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Treatment of Tetracycline Stains
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The gums are also called the periodontium which means perio for around and dontium for tooth as the gums are literally present "around the tooth." There is a softer mucosal portion that runs along the tooth in a curved manner and a stronger fibrous portion that connects the tooth to the jaw bone. Together, they provide the structural support for the tooth to be held in place. In addition they also have an aesthetic value with the healthy pink color.
The mouth has the largest number of bacteria in the body, which act on the food debris that is present on the tooth and the gums. This causes infection in both the gums and the tooth.
Types: Periodontal disease can be localized or general.
- Localized disease happens when a tooth is not accessible for thorough cleaning. The inside surface of lower incisors and outer surfaces of the upper last molars are common areas of localized periodontal disease.
- Generalized periodontal disease can be due to conditions like pregnancy, puberty, diabetes problem where gums around all the teeth are affected.
Symptoms: In both the cases, the following symptoms ensue:
- The gums are of a healthy pink color and if they turn darker hue of pink
- Swollen and/or painful gums
- Spontaneous bleeding: This may be localized or generalized
- Chronic bad breath: Due to food accumulation in the infected gums
- If it continues to form an abscess, pressure on the gums can produce pus
- Bad taste in the mouth (arising from pus in the gums)
- Gingival recession, producing an effect of having longer tooth
- Dentin is exposed leading sensitivity to hot or cold foods
- Loosening of the tooth
- Painful chewing, as it puts pressure on the inflamed periodontium
- Dentist will identify what are called pockets, which is an indication of severity - the deeper the pockets, the severe the disease.
Management and Prevention: Gum disease is very easy to identify and can be completely cured.
- Regular brushing and flossing can help maintain regular oral hygiene
- With each brushing session, plain finger massage of the gums improves blood circulation and their overall health
- Regular use of mouth rinse is a good way to improve gum health
- Regular visits to the dentist can help keep a check on the health of the teeth and the gums - early identification of disease and early treatment
- Once it has set in, deep scaling followed by root planing may be required to thoroughly clear out the infection
- More surgical options like gingival grafts, flap surgery, bone grafting in case of severe bone loss may be required.
- Management of conditions like diabetes
The best way to avoid periodontal disease is to know its symptoms, follow oral hygiene practices, and consult a dentist regularly.
I dont know the reason behind so yellowish teeth. I used to brush twice and some times thrice. So what to do. If possible suggest me with some genuine and effective home. Remedy or any. Good bleach and is bleaching teeth is safe. For a shorter period.
I am surfing from mouth blister from 10-12 year. In my mouth multiple white blister in my tong and inner the chick. I had not ate the proper food.
I'm 27 years old having two nodes both sides under the jaw. Sometimes they swell and having pain in eating. Please suggest diagnosis.
My friend is a graphics designer, having 8 hour job. He has a very bad mouth smell. He smokes as well 10-12 cigg every day. Please advice what he need to do. He occasionally eats non veg, do not drink alcohol.
I have two decayed teeth at ma lower jaws. Few days ago a lump appeared right next those teeth. Now its bleeding blood and puss. What could be the reason?
What is the correct time of brushing teeth .just after getting up in the morning or after having breakfast. N how many times we should brush our teeth. Is it OK if I brush 3 times a day. Because after every meal I feel like I should brush.
I don't know what happened to me, tere is always a bad smell coming from my mouth no waters how many times I brush my teeth's. Is their any medicine I should take.
My teeth are out. Please tell me the expenses and duration of braces? Also tell me will it be effective or not? Please do tell me. It makes me feel ugly sometimes.
I am 26 years old and have a bad odour coming form mouth. Tried using mouthwash but lasts only for 5 min. Even if I brush my teeth and tongue the fresh smell does not last for long time. Its totally embarrassing as my job depends o oral communication.
Hi doctor. This problem is related to Mouth Problem. One of my friend suffering from trismus since 10 years. Because of financial issue he ignored it. But now it's a big issue for him. Please suggest treatment for the same. Thanks.
Doc, I m suffering from Pemphigus Vulgaris. It last for 10 to 11 months. My tongue skin is for of peeled of. I cannot eat. What to do? How to make strong Immune system?
I am 27 years old woman. I have yellow patches on my tooth inside and outside. What I should do? any mouth washer or gel to remove that.
I often get ulcers in mouth (Chhala in hindi), like once in every month. And it lasts fr about 10 days. Seems dat it has become chronic in me. Kindly suggest me a solution.
