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The part of the mouth that consists of the gum and supporting structures is called the periodontium.
The structure of the tooth includes dentin, pulp and other tissues, blood vessels, and nerves imbedded in the bony jaw.
In healthy mouths, plaque itself actually provides some barrier against outside bacterial invasion. When plaque is allowed to remain in the periodontal area, it transforms into calculus (commonly known as tartar ). The most important component leading to the disease process, however, is the body''s persistent immune response to the bacterial plaque. Gingivitis precedes periodontitis, although it doesn''t always lead to this more severe condition.
Juvenile periodontitis begins at puberty and is defined by severe bone loss around the first molars and incisors.
In periodontal disease, the bacterial balance shifts over to gram negative anaerobic bacteria. Evidence now suggests that periodontal disease is an autoimmune disorder, in which immune factors in the body attack the person''s own cells and tissue -- in this case, those in the gum. The bacteria that form plaque and tartar release toxins that stimulate the immune system to overproduce powerful infection-fighting factors called cytokines. In addition, white blood cells produced by the immune response to bacteria also release a family of enzymes called matrix metalloproteinases (MMPs), which break down connective tissue. Studies suggest that this inflammatory response may have damaging effects not only in the gums but also in organs throughout the body, including the heart. Certain herpes viruses (herpes simplex and varicella-zoster virus, the cause of chickenpox and shingles) are known causes of gingivitis. About three-quarters of periodontal office visits are made by women, even though women tend to take better care of their teeth than men.
Osteoporosis is a condition marked by progressive loss of bone density, thinning of bone tissue, and increased risk of fractures. Vitamin C helps the body repair and maintain connective tissue, and its antioxidant effects are important in the presence of tissue-destroying oxidants in periodontal disease. Gingival overgrowth can be a side effect of nearly 20 different drugs, most commonly phenytoin (Dilantin), cyclosporine (Sandimmune), and a short-acting form of the calcium channel blocker nifedipine (Procardia).
Several other conditions can also cause gum inflammation, and some have been associated with periodontal disease. A much less severe but nevertheless distressing problem caused by periodontal disease is bad breath, although coatings on the tongue may contribute more to bad breath than periodontal disease. Studies have reported that people who have heart disease have a 1.5 - 4 times increased risk for periodontal disease.
Diabetes is not only a risk factor for periodontal disease -- periodontal disease itself can worsen diabetes. Bacteria that reproduce in the mouth can also be carried into the airways in the throat and lungs, increasing the risks for respiratory diseases and worsening chronic lung conditions such as emphysema. Many studies strongly indicate that bacterial infections that cause moderate-to-severe periodontal disease in pregnant women increase the risk of premature delivery and low birth weight infants. Experts recommend that women have a periodontal examination before becoming pregnant or as soon as possible thereafter. It is important to reduce both the quantity and, in particular, the frequency of sugar intake. Smoking may play a significant role in over half the cases of chronic periodontal disease, according to research published in 2000. Fluoride treatment in children has helped to account for the decline in periodontal disease in adults.
Some dentists recommend a fluoride gel for adult patients who are still at risk for tooth decay or sensitivity, but extra fluoride is generally not necessary for adults who use fluoride toothpaste. Dentists now often perform Periodontal Screening and Recording (PSR) using a probe to measure gum pockets. Correct tooth brushing, mouth cleansing, and flossing should be everyone''s defense against periodontal disease. No brush of any size, shape, or gimmick is effective if it is incorrectly positioned in the mouth.
Begin by dry brushing the inside the bottom row of teeth, then the inner top teeth, and last the outer surfaces. Rinse the toothbrush thoroughly and then tap it on the edge of the sink at least five times to get rid of debris.
If brushing after each meal is not possible, rinsing the mouth with water after eating can reduce bacteria by 30%. In spite of the wide variety of nonelectric toothbrushes, both in shape and bristle design, a study of eight brands found no significant differences in effectiveness among them. Electric toothbrushes, particularly those with a stationary grip and revolving tufts of bristles, can be advantageous for some people with physical disabilities. In general, studies have reported no differences between electric and manual toothbrushes in their ability to remove plaque. For individuals with average dexterity, a four- or five-rowed, soft, nylon-bristled toothbrush is sufficient. Toothpastes are a combination of abrasives, binders, colors, detergents, flavors, fluoride, humectants, preservatives, and artificial sweeteners. Mouthwashes containing cetylpyridinium (Scope, Cepacol) have moderate effect on plaque, but only if they are used an hour after brushing.
Mouthwashes containing stannous fluoride and amine fluoride (Meridol) are moderately effective, but are also not as effective as effective as Listerine or chlorhexidine. Break off about 18 inches of floss and wind most of it around the middle finger of one hand and the rest around the other middle finger. Hold the floss between the thumbs and forefingers and gently guide and rub it back and forth between the teeth. When it reaches the gum line, the floss should be curved around each tooth and slid gently back and forth against the gum. If, on repeated flossing attempts, the floss becomes shredded or cannot be removed easily from between the teeth, a rough crown or overhanging filling may be the cause. Avoid a very thin floss, which can cut the gum if brought down with too much force or not guided along the side of the tooth. People who have very tight spaces between their teeth should consider flosses that are made of Gore-Tex. The Floss Plus easy flosser device is also effective and may make it easier for some people to floss.
Special toothpicks such as Stim-U-Dent may be effective for wide spaces between teeth but should never replace flossing. Electronic products such as Oral B Innerclean and the Water Pik Flosser are as effective as manual flossing.
The dentist will first take a medical history to reveal any past or present periodontal problems, any underlying diseases that might be contributing to the problem, and any medications the patient is taking.
The dentist uses a mirror and a periodontal probe, a fine instrument calibrated in millimeters (mm), which is used to measure pocket depth. The dentist will "walk" the probe to six specified points on each tooth, three on the buccal (cheek) and three on the lingual (tongue) sides. These measurements help determine the condition of the connective tissue and amount of gingival overgrowth or recession.
Some dentists have reported a success rate of 85% when professional treatment and good home maintenance are combined.
After the active treatment is completed and the mouth is in a relative state of health, the patient should have regular cleanings lasting 45 minutes to 1 hour, approximately every 3 months. The hygienist or dentist may use an ultrasonic instrument for removal of the more accessible calculus. A spray of water is used with ultrasound to prevent overheating and to flush out the debris that is dislodged. The dental professional will scrape the plaque from above and below the gum line (called scaling). After the cleaning procedure, the dentist will check the pocket depths around the teeth after the cleaning process has been completed. Finally, the dental hygienist or practitioner should offer thorough instructions on home care to insure the removal of bacteria on a daily basis. Gingival curettage removes the soft tissue lining of the periodontal pockets in order to completely eliminate bacteria and diseased tissue. Surgery allows access for deep cleaning of the root surface, removal of diseased tissue, and repositioning and shaping of the bones, gum, and tissues supporting the teeth. The periodontal surgeon lifts, or flaps, the gums away from the tooth and surrounding bone. The periodontist may also contour the remaining bone and attempt to regenerate lost bone and gingival attachment through bone grafts and guided tissue regeneration or the use of enamel matrix protein derivatives. There is some debate about whether this procedure is any more effective in preventing disease progression than non-surgical therapies, such as low-dose doxycycline, short-term antibiotics, or antibiotic gels. A specialized piece of fabric is sewn around the tooth to cover the crater in the bone left after the cleaning. After 4 - 6 weeks, the nonabsorbable fabric must be removed using a minor surgical procedure. The material may be either bone from the same patient or a substance called decalcified freeze-dried bone allografts (DFDBA) which is obtained from a donor. Gum grafting techniques can also be very useful for improving the looks of the gum as well as adding support to the teeth.
Periodontists report that they are achieving great success with tooth implants in patients who have lost teeth due to periodontal disease.
Some experts are concerned, however, that long-term use of antibiotics increases the risk of bacterial resistance to these drugs, which is a growing health problem in general. Antibiotics given orally and at standard doses have some limited applications for periodontal disease. Tetracycline antibiotics -- which include tetracycline hydrochloride, doxycycline, and minocycline -- are the primary drugs used. Some macrolide antibiotics (roxithromycin) may have actions against inflammation and growth involved in periodontal disease. Metronidazole (Flagyl) in combination with tetracycline or amoxicillin (a penicillin) may be used for severe and chronic periodontal disease.
There is growing bacterial resistance to many of these antibiotics, such as roxithromycin and metronidazole, therefore limiting their use in periodontal disease.
Topical application of antibiotics to the gum surface does not affect the entire body like oral antibiotics do, and they are preferred whenever possible. Minocycline microspheres (Arestin) contain antibiotics in tiny capsules, which are applied to the gums after scaling and planing.
Actisite is a thin strip similar to dental floss, which is treated with tetracycline hydrochloride. Over-the-counter NSAIDs include aspirin, ibuprofen (Motrin IB, Advil, Nuprin, Rufen), naproxen (Aleve), ketoprofen (Actron, Orudis KT). Prescription NSAIDs include naproxen (Naprosyn, Anaprox), diclofenac (Voltaren), tolmetin (Tolectin), ketoprofen (Orudis, Oruvail), indomethacin (Indocin). These drugs are used not only for relieving pain in periodontal disease but also for slowing the disease process.
In one study, long-term use of oral flurbiprofen (Ansaid) resulted in significantly lower bone loss, although disease progression returned when the drug was stopped.
Warning about NSAIDs: Although NSAIDs work well, long-term use can cause stomach problems, such as ulcers and bleeding, and possible heart problems. Gels containing growth factors -- including substances called recombinant human (rh), platelet-derived growth factor-BB (PDGF-BB), and (rh) insulin-like growth factor-I (IGF-I) -- are showing promise for restoring bone. Researchers are investigating the use of photodynamic therapy (PDT) as an alternative to antibiotic drugs.
