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FAQS

WHAT ARE COMMON SIGNS AND SYMPTOMS OF PERIODONTAL DISEASE?

Periodontal disease is often silent, meaning symptoms – particularly pain – may not appear until an advanced stage of the disease. However, you should be aware of the signs and symptoms, which include:

 

  • Red, swollen or tender gums or other pain in your mouth
  • Bleeding while brushing, flossing, or when eating certain foods
  • Gums that are receding or pulling away from the teeth, causing the teeth to look longer than before
  • Loose or separating teeth
  • Pus between your gums and teeth
  • Sores in your mouth
  • Persistent bad breath
  • A change in the way your teeth fit together when you bite
  • A change in the fit of partial dentures
If you notice any of these symptoms, get in touch with us straight away.
What can I do at home to prevent periodontal disease?

The best way to prevent periodontal disease is to take good care of your teeth and gums at home. This includes brushing your teeth after every meal and before bedtime, flossing at least once each day, and seeing your dentist or periodontist for regular exams every 3 months. Spending a few minutes a day on preventative measures may save you the time and money of treating periodontal disease!

Is there a way to determine my genetic risk for developing gum disease?

Research has shown that genetics may be involved in a person’s risk for gum disease, but there are a variety of other factors that also play a role. Even if many of your family members or parents suffer from gum disease this does not mean you will get it especially if you follow the oral care advice from your dentist and periodontist.

Is there a link between periodontal disease and diabetes?

Research has suggested that there is a link between diabetes and gum disease. People with diabetes are more likely to have periodontal problems, possibly because people with diabetes are more susceptible to contracting infections. In fact, periodontal disease is often considered one of the major complications of diabetes. Interestingly, the relationship between the two conditions goes both ways; just as diabetes can increase a person’s chance of developing periodontal disease, research suggests that efficient and effective periodontal treatment may positively affect blood sugar levels.

How is gum disease linked to cardiovascular disease?

Research has shown that periodontal disease may increase the risk for developing cardiovascular disease. Both periodontal disease and cardiovascular disease are chronic inflammatory diseases, so researchers believe that inflammation may account for the association between the two. Untreated periodontal disease can increase inflammation in the body, which may increase the risk for development of more severe health complications, including cardiovascular disease. However, more research is being carried out to determine the exact relationship between the two conditions.

I have heard there is a connection between gum disease and heart disease. Is this true? Where can I find more information?

Several research studies have indicated that heart disease and gum disease may be linked, and researchers suspect that inflammation may be the basis behind this relationship. If you are at risk for heart disease, it is a good idea to mention this to your periodontist, since gum disease may increase this risk. Get additional information on the connection between heart disease and gum disease, as well as the connection between gum disease and other systemic conditions.

What is the difference between plaque and calculus?

Plaque is the sticky, colorless film that constantly forms on your teeth. Bacteria live in plaque and secrete acids that cause tooth decay and irritate gum tissue. This irritation causes an inflammatory reaction by your body that can eventually lead to gingivitis and periodontal disease. If plaque is not removed regularly by tooth brushing and flossing, it hardens to create calculus (also known as tartar). Calculus cannot be removed with a toothbrush; only a dental professional can remove it during an oral cleaning. To keep plaque and calculus under control, it is essential to brush your teeth twice every day, floss at least once every day, and visit a hygienist for regular cleanings.

Can children be at risk for developing periodontal disease?

Periodontal disease is rarely found in children, and only sometimes found in teenagers. However, children should still learn the importance of keeping their teeth and gums healthy to prevent periodontal disease in the future. Children should brush their teeth twice a day and learn how to floss properly- if children learn how to floss at an early age, they will be more likely to make it a lifetime habit. These simple habits will help protect their teeth and gums from periodontal disease.

As a parent, you should also be aware of the warning signs of periodontal disease, which include red, swollen, bleeding gums or bad breath that won’t go away. If your child develops any of these symptoms, speak to us immediately. It’s also a good idea to ensure your dental professional knows your complete family history, as genetics can play an important role in the early development of periodontal disease.

Other than diagnose and treat gum disease, what else have periodontists been trained to do?

Most periodontists spend the majority of their time diagnosing and treating gum disease, but there are a variety other procedures that they are able to perform. Periodontists place dental implants when natural teeth cannot be saved. They also monitor the implants to make sure that they are functioning correctly. Periodontists may also correct gum recession and cover up exposed root surfaces which can be unsightly as well as sensitive to hot and cold. These procedures are often used to lay the foundation for additional cosmetic procedures to help create a beautiful smile. Periodontists can be integral in the comprehensive planning of your oral care, along with your general dentist or other dental professionals.

They also monitor implants to make sure that they are functioning correctly and that they don’t develop gum disease! There is a higher risk of developing gum disease around implants (peri-implantitis) in people that lost their teeth due to gum disease. This must be prevented from day one, otherwise, the implant treatment won’t last a life time.

Who should treat my periodontal disease: my general dentist or a periodontist?

Instead of leaving your treatment to one dental professional, you should consider having both your general dentist and a periodontist be actively involved in the diagnosis and treatment of your periodontal disease. This team approach will help your general dentist (who is familiar with your dental and medical history) and your periodontist (who has extensive experience treating periodontal disease) collaborate to tailor a treatment plan that works best for your individual case.

I was recently diagnosed with periodontal disease. How often should I see my periodontist for an examination?

Regular examinations are very important to keep track of the present status of your disease and any disease progression over time. Your periodontist will work with you to create a maintenance schedule depending on how advanced your periodontal disease is at that time. Based on many variable factors such as your overall health, the severity of bone loss, and risk factors such as smoking and genetics, your periodontist will constantly tailor your care so your periodontal disease does not progress further. He or she may recommend exams every six months for mild periodontal disease, or every few months for more advanced stages.

Is periodontal disease contagious?

Research has shown that periodontal disease is caused by the inflammatory reaction to bacteria under the gums, so periodontal disease technically may not be contagious. However, the bacteria that cause the inflammatory reaction can be spread through saliva. This means that if one of your family members has periodontal disease, it’s a good idea to avoid contact with their saliva by not sharing eating utensils or oral health equipment. If you notice that your spouse or a family member has the warning signs of a possible periodontal problem (bleeding, red and swollen gums, or bad breath) you may want to suggest that they see the periodontist for an exam. It may help to protect the oral health of everyone in the family.

I have a gummy smile and short teeth with big gums, can you help?

Yes, there may be a way to enhance your smile. It’s a good idea to discuss your options with us first. We can explain the best way to create the smile you want, as well as answer any questions that you may have. For example, one procedure that can remove excess gum tissue is called crown lengthening. After the excess gum tissue is removed, the gum line is then reshaped in order to create the right proportion between gum tissue and tooth surface. We may also work together with your general dentist to coordinate additional treatments such as veneers or crowns. However, we will recommend the best procedure to improve your smile.

What are the consequences of missing teeth?

There are several negative consequences of missing some or all of your teeth. Missing teeth will make it more difficult to chew your food properly affecting your overall diet which is so important to you as a diabetic person. It may also affect the way you speak and have emotional consequences as many people feel less confident about their smile when they are missing teeth. When one tooth is missing, the teeth next to it and the opposing tooth actually move to fill in the space, which means your bite could change creating bite problems. Missing teeth will also affect the aesthetics of your face. Not only will your smile be affected by the gaps from missing teeth, but if you’re missing too many teeth in the anterior area, the skin around your mouth won’t be supported properly and will start to sag, making your appear older than you are. If you are currently missing any of your teeth, consider replacing them with dental implants, which can look and feel just like natural teeth.