Understanding Gums Disease or Bleeding Gums

Ignoring oral health can result in the formation of calculus from regular deposition of plaque that leads to inflamed or swollen gums. Over some time, this inflammation can result in oral health issues like cavities, bad breath, foul taste in the mouth, and severe pain in gums. All these oral health issues are indicative of gums disease. In the worst-case scenario, gums disease can lead to bleeding gums thus aggravating the toothache. Therefore, it is advisable to visit a highly experienced dentist for the best gums treatment in Greater Kailash Delhi.

Stages of Gums Disease

There are two stages of gums disease:

Gingivitis: Referred to as the first or an early stage of gums disease, gingivitis is reversible. This is because at an early stage is easy to prevent the development of bacterial film and stop it from spreading in the mouth. This helps in preventing any cavities, bad breath and inflammation in the soft tissues due to poor oral hygiene. Gingivitis can be cured by following a good oral health regime, eating healthy foods and home remedies. 

Periodontitis: Referred to as the second or an advanced stage of gums disease, periodontitis is irreversible.  If not controlled at an early stage then the formation of plaque can cause serious damage to teeth and gums due to tartar buildup. The prolong the development of gingivitis leads to bleeding gums, cavities, severe toothache, chewing problem and even loss of a tooth. Periodontitis can only be treated with the help of a professional. Depending on the patient’s condition the dentist performs professional cleaning followed by the required procedure for gums disease.

Types of Procedures Involved in Gums Treatment

  • Non-surgical Treatment Procedure for Gums: – It includes scaling, Curettage, Deep Cleaning, Bad breath/ Halitosis, Pocket decontamination by Laser, gums De Pigmentation by laser, Gummy smile correction by laser, Splinting.
  • Surgical Treatment Procedures includes:-Flap Surgery, Bone Grafting(Regeneration),Recession Coverage(Perio Plastic Surgery),Gingivectomy, Gingivoplasty, Ridge Augmentation.

How teeth cleaning/Oral prophylaxis is done?

By using specialized instruments dentist gently remove these deposits without harming the teeth.

Commonly used instrument is ultrasonic scaler which uses gentle vibrations to remove calculus. It also sprays a spray of water which acts as cooling agent, while it also wash away debris and keep the area clean & at a proper temperature during the procedure. The sound of this instrument resembles the sound just like when you put a power toothbrush into your mouth.

ORAL PROHYLAXIS/SCALING IS RECOMMENDED EVERY 6 MONTHS AND IS A GREAT PREVENTIVE TOOL TO KEEP THE TEETH HEALTHY. AS HEALTHY TEETH ARE ESSENTIAL FOR OVERALL HEALTHY WELL BEING. IT DOES NOT SCRATCH OR DAMAGE THE TOOTH IN ANY WAY AS GENERALLY PATIENTS ARE HAVING MISCONCEPTION THAT IF THEY UNDERWENT SCALING IT WILL WEAKEN YOUR TEETH BUT IT REALITY IT STRENGTHEN YOUR TEETH & MAKES YOU HEALTHY.
You may visit your dentist today to get gums treatment in South Delhi that is suitable for you.

DEEP CLEANING

 

Within Nano seconds after brushing biofilm starts forming on the tooth surface. By regular brushing this biofilm gets disrupted. If brushing is not done in a proper way than this biofilm colonizes the bacteria & further forms plaque which if left out on tooth surface untreated forms calculus a calcified form of plaque.  This plaque not only grow around the tooth surface it penetrates below the gum/gingival margin, forms the subgingival plaque. Sub gingival plaque formations destroys the surrounding tissue as this subgingival plaque further progresses into subgingival calculus and aggravates the tissue destruction and causes pockets ie pathological deepening of gingival sulcus. 

 

In subgingival plaque and calculus bacteria gets colonize and starts irritating gums, in form of inflammation tend to bleed easily. This bleeding is noticed mainly while brushing your teeth, eating hard things, and sometimes gums bleed with a small amount of trigger also. 

 

With the progression of destruction of periodontal tissue it destroys the surrounding bone also eventually cause loosening of teeth. The damage of the supporting structure is irreversible but this damage can be prevented if noticed on time and treated by Subgingival scaling/ Deep cleaning.

 Periodontal therapy in form of deep cleaning eliminates the plaque and calculus and heals the surrounding tissue and reduces the pocket depth.

Difference Between Scaling Cleaning and Deep Cleaning?

 

In scaling the plaque and calculus is removed from the tooth surface above gingival margin. Whereas in deep cleaning/subgingival scaling plaque and calculus is removed below the gingival (gum) margin along the root surface even the micro roughness caused because of damage by the bacteria on the root surface (cementum) is also removed in this process (root planing) resulting in a smooth surface.

HALITOSIS/BAD BREATH

Halitosis, commonly known as Bad breath, is a symptom in which is noticed by unpleasant breath odour even sometimes becomes the symptoms of obsessive compulsive disorder. According to the recent studies it is estimated that approx. 6 % to 50% of population are having suffering from bad breath / halitosis but only very are aware that they are suffering from this disease. 

Although it is not a serious health condition, but it can affect our interpersonal relationships adversely.

We are very well aware of the fact that consumption of some foods like onions, garlic and meat products can affect our breath. However, the bad breath that is caused because of these type of food products is temporary and it gets eliminated after few hours or sometimes after some time by the use of various types of mouth fresheners. 

Sometimes the bad breath/halitosis is caused due to tobacco products like smoking etc. In such cases consumption of these products should be stopped along with supportive treatment by the periodontist. 

Generally it is observed that bad breath/ halitosis is because of periodontal disease, caused because of accumulation of plaque and calculus and destruction of periodontal tissue. Even in patients with dentures bad breath is commonly encountered problem because of improper maintenance of cleanliness of dentures.

If you are suffering from bad breath/halitosis get yourself examined and treated at Dentesthica and get rid of it after treatment and advice of periodontist, so as to avoid further complications.

At Dentesthica we are well equipped with the latest equipment’s and technology. First we will assess the root cause of bad breath and then eliminate it by advising the treatment accordingly. So that after getting treated as per treatment plan formulated as per the condition of patient.

If it’s because of gum diseases than deep cleaning is done to remove the deposits which harbors the bad breath causative bacteria. After professional cleaning and following the instructions of oral hygiene maintenance.

If it’s because of faulty prosthesis or because of lack of oral hygiene because of difficulty in maintaining either because of faulty restoration or prosthesis than replacement of restoration/prosthesis will be advised.  

Even along with all treatment tongue cleaning, daily flossing, regular professional cleanings etc. as a oral care maintenance program are advised to maintain oral health and to prevent bad breath/halitosis in the future.

So, if you are suffering from the bad breath/halitosis problem than feel free to contact Dentesthica for the complete solution of it.

Scaling & Polishing/ Bad Breath(Halitosis) Treatment

Cleaning/ scaling of teeth is the procedure of removing plaque (soft, sticky, creamy, bacterial deposit) and calculus-stony hard deposits that have built up on the teeth surface over a period of time.  In a normal course of time teeth are surrounded by saliva which contains calcium and other minerals which harden with time and form calculus if plaque is not cleaned regularly. It’s a chalky deposit that buildup over time, as limescale forms in a pipe. Until it gets stained by other things it is usually a tooth colored and generally mistaken as part of the teeth, but it also can vary from brown to black in color as it gets stained or becomes very old.

If the calculus is allowed to accumulate over a period of time on the tooth surface it will lead to gum infection initially in form of Gingivitis, which further progresses if left untreated it goes deep and causes further destruction of surrounding tissue inclusive of bone known as periodontitis which is commonly known as  Pyorrhea in common language. As this destruction process is painless, hence the patient remains unaware of the destruction occurring in his oral cavity.

Teeth cleaning/scaling also known as oral prophylaxis leaves you as fresh & teeth can be felt smooth and clean.

POCKET ELIMINATION THERAPY/ POCKET DEBRIDEMENT BY LASER

In case of persisting periodontal disease even after nonsurgical periodontal therapy that includes scaling, deep scaling/ curettage laser pocket elimination therapy is advised. It is a superior method as compare to surgical method that is having high success rate that is aesthetically acceptable. As in this treatment pocket is eliminated painlessly by using laser therapy. In this process like open debridement ie flap surgery infected epithelium is scrapped which helps in pocket elimination and reduce the pocket depth by recovery of the periodontal ligament and building of connective epithelial along the treated surface.

Dentesthica is providing the Laser therapy that is minimally invasive for patients and recently routinely practiced worldwide

GUMMY SMILE CORRECTION USING LASER

If you are conscious with your smile as gums are more visible while smiling as the reason is that your front teeth are substantially covered by gums than you are having gummy smile. As your excess gums hide your beautiful teeth and makes your beautiful smile unappealing..

