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Dentist in Midtown East, NYC www.midtowneastdentistnyc.com Dr. Nathalie Gal

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Midtown East Dentist NYC

Gum Disease (Gingivitis & Periodontitis): Symptoms, Causes, Treatment
Form of gum disease:
The term Gingivitis is a gum infection. It’s reversible and does not involve bone loss. The ideal treatment, is of course prevention with bi-annual dental cleanings and doing a good job at home with your oral care and diet. A dental cleaning removes the debris above the gum line.
In the early stage of gingivitis, bacteria in plaque build up, causing the gums to become inflamed and to easily bleed during tooth brushing. Although the gums may be irritated, the teeth are still firmly planted in their sockets. As the disease progresses, the pockets deepen and more gum tissue and bone are destroyed.
Peridontal disease ( irreversible stage- Tissues and bone that support the teeth resorb)
What causes forming pockets?
Plaque is the primary cause of gum disease. However, other factors can contribute to periodontal disease. These include:
Hormonal changes, such as those occurring during pregnancy, puberty, menopause, and monthly menstruation, make gums more sensitive, which makes it easier for gingivitis to develop. Illnesses may affect the condition of your gums. This includes diseases such as cancer or HIV that interfere with the immune system. Because diabetes affects the body's ability to use blood sugar, patients with this disease are at higher risk of developing infections, including periodontal disease and cavities. Medications can affect oral health, because some lessen the flow of saliva, which has a protective effect on teeth and gums. Some drugs, such as the anticonvulsant medication Dilantin and the anti-angina drug Procardia and Adalat, can cause abnormal growth of gum tissue. Bad habits such as smoking make it harder for gum tissue to repair itself. Poor oral hygiene habits such as not brushing and flossing on a daily basis, make it easier for gingivitis to develop. Family history of dental disease can be a contributing factor for the development of gingivitis.
Scaling and root planing is used to deep clean the teeth down to the roots beneath the gum line. It can prevent gum disease from leading to major dental problems and prevent the need for more costly dental work.
Warning signs of Chronic Periodontal disease:
Gum disease can be painless, so it is important to be aware of any of the following risk factors:
Swollen, red, tender or bleeding gums
Gums that recede or move away from the tooth
Persistent bad breath or bad taste in mouth
Loose teeth
Treatment recommendation :
Scaling and Root Planing:
Stop the progression of gum disease: Scaling and Root planing is highly effective at treating gum disease and can help get your gum health back on track.
Prevents tooth loss: Large pockets between the teeth and gums along with infection and decay around the tooth roots can lead to tooth loss. Scaling and root planing can stop these problems before they result in tooth loss.
Prevents tooth decay: Scaling and root planing removes plaque and tartar build-up, preventing tooth decay and periodontal pockets (bone loss).
Protects the tooth’s roots: The procedure can protect the roots of your teeth when harmful plaque and bacteria begin to build up below the gum line.
Can eliminate bad breath associated with gum disease: Gum disease and other oral health problems like tooth decay can cause chronic bad breath. By treating gum disease, scaling and root planing can help improve bad breath.
The Procedure
Scaling and root planing, begins with the numbing of the gums to ensure that you’re comfortable during treatment. Once the gums are numb, special scraping tools are used to gently remove calcified tartar and other debris from the teeth, both at and below the gum line. An ultrasonic tool is typically used to remove large pieces of debris in combination with other hand instruments.
As the debris is removed, a water irrigation system is used to wash away debris and a suction tool is used to remove water and saliva.
After completing the scaling and root planing, you want to maintain the area stable and avoid accumulation of plaque below the gum line. How? Well it’s a collaboration between improving your oral hygiene ( brushing and flossing) and coming more often for professional cleanings. The cleanings are called periodontal maintenance , we avoid mineralized plaque to accumulate by coming more often once every 3 to 4 months.
Gingivitis can easily be prevented by coming twice a year for a dental visit combined with daily brushing and flossing.
Periodontal disease, can be controlled and stopped with scaling and root planning, coming more frequently for cleanings and monitoring your gums health condition and supporting tissues. Good oral hygiene habits is extremely important .

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