Dr Meera Gohil is one and only leading periodontist in Jamnagar, Gujarat, Dr.Meera’s superficiality dental clinic provides painless conventional and Laser Gum treatment. she is Specialist in Laser gum Treatment.
Gum disease ( pyorrhea or Periodontists) :
GUM DISEASE, also known as PERIODONTITIS and PYORRHEA, is a set of inflammatory diseases affecting the tissues surrounding the teeth. GUM DISEASE involves progressive loss of the alveolar bone around the teeth, and if left untreated, can lead to the loosening and subsequent loss of teeth.
Gingivitis is the initial stage of periodontal disease. Gum areas become increasingly red or dark and may bleed easily and appear swollen. At this stage, the disease is reversible. If not treated, gingivitis may lead to a more serious condition called periodontitis. Periodontitis is an advanced stage of gum disease and it irreversibly damages gums, bones and other structures that support the teeth. At this stage, more complex treatment is necessary to prevent tooth loss.
Microorganisms, such as bacteria, stick to the surface of the tooth and multiply – an overactive immune system reacts with inflammation.Researchers are studying possible connections between gum disease and:
- Atherosclerosis and heart disease— Gum disease may increase the risk of clogged arteries and heart disease. It also is believed to worsen existing heart disease.
- Stroke— Gum disease may increase the risk of the type of stroke that is caused by blocked arteries.
- Premature births— A woman who has gum disease during pregnancy may be more likely to deliver her baby too early. The infant may be more likely to be of low birth weight.
- Diabetes— Diabetic patients with periodontal disease may have more trouble controlling their blood sugar than diabetic patients with healthy gums.
- Respiratory disease— Bacteria involved in gum disease may cause lung infections or worsen existing lung conditions. This is particularly important for elderly adults in institutions such as nursing homes. In this group, bacteria from the mouth may reach the lungs and may cause severe pneumonia.
Treatment For Gum Disease
Treatment may be performed by a periodontist, a dentist or a dental hygienist. The goal of periodontitis treatment is to thoroughly clean the pockets around teeth and prevent damage to surrounding bone. You have the best chance for successful treatment when you also adopt a daily routine of good oral care and stop tobacco use.
Nonsurgical treatments:
If periodontists isn’t advanced, treatment may involve less invasive procedures, including:
- Scaling: Scaling removes tartar and bacteria from your tooth surfaces and beneath your gums. It may be performed using instruments, a laser or an ultrasonic device.
- Root planing: Root planingsmoothes the root surfaces, discouraging further buildup of tartar and bacteria, and removes bacterial byproducts that contribute to inflammation and delay healing or reattachment of the gum to the tooth surfaces.
- Antibiotics: Topical or oral antibiotics can help control bacterial infection. Topical antibiotics can include antibiotic mouth rinses or insertion of gels containing antibiotics in the space between your teeth and gums or into pockets after deep cleaning. However, oral antibiotics may be necessary to completely eliminate infection-causing bacteria.
Surgical treatments:
If you have advanced periodontitis, treatment may require dental surgery, such as:
- Flap surgery (pocket reduction surgery): Your periodontist makes tiny incisions in your gum so that a section of gum tissue can be lifted back, exposing the roots for more effective scaling and root planing. Because periodontitis often causes bone loss, the underlying bone may be re contoured before the gum tissue is sutured back in place. After you heal, it’s easier to clean these areas and maintain healthy gum tissue.
- Soft tissue grafts: When you lose gum tissue, your gumline recedes. You may need to have some of the damaged soft tissue reinforced. This is usually done by removing a small amount of tissue from the roof of your mouth (palate) or another donor source and attaching it to the affected site. This can help reduce further gum recession, cover exposed roots and give your teeth a more pleasing appearance.
- Bone grafting.This procedure is performed when periodontitis has destroyed the bone surrounding your tooth root. The graft may be composed of small fragments of your own bone, or the bone may be synthetic or donated. The bone graft helps prevent tooth loss by holding your tooth in place. It also serves as a platform for the regrowth of natural bone.
- Guided tissue regeneration.This allows the regrowth of bone that was destroyed by bacteria. In one approach, your dentist places a special piece of biocompatible fabric between existing bone and your tooth. The material prevents unwanted tissue from entering the healing area, allowing bone to grow back instead.
- Tissue-stimulating proteins.Another technique involves applying a special gel to a diseased tooth root. This gel contains the same proteins found in developing tooth enamel and stimulates the growth of healthy bone and tissue.
Benefits Of Laser Gum Treatment
Periodontal, or gum related care is the fourth area benefiting in some cases from dental lasers. Laser dentistry is currently used for recontouring or reshaping gums, removing extra or diseased gum tissue associated with the use of certain medications or periodontal disease, and removing the bacteria in periodontal pockets to promote healing.
Healing time and post operative discomfort can be significantly reduced over the traditional surgical methods.
