Gum Treatment

Believe it or not, gum problems are the most common diseases affecting the human population.
Gum Diseases 
In health, the gums firmly grip the neck of the tooth.

If food is allowed to accumulate between the tooth and the gum margin, it forms plaque along with the microbes. The resultant irritation of the gum margins produces a condition called as GINGIVITIS characterized by redness, bleeding and swelling of the gums. If proper attention is paid at this stage the condition is perfectly reversible.
If the gum diseases are not treated in time, the infection from the gums can spread to involve the underlying bone and may cause loosening or migration or loss of the tooth. Sometimes the infection may cause pus formation that can involve adjoining tissues and may cause swelling, pus discharge, bone infection etc.
Chronic gum diseases where pus oozes out of the gum margins (pyorrhea)/Periodontitis can affect the general health of a person. At this stage the teeth start shaking, they are unable to withstand chewing forces and foul smell starts from the mouth.
Periodontitis is the number one cause of tooth loss after the age of 40 in our country.

Non surgical treatment includes:

    • Deep cleaning (scaling and root planning)
    • Antimicrobial medications


Non-surgical treatment involves scaling and polishing of teeth. The procedure aims to remove food particles, plaque and calculus accumulating around the tooth. The effectiveness of the procedure depends largely on the stage of the disease, the efficiency of instrumentation and the maintenance on the part of the patient.

No matter how good we are at brushing, we cannot achieve 100% efficiency in cleaning. So, small depositions continue to occur on a daily basis. For long term maintenance of teeth, it is therefore advisable to go in for a professional cleaning once in six months even if you do not have an evident gum problem.

Surgical treatment:

Flap surgery involves lifting back the gums and removing the tartar. The gums are then sutured back in place so that the tissue fits snugly around the tooth again.
Bone and tissue grafts Grafting is a way to replace or encourage new growth of bone or gum tissue destroyed by periodontitis. A technique that can be used with bone grafting is called guided tissue regeneration, in which a small piece of mesh-like fabric is inserted between the bone and gum tissue.

Gingivectomy: This procedure is performed when excess amounts of gum growth around the teeth have occurred. This result in false pocket formation and the inability to keep them clean.

Gum Recession

Another commonly encountered problem with respect to gums is the recession of gum margins. The cause is related to faulty tooth brushing technique or the use of hard-bristle brush. The significance of the condition to the patient lies in the fact that the exposed root surfaces left by the receding gums are sensitive to hot and cold and that the exposed root surfaces are prone to decay. Also, receded gums can make your teeth look unnaturally long robbing you of your beautiful smile.

 

 

 

Treatment of gingival recession:
The treatment of gingival recession involves coverage of the exposed root surface. This is achieved either by

1.) Pulling the gum margin towards the teeth
2.) By covering the recessed area by a transplanted tissue. The tissue may be derived either from one's own body (palate) or some commercially available substitutes may be used.

Splinting- Managing mobile teeth

Splinting refers to "the joining of two or more teeth into a rigid unit by means of fixed or removable restorations or devices.” It’s a procedure where the teeth are supported in its position for a period of time.  The overall objective is to create an environment where tooth movement can be limited.

Splinting is done to teeth that are traumatized or teeth whose supporting structures are affected by disease, which prevents them from supporting the teeth. Splinting involves binding a group of teeth together so that the biting forces are shared by a large number of teeth instead of being born by the affected tooth.

Splinting may be a way to gain stability, reduce or eliminate the mobility, and relieve the pain and discomfort.

 

IF YOU NOTICE ANY OF THE FOLLOWING SIGNS OF GUM DISEASE, SCHEDULE AN APPOINTMENT IMMEDIATELY:

  • Gums that bleed when you brush your teeth
  • Red, swollen or tender gums
  • Gums that have pulled away from the teeth
  • Bad breath that doesn't go away
  • Pus between your teeth and gums
  • Loose teeth
  • A change in the way your teeth fit together when you bite.