Take care of your gums
What is periodontics?
Periodontics, or periodontics, is the dental specialty that deals with gum problems.
We often talk about gum disease, tooth loss, gum infection, periodontal disease or gingivitis / periodontitis.
Symptoms usually are bleeding gums, bad breath, receding gums, sensitivity to cold or swollen gums.
It is actually a bacterial infection that contaminates first the gum, and then the bone underneath that supports the teeth.
This gum/bone combination, also called periodontium (hence the scientific term periodontal disease), makes it possible to have a strong tooth.
When this tissue is damaged, the tooth begin to move and eventually falls out.
Gum care, periodontitis, tooth loss, and gingival recession
This bacterial infection first contaminates the gum and then spreads to the bone underneath.
The disease progresses by destroying the bone around the tooth until it will fall out.
The organism obviously tries to fight this infection by creating a local inflammation of the gum. The patient feels a swelling and bleeding.
Remember that a healthy gum does not bleed, even when brushing.
Be careful! Gum disease can have consequences all over the body. They include: heart disease, aggravation of diabetes, possible link with Alzheimer's disease, joint problems, lung infections, premature delivery, inflammatory diseases, obesity...
But we are not all equal when it comes to these periodontal diseases. Some people will be more fragile than others and more likely to develop severe periodontal disease: patients with family members who have had gum problems (genetics); patients who smoke; patients under stress; diabetic patients; elderly patients and others will be much more at risk.
Just because you are at risk does not mean that periodontal disease is inevitable! You will just have to put in place simple prevention techniques to avoid those gum diseases.
— Periodontal treatment —
There is a scientifically recognized treatment that is simple, painless and very effective.
It consists of 2 main phases:
This phase must be carried out by a dental surgeon specializing in gums: periodontist also called periodontologist. It is a complete protocol that allows you to make a reset, give a new start to your gums. During this step the periodontist performs a root planing, which is a deep cleaning.
It is a very meticulous technical act, very effective, without pain during or after.
• Maintains results
The decontamination phase allows the patient to get a second chance for his gum, but if the habits doesn't change, the periodontal disease may come back .
It is therefore essential, BEFORE carrying out the decontamination, to improve some risk factors if it's possible: reducing or stopping smoking, balancing diabetes...
Above all, it is essential to reduce and improve the amount of bacteria in the mouth. By adapting BRUSHING TECHNIQUES according to the patient's dentition. This is the most important point. It is thanks to this that the patient will heal himself.
All patients have the impression that they brush their teeth well, but in fact we rarely get good and effective brushing advice.
A decontamination is not enough, periodontitis will come back, an improvement of brushing alone will not be enough either, the bacterial infection is deep, under the gum, and reaches the bone level, areas impossible for the patient to access, impossible to get rid of alone, even with antibiotics or mouthwashes. The patient and the periodontist must therefore work together.
Once the treatment is completed, a check-up is carried out a few months later to ensure that the periodontitis is treated.
Then periodontal maintenance sessions will be necessary 1, 2 or 3 times a year depending on the case, to make simple controls, check brushing and scaling.