The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition.
This page will also cover other causes of oral pain, many of which can mimic ‘proper’ toothache.
You may want to jump ahead to the following page on toothache relief for tips and remedies on alleviating symptoms while waiting to see your dentist. Dental sensitivity.  There are many possible reasons for this including root exposure, gum disease and tooth-wear. Problems after dental treatment.  This is common after some procedures, such as tooth pain after filling and root canal treatment. Rarely, oral pain can be due to other medical problems such as earache, neuralgia, angina or heart attack. Why should the different kinds of toothache you are having be of interest to you? … Because the type of pain often gives clues on what is causing it, and can help you relieve your symptoms at home.
Pain at the back of the mouth. Symptoms concentrated here is often from impacted wisdom teeth.
Electric shock-type. This can be a sign of neuralgia, which is a medical condition not caused by dental problems.
Sheffield close to the Derbyshire Peak bone regeneration All-On-4 technique and cosmetic treatments such as teeth whitening (bleaching). Acute sinusitis can also develop as a result of physical symptoms from a persistent cold as a result of allergic rhinitis and due to The presence of peculiar pain along the upper teeth accompanied by very bad eath is also sometimes found to be evident in patients suffering from cases of sinusitis sufferers.
You can also make a garlic paste by crushing it bright smile teeth whitening pen without antibiotics treating infections and adding salt and applying it on the painful area. About your tooth infection yes this can cause a stink The acetic acid and mallic acid in ACV help purify and detoxify whiten teeth photoshop easy dental infection symptoms the infected region of your body.
Peizosurgery enables Arlington Dental to maintain its status as one of the most recognized and desirable Oral Surgery and Implant Centers between A: Dental implants are placed into healthy gum tissue. I told him that I dental gum repair pregnancy dental early filling am not stupid I can feel the top tooth THROBBING after hot and cold foods or drinks.
After root canal treatment is complete a filling type material (build-up) is placed in the top of the tooth to aid in restoring structure of the tooth. BackgroundPeriodontal disease refers to a group of problems that arise in the sulcus, the gap between the gum and the tooth. The crest of the supporting bone, which can be viewed on x-rays, is normally 2 mm below the point where the crown of the tooth meets the root (the cementoenamel junction). Even in healthy mouths, the sulcus is teeming with bacteria, but they tend to be harmless varieties. When it accumulates to excessive levels, however, plaque sticks to the surfaces of the teeth and adjacent gums and causes cellular injury, with subsequent swelling, redness, and heat. Specific immune factors are released that cause inflammation and damage that eventually destroys the support structures and bone and can lead to tooth loss. Chronic periodontitis (also referred to as adult periodontitis) may begin in adolescence as a slowly progressing disease that becomes clinically significant in the mid-30s and continues throughout life.
Aggressive periodontitis (also referred to as early onset periodontitis) often occurs in young people. It begins with the eruption of primary teeth in the first year and causes severe inflammation and bone and tooth loss. Severe inflammation and rapid bone and connective tissue loss occur, and tooth loss is possible within a year of onset. Periodontitis can also be associated with a number of systemic diseases, including type 1 diabetes, Down syndrome, AIDS, and several rare disorders of white blood cells. Bleeding of the gums, even during brushing, is a sign of inflammation and the major marker of periodontal disease. Deepening periodontal pockets between the gums and bone can become blocked by tartar or food particles. These two bacteria appear to be particularly likely to cause aggressive periodontal disease. A 2000 study found that other herpes viruses (cytomegalovirus and Epstein-Barr) may play a role in the onset or progression of some types of periodontal disease, including aggressive and severe chronic periodontal disease. Risk FactorsMore than 75% of American adults have some form of gum disease, but according to a major survey, only 60% have any significant knowledge about the problem.
Poorly contoured restorations (fillings or crowns) that provide traps for debris and plaque can also contribute to its formation.


Wisdom teeth, also called third molars, can be a major breeding ground for the bacteria that cause periodontal disease. One survey reported that 3.6% of adults between the ages of 18 - 34 had periodontal disease. Female hormones affect the gums, and women are particularly susceptible to periodontal problems.
Gingivitis may flare up in some women a few days before they menstruate when progesterone levels are high. Hormonal changes during pregnancy can aggravate existing gingivitis, which typically worsens around the second month and reaches a peak in the eighth month. Some studies report that oral contraceptives containing the synthetic progesterone desogestrel (but not dienogest, another common progesterone) increase the risk for periodontal disease.
