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Is Gingivitis CurableGingivitis is simply inflammation of the gum tissue that surrounds the teeth. Ginigivitis especially in its earliest form is painless with mild symptoms. This causes many to be unaware that they are in the midst of the first stage of periodontal disease. If gingivitis is left untreated it can progress to more advanced stages of periodontal disease. Is gingivitis curable? Yes with proper professional care as well as diligent home dental hygiene care.

Causes Of Gingivitis

Gingivitis develops when plaque builds up along our teeth and gums. The plaque can then turn into what is called tartar. Tartar is a hard calcified deposit that forms on the teeth. This plaque and tartar acts as an irritant to your gum tissues. Your gum tissues react by starting the bodies inflammatory process. When at home dental hygiene is insufficient, bacteria in dental plaque and tartar release acids that stimulate the inflammatory response by the body. This will cause the gum tissues to appear puffy, red, and bleed easily upon brushing.

Poor dental hygiene is the main cause of gingivitis. There are others that can contribute to its development. These can include:

Is Gingivitis Curable Las vegas Marielaina Perrone DDSPrescription or Over The Counter Medications. Many prescription and over-the-counter medications have a common side effect causing dry mouth or xerostomia, and even sometimes gum overgrowth. Salivary flow is important to help keep your teeth clean by controlling the growth of bacteria as well as maintaining a neutral environment to prevent development of tooth decay. That means that decreased salivary flow can increase your risk for gingivitis (as well as tooth decay). Many common medications including antidepressants, blood pressure medicines,  asthma inhalers, and common cold medications can reduce salivary flow in your mouth. Seizure medications, and some blood pressure medications can cause the gum tissue to grow abnormally. This extra tissue can make it more difficult to maintain dental hygiene. 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.

Hormone Surge (as in pregnancy or puberty)

Breathing Thru Your Mouth. Being a mouth breather your mouth will dry out quickly overnight. Oral dryness will increase the development of gingivitis and eventually periodontal disease.

Dry Mouth

Inadequate Nutrition (Vitamin Deficiencies). A diet that is severely lacking in calcium and vitamins B and C can put you at risk for increased incidence of periodontal disease.

Systemic Disease (example Diabetes). Viral infections and fungal infections can cause periodontal disease. Oral Thrush is a good example. Oral thrush occurs when a type of fungus that is normally occurring in the mouth gets out of control and forms oral lesions that can infect the tongue and gums. Another infection can be caused by the herpes virus. It is important to get these infections under control as soon as possible as they are extremely treatable in most cases. There are also other systemic diseases that can effect the oral tissue, such as oral cancer, and diabetes.

Smoking Or Tobacco Use. Smoking tobacco products have a direct effect on our periodontal tissues by decreasing blood circulation to those tissues. This will cause an increase in inflammation. Chewing tobacco or smokeless tobacco is a direct irritant to our tissues. The presence of tobacco on our gums can actually cause the gum tissues to erode.

Is Gingivitis Curable? Yes!

Gingivitis is curable in its earliest stages and can be easily reversed back to a healthy state. The following steps can help restore your periodontal tissues back to health:

Brushing Properly. Surprisingly, many people do no brush correctly. It is recommended to use a soft, nylon brush with a soft touch to prevent gum tissue damage. A gentle, back and forth motion at a 45 degree angle is the preferred way to complete this easy task.

-Floss Regularly. Flossing should be a daily ritual. Flossing can remove food particles and plaque. Flossing should also be done gently as not to cause trauma.

Mouthwash Use. Rinsing with an anti bacterial mouthwash can help dislodge food particles following meals. Rinsing with just plain water is helpful as well to maintain pH balance in your mouth.

-Improved Diet. Choosing a well balanced diet can contribute to better gum health as well as overall health. Be sure to get plenty of Vitamin C and calcium, which can decrease the risk of experiencing swollen gums.

Reduce Stress. Increased stress can have a definite impact on our hormone levels. One hormone in particular, Cortisol can lead to gum inflammation. Use stress reducers whenever possible.

Regular Dental Visits. Seeing your dentist and dental hygienist regularly can help prevent and diagnose any issues quickly and easily.

