What is gum disease?
Periodontal disease is an inflammatory disease that affects the soft and hard structures that support the teeth. In its early stage, called gingivitis, the gums become swollen and red due to inflammation, which is the body’s natural response to the presence of harmful bacteria.
The mildest form of gum disease is known as gingivitis (gin-gi-VY-tus). It causes the gums to become red and swollen and bleed easily. At this stage, gum disease is still easily treatable. If gingivitis is left untreated, though, it can turn into periodontitis (per-ee-o-don-TY-tis), a more serious gum disease. In advanced periodontitis, the gums and the
Gum disease causes the gums to become red, swollen, and inflamed. Compare the healthy gums on the left to the diseased gums on the right.
Long-term gum disease causes the gums to pull away from the teeth. Biophoto Associates/Science Source, Photo Researchers, Inc. bone that supports the teeth can be badly damaged. The teeth may become loose and fall out, or they may have to be pulled by a dentist.
Gum disease is caused by plaque, a sticky film on the teeth made by bacteria that live in the mouth. If plaque is not removed each day by brushing and flossing, it hardens into a rough substance called calculus, also known as tartar. The bacteria in plaque produce chemicals that irritate the gums and cause infection. If left in place, these chemicals cause the gums to pull away from the teeth and create little pockets of space between the teeth and the gums. As the infection gets worse, the pockets get deeper. The result may be the destruction of the bones in the jaw that hold the teeth in place.
Most adults over age 35 have some degree of gum disease. People who smoke or use chewing tobacco, have uncontrolled diabetes, eat poorly, or have too much stress are all at greater risk for developing gum disease. Female hormones can play a part as well; girls who are going through puberty and pregnant women also are at risk.
What Happens When People Have Gum Disease?
Gum disease is usually painless in the early stage. A person might not feel it until it has reached an advanced stage. However, these are some signs that a person may have gum disease:
A dentist can check the gums for signs of disease. In addition to looking at them, the dentist can use a probe with a special rounded tip. This probe is moved gently around the gum line to search for pockets in the gums.
Treatment depends on the type of gum disease and how far along it is. Cleaning the tooth surface and the root below the gum line helps the gum tissue heal and reattach to the tooth surfaces. Antibiotics can help control the growth of bacteria.
If the pockets are too deep to clean inside, the dentist may need to perform surgery to shrink the pockets. If part of the bone supporting the teeth has been destroyed, further surgery may be needed. Such surgery can reshape or rebuild the bone that has been lost.
Brushing and flossing the teeth helps remove plaque. In the early stage of gum disease, brushing twice a day and flossing every day usually will cure the problem. Guidelines include: