When to seek medical advice

Healthy gums are solid, light pink. If your gums are swollen, red and bleeding easy to see your dentist. The sooner you look for care, the better your chances are to reverse the damage and prevent more serious problems.

Screening and diagnosis
In order to check the health of the gingival tissue, the dentist will most likely use a metal probe to measure the depth of the gingival sulcus, the groove between the gums and the teeth. Insert the probe next to the gum under the gum, usually in several parts of the entire mouth.

Depth is 2 or 3 millimeters (millimeters) – about one eighth of an inch – indicates healthy gums. A depth of more than 3 millimeters means there is a pocket between your gums and your teeth, indicating more serious gum disease.

Having periodontal disease may expose you to more serious medical conditions:

Heart disease and stroke. Long-term gum disease may increase the risk of heart disease and stroke. The more serious the gum problem, the greater the risk. Research shows that bacteria that cause periodontitis can flow through your bloodstream to your heart’s arteries, triggering the circulation of inflammation and arterial stenosis, which helps heart attacks. Oral bacteria also make you more prone to blood clots and increase the likelihood of a stroke.
Pregnancy complications. Women with moderate to severe periodontal disease may be more likely to give preterm infants than women with healthy gums. Although the exact link between oral bacteria and low birth weight is not clear, gingivitis or periodontitis appears to limit fetal growth in the uterus and may trigger high levels of substance-induced births. This is especially true if the gum disease is initially severe or worsens during pregnancy. The problem is even worse for diabetic women, who are already at risk of becoming pregnant.
Uncontrolled blood sugar. Diabetes puts you at greater risk of periodontal disease and other infections. This also makes it difficult to control blood sugar levels. This is because an infection anywhere in your body can raise your blood sugar level and need more insulin to control it.
pneumonia. If you have severe gum disease and lung disease, inhalation (inhalation) of oral bacteria into the lungs may cause aspiration pneumonia, a condition that is especially common in hospitals where patients may be sedated or have an endotracheal tube.
Your gingival tissue should stick around each tooth, just as a turtleneck fits your neck. However, when periodontitis damages bones and tissues, your gum tissue sticks out, allowing bacteria to fill your pocket with the pockets. Over time, these pockets are getting deeper and deeper, and more and more infections result in further tissue and bone loss. The goal of treating periodontitis is to thoroughly cleanse these oral bacteria and prevent more damage.

Many patients with periodontitis can successfully treat non-invasive treatment. If the pocket between your gums and your teeth is less than 5 mm deep, then you may be a good candidate for healing stones and rooted surfaces, sometimes with antibiotics. If you have been maintaining good oral hygiene at home, this may be the only treatment you need.

Zoom Remove tartar and bacteria from under your tooth surface and under your gums. It can be done using instruments or ultrasound devices. Root smoothing can smooth the root surface, preventing further accumulation of tartar. In addition to these procedures, your periodontist may prescribe antibiotics or other medications to help control bacterial infections. Recent advances in topical antibiotic therapy may reduce the need for systemic drugs, in addition to the possibility of side effects, and increase the likelihood of antibiotic-resistant bacteria.

For example, some dentists recommend using antibiotic mouthwash. Others may insert antibiotics-containing threads and gels into the space between the teeth and gums or deep-cleaned pockets. Although more research is needed, these products appear to reduce bacterial levels and may help prevent future problems.

However, sometimes more severe periodontitis can occur – the pocket depth between gums and teeth exceeds 5 mm – gum tissue may not be effective for nonsurgical treatment. In this case, your choices may include:

Flap surgery (pocket surgery). During this process, your periodontal patient will make a slight incision in the gingiva so that part of the gingival tissue can be lifted to reveal the roots for more efficient scaling and planing. Since periodontitis often causes bone loss, the underlying bones may be readjusted before the gingival tissue is sutured back into place. Surgery generally takes one to three hours and is performed under local anesthesia.
Soft tissue graft. When you lose periodontal disease in gingival tissue, your gums contract and your teeth appear longer than normal. Replacing damaged tissue – usually done by removing a small amount of tissue from your palate and connecting it to the affected area – serves the following purposes: It helps to reduce further gingival recession; it includes exposed roots, Protects them from decay and reduces their sensitivity to heat and cold; it makes your teeth more aesthetically pleasing and beautiful.
Bone transplantation. This process is carried out when the disease has destroyed the skeleton around your root. The graft may consist of small pieces of its own bones, or the bones may be synthetic or donated. Grafts not only help prevent tooth loss, but also serve as a platform for natural bone regeneration. In this case, it is often used in conjunction with a technique called guided tissue regeneration.
Guide tissue regeneration. This allows bacteria to destroy bone regeneration. In one approach, the dentist places a special biocompatible fabric between the existing bones and the teeth. This material prevents unwanted tissue from entering the healing area and causing bone to grow backwards. Another cutting-edge technique involves the application of diseased tooth roots that contain a gel that is the same protein found in enamel. This puts your body in a new mindset that stimulates the growth of healthy bones and tissues.

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