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Posts for tag: periodontal disease

By David E. Habecker DDS
April 21, 2015
Category: Oral Health
BleedingGumsmaybeaWarningSignofGumDisease

If your gums bleed when you brush your teeth, it’s unlikely the cause is brushing too hard. The more common reason (especially if you’re experiencing little to no pain) is periodontal (gum) disease caused by the accumulation of bacterial deposits known as dental plaque and calculus where your teeth and gums meet.

This bacterial dental plaque results in an infection in the soft tissues of the gum; the body responds to this infection with antibodies, which in turn cause the gums to become swollen, or inflamed. As this biological “war” rages on, both the infection and inflammation become chronic. The tissues are weakened from this disease process and bleed easily.

Bleeding gums, then, is an important warning sign of possible gum disease. As the infection progresses the normal attachment between the teeth and gums begins to break down and form pockets in the void. The infection will continue within these pockets, eventually spreading deeper into the gums and bone. The gum tissue may begin to recede, resulting in bone loss and, if untreated, to tooth loss.

In the early stages of the disease, bleeding gums could be the only symptom you notice. It’s possible the bleeding may eventually stop, but this doesn’t mean the disease has, and is more likely advancing. If you’ve encountered bleeding gums, you should visit us as soon as possible for a complete examination.

There’s a two-pronged approach for treating gum disease. The first prong — and top priority — is to remove as much of the offending bacterial plaque and harder deposits (calculus) as possible, along with the possibility of follow-up antibacterial and antibiotic treatment. This may require more than one session, but it’s necessary in stopping the disease. The second prong is instituting proper oral hygiene: daily brushing and flossing (using proper techniques we can teach you) and semi-annual professional cleanings in our office to remove any plaque or calculus not removed with brushing.

Bleeding gums is your body’s way of telling you something isn’t right with your gums. The sooner you seek diagnosis and treatment, the better your chances of halting the damage caused by the disease.

If you would like more information on bleeding gums as a warning sign of gum disease, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Bleeding Gums.”

By David E. Habecker DDS
December 01, 2014
Category: Oral Health
LearntheSignsofPeriodontalDisease

Periodontal (gum) diseases are sometimes called “silent” because those who have them may not experience painful symptoms. But certain signs point to the existence of these common diseases. If you are experiencing any of the symptoms below, it is time to visit our office so these problems can be treated before they lead to serious infection and loss of teeth.

Gums that bleed during the brushing of teeth. Some people think that gums bleed from brushing too hard. In fact, healthy gum tissues will not bleed with normal brushing. The usual cause of bleeding gums is an accumulation of dental plaque in the areas where your teeth meet your gums. Plaque is a film of bacteria, called a biofilm, which accumulates on your teeth. If you are not brushing and flossing effectively, plaque irritates your gum tissues and causes an inflammation and swelling called gingivitis. This causes your gums to bleed easily on contact with a toothbrush or floss.

Gum tissues that appear red and swollen. If plaque is allowed to accumulate for 24 hours or more, the inflammation in your gum tissues becomes chronic. The continuous presence of bacteria makes it impossible for your body's natural defenses to fight the infection. Chronic inflammation leads to a breakdown of the normal attachment between the teeth and the gums, causing the formation of “pockets.” Inside these pockets the infection continues to attack the tissues that support your teeth. Eventually this can lead to a breakdown of the bone that surrounds your teeth.

Bad breath. Bad breath is another sign of accumulated plaque. The bacteria in plaque may emit gases that have an unpleasant odor.

Gums that are sensitive to hot or cold. Chronic inflammation can also cause the gums to recede, exposing the roots of the teeth in which nerves may be close to the surface, leading to sensitivity to heat and cold.

Teeth that are getting loose, or a painful area in the gums. If you experience these symptoms, the infection has progressed a long way from the “silent” stage. It is time to seek immediate professional help.

If you answered “yes” to any of the above questions, a professional dental examination is in order. With daily removal of plaque by effective brushing and flossing, along with frequent professional cleanings to remove any plaque that you were unable to catch, you will go a long way to preventing periodontal disease. Also, be aware that smoking tends to mask the effects of gum disease. Generally, if you smoke your gums will not bleed when brushing or flossing, nor will they show signs of swelling.

Contact us today to schedule an appointment to discuss your questions about gum disease. You can also learn more by reading the Dear Doctor magazine articles “Bleeding Gums” and “Warning Signs of Periodontal (Gum) Disease.”

By David E. Habecker DDS
September 29, 2014
Category: Oral Health
KeepYourGumsinthePink

Being “in the pink” is a good thing; it means you're healthy. Being “in the red” is not so good; it means your health is questionable (financially, anyway). Though they weren't coined for dentistry per se, these colorful expressions are helpful reminders when it comes to taking care of your gums: Pink is their natural, healthy color; that's what you want to see every time you look in the mirror. Red is generally a warning that something's amiss.

If your gums, or “gingiva,” appear slightly swollen and reddened at the margins and/or they bleed when lightly prodded by brushing or flossing, it's likely that you have gingivitis. This is an immune response to the buildup of bacterial plaque (biofilm) at your gum line. It is also an early red flag for periodontal disease (peri – around, odont – tooth), a degenerative process that affects not only the gums, but the periodontal ligament that attaches each tooth in its bony socket, and the underlying supporting bone.

