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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 develop as

-a side effect to medication

-surges in hormones

-mouth breathing

-dry mouth

-poor nutrition

-disease state

-tobacco use

-poor oral hygiene.

When dental hygiene is not sufficient, 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.

 

Bad breath or halitosis, results from poor maintenance of dental hygiene, chemical breakdown of food, and may be a sign of other health problems. Bad breath can also be made worse by  unhealthy lifestyle habits. We all know how bad our breath is after eating onions or garlic for lunch, but did you know that your tongue can be a major cause of your bad breath?

Importance of Regularly Cleaning Your Tongue

Did you know that your tongue’s surface is the main breeding ground for harmful bacteria? These are the same bacteria that attack your teeth and gums causing tooth cavities and periodontal disease.  Bacteria  give off toxins in your mouth that in turn produce foul smelling gases.

Most people are aware of the importance of brushing and flossing but a simple “scraping” of your tongue twice a day can reduce bad breath odors. Studies have shown this can reach as high as a 75% reduction in odors emanating from the mouth.

A dental myth widely believed is that the stomach is the root cause of bad breath. Bad breath directly caused from the stomach is so rare that of a thousand people treated for bad breath not a single case was caused by underlying stomach issues.

Tooth brushing and most mouthwashes do nothing to remove oral debris and dead cells on the tongue, the root cause of bad breath. The most you can hope for from them, is to mask the bad breath for a short while. A combination of methods works best and this should include brushing, flossing, and tongue cleaning. Tongue cleaning can show a huge improvement in one’s breath almost immediately.

Orabrush Marielaina Perrone DDS

Orabrush for a Cleaner Tongue

Tongue Cleaning: Did You Know?

-Combination of teeth brushing and tongue cleaning can reduce bad breath by as much as 85% Vs. tooth brushing alone.

-Tongue cleaning alone can reduce mouth odor by as much as 75%.

-Brushing alone, reduces mouth odor by as much as 25%.

Tongue cleaning reduces the amount of bacteria, plaque, and dead cells on the tongue by as much as 40%

-Tongue cleaning will cut down the bacteria stored in the mouth by Tenfold.

-Tongue cleaning reduces halitosis including smoker‘s breath by as much as 85 %

How to Clean Your Tongue Effectively

There are lots of products on the market now strictly for tongue cleaning. There are many types of apparatus available to clean your tongue, it is strictly a matter of preference. The old fashioned manual toothbrush does quite an effective job as well.

1.  Apply a pea sized amount of toothpaste to a wet toothbrush, not the same one that you use for your teeth, because the tongue holds significantly more debris and different bacteria than your tongue. The tongue cleaning toothbrush should be rinsed in antibacterial mouth rinse and stored separately so as not to contaminate your regular toothbrush.

2. Open your mouth wide and stick your tongue out at yourself in front of the mirror. Reach in with the toothbrush and gently touch the back of your tongue, near your throat. If you gag, pull the toothbrush a bit farther out of your mouth and try again. Repeat this step until you find a starting point that does not cause you to gag. Don’t worry if you can’t get very far back, your gag reflex will relax over time.

3. Press down on the toothbrush and pull it forward. Drag it across the entire length of your tongue until you reach the tip.

4. Repeat Step 2, moving the brush off to one side slightly so you drag across a new section of tongue. Spit out excess toothpaste if necessary, but don’t swallow it.

5. Continue doing this until you have scraped the entire top of your tongue. Rinse the toothbrush. Lighten the pressure, and repeat the process on the underside. If the procedure is painful, you’re pushing too hard.

6. Rinse your mouth thoroughly for at least one minute with an anti bacterial mouthwash. Spit when you’re finished.

Tongue Cleaning Conclusion

Maintaining good oral hygiene may seem like a daunting task but it is really quite simple once it becomes a part of your daily routine. Not only will you experience better breath, and less dental issues, but you will feel better and more confident about yourself as you go about your daily activities. Research has shown time and again how important a smile is to our self esteem. Give yourself peace of mind and follow your dental hygiene instructions for a happier, healthier you!