ไทยPossible Signs of Periodontal Disease
- When gums bleed during brushing
- Swollen, red or tender gums
- Longer teeth or Loose teeth
- Pus or abscess appears when pressing the gums
- Change in positioning of teeth
- Change in the way your teeth fit when you bite
- Bad breath or bad taste
Healthy Gums
Gum and teeth held firmly in place
Gingivitis
Plaque and bacteria irrate gums making it inflammed and may cause bleeding
Periodontitis
Unremoved plaque hardens to tartar. Gums begin to pull away from teeth. Pockets form between teeth and gums
Advance Periodontitis
Gums recede further, destorying more bone and gum ligament. Teeth becomes loose
Scaling, Root planning and Deep Cleaning
Periodontal scaling and root planing are performed to remove these bacteria, plaque and calculus, and to smooth the root surfaces, making it harden for plaque to congregate in these areas and preventing periodontal problems from recurring.
Scaling and root planning have been shown to resolve gingivitis. However, when more advanced periodontitis exists, scaling and root planning are usually the first step, and is normally in turn followed by other surgical periodontal procedures to resolve the problem. Even when a surgery is required, scaling and root planning are used during the surgery.
Gingivectomy
For certain individuals, gums can grow and build up over the front surface of a tooth thus causing an inbalance between the length of the teeth and the height of the gum line or a gummy smile.
Gingivectomy is a minor gum surgery that involves the removal of a small amount of gum tissue or gingiva. Gingivectomy can be performed to correct a poor smile or is also done to remove a diseased tooth or allow a filling to be placed under the gums.
Periodontal crown-lengthening surgery
Crown lengthening is a gum surgery done to increase the length of teeth. Crown-lenghtening surgery may be done to in cases where a tooth has broken off at the gum line or to place a filling or crown that requires more of the tooth surfaces to be exposed.
Gingival grafting
Gingival grafting is a procedure whereby a thin piece of tissue is grafted from the roof of the mouth, or gently moved over from adjacent areas, to provide a stable band of attached gingiva around a gum recessed area of tooth. The gingival graft may be placed in such a way as to cover the exposed portion of the root.
If after minor gum recession is left untreated, continued recession may occur combined with bone loss around teeth. Gum recession often results in root sensitivity to hot and cold foods and unsightly appearance to the gum and tooth. Significant gum recession can predispose to worsening recession and expose the root surface leading to root caries and root gouging.