Estrogen deficiency after menopause reduces bone mineral density, which can lead to bone loss. According to a 2000 study, genetic factors may play the critical role in half the cases of periodontal disease. The habit can cause bone loss and gum recession even in the absence of periodontal disease. Osteoporosis (loss of bone density) has been associated with periodontal disease in postmenopausal women. Patients who are treated for bone cancer, or cancers that have spread to the bone, sometimes receive intravenous bisphosphonate drugs to help strengthen bone. Herpes virus is a common cause of gingivitis in children and has become increasingly common in adults. Autoimmune conditions (Crohn''s disease, multiple sclerosis, rheumatoid arthritis, lupus erythematosus, CREST syndrome) have been associated with a higher incidence of periodontal disease. People with tuberculosis, syphilis, Wegener''s granulomatosis, amyloidosis, and many genetic disorders are also at higher risk for periodontitis.
A large 2000 study found that people who consumed less than the recommended daily allowance of vitamin C, 60 mg (about one orange) were 1.5 times more likely to develop severe gingivitis than those who consumed more than 180 mg each day.
One study reported a higher incidence of periodontal disease, tooth decay, and possibly precancerous areas in patients who abuse alcohol. With this condition the outer layer of the gum tissue desquamates (peels away), exposing an acutely red surface. The blockage usually occurs when a clot or piece of atherosclerotic plaque breaks away from another area of the body and lodges within the blood vessels of the brain.
Some evidence suggests that the bacteria that causes periodontal disease may enter the bloodstream and activate cytokines, (damaging immune system factors), which then destroy cells in the pancreas where insulin is produced.
Because women with diabetes are at higher risk for periodontal disease, it is especially important that they see a dentist early in pregnancy.
Snacks and drinks should be free of sugars (other than natural sugars found in fruits and vegetables).
For smokers, quitting is one of the most important steps toward regaining periodontal health.
Because fluoride prevents decay, back molars, which keep the teeth in place, are spared, and are thus less vulnerable to bacteria. This procedure used to be performed only by periodontists but is now encouraged as part of a regular dental examination. One study reported that when people brushed their teeth without toothpaste first, using a soft dry brush, their plaque deposits were reduced by 67%, and gum bleeding dropped by 50%. Place the brush where the gum meets the tooth, with bristles resting along each tooth at a 45-degree angle.
A tongue scraper used with an anti-bacterial mouthwash (such as Listerine) is more effective than a toothbrush in removing bacteria.
A vast assortment of brushes of varying sizes and shapes are available, and each manufacturer makes its claim for the benefits of a particular brush.
Electric toothbrushes with heads that move back and forth up to 4,200 times a minute remove significantly more plaque than ordinary brushes. The most important factor in buying any toothbrush, electric or manual, is to choose one with a soft head.
Not only do they become breeding grounds for bacteria, but the worn bristles are less effective at removing plaque. The object of a good toothpaste is to reduce the development of plaque and eliminate periodontal causing microorganisms without destroying the organisms that are important for a healthy mouth. Highly abrasive toothpastes should not be used, especially by individuals whose gums have receded. Most commercial toothpastes contain fluoride, which both strengthens tooth enamel against decay and enhances remineralization of the enamel. Colgate''s Total toothpastes contain a fluoride and triclosan, an extremely potent anti-bacterial substance. Metal salts such as stannous and zinc serve mostly as anti-bacterial substances in toothpastes.
Viadent toothpaste and mouthwash contain an anti-bacterial herbal extract called sanguinarine.
None are as effective as Listerine or chlorhexidine, but they may still have some value for people who cannot tolerate the other mouthwashes. Even Advanced Formula Plax, which may show a minor reduction in plaque levels, does not seem to provide any protection against periodontal disease. The use of dental floss, either waxed or unwaxed, is critical in cleaning between the teeth where the toothbrush bristles cannot reach.
This is a tiny narrow brush that can be worked in between the natural teeth and around the attached false tooth or teeth. After noting the general state of oral hygiene, the dentist may ask about the quality of home dental care. The dentist inspects the color and shape of gingival tissue on the cheek (buccal) side and the tongue (lingual) side of every tooth and compares these qualities to the healthy ideal. The tip of the probe will then touch the point where the connective tissue attaches to the tooth. Tooth mobility is determined by pushing each tooth between two instrument handles and observing any movement. Treatment helps nonsmokers more than smokers, particularly when pockets are deep and persistent. In cases where the individual has a mitral valve prolapse or history of rheumatic heart disease, pretreatment with an appropriate antibiotic is required before any dental work, including cleaning. They are usually accomplished in a series of three to four visits spaced about a week apart. The dental professional usually detects calculus below the gum by careful probing with an instrument. This probe-like device vibrates at a frequency range higher than is audible to the human ear. When the probe contacts the rock-like calculus, deposits fracture off the tooth fairly efficiently. Smoothing the surface helps remove bacteria that collect there (root planing) and also helps the gums reattach. It uses a rubber cup with an abrasive paste to remove plaque and stains on the crown portion of the tooth. This includes proper use of the toothbrush, paste, mouth rinses, floss, floss threaders, and proxabrushes. It may be used along with scaling and root planing, but achieves a deeper and more complete cleaning. Some studies have reported that although surgical treatment reduced pocket depth more than non-surgical therapies for at least a year after the procedure, benefits from surgery do not persist beyond 5 years, except in very deep pockets. Post-surgery discomfort is usually managed easily with over-the-counter medications such as ibuprofen.
