Gum Disease Information & Periodontal Treatment Chat

You may be familiar with the fact that the oral cavity is the entrance to the body and can also show early signs of health problems developing in other areas. Gum diseases, for example, one out of every two American adults aged 30 and over has periodontal disease, according to findings from the Centers for Disease Control and Prevention (CDC). Clinically, gingivitis and periodontitis are two forms of diseases affecting the gum, together are usually referred to as “gum disease” or “periodontal disease”. Periodontitis is a more severe form of gum disease that may result in the loss of teeth if not treated. 

We will be discussing gingivitis and periodontitis in this local gum disease blog - and provide general periodontal information. As we will discuss, maintaining good oral hygiene is important. Also, getting regular dental prophy cleanings at the dental office is important. 

Periodontist Question - Dentist or Periodontist? 

Many people get their local gum disease treatment at their local dental office. Some people, with more severe gum disease - may need a dentist specialist treatment.  These people would go see a periodontist. Periodontists are specialized dentists - that specialize in periodontics/gum care for patients. We do get asked many local periodontist questions online at Just Dental.  One of the local periodontist question get asked is, can periodontists do dental implants?  The dental answer is - yes. Dental implants are placed by periodontists.  The dental crown that attaches to the dental implant, is usually placed by either a general dentist or a prosthodontist.

Local Gingivitis Question ​-​Online Periodontitis Questions​:

We get asked many ​local gum disease questions online​ at Just Dental. People are looking for ​periodontal disease answers​ and to get a ​gum disease treatment answer online​. Gingivitis and periodontitis are caused by different types of bacteria that colonize around the teeth' necks. The pathogenic potential of the bacteria within the plaque varies according to our immune systems. Small amounts of plaque can be tolerated without causing periodontal disease, while others may be surprised with recessed and/or bleeding gum! When bacteria and their products in the plaque increase beyond the threshold level of the host, then the gum balance shifts from health to disease.

Gum Disease Blogging​-​ Causes of Gum Disease Chat​:

Medical factors can contribute to gum disease. Not maintaining regular oral hygiene habits is the most common cause of gum disease and encourages plaque formation on teeth. However, other factors and conditions that can contribute to periodontal disease, include:

• Diabetes

• Leukemia

• Hormonal changes, such as those occurring during pregnancy, puberty, and menopause.

• Illnesses include some systemic diseases such as cancer, thyroid disorders, nutrient deficiencies, or HIV.

• Certain Medications such as the anticonvulsant medication Dilantin and the anti-angina drug Procardia and Adalat can cause gum tissue problems.

• Vitamin C Deficiency

• Bad habits such as smoking.

• Poor oral hygiene habits such as not brushing and flossing teeth.

• Family history of dental disease can be a contributing factor to the development of gingivitis.

Types of Gum Diseases

What is Gingivitis Question? Online Gingivitis Information Chat, Ask Gingival Problem Questions Online:

Gingivitis (gum inflammation) is an early phase of gum disease and usually precedes periodontitis; it develops when plaque that contains bacteria slowly backs up on your teeth and gums resulting in irritation, redness, and swelling (inflammation) of your gingiva, the part of your gum. Gingivitis can start as mild and progress to more severe, as time goes on due to poor oral hygiene, etc. 

This is a list of the symptoms of gingivitis just like the classic signs of inflammation:

• Bright red or purple gums

• Swollen gums

• Bad breath (halitosis)

• Tender gums or painful to the touch

• Bleeding gums after brushing and/or flossing

If gingivitis is left untreated it can lead to a much more serious phase of gum disease called periodontitis and teeth loss. So, it’s important to take gingivitis seriously and treat it promptly.

Teledentistry Gum Disease Consult ​-​ Live Dental Office ChatBot Messaging​:

Now, local dentists can use ​Teledental Periodontal Gum Disease Consulting Online​ to communicate with their patients. For dentists, they can make their local dental practice into a ​local teledentist office​ simply by signing up with Just Dental. ​Periodontist Teledentistry Virtual Dentistry​ can now be done between dentists and patients.

Gingivitis Answers ​-​ Prevention of Gingivitis Information​:

Proper plaque control consists of professional ​cleanings​ at least twice a year, brushing teeth twice a day, and flossing at least once a day. It is also recommended to use an anti-gingivitis or anti-plaque ​toothpaste​containing fluoride. Rinses with an antibacterial ​mouthwash ​can also help.