Attentive home dental hygiene practices prevent most plaque buildup from occurring. Brushing correctly at the gum line is a good start. But even a deftly handled brush can't reach everywhere, so it's important to use dental floss or specially designed mini-brushes to get in between teeth and other hard-to-reach areas. Our office can instruct you on optimal home care techniques. We also encourage you to visit at regular intervals for professional cleanings so you are assured of addressing anything home care might miss.

In the absence of good oral hygiene, dental plaque can build and become increasingly difficult to remove as it calcifies, becoming tartar. It becomes a breeding ground for disease-causing microbes that normally wouldn't have the chance to gain a foothold. When caught early, gingivitis can be treated before any harm is done. Sometimes a thorough professional cleaning is sufficient. If the problem is ignored, however, the disease will most certainly progress to destruction of the surrounding, supporting tissues — the periodontal ligament and the underlying bone. If this happens, tooth loss could eventually result.

That said, there can be other causes for bleeding gums. These include:

  • Brushing too rigorously or using a toothbrush with bristles that are too firm
  • Side effect of a medication
  • In women, elevated hormone levels (e.g., birth control pills or pregnancy)
  • A systemic (bodily) disease

Whatever the reason, red is not normal when it comes to your gums. The sooner you discover the underlying reason(s) for inflammation or bleeding and take appropriate action, you and your smile will be back in the pink and you'll have no reason to be blue!

If you would like more information about preventing or treating bleeding gums, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Bleeding Gums.”

By David E. Habecker DDS
February 05, 2014
Category: Oral Health
TakeHeedtotheSubtleWarningSignsofGumDisease

Periodontal or gum disease is a serious condition that could lead to tooth and bone loss. Unfortunately, you may not even realize you have it — the disease in its early stages can be difficult to detect. If you know what to look for, however, a few signs can tell you something isn’t quite right.

Bleeding gums after brushing, for example, are a likely indication that your gum tissues are inflammed due to an infection caused by bacterial plaque. Coupled with chronic inflammation from the body’s response to the infection, the unhealthy tissues bleed easily.

As the disease progresses, you may also notice changes in your gums’ appearance: redness at the gum line, as well as some slight swelling. Receding gums expose more of the tooth below the enamel crown. As roots become exposed to the oral environment, you’ll begin to notice painful sensitivity to hot or cold. In time, the disease may cause bone loss producing other signs like loose teeth or teeth shifting from their original position.

In some cases, gum disease can cause a painfully acute abscess. This occurs when the bacterial infection becomes isolated in a pocket of space between the teeth and gums. As the body attempts to fight the infection, its defenses are overwhelmed and the abscess becomes painful, swollen and filled with pus.

If you encounter any of these signs, it’s important to take action quickly to minimize the damage and stop the disease’s progress. Our first priority is to remove as much bacterial plaque and calculus as possible and may consider antibacterial and antibiotic treatments. This may take more than one session, but it’s necessary in stopping the disease.

Long-term success, though, will depend on improved oral hygiene (brushing and flossing), regular office cleanings to remove difficult to reach plaque and calculus, and checkups to monitor the condition of your gums. You can also lower the risk of reoccurrence with improvements in diet and life-style (such as quitting smoking). Instituting better hygiene and lifestyle habits, as well as keeping alert to any signs of recurring disease will go a long way in preserving your teeth and overall oral health.

If you would like more information about periodontal disease and its effect on your health, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Warning Signs of Periodontal (Gum) Disease.”

By David E. Habecker DDS
April 05, 2013
Category: Oral Health
BleedingGumsASignThatSomethingsAmiss

Your gums are red around the margins and bleed whenever you brush or floss but there's minimal to no pain... You: (select the most appropriate answer[s])

  1. are brushing or flossing too vigorously
  2. have an accumulation of dental plaque where the teeth meet the gums
  3. are using a toothbrush that's too firm
  4. are experiencing early signs of gum disease
  5. should see your dentist if this persists for more than 6 months

Kudos if you picked b) and d). The most common cause of bleeding gums is the accumulation of dental plaque (bacterial deposits) at the gum line, which is an early sign of periodontal (from the Latin “peri” – around, and the Greek “odont” – tooth) disease. It is usually painless so people tend to underestimate the risk of allowing gum disease to progress and become a more significant problem.

It's a common misconception that bleeding gums are caused by brushing or flossing too vigorously or using a toothbrush that's too firm. This is sometimes the case, but the abrasion would probably cause noticeable pain. Instead, it's likely that you're not brushing and flossing effectively enough, allowing bacterial deposits to accumulate at the gum line and feed on food particles that haven't been adequately flushed from your mouth.

The bacterial deposits form a whitish film that is hard to detect when you look in the mirror. But you will notice bleeding and redness and eventually inflammation of the gums — an immune response to disease-causing bacteria that flourish in the plaque. As the biofilm grows, with time it also hardens (calcifies), making it increasingly difficult to dislodge. Eventually, only professional cleaning can remove it and sometimes antibiotics are needed. If no action is taken, gum disease will progress, and eventually cause loss of the underlying bone that anchors the teeth.

There are other reasons that gums may bleed, such as elevated hormone levels in women, a side effect of certain medications, or a systemic (bodily) disease. Whatever the cause, it's important to get a professional diagnosis promptly and take appropriate therapeutic action as needed. Optimally, with good oral hygiene and regular checkups, you can avoid this problem entirely!

If you would like more information about preventing or treating bleeding gums, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Bleeding Gums.”