The fabric prevents the gum tissue from growing down into the bone defect and allows the bone and the attachment to the root to regenerate.
In some cases of severe bone loss, the surgeon may attempt to encourage regrowth and restoration of bone tissue that has been lost through the disease process. Amelogenin is a derivative of a major protein in the structure (the matrix) of enamel that helps stimulate gum tissue growth. During this procedure, the periodontist takes gum tissue from the palate or another donor source to cover the exposed root in order to even the gum line and reduce sensitivity.
Of some encouragement was a 2000 review, which indicated that low-dose antibiotics do not increase the risk of bacterial resistance. They not only have anti-bacterial actions but also reduce inflammation and help block collagenase, the protein that destroys connective tissue and bone, even in low doses. One study indicated, however, that 3 months after antibiotic administration, the percentage of bacteria that could be eliminated with standard antibiotics returned to normal.
Studies suggest that in combination with scaling and planing any of these approaches are very effective for periodontal health. Studies report that they are more effective in reducing pocket depth and bone loss than standard periodontal maintenance.
Subantimicrobial dose doxycycline (SDD) is a term used for a treatment that uses very low doses (20 mg) of doxycycline (Periostat). NSAIDs block inflammatory enzymes triggered by cytokines, which are important immune factors in periodontal disease.
In April 2005, the FDA asked drug manufacturers of NSAIDs to include a warning label on their product that alerts users of an increased risk for cardiovascular events and gastrointestinal bleeding.
PDT destroys periodontal bacteria by applying photosensitive drugs to oral regions and exposing the drug-treated area to a light or laser. Clinical and metabolic changes after conventional treatment of type 2 diabetic patients with chronic periodontitis. Periodontal therapy reduces the rate of preterm low birth weight in women with pregnancy-associated gingivitis. Osteonecrosis of the jaws in patients with a history of receiving bisphosphonate therapy: strategies for prevention and early recognition. Bacterial profile and burden of periodontal infection in subjects with a diagnosis of acute coronary syndrome.
Full-mouth tooth extraction lowers systemic inflammatory and thrombotic markers of cardiovascular risk. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions.
Also if you ignore it and do not have the cause treated, it can potentially progress to a dangerous abscess. The dentist said the nerve was dead so it should not be hurting and that it must be the tooth in front of it which was hurting. Check your teeth and aces after you eat anything and ush them as often as teeth whitening mall tampa remedies swollen gum ache possible. Super glue (also known as crazy glue or cyanoacrylate) is not indicated for use within your mouth.
The treatments are carried out by some of the well-renowned technicians and dentists in the city.
Proper teeth whitening that lasts and will give you a sparkling show-stopping smile can be achieved via the able hand of a dentist. Our The tooth that was removes on the same side as the shoulder was an upper tooth If you grind your teeth you will know the problems that it can cause Uncommon Knowledge was formed in 1995 and since then we’ve trained over 24000 people at face-to-face events. Toothache and dental pain can come from lots of different things; an Gels don't contain huge amounts of pain relief medication because it is more difficult to regulate Grossman are a dental professionals dedicated to general, family It might just numb up the area and lessen the pain.
Periodontal disease develops usually because of two events in the oral cavity: an increase in bacteria quantity and a change in balance of bacterial types from harmless to disease-causing bacteria. It is characterized by tender, red, swollen gums that bleed easily and may be responsible for bad breath (halitosis) in some cases.
Some experts question whether it is a chronic, unrelenting condition and instead suggest that it waxes and wanes depending on the response of the immune system. The clinical signs such as inflammation, bleeding, and heavy plaque accumulation are not present in this relatively rare disease.
Teeth loosen, sometimes causing a change in the way the upper and lower teeth fit together when biting down or a change in the fit of partial dentures.
However, a persistent immune response to chronic infections in the mouth is believed to play a major role in gum destruction. Cytokines of particular importance in periodontal disease are known as tumor necrosis factor-alpha (TNF-alpha) and interleukin-1beta, which are very active in the mouth, and are important in causing destructive inflammation.
All herpes viruses go through an active phase followed by a latent phase and possibly reactivation. Gum inflammation and ulcers are common and not all people with these problems develop periodontal disease. Therefore, eating sugars and other foods that increase the acidity in the mouth increase bacterial counts. In fact, for patients in their 20s, periodontal disease is most likely to occur around the wisdom teeth. In rare genetic cases, children and adolescents are subject to destructive forms of the disease. Hormone-influenced gingivitis appears in some adolescents, in some pregnant women, and is occasionally a side effect of birth control medication. Pregnancy does not cause gum disease, and simple preventive oral hygiene can help maintain healthy gums.
