after the health of your teeth and gums at home and visit the dental team regularly.
People with gum disease are almost twice as likely to have coronary artery (heart) disease than people without gum disease. When people have gum disease, it is thought that bacteria from the mouth can get into their bloodstream. The bacteria produce protein. This can then affect the heart by causing the platelets in the blood to stick together in the blood vessels of the heart. This can make clots more likely to form. Blood clots can reduce normal blood flow, so that the heart does not get all the nutrients and oxygen it needs.
If the blood flow is badly affected this could lead to a heart attack.
Several studies have looked at the connection between mouth infections and strokes. They have found that people who have had a stroke are more likely to have gum disease than people who have not had one.
People with diabetes are more likely to have gum disease than people without it. This is probably because diabetics are more likely to get infections in general. People who do not know they have diabetes, or whose diabetes is not under control, are especially at risk.
If you do have diabetes it is important that any gum disease is diagnosed, because it can increase your blood sugar. This would put you at risk of diabetic complications.
Also, if you are diabetic, you may find that you heal more slowly. If you have a problem with your gums, or have problems after visits to your dentist, discuss this with your dental team before you have any treatment.
New research has also shown that you are more likely to develop diabetes if you have gum disease.
If you have diabetes, you have an increased risk of losing teeth.
Pregnant women who have gum disease may be over three times more likely to have a baby that is premature and so has a low birth weight. There is a one-in-four chance that a pregnant woman with gum disease will give birth before 35 weeks.
It is thought that gum disease may raise the levels of the chemicals that bring on labour. Research also suggests that women whose gum disease gets worse during pregnancy have an even higher risk of having a premature baby.
Having gum disease treated properly during pregnancy can reduce the risk of a premature birth.
Bacterial chest infections are thought to be caused by breathing in fine droplets from the throat and mouth into the lungs. This can cause infections, such as pneumonia, or could make an existing condition worse.
People with gum disease have more bacteria in their mouths and may therefore be more likely to get chest infections. This particularly affects frail, elderly people who may die from pneumonia caused by breathing in bacteria from their mouth. Good oral hygiene for this group of people is therefore particularly important.
Although there is some evidence that gum disease runs in families, the main cause is the plaque that forms on the surface of your teeth. To prevent gum disease, you need to make sure you remove all the plaque from your teeth every day by brushing, and by cleaning in between your teeth.
A recent study has shown that people who stay fit and healthy are 40 percent less likely to develop tooth-threatening gum infections that could lead to gum disease. It also found that not exercising, not keeping to a normal body weight and unhealthy eating habits made a person much more likely to get advanced gum disease.
If you are serious about your health - and your teeth - you will need to exercise, eat a healthy, balanced diet and keep to a normal body weight.
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