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Gingivitis is simply inflammation of the gum tissue in the mouth. It is a reversible, non-destructive form of periodontal disease. While there are many causes of gingivitis, the

Gingivitis Marielaina Perrone DDS

Gingivitis Can be Prevented!

number one cause is poor dental hygiene.

Gingivitis can arise as -a side effect to medication, surges in hormones, mouth breathing, dry mouth,poor nutrition, disease state, tobacco use, or poor oral hygiene. When hygiene is insufficient, bacteria in dental plaque release acids that stimulate the inflammatory response by the body. This in turn cause the gums to appear puffy, red, and bleed easily upon brushing. It takes some work to restore the gums back to a healthy state. Frequent professional cleaning along with regular tooth brushing and flossing can help to remove plaque and keep it from building up on the teeth and gums.

Signs Of Gingivitis

-swollen, shiny, and tender gums

-blood on toothbrush while brushing

- pink toothpaste when spitting out

-pus around teeth

-bad breath

-gum redness

-visible tartar deposits

-bad taste in mouth

-gums bleed easily

-gum ulcers

Other Causes Of Gingivitis

-Medications. Many prescription and over-the-counter medications come with the side effect causing dry mouth or xerostomia, and sometimes gum overgrowth. Saliva is important to help keep your teeth clean by controlling the growth of bacteria as well as maintaining a neutral environment to prevent tooth decay. That means that the less saliva you have, the greater your risk for gingivitis (and tooth decay!). Many common medications including antidepressants, blood pressure meds,  asthma inhalers, and cold medications can reduce the amount of saliva in your mouth. Seizure medications, and some blood pressure medications can cause the gum tissue to grow. This extra tissue, makes it more difficult to keep clean. It is important you always read the side effects for any medications you are taking to ensure you take the proper steps like drinking more water and brushing more often following meals.

-Infection/ Disease: Various types of viral infections or fungal infections can cause periodontal disease. Oral Thrush is an example. Thrush occurs when a type of fungus that occurs normally in the mouth gets out of control and forms lesions that can infect the tongue and gums. Also, an infection caused by the herpes virus can cause

Gingivitis Marielaina Perrone DDS

periodontal disease. It is important to get these infections under control as soon as possible as they are quite treatable in most cases. There are also other diseases that can effect the oral tissue, such as oral cancer, and diabetes.

-Nutrition: If you follow a fad diet or a diet that is severely lacking in calcium and vitamins B and C, you may be at increased risk for periodontal disease.

-Mouth Breathing: leaving the mouth open to breathe while awake or sleeping, dries the mouth substantially. Oral dryness  allows gingivitis to occur more readily.making healing more difficult

-Tobacco use: Smoking directly effects the gums by decreasing blood circulation and thereby increasing inflammation. Smokeless tobacco cause irritation in direct response to the product eroding the tissue.

-Hormone surges: Hormonal imbalance during puberty, menstruation, pregnancy, and menopause can cause gingivitis. The drastic hormone changes allow gum tissues to become inflamed quite readily.

Possible Complications From Gingivitis

In most cases, if gingivitis is properly treated and the patient follows good dental hygiene there will be no complications. However, if left untreated, gingivitis can worsen and develop into a more advanced version of periodontal disease called periodontitis. This form of periodontal disease is quite destructive and will cause loss of bone and eventually loss of teeth.

Possible complications from gingivitis can include:

-Abscess in the gum tissues.

-Abscess in the jaw bones.

-Infection in the jaw bone or gum tissues.

-increased susceptibility to heart disease.

-Loss of esthetic gum contours. The points of gum tissue between the teeth disappear, leaving behind a “black triangle”. Red, jelly-roll margins at the gum line of the tooth. Pink stippling disappears.

-Periodontitis.

-Recurrent gingivitis.

-Trench mouth, or ANUG.  Ulcerations of the gums caused by bacterial infection.

Gingivitis can cause damage in other areas of the body if allowed to remain untreated. The bacteria from the gums can enter the bloodstream and cause infections elsewhere. Periodontal disease has been linked to heart disease, stroke and erectile dysfunction. It may also cause the delivery of premature infants as well as low birth weight infants to gingivitis-infected mothers. Those with diabetes may have problems controlling blood sugar levels if they also suffer from gingivitis.

Prevention of Gingivitis

Gingivitis may be prevented or cured by following some simple preventative measures:

-Brush teeth, gum line, and tongue daily. Teeth should be brushed at least twice a day. Both morning and night and after meals when possible.Gingivitis Marielaina Perrone DDS

-Use a soft bristled toothbrush, which is less likely to damage teeth or gums. Replace toothbrush every three months or sooner if needed.

-Use a fluoride toothpaste.

- Do not snack in the middle of the night. Chew gum after daytime snacks.

-Floss at least once a day.

-Rinse with an effective mouthwash, such as listerine.

-Visit the dentist at least once every six months for cleaning and examination to keep gingivitis away.

-Avoid sugary foods, tobacco and drinking excessive amounts of alcohol.