Studies have found that children of parents with periodontitis are 12 times more likely to have the bacteria thought to be responsible for causing plaque and, eventually, periodontal disease. A number of studies indicate that smoking and nicotine increase inflammation by reducing oxygen in gum tissue and triggering an over-production of immune factors called cytokines (specifically ones called interleukins), which in excess are harmful to cells and tissue. Studies suggest that smokers are 11 times more likely than nonsmokers to harbor the bacteria that cause periodontal disease and four times more likely to have advanced periodontal disease.
Exposure to secondhand smoke is also associated with a 50 - 60% increased risk for developing periodontal disease, according to a 2001 study. Diabetes causes abnormalities in blood vessels, and high levels of specific inflammatory chemicals such as interleukins, that significantly increase the chances of periodontal disease.
There have also been a few reports of osteonecrosis (bone decay) of the jaw in patients who take oral bisphosphonate drugs such as alendronate (Fosamax).
Regular exercise and vitamin and mineral supplements can reduce and may even reverse loss of bone density.
HIV-positive individuals harbor larger numbers of periodontal bacteria (candida albicans, P. A 2002 study reported that the amount of oral bacteria was greater in people who visited their dentist the least and when educational levels were low. Some studies suggest that stress can influence the development of chronic inflammatory diseases, like periodontitis.
It usually occurs as a result of an allergic reaction or of skin diseases such as lichen planus, benign mucous membrane pemphigoid, bullous pemphigoid, and pemphigus vulgaris. As the destructive factors cause the breakdown of bone and connective tissue, there remains no anchor for the teeth. Many experts, however, are still not sure whether periodontal disease is a risk factor for stroke or a marker that reflects various risk factors common to both conditions. A common link between patients with both heart conditions and periodontal disease may be elevated levels of C-reactive protein (CRP), a marker for the inflammatory response. Some studies indicate that treating periodontal disease can reduce the need for insulin and improve blood sugar control in some people with diabetes.
Research indicates that the bacteria from gum disease, and from tooth decay, may trigger the same factors in the immune system as genital and urinary tract infections.
Even before teeth first erupt, babies'' gums should be wiped clean with a bit of gauze bearing a dab of fluoride toothpaste. A periodontal examination by a general dentist once or twice a year should reveal any incipient or progressive problems. The dentist will identify any areas where deep pocketing has occurred, where the health of the gingiva appears compromised, and where there is undue mobility of teeth. Fluoride also inhibits acid-loving bacteria, especially after eating, when the mouth is more acidic. The toothpaste also contains a substance that keeps triclosan active in the mouth for 12 hours.


Stannous fluoride gel toothpastes do not reduce plaque, however, even though they have some effect against the bacteria that cause it, but slightly reduce gingivitis.
The two products provide minimal results when used individually, but if the mouthwash and toothpaste are used together they have produced plaque reductions of 17 - 42% and reductions of gingivitis of 18 - 57% during a 6-month period. In fact, tooth whiteners are usually made with carbamide peroxide, which breaks down into hydrogen peroxide, and brushing with hydrogen peroxide is not recommended. It leaves a burning sensation in the mouth that most people better tolerate after a few days of use. A piece of floss is threaded into the loop, which can then be inserted between the bridge and the gum. Drinking at least 7 glasses of water a day helps reduce inflammation in the mouth by producing more saliva. Some studies suggest that periodontal treatment in people with type 2 diabetes helps improve blood sugar levels. This is necessary to prevent the possibility of bacterial endocarditis, which can be life threatening. Home care can effectively eliminate the plaque above the gums and down to 2 mm below the gums. Evidence indicates, however, that it does not contribute any additional benefits beyond simple scaling and planing. In general, there is little difference in outcome between absorbable and nonabsorbable procedures. A gel containing amelogenin (Emdogain) is applied during surgery and forms a coat over the roots of the teeth. MedicationsAntibiotics are often used in combination with surgery, curettage, or alone to eliminate or prevent disease-causing bacteria after periodontal procedures. Long-term use of antibiotics is advised for the control of juvenile periodontitis, refractory periodontitis, rapidly progressing periodontitis, and prepubertal periodontitis. In fact, these two actions seem to contribute most to periodontal protection, rather than their antibacterial properties. Studies suggest that Atridox, which contains doxycycline, may be more effective than Elyzol.
Early studies report benefits in reducing pocket depths, but it is still not known whether these improvements are sustained. Patients obtain these benefits regardless of their smoking status, age gender, or extent of the periodontal disease. Although doxycycline is a tetracycline antibiotic, the doses used are too low to affect bacteria. A number of NSAIDs have been investigated and have been shown to reduce gingivitis and slow progression of periodontal disease. Even if it does go away itself, it may well be a sign of some problem in your teeth that needs attention. Infected Tooth After Root Canal Crown Ache Worse Making Antibiotics this hole in the gum may last for How to identify cold sores Infected Tooth After Root Canal Crown Ache Worse Making Antibiotics (fever blisters) from other types of mouth sores. Compare how much Dental Implants cost at all 12 clinics and save money on your West Yorkshire is to make the dental experience of patients a pleasant The Oulton College Dental Hygiene Diploma Program prepares you for a rewarding career in the rapidly growing field of Dental Care. However if you begin to feel some pain during the procedure tell your dentist or oral surgeon so that they can give you more anaesthetic.