Is Gingivitis Curable? Self Diagnosis

Generally, the first sign most people notice is bleeding upon tooth brushing. Upon closer inspection, you might also notice your gum tissues will be red and inflamed. If you have any concerns contact your dentist for a complete evaluation and discuss how to answer the question is gingivitis curable. Other signs of gingivitis can include:

– pink toothpaste when rinsing

Halitosis (Bad Breath)

-Redness of Gum Tissues

-Visible Tartar Present

-Constant Unexplained Bad Taste In Mouth

-Ulcerations Of The Gum Tissues

Is Gingivitis Curable? Conclusion

Is gingivitis curable with proper dental hygiene and lifestyle changes? The answer is a definite YES! By brushing and flossing regularly, you can have healthy gums again.See your dentist regularly for a happier, healthy smile.




Periodontal disease is a progressive condition that should be treated immediately. Below you will find some common questions patients ask about periodontal disease.

What Is Periodontal Disease?

Periodontal disease is classified as an infection of the soft and hard tissues supporting your teeth. Periodontal disease is caused when plaque begins to build up on the teeth and eventually hardens (also known as tartar). In the initial stages of periodontal disease, the gum tissues become inflamed and there may be some bleeding upon brushing and flossing. This initial stage of periodontal disease is known as gingivitis. Gingivitis is reversible with professional treatment from your dentist and maintaining a regimented routine of at home dental hygiene. If gingivitis is left untreated, the disease can continue to progress. The next stage is known as periodontitis. In this stage of periodontal disease the plaque and tartar build up below the gumline. Continued irritation and inflammation of the gums occur, this response will create periodontal pockets (increased space between your teeth and gums) that become infected. As periodontitis progresses and worsens, the periodontal pockets get deeper and the bone that supports the teeth begins to be lost. If periodontitis is left untreated, it will eventually lead to loss of teeth.

Periodontal Disease Las Vegas Marielaina Perrone DDSHow Is Periodontal Disease Diagnosed?

During your dental visits, your dentist or hygienist will examine the tissues surrounding your teeth visually, using instruments, and thru radiographs. If inflammation is present or the gums bleed easily that will be the first sign of periodontal disease being present. Further examination will occur using an instrument called a periodontal probe. This probe can measure the bone height surrounding your teeth. Normal periodontal pocketing is around 3mm. As bone loss and inflammation occurs this number can rise dramatically. Generally a pocket depth above 4 mm along with bleeding is a hallmark sign of the presence of periodontal disease.

What Are Common Signs Of Periodontal Disease?

Unfortunately for many, periodontal disease can be a silent disease until it becomes quite advanced. Signs and symptoms of periodontal disease include the following

-Inflamed or tender gums that are red in color.

-Bleeding upon brushing, flossing, or when consuming harder to chew foods.

-Teeth appear longer due to receding gum tissues.

-Loose or moving teeth.

-Development of a dental infection in the gum tissues. Usually presents itself as a pimple. Can also be a sign of an infection related to a bad tooth.

-Sores in the mouth

-Unexplained, chronic bad breath

-A change in the way your teeth fit together when you bring them together.

What Are Typical Periodontal Disease Treatments?

Depending on severity of periodontal disease, your dentist may refer you to a periodontist. A periodontist is a dentist that specializes in the gum and bone tissues of the mouth surrounding your teeth. There are a few options available. These include:

1. Scaling And Root Planing (also referred to as a deep cleaning). This dental hygiene cleaning will include the normal removal of plaque and tartar but will also smooth the root surfaces that are exposed or just below the gum line. This will help rid the oral bacteria that contribute to the development and progression of periodontal disease.

2. Periodontal Flap Surgery. This type of surgery opens the gum tissues up giving the dentist greater access to teeth, gum tissues, and bone. They can then debride the areas fully along with planing of roots. The tissues will be replaced and allowed to heal. Your dentist may decide a dental bone graft or gingival tissue graft may be necessary as well. A bone graft will help restore some missing bone to give added support in hopes of saving the affected teeth. A gingival tissue graft will help cover exposed roots to decrease sensitivity as well as give a better cosmetic result following surgery.

What Follows Treatment Of Periodontal Disease?

You will be placed on a maintenance therapy program. This will include oral hygiene instructions for at home along with necessary tools and education. It will also include the possibility of more frequent visits to the dental hygienist for follow up visits to keep the disease state under control. Some patients will require a more frequent schedule. The normal is every 6 months but for many cases it can increase to every 3 months to keep the disease from progressing further.

Can Periodontal Disease Contribute To General Health Issues?