Conclusion

Gingivitis is very treatable. The first step, is understanding what is making it occur. Following a regular dental hygiene regimen will keep gingivitis at bay and not allow it to progress to periodontal disease. A few minutes a day is all it takes to maintain a healthy teeth and gums. Remember to visit your dentist regularly for dental examinations and professional cleanings to avoid the onset of gingivitis.

 

Periodontal Disease is generally associated with adults and most people believe that periodontal diseaseas well as other major dental issues are strictly an adult problem.

Periodontal Disease Marielaina Perrone DDS

Maintain Good Oral Hygiene To Keep Away Periodontal Disease

This is not the case. Children and adolescents are also at risk of developing periodontal disease and associated health problems. When children have periodontal disease, signs and symptoms include bleeding gums, especially when brushing, swelling of gums, red and tender gums, receding gums, bone loss, and persistent bad breath.

Factors That Put Children at Risk for Developing Periodontal Disease

According to the American Academy of Periodontology, periodontal disease rarely occurs in young kids and is uncommon in teenagers. Hygiene, genetics, hormones, medications, and disease put you at greater risk for developing periodontal disease. The most frequent type of periodontal disease seen in children is gingivitis, which is the earliest stage (and only stage that is reversible) of periodontitis. Without dental treatment, gingivitis can and will progress to periodontal disease. While uncommon, there are certain factors that increase the risk of children developing  juvenile periodontal disease. Juvenile periodontits affects the first permanent molars and incisors.

Genetic Factors

Genetic factors help determine whether children are at risk for developing periodontal disease. Research studies have shown that genetic factors increase the risk of developing periodontal health problems in children. Children of parents with periodontal disease have an increased risk of having the periodontal disease bacteria that can lead to increased gum infections. If one or both parents or a member of the family has or has had some form of periodontal disease, it is strongly recommended that these parents ensure their kids practice proper dental hygiene daily and visit the dentist regularly.

Teenagers – Effect Of Hormonal Changes

The risk of developing periodontal disease increases as children approach puberty. Teenagers experience increases in hormonal levels, which can promote hormonal periodontal disease. Hormones such as progesterone increase blood circulation to the gums making the tissue even more sensitive and easily irritated by plaque and bacteria that cause periodontal disease. Most teenagers also lack the motivation to practice proper dental care due to the pressure of growing up and the effect of these hormones. This increases the risk of periodontal disease such as ANUG (acute necrotizing ulcerative gingivitis) even more. Flaming red tissue, bleeding ulcerated tissue, pain, and gum recession are characteristic of ANUG. It is essential for adolescents to take good care of their teeth and visit the dentist regularly for periodontal evaluations.

Periodontal Disease Marielaina Perrone DDSPoor Dental Hygiene Maintenance

Poor dental hygiene maintenance puts children at increased risk of developing periodontal disease. When children do not take good care of their teeth and gums, plaque builds up and bacteria breaks it down causing periodontal health problems. Teeth clenching and grinding increases the risk of periodontal disease in children. The best way to prevent periodontal disease in children and reduce the risk is to teach good dental care habits early in their lives. Since children copy their parents’ habits, so parents should also take proper care of their teeth.

 Diseases and medications that Can  Effect Periodontal Disease

-Diabetes, poor healing

-Asthma ( inhalers can cause oral tissue damage)

-Cancer and cancer therapies(radiation and chemotherapy can cause severe damage to oral tissues)

-autoimmune disease , poor healing

-some medications can cause tissue overgrowth, such as the anti-seizure medication, dilantin.

Forms Of Pediatric Gum Disease

Gingivitis is the and mildest stage of periodontal disease. It is the most common form of gum disease in children and adolescents. Chronic gingivitis may affect children and teens causing gums to swell, redden and bleed easily.  Professional treatment and proper dental care is the way to treat and prevent this gum condition. If left untreated, gingivitis will progress and cause further damage  to oral tissues.

Aggressive (Juvenile) periodontal disease is not common in children and adolescents, sometimes it can develop even in healthy children. It mostly affects the visible molarsPeriodontal Disease Marielaina Perrone DDS and incisors, and causes loss of the bone supporting the teeth without plaque or calculus formation.

Generalized aggressive periodontal disease is rare in children but less so in teens. This form of periodontal disease has serious symptoms including gum inflammation, calculus, plaque and loose teeth.

Advanced gum disease that contributes to systematic health conditions may also occur in children and teenagers. This type of periodontal disease is especially common in children with Down syndrome, Type 1 diabetes, Kinder Syndrome, and Papillon-Lefevre syndrome.

Since kids are at risk of developing periodontal health problems just like adults, it is important for parents to take good care of their children’s teeth and gums and instill in them a lifetime habit of proper dental care including brushing and flossing.

Understanding The Risks Can Help You To Help Your Child Fight Periodontal Disease

When kids start early, they will continue practicing proper oral care, hopefully carrying that habit into adulthood.  It is essential for parents to ensure their children have regular dental checkups, periodontal health evaluations and professional cleaning. If a parent or member of the family has gum disease, it is especially important that other family members undergo a professional gum evaluation and take serious care and consideration of their teeth and gums.