If your tooth is decayed oken below the gum line or has insufficient tooth structure for a filling or. Fillings Fillings are used to repair and restore tooth structure that has been zingers after teeth whitening reviews whitening romford sunset compromised by dental caries or cavities and are among the most common dental procedures. The treatment will require a few days or weeks' time, To help kill bacteria and relieve some discomfort, swish with a mouthful of 3% hydrogen peroxide solution.
These harmful bacteria increase in mass and thickness until they form a film known as plaque. Immune deficiencies and a genetic link have been shown to be possible factors for all types of aggressive periodontitis. It should be noted that the gums of smokers with periodontal disease tend to bleed less than nonsmokers.
Research suggests that periodontitis can occur in wisdom teeth that have broken through the gum as well as teeth that are impacted (buried).
Researchers have also observed some of the organisms seen in periodontal disease in young children without signs of gum problems. Over half of American adults have gingivitis surrounding 3 - 4 teeth and 30% have significant periodontal disease surrounding 3 - 4 teeth. Progesterone dilates blood vessels causing inflammation, and blocks the repair of collagen, the structural protein that supports the gums. A 2005 study found that bone loss in the alveolar bone (which holds the tooth in place) was a major predictor of tooth loss in postmenopausal women. For example, some people with severe periodontal disease have genetic factors that affect the immune factor interleukin-1 (IL-1), a cytokine involved in the inflammatory response. Fortunately, when smokers quit, their periodontal health gradually recovers to a state comparable to that of nonsmokers. High levels of triglycerides (which are common in type 2 diabetes) also appear to impair periodontal health. Symptoms of osteonecrosis of the jaw include loose teeth, exposed jawbone, pain or swelling in the jaw, gum infections, and poor healing of the gums. Multiple blisters may form across the mucus membranes in the mouth and gums, followed by ulcers.
Some experts believe that immune factors causing this response are released into the bloodstream during periodontal disease and cause injury in the arteries supplying blood to the heart.
These biologic substances, called prostaglandins and tumor necrosis factor, produce inflammation in the cervix and uterus that can cause premature dilation and contractions. A 2006 study in the New England Journal of Medicine indicated that the treatment does not affect pre-term birth or birth weight. Supplementation with fluoride tablets or drops may be recommended for children 6 months or older who drink unfluoridated water or who are at risk for dental problems. It is the general dentist''s responsibility to identify periodontal disease and inform the patient. Even a good toothpaste, however, cannot be delivered past 3 mm below the gum line, where periodontitis develops.
Total was the first FDA approved toothpaste for the prevention of tooth decay, gingivitis, and plaque. However, some questions have been raised about the safety of prolonged use of sanguinarine. Studies indicate that overuse of this solution may actually damage cells and soften tooth surfaces. Some can even harm the mucus membrane, and they can be dangerous to children who drink them. They should wait at least 30 minutes between brushing and rinsing since chlorhexidine can be inactivated by certain compounds in toothpastes. Some people might object to or have concerns about the high alcohol content in the standard version. The floss that is carried through with it can then be used to clean underneath the false tooth or teeth and along the sides of the abutting teeth. If the gum formation between teeth is blunt and not pointed, acute necrotizing periodontal disease may be indicated. TreatmentStudies support the effectiveness of active treatment combined with a strict maintenance program for patients with periodontal disease.
Whether treatment will help reduce other health risks, including heart attack and stroke, is unknown. The absorbable fabric may not be as effective as standard grafts if gum tissue is thin, although newer materials may prove to produce better results. The gum line can be sculpted to improve uneven or excess gums and to cover exposed roots as gums recede. They are being investigated in oral forms as well as in topical forms that are applied directly to the gum. Short-term use of standard-dose doxycycline (a 10-day treatment) is used for treating acute periodontal infections and for eliminating inflammation.
However, at these dose levels, the drug blocks matrix metalloproteinases (MMPs) -- enzymes that destroy the connective tissues holding the teeth. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. When Baby Teeth Fall Out – When Infected Tooth After Root Canal Crown Ache Worse Making Antibiotics the permanent teeth are ready to erupt the baby teeth come out to make way.
Abscesses can destroy both gum and tooth tissue, cause nearby teeth to become loose and painful, and may cause fever and swollen lymph nodes.
Periodontal disease can also be present even in patients with wisdom teeth who do not have any symptoms.
In a study of people over 70 years old, 86% had at least moderate periodontitis and over a quarter of them had lost their teeth.
Because periodontal disease can increase the risk for low-weight infants and cause other complications, it is important for pregnant women to see a dentist. Such individuals are up to 20 times more likely to develop advanced periodontitis than those without these genetic factors. There is no risk from short exposure such as after a fast kiss or when sharing an eating utensil.
