The Unexpected Dangers of Gum Disease

December 18, 2019by Emma Churchill

Gum disease is one of the most common oral health problems in the world. Because it is often painless, it tends to be noticed late — yet left untreated it can lead to tooth loss and has been linked to a number of wider health concerns.

What is gum disease?

A soft, bacteria-rich film called plaque builds up on the teeth all the time. If it is not removed regularly it collects along the gum line and causes inflammation. This first stage is called gingivitis and can be reversed with good care. When the inflammation reaches the bone and connective tissue that hold the tooth in place, it becomes periodontitis, and the bone loss that follows is permanent.

Signs to look out for

  • Gums that bleed when you brush or floss
  • Red, swollen or tender gums
  • Bad breath or a bad taste that does not go away
  • Receding gums that make teeth look longer
  • Loose or shifting teeth, or a change in how your teeth bite together

Possible effects beyond the mouth

Research shows an association between advanced gum disease and several general health conditions. For many of them a direct cause-and-effect link has not been proven, but it is a good reminder that oral health is part of overall health:

  • Heart and blood vessel disease: chronic inflammation may be related to vascular health.
  • Diabetes: the relationship works both ways — poorly controlled blood sugar can worsen gum disease, and gum inflammation can make blood sugar harder to control.
  • Respiratory infections: bacteria from the mouth can reach the lungs and may raise infection risk in some people.
  • Pregnancy: hormonal changes make gums more sensitive, and some studies report a possible link between advanced gum disease and preterm birth.
  • Brain health: researchers are investigating hypotheses that connect gum disease bacteria with Alzheimer’s disease; this is not yet settled.

Risk factors

Smoking, poorly controlled diabetes, poor oral hygiene, hormonal changes, stress, certain medicines (such as those that cause a dry mouth) and family history all raise the risk. Smoking is especially sneaky because it can hide the warning signs.

How to prevent it

  1. Brush twice a day for about two minutes with a fluoride toothpaste.
  2. Clean between your teeth every day with floss or interdental brushes.
  3. Limit sugary and acidic snacks.
  4. Get support to quit smoking.
  5. Have check-ups and professional cleanings at the intervals your dentist recommends.

How is it treated?

In the early stage, a professional cleaning to remove plaque and tartar together with better home care is usually enough. For periodontitis, deep cleaning (scaling and root planing) of the surfaces below the gum line is used, and advanced cases may need surgery. Your dentist will decide on a plan after an examination and X-rays.

When to see a dentist

If gum bleeding does not settle within a week or two, if bad breath persists, or if you notice any looseness in your teeth, do not wait. Early treatment makes care simpler and helps you keep your teeth.

Appointments and questions: you can contact us or call +90 533 300 71 41.

This article is for general information only. For a diagnosis and treatment plan that fits you, please see your dentist.

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