GUM DISEASES

Gum disease is inflammation of tissues surrounding the teeth. It can range from simple inflammation to severe damage to the bone that supports the teeth.

It has 2 forms:

  • Gingivitis
  • Periodontitis

Gingivitis is mild form of gum disease in which there is only swelling and redness in gum. But if gingivitis is not treated in time it can lead to severe bone loss and pocket formation and convert into a disease called periodontitis.

HOW IT OCCURS?

A bio-film is formed on teeth which is called dental plaque. It can be removed by brushing and flossing. This is a reversible condition.  However, if it accumulates on the tooth surface for long period of time a harder deposit is formed which is called tartar or calculus. It cannot be removed by simple brushing. The bacteria in the bio-film release waste products that cause inflammation in the gum leading to severe bone loss, mobility and loss of teeth subsequently. It should be treated as soon as possible and if left untreated the bacteria in mouth can enter blood stream and spread to other parts of body causing heart and kidney diseases.

WHAT CAUSES GUM DISEASES?

  • Poor oral hygiene
  • Hormonal changes in pregnancy and menopause.
  • Some diseases like Cancer and HIV interfere with the immune system leads to gum disease.
  • Certain medications
  • Smoking
  • Genetic

 WHAT ARE THE SYMPTOMS?

 

  • Swelling of gum
  • Bleeding on brushing
  • Bad breadth or halitosis and bad taste in mouth.
  • Mobility of teeth
  • Receding gums

 

HOW GUM DISEASES IS TREATED?

If you are facing any of these problems you need to contact dentist. It needs to be treated as soon as possible. With time condition worsens leading to severe complications both on general and dental health.

Treatment depends upon the stage of the disease, and categorized as:

  • Non-Surgical

  • Scaling
  • Root planning
  • Curettage
  • Surgical :
  • Flap surgery/pocket reduction surgery
  • Bone grafts
  • Soft tissue grafts
  • Bone surgery
  • Guided tissue regeneration

Recommendation of certain antibiotic is also done to eliminate bacterial infection.

 

Laser treatment is one of the newest modality of treatment of gum disease.

 WHAT ARE THE POST TREATMENT PRECAUTIONS?

There is no any serious precaution to be carried out after treatment.All you need is to maintain good oral hygiene.

  • Proper brushing of teeth twice daily
  • Use of fluorinated toothpaste
  • Use of mouthwashes
  • Warm saline rinses

You must  visit dentist for cleaning of teeth  twice a year in order  to avoid all form of gum disease and other related serious complications on health.

 

MICROSCOPIC DENTISTRY

It is one of the newest advancement to the field of dentistry. The key to successful treatment in dentistry depends on proper accessability and visibility.

With the advancement in technology we are able to provide a better quality of dental treatment to the patient.

Dental procedures are difficult to do in the posterior area of the mouth, but with microscope we are able to carry the treatment with ease and high success rate.

WHAT TYPES OF TREATMENT WE DO WITH MICROSCOPE?

Initially reason of failure for the treatment was  lack of vision however now with advent of loupes and microscope this difficulty is overcomed.

 

In present scenario microscopic based treatment has gained popularity in almost all field of dentistry.

  • Useful in diagnosis and clinical procedures.
  • Assessing craze or fracture line
  • ENDODONTICS:

During root canal therapy, magnification provides better visibility of canals, thereby eliminating chances of any missed canals.

Surgical endodontics can also be carried out with ease.

Repairing of perforated canals can be done.

Obturation of immature open canal can be done.

  • RETREATMENT:

Performing retreatment is simplier with microscope like removal of gutta percha from poorly obturated canal.

WHY MICROSCOPE IS WIDELY USED NOWADAYS?

  • Better visualization
  • Increased quality of treatment
  • Increased precision and accuracy
  • Improved ergonomics

  • Gingival health and crevicular status can be determined
  • Any lesions in mouth can be easily assessed
  • Crown preparations can be very accurate

IMPROVED OUTCOMES

The microscope is beneficial for both dentist and the patient. The dentist can involve the patient in treatment decisions and most important is the success rate which has increased to manifold with the advent of microscope.