Gingivitis

What is it?

Gingivitis is another name for inflamed gums. Plaque is a collection of food and bacteria that accumulates on teeth. This causes an inflammatory response as the body pumps blood to the area to fight the infection. This is why gums may bleed. Gingivitis is the most common disease affecting mankind.

Many people feel that they are correctly brushing their teeth but upon our examination we can see that this is not the case. Sometimes people avoid brushing where it bleeds as they think they are damaging their gums. However, the opposite is true.

If this plaque is not adequately removed it can harden and stick to the tooth, resulting in the formation of calculus. Tooth brushing will not remove this, once calculus forms, a professional clean is needed for its removal.

What can you do?

Our hygienist, gently and thoroughly removes all plaque and calculus allowing the gums to have an opportunity to heal.

We also work with our patients to assist them in achieving optimum oral hygiene, by guiding them with correct brushing and flossing techniques and aids.

Generally we recommend the following:

  • Brushing teeth with an electric toothbrush. We find the Braun Oral B Vitality to be both effective at cleaning teeth and cost effective
  • Daily flossing
  • Use of interdental brushes – brands such as TePe or Pixters can be useful when the gaps between the teeth are bigger or when people struggle to get the hang of the correct flossing technique
  • When necessary we prescribe a strong anti bacterial mouth rinse such as Savacol in acute situations.

With regular visits to our hygienist, we can monitor if there are still areas that are being missed when cleaning at home and help you improve your technique.

As with everything when it comes to oral hygiene, the more you put into it the more you will get out of it. Here at Contemporary Smiles we are proactive in assisting our patients with maintaining good oral hygiene through the use of preventative measures.

Periodontitis

What is it?

Over time if gingivitis is left untreated in susceptible patients, the inflammatory process, which is caused by the bacteria on the teeth, causes the destruction of the bone that holds the tooth in the jaw.

In its most advanced form this causes loosening and eventual loss of teeth.

This is a complex process but put simply there are four main reasons why this happens:

  • Poor oral hygiene
  • Smoking
  • An individuals own susceptibility due to chronic medical conditions, such as diabetes and genetic make up
  • Localised issues such overhanging restorations or overloading of the teeth due to grinding.

Recently, new evidence strongly correlates untreated periodontitis with a host of general medical conditions, most notably heart disease.

What can you do?

Treatment for periodontitis is similar to gingivitis but the urgency is even greater and is as follows:

  • Improve oral hygiene and frequently visit our hygienist for professional cleaning
  • Quit smoking
  • Control chronic medical conditions such as diabetes
  • Rectify local exacerbating factors such as poorly adapted restorations or provision of a mouthguard for those who are grinding their teeth (bruxism).

The earlier this disease is treated the better the prognosis. On an initial consultation, for every new patient at our practice, we take a baseline record of the state of the gums by recording a periodontal chart. Thus doing so, we can then track whether there is a generalised improvement in the condition over time.

If no improvement is recorded, we identify the reasoning behind why this is the case and in certain circumstances may refer to a Periodontist, who specialises in the treatment of periodontal conditions.

We tend to refer to Starcare Dental Clinic in Wollongong

Gum Recession

Are you getting a bit long in the tooth?

Gum recession can occur either due to periodontitis, or as result of toothbrush abrasion.

How does this happen?

An aggressive scrubbing motion and/or a hard headed toothbrush can cause trauma to the gum which often causes gum recession as a result.

We recommend the correct use of an electric tooth brush such as the Braun Oral B Vitality.

Gum recession often results in exposure of the root of the tooth which can give the appearance of “being long in the tooth”. This can be corrected to some extent using a procedure to bulk the gum up with tissue harvested from the palate of the patient or from a donor, alloderm.

This can deliver excellent long term results, providing the trauma from the brushing technique does not continue.