Gingivitis Questions, Gingivitis Treatment Answers ​-​ Treatment of Gingivitis​:

As soon as you realize the early symptoms of gum inflammation, be aware that both, dentist and you have a job to do. Professional cleaning and maintaining proper oral hygiene at home are the ideal treatment. But, treatment fails quickly if the patient is not diligent with home care. During the cleaning session, the hygienist will remove all plaque in a process called “scaling,” but If there is deep calculus present the patient may need deep cleanings (scaling and root planing) to get the gingival tissue back to health. One common gingivitis question gets asked, can medication or something such as mouthwash, treat gingivitis? Gingivitis is generally an accumulation of plaque, poor oral hygiene, etc. Hence, just using mouthwash by itself is not a solution. Mouthwash can help. Getting dental cleaning at the dental office & good oral hygiene is important. regular dental prophy cleanings and proper brushing & flossing are important.

Over-the-counter or prescription of anti-plaque toothpaste and anti-bacterial mouthwashes may also help to keep the amount of plaque to an acceptable level.

Note: (there are no chemicals or medications that can alone prevent gingivitis.)

II. Periodontal Treatment Questions Info - Periodontitis Treatment Chat:

If gingivitis is not treated, it can advance to periodontitis which is a deep infection of the gums. The plaque can spread and grow too much below the gum line. Toxins produced by the bacteria cause the destruction of the tissues that support the teeth.

Scaling and Root Planing Question Chat - Periodontal Gum Surgery Information Chat:

In advanced periodontitis, you may see gums pulled away from the teeth, forming spaces between the teeth and gums called pockets. As the gum line shrinks, the pockets enlarge, and If not treated teeth become loose and may cause gum abscess. Some types of periodontitis are caused by genetics as well. Some people are more predisposed to perio problems - estimated at somewhere around 30% of the population.  One type of periodontitis treatment is getting scaling and root planing procedure done.  Sometimes this does not suffice, and patients may end up doing periodontal surgery procedures such as gum flap surgery or dental bone grafting, etc. Doing non-surgical periodontal procedures such as scaling and root planing is common.  Some people will need periodontal surgical procedures such as pocket reduction periodontal surgeries and crown lengthening. Now, some dentists and periodontists are using laser gum surgical procedures for things such as crown lengthening. 

We do get asked scaling and root planing questions online, such as what is the difference between scaling / root planing and a regular dental prophy cleaning?  With scaling & root planing, your dentist or hygienist will go under the gums - known as subgingival cleaning to remove plaque and calculus. We will discuss this more in this local periodontal question chat article.

Periodontal Surgery Pocket Reduction Questions Chat: 

For those with large periodontal pocket or defects around their teeth, they may require perio gum pocket surgery procedure. We do get asked  periodontal question about how long it takes to heal after periodontal gum surgery for gum pockets? This procedure usually takes about 2 hours or so, and people will usually heal within 1 to 2 weeks. Your dentist will usually use local anesthesia and it should not be painful - though, it does take time to do and important to allow the area to heal afterward. 

Laser Gum Surgery Question - Laser Periodontal Surgery Information: 

Laser gum surgery is being used more frequently now. As we discussed, for crown lengthening and some other forms of gum treatment - laser gum treatment is being used. For gum inflammation and reducing some periodontal pockets, laser gum surgery can be effective.  The healing time varies - though many times it is within 2 to 3 weeks. Your dentist or periodontist uses the laser to remove the inflamed tissue around your teeth and then can scale and debride your teeth after that.  There are various companies that manufacture laser gum surgery equipment.  It is a good idea to discuss cost and treatment, prior to the procedure. 

Gum Abscess Info, Local Gum Disease Information Chatting Online​:

A dental abscess is like an abscess in the body that consists of a pocket of pus. Sometimes, the abscess is related to the tooth ( tooth abscess), or related to gum ( gum abscess). Draining the abscess and medications are the basic treatment of the dental abscess. Leaving the infection can lead to the spreading of infection and serious conditions.

Periodontitis Question - What are Types of Periodontitis:

1- Chronic periodontitis, the most common form of periodontitis, and is most prevalent in adults but can be observed in children. It is characterized by gum recession and pocket formation.

2- Aggressive periodontitis, mostly diff​​ers from the chronic form primarily by the rapid rate of disease progression. Aggressive periodontitis is seen in healthy individuals with fewer accumulations of plaque and calculus.

3- Periodontitis as a manifestation of systemic diseases such as heart disease, respiratory disease, diabetes. Several hematologic and genetic disorders have been associated with the development of this form of periodontitis.

