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Periodontal Disease

Periodontal diseases comprise a number of conditions the affect the health of periodontium. The factors include a variety of microorganisms and host conditions, such as the immune system, that combine to affect the gums and ultimately, the support of the teeth. The primary invasive factor creating disease is plaque-producing bacteria. Gingivitis is the first stage of Periodontal disease. Plaque and its toxins bi-products irritate the gums, making them tender, inflammed and likely to bleed. If this irritation is prolonged, the gums separate from the teeth, causing pockets (spaces) to form. 

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Once the gingiva are infected by plaque-making bacteria unabated due to immune-suppression and/or by poor oral hygiene, the bacteria conditions for Periodontitis or gum infections are present. Unless the microorganisms and the pathological changes they produce on the gum are removed, the disease progresses.The supporting gum tissue and bone that holds teeth in place deteriorate causing tooth loss. In the most severe cases, graft surgery may be necessary to restore ligament and tissue destroyed by pathogens

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There are numerous disease identities requiring different treatment approaches

that will be extensively discussed with you to obtain the best results.

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Several warnings to check:

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  • Gums that bleed easily

  • Red, swollen, tender gums

  • Gums that have pulled away from the teeth

  • Persistent bad breath or bad taste

  • Permanent teeth that are loose or separating

  • Any changes in the way your teeth fit together

  • Any change in the way your teeth fit together when you bite

  • Any change in the fit of partial dentures

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Some factors increase the risk of developing periodontal disease:

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  • Smoking or chewing tobacco 

  • Systemic diseases such as Diabetes

  • Some types of medication such as steroids, anti-epilepsy, cancer therapy drugs, some calcium channel blockers an oral contraceptives

  • Bridges that no longer fit

  • Defectives fillings

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