To overcome this problem Dentesthica offers you painless and bloodless gummy smile correction treatment by Laser to enhance your confidence by improving your beautiful smile. In this procedure excess gum length is reduced in relation to upper lip to give a unique different look u had ever before.     

Other way to correct gummy smile is the traditional way of surgery, but this procedure is not generally followed now days as in surgery there is a risk of bleeding, infection and postoperative pain and discomfort. With the advancement in technology of cosmetic dentistry this problem is overcome by the use of Laser in a painless comfortable way. 

By the use of laser excess gum tissue is removed without any bleeding as laser will coagulate the tissue. This procedure is painless without any risk of infection as compared to traditional surgical procedure.

Laser technology is the alternative to Scalpel surgery.

Visit Dentesthica for complete evaluation and treatment by proper assessment of the condition by our Gum specialist (Periodontist) at one of the best Multispecialty dental center located in South Delhi Dentesthica. 

During the treatment our expert will reshape the excessive gum tissue without any damage to the required gum tissue to maintain biologic width and in few minutes you will get freedom from gummy smile. After assessment we recommend some of the cases might have to go for surgical procedure that can’t be treated with Laser.

GUMS DE PIGMENTATION

Pre Operative

Post Operative

Gums pigmentation occurs as pigments on the gum surface which occurs because of excessive melanin, because of which the normal color of gum ie pink gets discolored in form of brown to black patches which hampers the aesthetics.These patches are having multifactorial etiology. It can occur because of smoking the commonest reason of melanin pigmentation. Even consumption of drugs for long period of time causes pigmentation of gums.

To overcome this problem various treatment options are available that includes surgical treatment, chemical treatment and laser treatment. Treatment option that gives the painless best results laser is the best available treatment option commonly opted by the patients. 

Procedure of laser gum depigmentation also known as gum bleaching, targets the melanocytes so as to stop the production of melanin that causes the pigmentation on the gums. Depigmentation done by laser heals faster and give a healthy pink gums in short duration of time as compared to traditional procedures. Depigmentation by laser is very safe and painless without any surgical intervention in a single visit hence reduces multiple visit for the same treatment.

It’s a safe procedure if done by the expert and instructions followed by patients. It’s a very safe procedure as it doesn’t damage the surrounding tissues and during the procedure there is no possibility of bleeding also. Even healing is also very fast.

Splinting

It’s a boon that emerges as a solution or treatment to the mobile teeth either because of trauma, or periodontal disease.

If teeth get traumatized this trauma gets transmitted to the supporting structure of teeth because of which supporting structure gets damaged v fast and causes mobility of teeth. For healing of tissues these teeth requires support so as to prevent further damage to the tissues, for which splinting is the best available treatment option to stabilize the teeth. In this procedure mobile teeth are fixed together with the support of adjacent healthy sound teeth either with the help of wire or fiber. By splinting occlusal/biting forces are distributed so as to reduce the load on the traumatized teeth.

Temporary Splinting is done for a shorter duration of time that is achieved by joining the teeth together

Permanent Splinting   is done for permanent support of periodontally compromised teeth. That are having severe bone loss.

Extra coronal wire & composite splint

Intra Coronal Wire & Composite Splint

As the name suggest it is on the top of teeth. In this technique, splinting materials are attached to a group of teeth generally by bonding to the enamel, thus making them more stable.

As the name suggest it is inside teeth. These type splints involve cutting a small grove like channel into the teeth surface on the inner aspect, metal wire that acts as a splint is inserted in that grove and bonded or covered with tooth coloured restorative material.

In some cases joint crowns are also given that also acts as a splint to support the adjacent mobile teeth. For a attractive healthy smile take appointment from our Gum specialist (Periodontist) of Dentesthica

SURGICAL PROCEDURES FOR THE TREATMENT OF GUM DISEASES

Flap Surgery

  •  It is also known as pocket reduction surgery, as the main motto behind this surgical procedure is reduction in the pathological deepening of gingival sulcus more than 3mm as ideal pocket depth is 2-3mm which is easy to maintain but as it gets deepen it becomes difficult to maintain and leads to continuous deposition of plaque and calculus, which further harbors bacteria and causes destruction of gums and bone. 
  • It is difficult to remove the deposits completely with the conventional methods than flap surgery is indicated in such cases.
  • In this procedure gums are reflected deposits are removed root planing is done and again gums are lifted back in position and sutured to attain the new attachment between gums and root surface i.e. the pocket depth is reduced.