Symptoms of periodontitis

• Swollen gums

• Tender or bleeding gums

• Bad breath that won't go away.

• Red or purplish gums

• Receding gums.

• Bad taste in the mouth

• Loose teeth

• Painful chewing.

Prevention of periodontitis

As with gingivitis, the prevention of periodontitis is through brushing teeth twice a day and flossing at least once a day with the regular semi-annual dental cleanings. It is also recommended to use an anti-gingivitis or anti-plaque toothpaste containing fluoride and rinses with an anti-bacterial mouthwash.

Treatment of periodontitis discussion - Periodontitis Treatment Blog:

Scaling and root planing is one of the best ways to remove the bacteria from teeth and beneath gums. Root planing describes the best to remove cementum or dentine that is covered with calculus, toxins, and microorganisms.

Antibiotics ( medication) for periodontitis ​may include topical antibiotics like mouth rinses and gels, or oral antibiotics. However, if the pockets are large and the gum line will not return to normal on their own, oral surgery is needed to tighten the gum tissue back up. By attending your regular dental appointments, you protect your gum to go through this type of extreme treatment.

 

Note: Periodontal diseases should be treated with local measures in the first instance and may be sufficient for mild conditions but severe conditions may require treatment with antibiotics. So the use of medical prescriptions will be very helpful in improving the condition for the better.

 

Dental Antibiotics Information Questions Chat - Common medical prescriptions - should be done either with a dentist or physician supervision: 

We do get asked dental antibiotics questions online - it is important that you work with a dentist or physician for these medications. A common local dental antibiotics question is about which one is good for gum disease? Most times your dentist may provide amoxicillin, though if allergic to it or penicillin - your dentist will provide an alternative. Antibiotics need dentist supervision or physician supervision.  Here are some ways that dental offices will prescribe these. 

A 5-day regimen of :

Amoxicillin Capsules, 500 mg​. 15 capsules, 1 capsule three times daily. Or

Metronidazole Tablets, 250 mg. 15 tablets, 1 tablet three times daily.

If patients do not respond to first-line amoxicillin or metronidazole treatment, or in cases of severe infection:

 

A 5-day regimen of :

Clindamycin Capsules, 150 mg​. 20 capsules​.​1 capsule four times daily, swallowed with water

Co-amoxiclav 500mg Tablets

Send: 15 tablets

Label: 1 tablet three times daily OR

 

A 7-day regimen of:

Clarithromycin Tablets, 250 mg

Send: 14 tablets

Label: 1 tablet two times daily

 

Pain relief medication for periodontitis

-Paracetamol (Acetaminophen) tablets 500mg / 6-8 hr.

-Ibuprofen tablets 400mg , 600mg/ 6-8 hr.

The combination of ibuprofen + -paracetamol (600 mg + 1000 mg/6 h) was reported to be a good pain killer

-Diclofenac potassium ( Cataflam ) ( Toleran ) tablets 50mg, / 8 hr.

-Voltamol capsules, 3 times a day.

Each contain (500mg paracetamol + 50mg diclofenac sodium).

-Voltamol-K capsules, 3 times a day.

Each contain (500mg paracetamol + 50mg diclofenac potassium).

 

Herbal medicines have a wide range of biological benefits such as antimicrobial, antioxidant, and anti-inflammatory effects. These properties help in suppressing the alveolar bone loss, which is a feature in periodontitis. The following are six examples, some are available in the market and others are still in a clinical trial:

 

GREEN TEA

TRIPHALA

PIPERINE

SUMAC

GINKGO BILOBA

Although many studies have shown the potency of herbal medicines as an alternative to conventional treatment, there is still a gap in research with respect to the clinical application of these herbs in periodontics.  If have periodontal disease, should seek a dentist or periodontist treatment. 

Summary:  Gum Disease and Periodontal Disease Chat & Local Gingivitis Blog.​ Online Gingivitis Question Chatting, Online Periodontal Answers Chat​, Ask Periodontist Questions, and Get Perio Answers Online with us. Online Teledentist Periodontal Talk with dentists:

In this local perio gum blog, we discussed the various types of gum disease. Now, people can use ​Teledental Gum Disease Consulting Online​ to get some ​local dentist answers ​and dental suggestions. Just Dental about periodontist with us and discuss gum disease treatment online with us.  We discussed gum disease and periodontitis - and provided information about periodontal treatment in this local periodontal chat article.

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