Gum Disease and Bone loss

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Today's topic is not very different from the ones I have mentioned on this column so far. It is actually a topic that I touched upon on several times for various reasons. Periodontal disease that is widely known as gum disease is what I am going to talk about today. It is so necessary to mention its importance as it is the main cause of early tooth loss and especially bone loss. Moreover, in spite of today's advanced technology it is still not possible to distinguish the malicious gingivitis from the harmless one. That is why, early diagnosis and preventing the disease to re-occur after treatment are of great importance.  

Let's talk about the inescapable problem that we have to face everyday. During the day plaques around our teeth continue on piling up if not brushed at all. Further more, they stick to that area and become even more difficult to get rid off. The most important sign of this consequence is the swollen and red gums.

So what happens if we continue to avoid this first sign? When these plaques are not cleaned off, the problem continues to become bigger and bigger. They get into such a stage that after a period of time such as 2-3 months, dentists are the only ones to deal with this problem and get the teeth cleaned. The reason for this is, no matter how much we brush our teeth it is impossible to remove the piled up plaques by ourselves.

We cannot visit our dentist so what can we do in order to get rid off these piled up plaques by ourselves?

Now this is quite a serious case. Because, plaques not only gather around teeth and give way to redness and swollenness but also go into the gums and within this stage they separate the teeth from the gum. The warning signal of this stage is the continuously bleeding gums.

By the way, it is wise to remind an important point ones again. For the smokers it is difficult to understand any kind of problem related to gum disease since smoking reduces the amount of bleeding therefore gives way to ignorance and causes bigger dental problems. For either this very reason or just avoiding the dentist leads to 'bone loss' which can be named as the most vital problem in dental wise.

 

Photo 1                         

Excessive gum recession is a sign of bone loss. This photograph belongs to a 29-year-old lady. Her lower gums show us the results of 'bone loss’ quite clearly.

 

You may wonder about why this problem has occurred in the lower gums rather than upper gums. The areas where we come across with gum recession and bone loss are most likely to be seen around lower front teeth and upper back teeth. The reason for this case is due to having salvia coming out from these parts and also these parts to be the most common areas for plaques to be piled up.

Photo 2                                    

This graph shows the stage 'bone loss' has reached. The dark layer shows us the bone. When bone loss comes down to the limit as the middle graphic, the tooth starts to move and falls off eventually.

 

                                                                               

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