Periodontology, which is a branch of science that deals with the treatment of bone tissue, the soft tissues around the teeth, ie, gums and the hard tissue beneath; It is known as gum diseases and treatment. Periodontal diseases are inflammatory diseases affecting the gums and teeth supporting bone tissues. Periodontal diseases respond easily and successfully to treatment when diagnosed early. Gum disease can progress without symptoms. In such cases, pain is usually not felt. After the progress of the present inflammatory disease if left untreated, the elongation length of the teeth sometimes causes the melting of the bone that support the teeth, and tooth loss.
What is Tartar?
If the food residues cannot be sufficiently agitated, the residual nutrient residues merge with the saliva, calcifying over time and causing the formation of dental stones. Dental calculus is the main cause of gum disease. Teeth cleaning is completed in 30 minutes without any pain.
When oral hygiene is impaired, in the presence of bacterial plaque and dental stone in the mouth, the pathological condition that we call the gum pocket begins. If oral hygiene is still not provided, the underlying bone tissue begins to resorb, ie, melting, and finally leads gum extraction. If the gum withdrawal reaches a very advanced level, because the alveolar bone support will be very low, the teeth will be shaken and the teeth will be lost even if there is no bruise. This is the reason why 70% of tooth losses occur in adults. Unproperly prepared coatings, bridges and flood fillings may also cause accumulation of bacterial plaque. As a result of the accumulation of food continuously on the edge of a flood or porcelain, plaque and calculus formation will result in bone loss, thus causing gingival recession. In such cases, first the restoration in that area should be made appropriate. In addition, various anatomical structures may cause gingival recession. Local gingival recessions may be seen in this area, especially in cases where the muscle connection, which is located just above the front two incisor teeth and which extends from the gingiva to the inner part of the lip, is too strong. This connection is corrected with a small operation to stop the progress of the situation. This process is called frenectomy.
Symptoms of Gum Disease
- bleeding of Gums during brushing or spontaneously
- Deep red, swollen and excessively sensitive gums
- Itching sensation in gums
- In some cases there is an inflammatory discharge from the gums.
- Excessive swinging of teeth over time
- Pulling gums and shaking teeth
- Bad breath smell and bad taste
The most important cause of gum disease is the bacterial plaque which has a transparent and sticky characteristic due to bad oral hygiene. As a result of various factors that may prevent the teeth from being cleaned or cleaned adequately, the food residues left on the teeth cause this plate to form. If regular brushing and dental floss are not used, the minerals in the saliva are deposited on the plaque and the structures known as tooth stones or tartar are formed. In addition, some systemic diseases, such as diabetes, drugs used, poorly made coating and filling edges, vitamin deficiencies, smoking, genetic factors, hormonal changes, including pregnancy, such as radiotherapy, such as external factors such as the disruption of the blood supply can be considered factors.
How To Prevent Gum Diseases?
In the prevention of gum disease, proper tooth brushing and flossing are required at least twice a day. It is equally important to visit the dentist at regular intervals. Daily oral care procedures may minimize tooth stone formation, but may not completely prevent it. A dentist’s assessment of areas that cannot be reached by toothbrush, dental floss or other cleaning tools is necessary to remove the existing dental plaque and / or tooth stones.
Treatment of Gingival Diseases
The initial stage of gum disease is called gingivitis. The gums may be slightly red, sometimes bleeding and swollen. Treatment during this period of gum disease involves the removal of dirt on the teeth (plaque and dentite) and providing a proper root surface, followed by daily effective oral care. This process removes bacteria and irritants that cause inflammation in the gums. In the advanced stages of gum disease, the gum disease is controlled by planning curettage and flap operations if necessary. The aim of this treatment is to clean the teeth in the deep periodontal pockets surrounding the teeth, to eliminate the contraction of the pocket and to provide a smooth root surface and to form a more easily cleanable gum form. After periodontal treatment, patients should be examined regularly by dentist, plaque control and removal of new dental calculi should be removed. Gum disease does not heal with treatments antibiotics, mouthwash, vitamin etc.by itself . Must be treated by a gum disease specialist.
What is Gum Aesthetics (Pink Aesthetics)?
The aesthetic studies in gums are called pink aesthetics. Among the elements that complete the aesthetics of the teeth gums healthy, color and gingiva level comes to mind. The pink aesthetics may deteriorate when this fit is broken. Before attempting aesthetic procedures in the gums, gums should be healthy. The appearance of healthy gums should be pink, slightly rough and clean. In the presence of swollen and bleeding gums, it is necessary to treat the gums before treatment. In some cases, excessive appearance of gums can be interpreted by people as an aesthetic problem. In such cases, treatments are carried out to regulate gums. According to the anatomical structure, the amount of gum to be treated is determined and shown to the patients. Treatments can be solved without surgery or with surgery, no pain is felt because of anesthesia during treatment. Special anti-bacterial mouthwashes should be used after the treatment. Also brushing techniques and nutritional recommendations should be followed.
Medical Botox and Dermal Filler Applications in Dentistry
Medical botox and dermal filler can be applied in patients who appear to have excessive teeth and gums, but who are afraid of surgical and dental treatment. Botox injection to 3-5 mm from the side of the nose wings can help your ‘smile with gums’ problem. After the procedure, patients can continue their work and daily lives in the same way. The results of this procedure, which does not show swelling or bruising when correctly applied, begin within 2-3 days. Total effect is observed in 2 weeks. In cases where the upper lip is insufficient, smile design can be made by adding volume to the lip with dermal filler application.