Posts for: January, 2014
Periodontal (gum) disease is sometimes called a “silent” malady — meaning that its symptoms don’t generally announce themselves with great fanfare (or pain, as conditions like tooth decay and root canal issues often do). Yet this disease is estimated to affect almost half of the adult population in the United States, causing deterioration of the gums and the bone surrounding the teeth… and possibly leading to bacterial infections, loss of teeth, and even systemic (whole-body) problems.
So what exactly is periodontal disease? Actually, it’s the broad name for a group of related diseases which attack the soft tissue of the gums and the tooth-supporting bone. Most periodontal diseases are caused by the buildup of harmful bacteria in a biofilm (thin, sticky layer), which coats teeth in the absence of effective oral hygiene. And yes, that means if you don’t brush and floss daily, you’re much more likely to develop gum disease.
Even the most attractive smile could have gum disease lurking beneath it. How do you know if you may be affected? Some early warning signs include redness or inflammation of the edges of the gums, a bad taste in your mouth or bad breath, plus any degree of bleeding when you brush your teeth (brushing should never cause gums to bleed). As the disease progresses, you may develop painful inflammation or a pus-filled abscess, bone loss, loose teeth… and eventually tooth loss.
But don’t wait until then to seek treatment! If you see your general dentist regularly, and if he or she notices signs of gum disease, you may be referred to a periodontist. But you don’t need a referral — you can simply make an appointment and come in for a check-up. That may be wise if you have noticed any warning signs — especially if it has been a while since you’ve had an exam. Periodontal disease may be a silent malady, but that doesn’t mean you have to let it affect your oral health.
If you would like more information about periodontal disease, call our office for a consultation. You can learn more in the Dear Doctor magazine articles “When To See A Periodontist” and “Warning Signs of Periodontal (Gum) Disease.”
Periodontal (gum) diseases like gingivitis (inflammation of the gum tissues) can exist in a chronic form for some time, while gradually worsening. But given the right conditions, gingivitis could elevate quickly into an acute, painful condition known as Acute Necrotizing Ulcerative Gingivitis (ANUG). While it can be effectively treated, it’s important to diagnose ANUG early and begin treatment as soon as possible.
ANUG is also known as “trench mouth” as it was commonly recognized among soldiers in the trenches during World War I. Its name describes it as “necrotizing” and “ulcerative,” because when left untreated it kills (“necrotizes”) soft gum tissue, particularly the triangular tissue between teeth known as papillae, and causes severe and painful sores. A person with ANUG may also exhibit very bad breath and taste, with an odor peculiar to the disease. It’s believed that acute stress, poor nutrition and a lack of sleep can trigger the condition in individuals with pre-existing gingivitis.
As with other forms of gum disease, the first priority of treatment is to alleviate the symptoms. Besides initial cleaning (also known as scaling), we would also prescribe antibiotics (particularly Metronidazole, which is effective against the specific bacteria responsible for ANUG), an antibacterial mouthrinse like chlorhexidine, and a mild saline rinse. We would also control pain and inflammation with non-steroidal anti-inflammatory drugs like aspirin or ibuprofen.
As the symptoms come under control, it’s then necessary to treat the underlying gingivitis by continuing the thorough cleaning of the affected surfaces, including the roots, of as much plaque and tartar as possible. Good oral hygiene with semi-annual professional cleanings must become regular habits to inhibit future reoccurrences of the disease. Quitting smoking, eating a healthy diet and managing stress are also advisable.
Without treatment, ANUG symptoms will persist; you could eventually lose the affected papillae, and experience other detrimental effects to other periodontal tissue and bone structures. If you suspect you may have gingivitis or this acute form, you should visit us as soon as possible for a full evaluation and treatment. The earlier we diagnose and treat gum disease, the better your long-term outlook.
If you would like more information on painful gums, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Painful Gums in Teens and Adults.”