Posts for tag: periodontal disease

By Wilmington Dental Associates
May 11, 2017
Category: Oral Health

What your dentists in Wilmington, Delaware want you to knowgum disease

Periodontal disease isn’t something you should ignore because you can lose your teeth! It all begins with easily identifiable signs and symptoms you can recognize. Your dentists at Wilmington Dental Associates in Wilmington, Delaware want to share the facts about this common and often ignored disease.

Gum disease is the first step toward periodontal disease. The good news is gum disease can be reversed because it only involves soft tissue. If you begin excellent oral hygiene habits like brushing after meals and before bed, and flossing every day, you can bring your mouth back to health.

You can look for these signs and symptoms of gum disease:

  • Swelling and redness in your gums
  • Pain in your gums
  • Blood coming from your gums when you brush and floss

If you ignore the signs and symptoms of gum disease, it can progress to periodontal disease which also involves the bone in your jaw. The bone becomes diseased and destruction of bone begins. Eventually, you can lose the bone holding your teeth in, and you can lose your teeth right along with the bone.

You can look for these signs and symptoms of periodontal disease:

  • Receding gums
  • Tooth roots that are exposed
  • Frequent bad breath
  • Teeth that are sensitive
  • Teeth that have shifted or feel loose

You may or may not feel any pain with gum or periodontal disease. That’s why it’s so important to visit your dentists in Wilmington regularly. Dental exams including x-rays every year, and professional cleanings every six months should be part of your health routine.

If you have periodontal disease, more frequent exams and x-rays may be necessary and you should plan on more aggressive dental cleanings to bring your mouth back to health. Typically, periodontal disease treatment involves an initial deep cleaning to rid your mouth of all soft and hard deposits on your teeth. This is followed by more frequent cleanings, every three to four months.

You deserve to keep your teeth and save your smile, so don’t let periodontal disease take over. Find out more about periodontal disease therapy by calling your dentists at Wilmington Dental Associates in Wilmington, Delaware. Call today!

By Wilmington Dental Associates
April 14, 2016
Category: Oral Health

That bit of gum bleeding after you brush, along with redness and swelling, are strong signs you have gingivitis, a form of periodontal (gum) disease. Without treatment, though, your gingivitis could turn into something much more painful and unsightly — a condition commonly known as “trench mouth.”

Properly known as Acute Necrotizing Ulcerative Gingivitis (ANUG), the more colorful name arose from its frequent occurrence among soldiers during World War I. Although not contagious, many soldiers contracted it due to a lack of means to properly clean their teeth and gums and the anxiety associated with war. Inadequate hygiene and high stress still contribute to its occurrence today, along with smoking, medications that dry the mouth and reduced disease resistance — all of which create a perfect environment for bacterial growth.

ANUG can arise suddenly and be very painful. The cells in the gum tissue begin to die (“necrotizing”) and become swollen (“ulcerative”), especially the small triangle of gum tissue between the teeth called the papillae, which can appear yellowish. Patients also encounter a characteristic foul breath and taste. Untreated, ANUG can damage tissue and contribute to future tooth loss.

Fortunately, antibiotics and other treatments are quite effective in eradicating bacteria that cause the disease, so if caught early it’s completely reversible. We start with a complete examination to confirm the diagnosis and rule out other possible causes. We then attempt to relieve the pain and inflammation with non-steroidal, anti-inflammatory drugs like aspirin or ibuprofen and begin antibiotic treatment, most notably Metronidazole or amoxicillin. We may also prescribe a mouthrinse containing chlorhexidine and mild salt water rinses to further reduce the symptoms.

We must also treat any underlying gingivitis that gave rise to the more acute disease. Our goal here is remove any bacterial plaque and calculus (hardened plaque deposits) that have built up on tooth surfaces, particularly below the gums. Only then can we fully bring the disease under control.

It’s also important you become more consistent and effective with daily brushing and flossing, quit smoking, reduce undue stress, and get better rest and nutrition. Establishing these new habits and lifestyle changes will help ensure you’ll never have to experience trench mouth again.

If you would like more information on ANUG and other periodontal gum conditions, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Painful Gums in Teens & Adults.”

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