BLEEDING GUMS AND GUM DİSEASES

‘Periodontology Deparment’ is a science that aims to examine the tissues surrounding the teeth and implants and to ensure the continuity of diagnosis by treating the damage or diseases occurring in these tissues.

Gum is the fibrous tissue covered with epithelium that forms the oral cavity. A healthy gum is light pink (pale pink), tight, not swollen, slightly rough on the surface and it ends up thinning like a knife back towards the tooth. The continuity of gingival health protects both our teeth and the structures that support them indirectly by helping us digestion by supporting the chewing function and providing good occlusion.

Gum disease (gingivitis) begins with a condition called gingivitis ‘. In gingivitis, the most common gingival bleeding and brushing procedures are sensitive gums. Other findings are bad halitosis (this may be due to other reasons), inflammatory discharge between the gums, gums in dark red-purple color and bleeding when brushing teeth. Sometimes pain can also be accompanied in this case. It is very important to diagnose gingivitis in the early period to prevent the progression of the disease and increase treatment success.

The most common cause of gum disease is the colorless and stick “Bacterial dental plaque” which accumulates on the teeth and removed by tooth brushing. For removal of bacterial dental plaque brushing, interface brushes floss should be used regularly. If the bacterial dental plaque cannot be removed sufficiently by brushing, ıt causes scale, sensitiveness, and irritation in the gums with harmful enzymes released from bacteria.

The scale and plaque have rough structures and do not cause any pain, so they are noticed late by patients. In this period, the first thing to be done is to remove the scale and bacterial plaque from the mouth with special tools by the dentist. The patient is motivated by explaining the correct brushing method and use of dental floss in oral care, and the patient is assigned an appointment to check the healing process of the tissues.

Of course, if the initial inflammatory condition is left untreated, harmful enzymes released from bacteria settle in deeper tissues and make it much easier to progress. In deeper tissues, the destruction of the alveolar bone begins to occur between the teeth, the length of the tooth becomes longer, and the teeth begin to become mobile (shaking). If left untreated, the disease may end with tooth extraction. Systemic diseases related to an oral care that is not good in advanced gingivitis, called periodontitis. Some of these systemic diseases are diabetes, hereditary factors, hormonal changes. Treatments such as curettage, flap operation, soft tissue grafts are performed among the treatments performed in our patients’ advanced gingivitis. Supported toothbrushing and floss instead, with interface brushes, mouthwashes prevent gingivitis and diseases. Treatment is not the same in every patient, and this inflammatory condition does not progress at the same rate in every patient. Even if our patients do not have any complaints for this reason, it is the most important key to identify the diseases and inflammatory conditions that started with the examination at least once a year, to prevent them from going further, and to protect their dental tissue and integrity.

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