Periodontology

When, for a case of gingivitis, action is not taken in time, it can turn into periodontitis.

The symptoms of gingivitis are amplified and the breath becomes heavy with a persistent bad taste in the mouth; the teeth may move, creating spaces between them or become longer. The loss of stability is sometimes combined with pus leakage.
In this case the gingivitis has now become chronic and has involved the bone supporting the tooth. Bacterial plaque and tartar are found on the necks of the teeth, although in some cases periodontitis occurs with a limited presence of plaque.

In Studio Moll, we make the diagnosis by probing the gingival sulcus of the tooth with an instrument that measures its depth up to 15mm. Above 4mm we can call it a periodontal pocket, which means that it has lost tooth support bone due to a bacterial infection. It is not possible to remove the plaque from that depth and so the bacteria have free play and increasingly inflame the underlying bone which retreats and tartar forms under the gum.

The diagnosis is confirmed by radiography which demonstrates the severity of the bone loss.

The causes of periodontal disease or pyorrhea are, as already described, bacterial plaque. Some conditions can worsen or negatively affect this disease.

Er,Cr: YSGG laser assisted GTR in periodontalsurgery

Publication on Guided Laser-assisted Tissue Regeneration.

Author: Dr. Elena Speranza Moll, Italy

Frequent questions

Why do my gums bleed?

Your gums bleed because they are inflamed. It might be that even touching them lightly is painful, or you might find blood stains on your pillow when you wake up. All this is caused by insufficient oral hygiene on a daily basis.

When you do not brush your teeth and the surrounding gums, bacterial plaque will stay on the border of your gums. This sticky plaque provides the bacteria with shelter and food. Their metabolism products cause inflammation of the gums and bad breath. The inflamed gums bleed easily and are quite sensitive, for that reason you always need to carefully brush your teeth and the surrounding gums in order to have a healthy and fresh mouth.

STUDIO MOLL advices the electrical tooth brush because it is the most effective way to keep your teeth clean.

I have weak gums, like everybody in my family. How can I strenghten them?

Usually it is the family habit of not brushing correctly every day that causes the weak gums. Tartar and bacterial plaque cause weak, bleeding and sensitive gums. Sometimes it even looks as if your gums are loose and wide around the teeth instead of firmly embracing them.

Tartar which forms itself around the neck of the tooth creeps also under the gums. You could compare it to calcar around a leaking tap. This causes the detachment of the gums .

You should go to the dentist for a professional oral hygiene treatment, because tartar can only be removed with special hand instruments and ultrasound equipment.

In STUDIO MOLL we will also check in this occasion the health of the underlying bone. When there is a chronicle inflammation of the gums and tartar present the bone might disappears. It slowely resorbs and pockets between the gum and the tooth will be created . We need to avoid this progression, for that reason we recommend every 6 months a professional oral hygiene treatment. We would like to note that teenagers and pregnant women, might suffer from a temporary weakness of the gums caused by hormonal changes.

Please note that patients with diabetes, heart disease or other systemic health conditions and patients undergoing chemotherapy need to be monitored carefully as the higher sensitivity for gum diseases augments the risk of permanent boneloss.

 

My gums are receding, why does this happen to me?

Your gums recede for physiological reasons, because of age, because of genetic reasons, or simply because of its position in your mouth.

Sometimes receding gums are caused by an aggressive orthodontic treatment . Gums might also recede because of the wrong brushing method which could traumatize the gums and even remove tooth structure. Also bacterial plaque and tartar cause receding gums.

It is important to understand why your gums are receding, so we can propose a treatment. The uncovered tooth neck might be very sensitive to hot and cold and any contact at all. Sometimes it is also for aesthetic reasons that we propose the covering of the recession with new gums with periodontal plastic surgery.

In some cases a simple application of a composite filling will remove the sensitivity and resolve the problem.

They told me I do not have sufficient gums to have a stable prosthesis in my mouth. Why?

It means actually that not your gums are responsible for the instability of your prosthesis, but the underlying bone which has resorbed overtime, as with age it gets thinner and loses height.

To explain in a simple way they say your gums are insufficient. It is a big problem for those who wear a total prosthesis because the instability creates inflammation of the mucosa, burning sensations and general discomfort while chewing and speaking.

In STUDIO MOLL we carefully inspect your mouth because sometimes a gum proliferation called “flabby ridge” causes instability. With the laser we can easily remove this and your problem is resolved after rebasing your prosthesis.

But if there is actually bone loss and after having studied the panoramical X-ray, we could propose you to place implants which will completely stabilize your prosthesis.