Clinical studies have given us lots of data that periodontal disease does in fact affect our general health. These issues include:

Alzheimer’s Disease

-Cardiovascular Issues (Heart attack or stroke). Both periodontal disease and cardiovascular disease are considered chronic inflammatory diseases. The medical community believes that inflammation is probably the factor that associates the two disease states.

-Low Birth Weight Babies and PreTerm Pregnancies

-Difficulty in Controlling Diabetes

Can Children Develop Periodontal Disease?

It is rare to find periodontal disease in children but it is possible. More so for adolescents and teenagers. This does not mean we should not educate our children on the importance of dental hygiene. Children should be educated and develop a routine to avoid any issues as they get older. The warning signs of periodontal disease include swollen, bleeding gums that are red in color. If your child has these symptoms call your dentist to ensure he/she is cared for swiftly.

What Can Be Done At Home To Prevent Periodontal Disease?

The #1 way to prevent development of periodontal disease is visit your dentist regularly and maintain a diligent schedule of dental hygiene at home. This should include brushing at least 2x per day (recommend after every meal), flossing at least once a day, and using an antibacterial mouth rinse.

Is Periodontal Disease Contagious?

The actual periodontal disease state is not contagious since it is an inflammatory process. However, the bacteria that causes periodontal disease can be spread thru saliva. This is most often common from mother or father to newborn baby prior to full development of immune system. It has also been shown to have a genetic component. It is believed that approximately 30% of the world’s population may have some genetic susceptibility to the development of periodontal disease. Modern DNA testing can shed some light on these factors as well. Once such company is called OralDNAMyPerioPath is used to test for the detection of oral pathogens that cause periodontal disease. MyPerioPath can help provide early detection of oral pathogens to enable the personalized care in treatment of periodontal disease.

Can I Wait To Get Periodontal Disease Treatment?

The earlier that periodontal disease can be treated the cheaper and easier it will be to manage the outcomes. At the earliest sign of periodontal disease see your dentist and it could just involve a professional cleaning and some dental hygiene instructions. If you wait it could progress to periodontal flap surgery and tooth loss.

What Are The Stages Of Periodontal Disease?

The stages of periodontal disease are as follows:

-Gingivitis

-Periodontitis

-Advanced Periodontitis



Receding gum tissue can be an issue especially as we get older. Normal healthy gum tissue will follow snugly against the conforms of our teeth. Gum recession occurs when the gum tissue recedes or pulls away from teeth exposing the root below. This creates an esthetic issue as well as a functional one. The roots of our teeth do not have a protective layer of enamel. This can make your teeth sensitive to hot and cold as well as increase your risk of tooth decay. Once recession occurs, this tissue cannot grow back to its original state. There are treatments to restore lost gum tissue and bring your smile back to its original healthy state.

What Causes Gum Tissue To Recede?

Several factors can cause our gum tissue to recede including:

Periodontal Disease (ranges from ginigivitis to advanced periodontitis) – Periodontal disease (also called gum disease), refers infections of the structures around the teeth, which include the gums, periodontal ligament and alveolar bone. In the earliest stage of periodontal disease — gingivitis — the infection affects the gums. In more severe forms of the disease, all of the tissues are involved. This inflammation occurs due to an accumulation of bacterial deposits called plaque.

Contributing factors of periodontal disease include:

-poor oral hygiene maintenance

-misaligned or crooked teeth

-damaged or faulty fillings

-bridges or partial dentures that no longer fit

-genetics

-hormonal changes due to pregnancy or oral contraceptives

-medications that cause dry mouth (xerostomia)

-certain immune disorders

-stress

-tobacco use

Periodontal Disease Stages

-Gingivitis causes gum redness, swelling, and sometimes bleeding. If left untreated, gingivitis can progress to periodontitis.

Periodontitis is the advanced stage of periodontal disease and can cause the gums to recede. As the gum and connective tissues pull away from the tooth, a pocket forms between the tooth and gum, which begins to accumulate bacteria. Over time, the bacteria cause further damage and inflammation. If the gums recede too much, it may lead to bone loss, which can cause teeth to loosen or fall out over time.

Is Incorrect Brushing The Cause?

Maintaining a regular brushing and flossing regimen is essential for maintaining good oral hygiene. However, using an incorrect brushing technique could actually contribute to receding gums. The part of the gum that comes into contact with the crown of the tooth is called the gingival margin. Brushing incorrectly or too hard can damage the gingival margin, possibly triggering gum inflammation and recession.

