Periodontology is the area of ​​Dental Medicine dedicated to the prevention, diagnosis and treatment of pathologies that affect the supporting tissues of our teeth: gums, bone and periodontal ligament (tissue that makes the connection between the tooth and the bone); having a special focus on Periodontal Diseases: gingivitis and periodontitis, which result from the prolonged accumulation of bacteria in the tissues of the oral cavity.

tratamento periodontologia

The first signs of these pathologies are the change in the color of the gum, changing from a pink to red color, its swelling, tendency to bleed and sometimes even some pain.

Over time, these symptoms can worsen to: dislocated gums, appearance of pus between the teeth and gums, tooth mobility, bad breath, bad taste in the mouth and greater tooth sensitivity. If you notice the symptoms mentioned, schedule an appointment and to check the best possible treatment for your condition.

In the first stage of the disease, it is possible to use minimally invasive treatments, which, if the pathology evolves, will be considerably less effective.

Gingivitis and Periodontitis

Periodontal Disease, even though it affects more than half of the adult population, is still often diagnosed late. This is a bacterial infection whose evolution can lead to gum recession, tooth loss, bone loss, abscesses, spacing between the teeth and periodontal pockets.

In its first phase, which we call Gingivitis, you start to notice some inflammation in the gums, which take on a reddish color, can swell and bleed very easily.

This inflammation is caused by a build-up of plaque, which when built up tends to spread below the gum line and begin to produce irritating toxins. This is the stage we call Periodontitis, in which our body, trying to alleviate the irritation, starts an inflammatory response causing a destruction of tissue and bone that support the teeth.

There starts to be a greater distance between teeth and gums, beginning to form periodontal pockets, where it is very easy for an infection to appear. At this stage, when there is already bone loss, periodontal disease is irreversible, requiring more advanced treatments.

The fact that the initial symptoms are quite mild and common to a large part of the population means that, in many cases, a diagnosis is only achieved at an advanced stage of the pathology. For this reason, we recommend our patients to schedule two Oral Hygiene appointments annually. In Dentistry, prevention is the best medicine!

Causes

There are factors such as genetic risk, susceptibility to diabetes, consumption of tobacco products, stress, hormonal changes, and consumption of certain medications that can aggravate periodontal diseases, but the main cause of this disease is the lack of oral hygiene.

We recommend our patients to brush their teeth twice a day, with the assistance of oral elixir and dental floss in order to eliminate all the bacterial plaque present.

Causes

There are factors such as genetic risk, susceptibility to diabetes, consumption of tobacco products, stress, hormonal changes, and consumption of certain medications that can aggravate periodontal diseases, but the main cause of this disease is the lack of oral hygiene.

We recommend our patients to brush their teeth twice a day, with the assistance of oral elixir and dental floss in order to eliminate all the bacterial plaque present.

Periodontology Treatment

In a first phase, the treatment of periodontal disease is aimed at eliminating the bacterial plaque and tartar adhered to the tooth surface above and below the gingival line, using scaling and root planing of active bags, or treatments with new technologies Dental Medicine using lazers for better disinfection and healing of affected tissues.

When the pathology is under control, it is important to reinforce good hygiene habits. Toothbrushing twice a day and use of proper elixir to maintain the gums is essential.

In cases where Periodontal Disease is more advanced, when there are deep pockets and bleeding, it may be necessary to resort to periodontal surgery. The roots of the teeth are exposed and a direct root planing is carried out. In this case, it is possible to remodel the supporting tissues and create conditions for the improvement of the alveolar bone and periodontal ligament.

Periodontitis is a chronic disease, which will require medical follow-up throughout life in order to avoid reinfection and the continuous destruction of the tissues that support the teeth.

Periodontology is also responsible for the treatment of the entire support structure for teeth, also including treatments related to oral aesthetics.

The specialized Physician performs coverings of gum recessions (cover previously exposed root), elimination of pathological brakes, gingival volume increase, correction of asymmetries and correction of gingival smiles (the cases in which the patient’s smile shows too much gums).

Implications of Periodontal Disease – Periodontology Treatment

In addition to the complications that periodontal disease has on the oral health of our patients with receding gums, possible bone loss and tooth loss, it brings complications to our health in general.

Studies show that this pathology can aggravate the condition of diabetic patients, increase the risk of cardiovascular diseases, have implications for rheumatoid arthritis, can influence the appearance of oral cancer and can be the cause of the birth of premature babies with low birth weight .

It is also linked to a lack of well-being on the part of the patient in relation to their mouth, making diction and chewing functions difficult and having severe impacts on the aesthetics of the smile.

FAQ

What are the signs of hill gum?

In the case of periodontal disease, the initial symptoms involve an inflammation of the gums, its swelling and facility in bleeding, especially during the daily brushing of the teeth.

When the disease is more advanced, it will also be possible to see a recession of the gums, bad breath, bad taste in the mouth and change in the position of the teeth.

 

If you have any of the symptoms mentioned, you should consult your dentist.

Is it normal to bleed while brushing the teeth?

No.

Bleeding from the gums is one of the first signs of periodontal disease and should be examined by a dentist who specializes in periodontology.

At what age do periodontal diseases appear?

Periodontal disease appears most often in young adults in their thirties.

However, the younger the patient is when periodontal disease appears, the more likely it is to have serious implications. It appears in children very rarely.

Is it possible to treat periodontitis with good hygiene?

Periodontitis is an advanced stage of periodontal disease.

At this stage, there is already a loss of tissue supporting the teeth and, therefore, the practice of good oral hygiene alone is not enough.

Depending on the state of the oral cavity of each patient, the dentist specialized in periodontology will recommend the treatment that best meets your needs.

Is it possible to create periodontitis while using dental implants?

Yes.

Periodontal disease begins in the small gap between the tooth and the gums.

In cases with the placement of bridges or crowns over dental implants, there is still susceptibility to this disease, and it is essential to continue with a good oral hygiene practice.

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