Preventing Gum Disease
Adults over the age of 35 lose more teeth to gum diseases than from cavities. Three out of four adults are affected at some time in their life. The best way to prevent cavities and periodontal disease is by daily thorough oral hygiene and regular professional examinations and cleanings. Unfortunately, even with the most diligent home dental care, people still can develop some form of periodontal disease. Once this disease starts, professional intervention is necessary to prevent its progress.
Other important factors affecting the health of your gums include:
- Tobacco usage
- Clenching and grinding teeth
- Poor nutrition
Periodontal Disease & Tobacco
You are probably familiar with the links between tobacco use and lung disease, cancer, and heart disease.
Current studies have now linked periodontal disease with tobacco usage. Smokers have worse cases of gum disease, they respond less favorably to treatment, and they are more likely to have recurrent problems in later years.There is a greater incidence of calculus formation on teeth, deeper pockets between gums and teeth as well as greater loss of the bone and fibers that hold teeth in your mouth. Smoking reduced the blood supply to the gums, decreasing the healing potential. Because of the reduced blood supply, smokers do not have as much bleeding in the early stages of periodontal disease, giving patients the false illusion of health. In addition, your chance of developing oral cancer increases with the use of smokeless tobacco.
Chemicals in tobacco such as nicotine and tar slow down healing and the predictability of success following periodontal treatment.
Problems caused by tobacco include:
Lung disease, heart disease, cancer, mouth sores, gum recession, loss of bone and teeth, bad breath, tooth staining, less success with periodontal treatment, and with dental implants.
Quitting tobacco will reduce the chance of developing the above problems. Patients who quit smoking can often reverse many of the damaging effects of smoking over a period of time.
Diabetes & Oral Health
Individuals suffering from diabetes, especially uncontrolled diabetics, have a higher risk of developing bacterial infections of the mouth. These infections may impair your ability to process insulin, resulting in greater difficulty with controlling your diabetes. periodontal disease will be more severe than those of a non-diabetic and treatment more difficult. However, well-controlled diabetics have a lower incidence of cavities.
Steps to prevent periodontal disease include oral hygiene to remove plaque from your teeth and gums, regular dental visits for professional cleaning, and regular periodontal evaluation. Your health professional must also be told of your history and the current status of your condition. And finally, you can help resist periodontal infection by maintaining control of your blood sugar levels.
Women & Periodontal Health
Throughout a woman’s life, hormonal changes affect tissue throughout the body. Fluctuations in levels occur during puberty, pregnancy and menopause. At these times, the chance of periodontal disease may increase, requiring special care of your oral health.
During puberty, there is increased production of sex hormones. These higher levels increase gum sensitivity and lead to greater irritations from plaque and food particles. The gums can become swollen, turn red, and feel tender.
Similar symptoms occasionally appear several days before menstruation. There can be bleeding of the gums, bright red swelling between the teeth and gum, or sores on the inside of the cheek. The symptoms clear up once the period has started. As the amount of sex hormones decrease, so do these problems.
Your gums and teeth are also affected during pregnancy. Between the second and eighth month, your gums may also swell, bleed, and become red or tender. Large lumps may appear as a reaction to local irritants. However, these growths are generally painless and not cancerous. They may require professional removal, but usually disappear after pregnancy.
Periodontal health should be part of your prenatal care. Any infections during pregnancy, including periodontal infections, can place a baby’s health at risk. Research has now confirmed a strong association between the presence of periodontal disease and pre-term, low birth-weight babies. Because of this research, we are now much more likely to administer conservative treatment to decrease gingival inflammation in pregnant women.
The best way to prevent periodontic infections is to begin with healthy gums and continue to maintain your oral health with proper home care and careful periodontic monitoring.
Swelling, bleeding, and tenderness of the gums may also occur when you are taking oral contraceptives, which are synthetic hormones.
You must mention any prescriptions you are taking, including oral contraceptives, prior to medical or dental treatment. This will help eliminate the risk of drug interactions, such as antibiotics with oral contraceptives where the effectiveness of the contraceptive can be lessened.
Changes in the look and feel of your mouth may occur if you are menopausal or post-menopausal. They include feeling pain and burning in your gum tissue and salty, peppery, or sour tastes.
Careful oral hygiene at home and professional cleaning may relieve these symptoms. There are also saliva substitutes to treat the effects of dry mouth.