Incorrect brushing techniques can include:

-brushing too forcefully

-using a hard or medium bristled toothbrush

-brushing the teeth in a broad, horizontal motion

Teeth grinding and clenching

Some people grind their teeth together while sleeping. This motion of teeth grinding puts intense pressure on the gums, which can cause them to react by receding over time. Teeth grinding can also cause teeth to become loose in their sockets. Grinding creates deep pockets between the tooth and the gum, where bacteria can collect. These bacteria trigger gum inflammation, which can then worsen gum recession.

Injury

Sustaining direct trauma to the gum tissue may cause the gums to recede in that area. These injuries could include:

-during a fall or other accident

-during dental procedures

-while wearing ill fitting partial dentures

-trauma while playing contact sports

Treatments For Receding Gums

Scaling and root planing

Scaling and root planing is one of the first treatments for receding gums that a dentist will recommend. This procedure will remove plaque and tartar from below the gumline, where routine brushing cannot reach. Root planing removes plaque and tartar specifically from the roots of teeth. Following removal of plaque and tartar your dentist or hygienist will use special instruments to smooth the roots, which helps the gums re-attach to the tooth.

Gum Tissue Grafting

Your dentist may recommend gum graft surgery if your gums have severely receded to the point where surgical intervention is needed. During gum grafting, a surgeon will take a small piece of gum tissue from a different area in the mouth and transplant it to cover the exposed tooth roots. This gum tissue grafting helps prevent bone loss and the gums from receding farther. It can also protect the previously exposed tooth roots from decay and tooth sensitivity

Pinhole Surgical Technique

Pinhole surgical technique is a fairly new treatment for mild to moderate receding gums. Pinhole Surgical Technique is a minimally invasive procedure that requires no incisions and no suturing. It is a quick and effective treatment for gum recession that is virtually pain-free and requires only a very short recovery time. Patients can resume normal activities the same day as their procedure.

Prevention Of Gum Tissue Recession

-Practice good oral hygiene

The following oral hygiene tips can help avoid receding gum tissue:

-flossing between the teeth at least once per day preferably after each meal

-fluoride toothpaste

-brushing your teeth 2x/day using a soft bristled toothbrush

-using an antiseptic mouthwash to reduce bacteria and flush out debris

-choosing a size and shape of toothbrush that allows access to all parts of the mouth

-replacing toothbrushes at least every 2–4 months or as recommended by your dentist

-maintaining a regular schedule of dental appointments

-Wear A Mouthguard

Wearing a mouthguard at night can help prevent gum recession due to teeth grinding. Mouthguards create an even pressure across the jaw and act as a physical barrier to separate the top and bottom teeth. Mouthguards can be bought at your local pharmacy. A dentist can also make a customized mouthguard, which will provide a better fit and be much more comfortable and long lasting

-Replace Dentures That Do Not Fit

Partial dentures that once fit well can become incompatible with the mouth over time. This can happen for several reasons, including:

-the bone and gum ridges shrinking over time

-differences or changes in jaw alignment

-overall wear and tear of the partial dentures over time

Ill fitting partial dentures can rub and irritate the gums, causing the gums to recede around healthy teeth. People can prevent this by replacing partial dentures as needed. If you are concerned have your dentist evaluate your partial dentures at your next visit.

-Maintain Regular Dental Visits

Attending regular dental checkups is vital for detecting the early stages of gum recession. Routine examinations also allow your dentist to identify and replace any failing restorations or ill fitting partial dentures, which can contribute to receding gums.

Gum Recession Conclusion

Unfortunately once the gum tissues have receded, they cannot grow back on their own. With Advancements on treatment your dentist can reattach and restore gum tissue around the teeth. Remember to maintain a good oral hygiene program at home and seeing your dentist regularly can help prevent, slow, or stop gum recession. If you notice changes in your smile speak to your dentist to see what options are right for you.




Diabetes (also called diabetes mellitus) is a chronic systemic disease which affects your body’s ability to process sugars in your food. As a result, a diabetic patient will have a high blood glucose (sugar) level which can cause a host of issues including problems with your eyes, nerves, kidneys, and heart. Diabetes can also lower your resistance to infection and can slow the healing process. Diabetes can also affect your oral health in many different ways.

Fast Facts About Diabetes

-Diabetes is a long-term condition that causes high blood sugar levels.

