How can I tell if I have gingivitis or periodontitis (gum disease)?

Four out of five people have periodontal disease and don’t know it! Most people are not aware of it because the disease is usually painless in the early stages. Unlike tooth decay, which often causes discomfort, it is possible to have periodontal disease without noticeable symptoms. Having regular dental check-ups and periodontal examinations are very important and will help detect if periodontal problems exist.

Periodontal disease begins when plaque, a sticky, colorless, film of bacteria, food debris, and saliva, is left on the teeth and gums. The bacteria produce toxins (acids) that inflame the gums and slowly destroy the bone. Brushing and flossing regularly and properly will ensure that plaque is not left behind to do its damage.

Other than poor oral hygiene, there are several other factors that may increase the risk of developing periodontal disease:

• Smoking or chewing tobacco – Tobacco users are more likely than nonusers to form plaque and tartar on their teeth.
• Certain tooth or appliance conditions – Bridges that no longer fit properly, crowded teeth, or defective fillings that may trap plaque and bacteria.
• Many medications – Steroids, cancer therapy drugs, blood pressure meds, oral contraceptives. Some medications have side affects that reduce saliva, making the mouth dry and plaque easier to adhere to the teeth and gums.
• Pregnancy, oral contraceptives, and puberty – Can cause changes in hormone levels, causing gum tissue to become more sensitive to bacteria toxins.
• Systemic diseases – Diabetes, blood cell disorders, HIV / AIDS, etc.
• Genetics may play role – Some patients may be predisposed to a more aggressive type of periodontitis. Patients with a family history of tooth loss should pay particular attention to their gums.

Signs and Symptoms of Periodontal Disease

• Red and puffy gums – Gums should never be red or swollen.
• Bleeding gums – Gums should never bleed, even when you brush vigorously or use dental floss.
• Persistent bad breath – Caused by bacteria in the mouth.
• New spacing between teeth – Caused by bone loss.
• Loose teeth – Also caused by bone loss or weakened periodontal fibers (fibers that support the tooth to the bone).
• Pus around the teeth and gums – Sign that there is an infection present.
• Receding gums – Loss of gum around a tooth.
• Tenderness or Discomfort – Plaque, calculus, and bacteria irritate the gums and teeth.

Good oral hygiene, a balanced diet, and regular dental visits can help reduce your risk of developing periodontal disease.

Dental Health for Pregnant Women

Image Source: Mouth Healthy

Many things go through a woman’s mind when she finds out that she is pregnant. When will she have her first ultrasound? What will she name the baby? Is it a boy or a girl?

Her dental health may well be one of the last things on her mind. However, a mother’s oral health can affect the health of her baby.

Mothers with gum disease have a higher instance of preterm birth. Preterm birth can cause serious problems for the infant, including low birth weight. Hormonal changes during pregnancy may also render a mother more susceptible to teeth and gum problems.

Preventing Pregnancy Gingivitis

In 2009, the American Academy of Pediatric Dentistry announced new oral health guidelines for pregnant women. These guidelines are designed to help pregnant women maintain healthy teeth and gums during their pregnancy and throughout the early stages of motherhood. These guidelines include:

1. Oral Hygiene: Correct brushing and flossing practices can help remove bacterial plaque, which is connected to preterm birth.
2. Fluoride: Pregnant women should continue to use fluoridated toothpaste. They should also use an over-the-counter alcohol-free fluoride rinse to reduce the amount of plaque in their mouths.
3. Treatment of Existing Tooth Decay: Existing tooth decay should be treated during pregnancy. Restoring decayed teeth will improve oral health by removing bacteria produced by the decay process.
4. Prevention of Transmission of Bacteria: Expectant mothers are discouraged from sharing utensils or food with others. Avoid sharing these items in order to prevent the transmission of bacteria that cause tooth decay.
5. Use of Xylitol Gum: When chewed four times a day, gum sweetened with xylitol has been shown to decrease the rate of tooth decay in children.

Pregnancy gingivitis develops in almost half of all pregnant women. It typically ends shortly after the birth, but it should be monitored throughout the pregnancy to ensure that it doesn’t progress into periodontitis. A more serious form of gum disease, periodontitis is irreversible. Pregnant mothers with periodontal disease are seven times more likely to go into preterm labor.

The Dangers of Preterm Birth

It may be hard for a pregnant mom to internalize the true danger that periodontitis poses for an unborn baby. The danger lies in prostaglandin, a chemical found in oral bacteria. High levels of prostaglandin have been found in the mouths of women with periodontitis. Prostaglandin may work to induce labor in pregnant women, causing preterm birth.

Babies born too early often have a low birth weight, which can cause significant health problems. Babies born prematurely have an increased risk of developing lung conditions, heart conditions and learning disorders. If you are pregnant or may become pregnant, consult your dentist about the state of your oral health.