A high blood sugar level, which is the hallmark of diabetes, has even been associated with severe periodontal disease in people without diabetes, according to a 2000 study. As a precaution, the American Dental Association (ADA) recommends that patients who are prescribed bisphosphonate drugs get a thorough dental exam before beginning drug therapy, or as soon as possible after beginning therapy.
It is distressing enough that 44 million Americans lack medical insurance, but almost 2.5 times that number lack dental insurance. In 2005, results from the NIH-sponsored Oral Infections and Vascular Disease Epidemiology Study (INVEST) determined an association between cardiovascular disease and the bacteria that cause periodontal disease. Research also suggests that periodontal disease increases the risk for preeclampsia, a life-threatening disorder that occurs in mid- to late pregnancy and is characterized by high blood pressure.
Since fruit juices can also cause tooth erosion in children, milk and water use should be emphasized.
Still the benefits of this toothpaste are limited and are most pronounced in people with severe gingivitis. People who smoke or drink alcohol, however, might avoid products with hydrogen peroxide in them. Those that are considered plaque fighters are chlorhexidine (prescription) and Listerine, which is available over the counter. Other forms of Listerine that have a different taste and lower alcohol content retain the same active ingredients and appear to be as effective. DiagnosisThe dental practitioner typically performs a number of procedures to determine a diagnosis of periodontal disease.
In one 2002 study, for example, people with periodontal disease who were inconsistent in caring for their gums after treatment had 5.6 times the risk for tooth loss as those who were very vigilant. These problems can be managed with topical fluoride treatments or, in severe cases, with dental restoration. Studies report that it is safe and may significantly reduce the effects of periodontal disease. Increasingly, dental professionals are finding that local application of antibiotics is more effective than periodontal surgery alone. Shop for Dentures from the widest selection of top stores and ands online with US delivery or in-store pick-up. When I was growing up my parents took us to a dentist that didn’t believe in aces for r crooked teeth.
People with severe and widespread aggressive periodontitis are at high risk for tooth loss. During menopause, some women may also develop a rare condition called menopausal gingivostomatitis, in which the gums are dry, shiny, and bleed easily. Early onset and rapidly progressive periodontal disease also have strong genetic components.
The ADA also recommends that patients who take oral bisphosphonate drugs should discuss with their dentists any potential risks from dental procedures (such as extractions and implants) that involve the jawbone.
Patients who take oral bisphosphonate drugs also have a slight risk, but 94% of osteonecrosis of the jaw cases involve patients who received bisphosphonates intravenously.
Severe pain is characteristic, along with odor, spontaneous bleeding, ulcers, and swollen, bright red gums. Still, more research is needed to determine a definitive association between these diseases.
In a survey of residents of five states (Arizona, California, Hawaii, Oregon, and Wisconsin), the rate of total tooth loss was less than 20%.
In this study, higher levels of periodontal bacteria were associated with thicker carotid arteries (a predictor of heart attack and stroke), regardless of C-reactive protein levels. Studies conducted by the manufacturer suggest that is has antibacterial activity and that it might be more effective than Colgate''s Total in reducing gingivitis and bleeding.
It also binds to tannins, which are in tea, coffee, and red wine, so it has tendency to stain teeth in people who drink these beverages.
A 2001 study suggested that the benefits, as indicated by bone attachment, can persist for at least 4 years. There is some concern that such long-term use may pose a risk for the development of antibiotic-resistant bacteria or other, still unknown, adverse effects. Any duplication or distribution of the information contained herein is strictly prohibited. According to a 2001 study, impaired infection-fighting white blood cells, together with bacterial presence, can lead to aggressive periodontitis. Women may also experience abnormal tastes and sensations (such as salty, spicy, acidic, burning) in the mouth.
If possible, see a dentist for a complete oral exam before beginning bisphosphonate therapy. The inflammation never recedes, but halitosis and acute episodes can be managed by conventional cleaning treatments. While this study''s findings are an important advance in understanding the relationship between periodontal and heart disease, it is still not clear if periodontal disease actually causes heart disease.
Regular and effective tooth brushing and mouth washing, however, are effective only above and slightly below the gum line.
The doses used in this treatment, however, are too low to have any effect on bacteria, so some experts believe this risk is very low. These fillings release mercury vapor each time a person chews on them, causing the body to inhale and absorb this toxic vapor. Particularly virulent strains of this bacterium may be responsible for periodontal disease. In any case, be sure to inform your dentist if you are receiving intravenous bisphosphonates. In fact, several 12-month studies report significant improvements in tooth attachment and pocket depth with no increased incidence of side effects.
A 2006 study suggested that gum problems can start as early as 6 years of age in children with diabetes. Your dentist or oral surgeon may need to take special precautions when performing dental surgery.
In addition to bleeding, the gums in the front of the mouth are a yellowish-gray color, and bone thrusts out. Spit out the oil (in the sink, toilet, or trashcan-it's pretty black and icky, so the trash might be the best place for it).




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