-Diabetes currently affects over 371 million people worldwide and is expected to affect over 550 million by the year 2030. In the United States, a new case of diabetes is diagnosed once every 30 seconds and more than 1.9 million new cases are diagnosed each year.

Types Of Diabetes

-Type 1 Diabetes – In this type, the body does not produce insulin. About 10% of all diabetes cases are type 1.

Type 2 Diabetes – In this type, the body does not produce enough insulin for proper function. About 90% of all cases of diabetes worldwide are of this type.

-Gestational Diabetes – In this type, pregnant females are affected

Common Diabetes Symptoms

1) Frequent need to urinate (polyuria)

2) Intense thirst (polydipsia) and hunger (polyphagia)

3) Unexpalined weight gain

4) Unusual weight loss

5) Fatigue (tiredness)

6) Cuts and bruises that do not heal

7) Male sexual dysfunction

8) Numbness and tingling in hands and feet

-If you have Type 1 and follow a healthy eating plan, do adequate exercise, and take insulin, you can lead a normal life with little to no complications.

-Type 2 patients need to eat healthily, be physically active, and test their blood glucose. They may also need to take oral medication, and/or insulin to control blood glucose levels.

-As the risk of cardiovascular disease is much higher for a diabetic, it is crucial that blood pressure and cholesterol levels are monitored regularly.

-As smoking might have a serious effect on cardiovascular health, diabetics should stop smoking.

-Hypoglycemia – low blood glucose – can have a bad effect on the patient.

-Hyperglycemia – high blood glucose – can also have a bad effect on the patient.

How Is Your Dental Health Affected By Diabetes?

Periodontal Disease. Diabetes reduces the body’s resistance to infection, diabetics have an increased risk for developing gingivitis (earliest and most treatable form of periodontal disease), an inflammation usually caused by the presence of bacteria in plaque. Plaque is the sticky film that accumulates on teeth both above and below the gum line. Without regular dental check-ups, periodontal disease may progress if left untreated. It also can cause inflammation and destruction of tissues surrounding and supporting teeth, gums, bone and fibers that hold the gums to the teeth. Research has shown that treating periodontal disease in people with diabetes can help improve blood sugar control.

Burning Mouth SyndromeBurning mouth syndrome is a chronic burning in the mouth without an obvious cause. The discomfort can affect your tongue, gums, lips, inside of your cheeks, roof of your mouth or widespread areas of your oral cavity. Burning mouth syndrome appears suddenly and can be severe, as if you burned your mouth.

-Fungal infections (such as thrush and oral candidiasis). Since diabetes weakens your immune system, you may be prone to developing fungal infections. Symptoms include painful sores and difficulty swallowing. If you develop a fungal infection, it is important to see your dentist as soon as possible.

-Dry mouth (xerostomia). Uncontrolled diabetes can decrease salivary flow, which can result in dry mouth. Dry mouth can further lead to soreness, oral ulcers, oral infections, and increased incidence of tooth decay.

-Infection and delayed healing. People with uncontrolled diabetes do not heal quickly after oral surgery or other dental procedures because blood flow to the treatment site can be impaired.

Dental Care Tips For Diabetic Patients

-Maintain Good Blood Sugar Levels.

-Keep your healthcare team informed including your dentist.

-See your dentist regularly for dental hygiene visits as well as oral examinations. It is recommended that you visit your dentist and hygienist at least every 6 months. For many diabetic patients, it is advised that they go on a more frequent schedule to maintain proper oral health.

-Brush and Floss Daily. This is to prevent plaque build up and keep periodontal disease away. In fact, it is recommended that diabetic patients brush following every meal to ensure good dental hygiene.

-Denture wearers should remove their dentures and clean them daily. Do not sleep in them.

-If you smoke, talk to your doctor about ways to quit.

-Maintain regular visits to your diabetes doctor to ensure there are no conflicts between dental treatment and your general treatment.

-Remember that healing may take longer in people with diabetes. Follow your dentist‘s post-treatment instructions closely.

-Patients with diabetes with orthodontic appliances should contact their orthodontist immediately if a wire or bracket results in a cut to their tongue or mouth.

Conclusion

Diabetes can be a scary diagnosis but with proper monitoring and care it does not have to be. A well controlled diabetic can leave a very normal life and stay healthy for a long, long time. Dental care should never be compromised even for healthy individuals.