Periodontics

What is periodontics and what are the causes and triggers?

Somewhat simplified, periodontics are all the problems associated with gum and dental problems related to poor and diseased gums.

The reason for such problems is difficult to make an unambiguous diagnosis, since the problem tends to be complex, but not just caused from bad hygiene, also can be from smoking and diabetes. Although it is not scientifically proven that there are also clear signs that genetics play in and it can be entire families who have “inherited” such problems.

Stage 1: If one fails to remove plaque and calculus (bacterial coating on teeth) and this “creeps” down below the gum line, this will collect bacteria and can create so-called “pockets” between the teeth where bacteria can be undisturbed since one does not reach with softener or toothbrush. These pockets will eventually become deeper and the jaw bone between the teeth will be attacked. This in turn leads to bone loss and attachment of the teeth deteriorates which makes the teeth become loose and eventually fall out or maybe extracted in other ways.

The first symptom of periodontitis is when the gum starts to push back and it can happen that there is discoloration of gums and one experiences that “the teeth are getting longer.” One can also experience some light bleeding when brushing your teeth and your teeth feel tender when you bite into something hard. At this stage of the disease it is  still relatively easy to put on the brakes on the disease. There will be increased hygiene, instruction in how to keep hygiene at the desired level and simple treatment sessions at the dentist where the patient enters to cleanse the gum and tooth trunk below the level of the gums.

This will put a brake on development and might also stop the process of bone loss but they will never be able to reverse the condition back to square one. It is therefore very important to start treatment early so you do not wait so long that the teeth are so loose that extraction is the only resort.

Stage 2: The symtoms are when the gums continue to retreat. One experiences getting pockets between the teeth, the teeth will become loose and you can experience bad odor / breath and you are experiencing slight pain when moving the teeth. If you continue to not take the disease seriously and do not start treatment, you will also be able to experience the formation of pus around the teeth and that the aesthetic “expression” carer with plaster and general discoloration and teeth begin to “move by themselves “. When the disease gets to this stage, it will require another type of treatment at the dentist. Your dentist will need to go deeper down the tooth root to clean and “wash” away bacteria. It may be necessary to remove some of the gums so that the pockets between the teeth are exposed and thus it is possible for the patient to keep hygiene, as well as the bad bacteria that can operate without oxygen getting a worse climate.

Stage 3: of the disease is when the teeth are in the process of being so loose that trekking is the last option. This is when we continue to maintain hygiene, relieve teeth to put them together and finally consider pulling teeth and then get them replaced (either with prosthesis or implants).Pulling teeth will be necessary to remove the source of the bacteria and also remove disease, but it will take some time before the climate is satisfactory and the condition stabilizes.

So what can you do to keep the disease at bay?

Point number one is to make the diagnosis early so that the dentist can supervise state, start the best possible treatment and not least instruct the patient. This will typically be related to maintaining hygiene at satisfactory level, a plan on how often you should go to the periodontal treatment (deep cleaning of the gums) and further guidance on smoking, sniffing and other bad habits. Smoking is the worst enemy of patients who struggle with periodontics, and the single factor that can stop us stabilizing the condition and