Gums protect and support your pearly whites and the tissue that holds them to the bone. When your gums aren't healthy, you risk losing those teeth -- and damaging your overall health.
Inflammation, or swelling of the gums (also known as gingivitis), can be one of the first warning signs of gum disease. Other symptoms include gum redness, bleeding while brushing or flossing, receding gum line, loose teeth, constant bad breath, mouth sores.
Treatments range from nonsurgical therapies that control bacterial growth to surgery to restore supportive tissues.
Dentists save teeth. They prefer filling cavities instead of removing teeth. Crown lengthening is procedure where restoration is possible when cavity decay is too much. It is a routine procedure, where remodelling of the contour of the gum line is done. There’s no actual lengthening of the crown. Rather, the gum line is lowered, because there’s not enough tooth to put a crown on. Sometimes teeth break below the gums. In such cases crown lengthening is the preferred line of treatment.
A frenulum prevents the organ from shifting. There’s a frenulum attached to your upper lip and gums, and another joins the lower lip to gums. A too short or thick frenulum causes problems like speech impediments, tooth misalignment and in infants, inhibits breastfeeding, disrupts movement, and development. Corrective action is a must. Frenectomy is a small procedure performed in the dentist's office, and takes lesser than 15 mins. Using a laser there’s little bleeding, no stitches, less postoperative pain, and short healing time. Children and infants are given general anaesthesia and for adults there’s local anaesthesia. The procedure is mostly successful with minimal discomfort.
Gingivitis, and in advanced stage, periodontitis, have a bad effect on gums. With progression, bacteria and plaque build-up, making gums stretch. End result large pockets that remain on your gums, which cause gums to recede, hampering your aesthetic look, and abnormally exposing your teeth. Gum grafting is then done to restores gums to their healthy, natural state. In the procedure, soft gum tissue from the mouth’s roof is used. The graft covers root surfaces, and exposed tooth, and encourages growth of new tissue enabling gums to come back to their original position. The procedure is simple with minimal discomfort and downtime.
Periodontitis or severe gingival disease, if not cured by antibiotics or by scaling and root planing requires a flap procedure. This repairs bone damaged and cleans up the roots caused by the disease. A periodontist or oral surgeon performs the procedure under local anaesthesia. A section of the gums will be pulled back by the doctor to repair bone and clean out the roots. Then the flap is sewn back in place and then carefully covered with gauze to prevent bleeding.
Occlusal adjustments correct alignment of bite caused by missing loose, crowded, or shifting, or missing teeth. Once the bite is fixed, your teeth will align properly. There’s minimal pain, and mild discomfort in occlusal adjustment. The process is done by a dental drill with a very fine filing stone. Removable mouthpieces are also used to safeguard the tooth’s surface, and to relax jaw muscles after the adjustment is finished. Our dentists use a computer to scan the mouth. This computer can record even the tiniest of irregularity. This data allows our dentist only to make occlusal adjustments for an aligned bite and very little tooth wear.
Loose teeth are always painful while eating food. Reasons such as lost gum tissue, tooth misalignment or orthodontic treatment are the causes behind this pain. This pain can be treated with periodontal splinting. This procedure involves sticking the loose tooth or teeth to the stable one with the help of a sticking composite material. The loose tooth or teeth become stable and stronger after the procedure.
After a period of time, tooth and gum structure change because of periodontal disease. The gap enlarges where tooth and gums become sensitive to other gum diseases. This is where pocket reduction helps, as it reduces the diseases causing bacteria from growing and keeps your mouth in healthy condition.
Periodontal surgery involves accessing the tooth root, and cleaning the damaged area. However, the problem with this is that it leaves a pocket (gap) between the gum and tooth. This pocket is easily gets affected by bacteria as gaps or pockets require frequent cleaning. After periodontal surgery, the dentist needs to check that the pocket is not large enough for bacteria causing various diseases.
Patients suffering from periodontitis undergo osseous surgery. Periodontal patients undergo pain when the shape of the bone surrounding the teeth is deformed. For such cases, periodontal surgery is required where the dentist cleans the roots surrounding the teeth with the help of local anaesthesia. After cleaning the roots, dental tools are used to either reshape the bone surrounding the teeth or removed. If the problem still persists, then bone grafting material is used for reshaping. The material helps the bone to grow back to its original state.
In socket preservation therapy, scaffold or graft material is inserted in place of an extracted tooth to maintain the alveolar ridge. Jaw bones need to be maintained to keep the sockets in original shape after extraction, else the bone resorbs quickly. If the bone is lost, the jaw will never go back the original shape. The procedure keeps the shape and strength of the socket, and keeps it looking natural. Any dental procedure needs the jawline to be strong, and socket preservation therapy really helps.
Gingival overgrowth, also known as gingival enlargement, is a swelling in the gums or gingiva. It’s a symptom of gum disease. This can be owing to inflammation or even side effects of medications. Treatment is according to the cause. Oral hygiene is the first defence against gingival overgrowth, to remove irritative plaque from the gums and teeth. In situations, where swollen gums have fibrotic particles that resist treatment, surgical removal of those excess tissues is done known as gingivectomy.
Tooth sensitivity is another name for root sensitivity or dentin hypersensitivity. If cold, hot sweet or acidic foods or drinks, or even breathing in cool air, makes teeth or tooth feel painful, you are suffering sensitive teeth. The sensitivity comes and goes. It is usually because of dentin on the root areas which is exposed owing to periodontal disease or gum tissue loss. This is quite common and almost 80% people suffer from it. The condition may be brought on by enamel loss owing to tooth wear. Gingival or gum tissue recession is also a cause for the onset of dentine hypersensitivity.