STAGES OF GINGIVITIS AND
Gum disease is
a common but serious dental problem that can result in tooth loss.
Gingivitis and Periodontitis are the most common types of adult
and gums are maintained by daily plaque removal from all surfaces
of the tooth (through toothbrushing and interdental cleaning)
are characterized by the following features:
- pink or
coral pink color, (normal variations in color depend on
race and complexion)
texture (known as stippling)
- shape that
follows the contour of the teeth and forms a scalloped edge
- no areas
of redness, swelling or inflammation
- no bleeding
during daily plaque removal
WHAT IS GINGIVITIS ?
inflammation of the gum tissue. The gums are irritated and swollen
due to a plaque or calculus (tartar) buildup along the gumline.
The gums may be sore, bleed easily and appear puffy, soft and
swollen. No bone structure is lost around the teeth at this
stage of gum disease. Blood on the toothbrush or dental floss
is one of the earliest and most common signs of gingivitis.
Your gums should never bleed while brushing or flossing. The
good news about gingivitis is that it is preventable and reversible
through good brushing and flossing techniques (or other interdental
tooth cleansing). On the other hand, if oral hygiene habits
are poor, gingivitis may progress to periodontitis.
Notice the gums are red and swollen.
|WHAT IS PERIODONTAL
disease is destruction of bone and the structures supporting
the teeth. Unfortunately periodontitis is irreversible, but
you can stop its progression through good oral hygiene and
visiting your dental professional.
|Eight Warning Signs of
- gums that
bleed when you brush or floss your teeth
- gums that
are red, swollen or tender
- gums that
have pulled away from teeth
including purulence(pus) between the teeth and gums when
the gums are pressed
teeth that are loose or separating
- any changes
in the way your teeth fit together when you bite
- any changes
in the fit of your partial denture
EARLY AND MODERATE PERIODONTITIS:
occurs when the inflammation of the gums progresses into
the deeper underlying structures and bone.
- In the most
common form of periodontitis, plaque (and sometimes calculus)
is found below the gumline.
- The gums
may feel irritated, appear bright red, and bleed easily.
- The ligaments
holding the tooth in its socket break down and the gums
pull away from the teeth, resulting in a periodontal pocket
or space between the tooth and gum.
- The periodontal
pocket deepens and fills with more bacteria. Supportive
ligaments and bone start to show damage.
disease: notice the accumulation of calculus around the gumline.
The gums are red, swollen and tender.
plaque do not have to be evident to the naked eye for periodontal
disease to be present. You need regular examinations performed
by your oral health professional to assess your periodontal
health and determine if periodontal disease is active in your
periodontal therapy (i.e. scaling). The gums have been restored
to health. Notice the gums have receded, exposing the root
of the tooth. This is due to the irreversible bone loss as
a result of previous periodontal disease. This can lead to
- When periodontitis
progresses to the advanced stage, the gums severely recede
(pull away from the tooth ); pockets deepen and may be filled
- There may
be swelling around the root and you may experience sensitivity
to hot or cold or feel pain when brushing your teeth. This
is due to the severely receding gums exposing the root surface.
- As bone
loss increases, your teeth may lose so much support that
they need to be removed to preserve the overall health of
disease: further progression of periodontitis with major loss
of bone support. The teeth may lose so much support that they
may be loose
|Adult gum disease
is usually not painful. It can progress slowly. You may not
even be aware of it until the advanced stages, when the tooth
is in danger of being lost. Check your gums thoroughly and regularly.
It is also important to go for regular checkups (at an interval
schedule determined through collaboration with your oral health
professional, based on your own personal needs). Your dental
hygienist can detect the early stages of gum disease, when it
is the easiest to treat.
Protecting your periodontal
health brings many benefits. You can chew with more comfort. You
can smile and speak with greater confidence. You can keep dental
costs down by preventing further problems. A commitment to maintenance
therapy is a commitment to better health.
Illustrations courtesy of
Oral-B laboratories © 2003
This site is intended
as general information only and should not
replace regular consultation with Dr.Talcott or the
Dental Hygienist. Copyright ©
2003 Dr Bob Talcott, DDS
and hosted by Binary Farm Web Design