During the past 10 years, much research has been undertaken on the link between diabetes and periodontal disease. Periodontal disease is the sixth leading complication of diabetes. If you have been diagnosed with diabetes, you are 3 to 4 times more likely to develop periodontal disease, with a higher rate of more severe levels of bone loss and gum infection.1
What Is Diabetes? Diabetes is a serious disease in which the body does not produce or properly use insulin, a hormone needed to convert sugar, starches, and other foods into energy. Normally, insulin helps get sugar from the blood to the body's cells, where it is used for energy. When you have diabetes, your body has trouble making and/or using insulin, so your body does not get the fuel it needs and your blood sugar stays too high. High blood sugar sets off processes that can lead to complications, such as heart, kidney, and eye disease, or other serious problems.2,3
If you have been diagnosed with diabetes, you are 3 to 4 times more likely to develop periodontal disease.
Are There Different Types of Diabetes? It is estimated that more than 20 million adults and children in the United States have some form of diabetes?14 million having been diagnosed with the disease and 6 million being unaware they have it. There are different types of the disease: type 1, type 2, and gestational diabetes, as well as prediabetes. Most Americans (around 90%) who are diagnosed with diabetes have type 2 diabetes.2,3
What Is Periodontal Disease? Periodontal disease, or gum disease, is a bacterial infection of the gums, ligaments, and bone that support your teeth and hold them in the jaw. If left untreated, you may experience tooth loss. The main cause of periodontal disease is bacterial plaque, a sticky, colorless microbial film that constantly forms on your teeth. Toxins (or poisons) produced by the bacteria in plaque irritate the gums, causing infection.4
Diabetes Control and Periodontal Treatment
Periodontal disease may make it more difficult for you to control your blood sugar. Your body's reaction to periodontal disease can increase your blood sugar level. Consequently, it is important for patients with diabetes to treat and eliminate periodontal infection for optimal diabetes control. Periodontal treatment combined with antibiotics has been shown to improve blood sugar levels in patients with diabetes, suggesting that treating periodontal disease could decrease insulin requirements.1
What Are the Warning Signs?
Constant hunger or thirstFrequent urinationBlurred visionConstant fatigueWeight loss without tryingPoor wound healing (cuts or bruises that are slow to heal)Dry mouthItchy, dry skinTingling or numbness in the hands or feetMost people with diabetes do not notice any warning signs
Red and swollen gums that bleed often during brushing or flossing and are tender to the touchGums that have pulled away from the teeth, exposing the rootsMilky white or yellowish plaque deposits, which are usually heaviest between the teethPus between the teeth and gums accompanied by tenderness or swelling in the gum areaA consistent foul, offensive odor from the mouth
IMPORTANT: Physicians and Dentists Need to Work Together
It is important that your dentist be kept up-to-date on your diabetic condition and treatment and that your physician be kept up-to-date on your oral condition and treatment, so that they can work together to help you control your diabetes and prevent or control periodontal disease.1
Keep your dentist up-to-date on your diabetic condition and your physician up-to-date on your oral condition.
If your diabetic condition is well controlled, periodontal treatment would be the same for you as for a patient without diabetes. In early stages, treatment usually involves removing the plaque and calculus from the pockets around your teeth. If the periodontal disease is more severe or if your diabetes is not well controlled, treatment will be more specialized and tailored toward your specific condition. Your dentist may recommend more frequent oral prophylaxes (dental cleanings) involving scaling and root planing or may recommend periodontal surgery.1
Diabetes and Your Mouth
Periodontal disease is not the only problem that can occur if you have diabetes. Although you might not be able to prevent these problems, you can minimize the trouble they cause you5:
Dry mouth: Xerostomia occurs when your salivary glands don't produce sufficient saliva to keep your mouth moist, causing tissues in your mouth to become inflamed and sore. It can make chewing, tasting, and swallowing more difficult, as well as cause difficulty in eating, making it more difficult to control blood sugar.Fungal infection: Candida albicans is a fungus that normally lives inside the mouth without causing any problems. But when you have diabetes, deficient saliva in your mouth and extra sugar in your saliva allow the fungus to cause an infection called candidiasis (thrush), which appears as sore white or red areas in your mouth.Burning mouth syndrome: If you feel severe burning and pain in your mouth even though you don't see any problems causing it, you may have this syndrome.Oral surgery complications:If you need oral surgery, diabetes? particularly if poorly controlled?can complicate oral surgery. Diabetes retards healing and increases risk of infection. Your blood sugar levels also may be harder to control after oral surgery. Your dentist should work closely with your physician to minimize possible complications. If you need oral surgery, the American Diabetes Association recommends that you:
Remind your dentist that you have diabetes and discuss any specific diabetes-related issues.Eat before your dental visit so your blood sugar is within normal range.Take your usual medications. Your dentist should consult with your physician about whether you can adjust your diabetes medications or take an antibiotic to prevent infection before surgery.Plan for your eating needs after surgery. If you're having dental work that may leave your mouth sore, plan to eat soft or liquid foods that will allow you to eat without pain.Wait until your blood sugar is under control. It's best to have surgery when your blood sugar levels are within your goal range. If your dental needs are urgent and your blood sugar is poorly controlled, talk to your dentist and physician about receiving dental treatments in a hospital.