Bone Grafting

In case of severe destruction in periodontitis defects are visible radiographically and clearly visualize after flap reflection. In such cases Bone Grafting is done. Bone grafting is done using various types of bone grafts – autogenous bone grafts, synthetic bone grafts, allografts. Amongst these grafts autogenous bone grafting is the best as it’s from individuals own body so not having any allergic reaction. It is having maximum regenerative capacity as compare to other graft materials. Bone grafting is done simultaneously with the flap surgery. 

Recession Coverage

Movement gums towards root (Apical) from the margin of gums leading to exposure of root surface is known as recession. Denudation of roots occurs because of recession because of which it might lead to sensitivity and unpleasant smile.

Recession occurs because of gum disease, traumatic brushing, frenum pull etc.

If left untreated even it can cause permanent damage to the tooth even loss of tooth also in some cases.

To overcome this problem recession coverage surgeries are planned as per the condition after removing the etiologic factor so as to prevent its further recurrence.

 

Recession coverage surgeries are done in various ways-

  • Coronally advanced flap surgery- In this,  flap surgery is done and after debridement flap is repositioned back in close approximation of root surface by advancing it coronally (tooth side).
  • Laterally repositioned flap- This technique is almost similar to the above mentioned technique just with a difference of advancement of flap from the adjacent tooth to cover the denuded root surface.
  • Soft tissue grafting- In this tissue is harvested from palatal (roof) region of the patients mouth, and graft is placed in the recession area by a minor surgical procedure which provides an extra tissue to the deficient area. It is done in combination with conventional flap surgery.
  • Guided tissue regeneration- As the name suggests in this destroyed that includes bone and gums are regenerated. This process is also done in combination of flap surgery. In this procedure a barrier membrane is used between the gum and bone surface, hence allows both soft and hard tissue to regenerate.

GINGIVECTOMY

Gingivectomy is a procedure that includes the excision of gums. As the gums enlarges because of many factors like,  in gum diseases, because of deposits/calculus, drug induced ie because of some medications taken for the treatment like epilepsy, high blood pressure etc. enlarged gums hampers the aesthetics and function of teeth. Gingivectomy can be done by using Laser and Scalpel. Gingivectomy is done to enhance the aesthetics and prognosis of teeth.

GINGIVOPLASTY

This procedure is almost similar to the Gingivectomy with a basic difference that in this procedure the gum tissue is not excised. In this procedure gums arte reshaped by laser to enhance the aesthetics which gets hampered because of gum diseases or medicines.it is also done by laser to make this procedure comfortable.

CROWN LENGHTHENING

 

Clinical crown length decreases because of fracture of teeth or decay, for the restoration of tooth certain clinical height is required to provide retention to the prosthetic crown. To achieve this crown lengthening is done in which excess gum tissue is removed by the use of Laser to increase the height of clinical crown. In certain cases surgical lengthening is also required.

RIDGE AUGMENTATION

As the name suggest it’s a procedure that involves augmentation of ridge/ alveolar bone to regain its width to give prosthesis in future. Ridge/ bone gets resorbed because of gum disease or because of prolonged edentulous span, so to overcome this problem grafting is being done. In this procedure under local anaesthesia flap is reflected in the region where grafting is required, after reflection bone graft is placed and above graft membrane is placed after this procedure flaps are approximated and sutured. Post op instructions given to the patient.

This procedure is having a high success rate to achieve width so that we can place implants even in previously resorbed ridges.

FAQ's

It is very easy to prevent gums from bleeding or gums disease. There are four steps that you can take to prevent any dental issue. Firstly, maintain good oral hygiene by brushing your teeth twice followed by flossing and rinsing the mouth with non-abrasive mouth wash. Secondly, consume healthy foods that are rich in vitamin A, Vitamin C, calcium and magnesium. Avoid consuming unhealthy foods. Thirdly, quit smoking to avoid oral cancer. Lastly, avoid stress and try to relax as much as possible. Follow a healthy lifestyle by practicing meditation.

If you have bad breath, inflamed gums, bleeding gums, and chewing problem then you must visit your dentist immediately. Not vesting your dentist at the earliest can worsen your dental issues resulting in severe toothache.

The surgical procedures may take up to two-three weeks to heal. However, make sure that you take your medication on time otherwise the healing process may take longer.

Post gums treatment it is advisable to consume soft and cold foods for the next two to three weeks. You may include well-cooked vegetables, banana, cheese, yogurt, cheese, etc in your diet. Make sure to avoid hard foods like meat etc as they require more force while chewing.