Periodontology (Gingival Diseases)

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Question

Question
What is a gingival disease?
Answer

It is the inflammation of jaw bones and all soft and supportive tissues that binds our teeth to jaw bones. Advanced stage is characterized with loosening/wobbling and loss of teeth.

Question
Is gingival bleeding a normal condition?
Answer

Gingival bleeding is the first and most important symptom of gingival diseases. Bleeding may occur spontaneously or while brushing or biting a food. The leading cause is inflammatory conditions of gingiva.

Question
Is dental scaling harmful for the teeth?
Answer

Dental scaling is the first step in treatment of gingival diseases. Some special ultrasonic devices and hand tools are used. Dental surfaces are no means harmed, if correct method is used at recommended intervals. It can be carried out twice a year for patients with healthy gingiva and at quarterly and semi-annual intervals for patients with gingival diseases.

Question
What are causes of gingival diseases?
Answer

Dental plaques accumulated on teeth surfaces secondary to bad oral care is the primary reason of gingival diseases. Moreover, smoking, genetics, puberty and pregnancy, some medications, diabetes and stress may also play a role in development or progression of the disease. 

Question
What are the reasons of gingival bleeding and bad breath?
Answer

Gingival bleeding and bad breath are the initial and most common symptoms of gingival inflammation. Gingival swelling secondary to insufficient or poor oral care results in spontaneous bleeding or bleeding while brushing and bad breath. 

Question
Which disease is manifested by loose teeth?
Answer

If even a mild form of gingival disease is left untreated, it will progress and involve the jaw bone. Losses may occur in the jaw bone, which is expected to hold the teeth tightly and steadily, resulting in loose teeth. Teeth loss will be inevitable, if the condition is not treated. 

Question
What causes gingival retraction?
Answer

Gingival retraction not only originates from inflammatory gingival diseases, but it may also be caused by wrong tooth brushing and habits, such as grinding or clenching. Caries, sensitivity and aesthetic problems can show up on root surfaces, which can come out secondary to gingival retraction. 

Question
Can smoking lead to gingival diseases?
Answer

In addition to all other harms, smoking increases risk of gingival disease. Studies show that it is an important factor both in the development of gingival diseases and in the progression of an active disease. 

Question
Do gingival diseases correlate with general health?
Answer

Gingival inflammation does not affect only the mouth cavity. General health is also adversely influenced, since inflammatory factors and bacteria are carried in blood circulation. Accordingly, some specific problems emerge, including but not limited to diabetes, cardiovascular diseases, atherosclerosis, respiratory system diseases, and risk of premature birth, miscarriages and low birth weight.

Question
Does treatment of gingival disease provoke pain?
Answer

Since treatment is performed under local anesthesia, no pain is felt. Tooth sensitivity is noted in some cases after the treatment, but it is a transient condition. 

Question
How often do I need to attend follow-up visits after periodontal treatment?
Answer

You are usually requested to attend follow-up visits once every 4, 6 or 12 months. However, your dentist may suggest a different calendar for follow-up examinations depending on your status.

Question
What are the symptoms of gingival diseases?
Answer

Possible symptoms include spontaneous bleeding or bleeding induced by brushing, gingival retraction, bad breath, sensitivity, redness, edema, itching, wobbling teeth and exposure of root surface.

Question
How does healthy gingiva look?
Answer

Healthy gingiva appears in light pink color; it is solid in consistency and the surface is rough, similar to orange peel. It does not bleed in response to brushing or touching.

Question
Why is tooth brushing necessary?
Answer

From the birth of man there are microorganisms in the mouth and they form oral flora. We can remove these bacteria from the surface of the teeth by brushing regularly and correctly, which will remain in the mouth if not. Thus, we can prevent gum disease or increase the success of treatment.