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Doctor insights on: Gum Disease Pyrea

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What is the best way to manage a gum disease called periodontitis in aggressive stage?

What is the best way to manage a gum disease called periodontitis in aggressive stage?

Professional care: Advanced periodontitis must be treated by a highly trained general dentist or periodontist. The treatment will involve an intense and deep cleaning, use of systemic antibiotics, special rinses, possible gum surgery, rigorous homecare, 3-4 professional cleaning a year and possibly the placement of localized antibiotics. Regardless, there is no real cure, but vigilance will keep it in remission! ...Read more

Dr. James Wright
632 Doctors shared insights

Periodontitis (Definition)

Periodontitis is a general term for an inflammatory gum disease that has caused some degree of irreversible hard and soft tissue damage. While most treatments will put the disease into remission with rigorous patient home care and there are even some new therapies that can repair some of the damage, it is a major cause of tooth lose! Best to avoid the altogether with regular ...Read more


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If a person had periodontitis / gum disease and gave oral sex can the receiver get infected. As there's no information on this on web?

If a person had periodontitis / gum disease and gave oral sex can the receiver get infected. As there's no information on this on web?

Periodontal disease: The bacteria that causes periodontal disease can be transferred during kissing or sharing utensils. While there will be an exchange of bacteria during oral sex, there are more serious diseases that can be transferred than periodontal disease. Please practice safe sex. ...Read more

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Aggressive periodontitis at age 30? At my dentist appointment last week my dentist diagnosed me with aggressive periodontitis, and said the my gums had basically skipped gingivitis and went straight to this. I have an appointment with him this week to hav

Aggressive periodontitis at age 30? At my dentist appointment last week my dentist diagnosed me with aggressive periodontitis, and said the my gums had basically skipped gingivitis and went straight to this. I have an appointment with him this week to hav

There: There is a form of periodontal disease called aggressive periodontitis that is diagnosed in patients under the age of 35 (or so). Periodontal disease has three major causes; bacteria, body's reaction to the bacteria, and bite (bad bite, clenching, grinding). Various systemic diseases can potentiate the body's reaction to the bacteria as well as various medications. It is wise to have this treated as soon as possible. The first thing you and your dentist need to do is identify the causes. As I tell my patients you are a co-therapist in that you need to know what it is and how to treat it and then how to minimize it from getting out of control. Yes, there is no cure, but you can control it.

Now treatment has several options. Traditional treatment involves scaling and rootplaning to reduce the bacteria around the teeth, low dose of Doxycycline (20mg 2x/day) to reduce body's reaction and bite adjustment along with a night guard. For areas that are badly damaged and have a lot of bone loss periodontists will do regenerative procedures to reverse the effects of the damage,

another option which I provide my patients (and almost routinely now) is lanap. Laser assisted new attachment procedure. This utilizes a certain laser in conjunction with thorough scaling and bite adjustment to provide exceptional reduction of the disease and regeneration of much of the lost bone, root and gum attachment. It is a wonderful treatment complete in a few weeks and has much less discomfort associated with the actual care. The results long term are exceptional.

Either option is acceptable but you have to address the causes. Once active treatment is done (the above options) you have to maintain the health with regular cleanings and make sure if you are given a night guard you wear it! Ultimately, periodontitis is a chronic inflammatory disease which you have to in control.

Please feel free to ask further questions. This is important you address asap.

Best regards, dr. Smith cpident. Com. ...Read more

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How long before gingivitis turns to periodontitis? I think I have gingivitis, because my gums bleed when I brush. I haven't been going to the dentist regularly, because I don't have dental insurance coverage. How long can I wait before i'll get periodonti

How long before gingivitis turns to periodontitis? I think I have gingivitis, because my gums bleed when I brush. I haven't been going to the dentist regularly, because I don't have dental insurance coverage. How long can I wait before i'll get periodonti

Gingivitis: Gingivitis does not always turn into periodontitis but often does. Your immune reponse will dictate how fast and how much the disease will progress. Arresting the disease as soon as it is discovered is the best way to prevent progression. Brushing and flossing regularly and being regular with your dental hygiene visits will help. ...Read more

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What are the differences between gingivitis and periodontitis disease?

Gingivitis: Gingivitis is an infection of only the gum tissue around the teeth and is reversible with treatment. Periodontitis is where the the bone around the teeth as well as the soft gum tissues have been infected and the bone is being destroyed. Like other chronic diseases this can be treated and controlled but the bone cannot be restored and replaced once it is gone. ...Read more

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Signs of gum disease?

Signs of gum disease?

Swollen bleeding gum: There are several signs. The two most obvious are swollen, bleeding gums. Other signs are bad breath and loose teeth. Any adult with these problems should see a dentist right away. ...Read more

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What causes gum disease?

Plaque buildup: Bacteria in plaque make toxins that irritate your gums causing them to bleed-gingivitis. If that continues, some folks get bone loss-periodontitis, . ...Read more

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What are signs of gum disease?

Many: Most common is bleeding either spontaneously or when brushing. Another is foul odor. Discoloration of tissues which can range from fiery red to bluish purple. Swelling around the tooth or further down. Crusty buildup around the base of the tooth (tartar / calculus). Loose teeth which show more of the root. Sometimes even pain. Bone loss on x-ray images. Abscess formation. See Dentist - Good Luck. ...Read more

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Is gum disease treatable?

Yes but...: It is treatable!!! But it is MUCH easier (and less expensive)to prevent gum disease. Make sure to see your dentist and follow a careful routine of meticulous home care ...Read more

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Can "the pill" cause gum disease?

Not Directly.: Gum disease is caused by plaque...The sticky film of bacteria which clings to your teeth and invades the surrounding tissues. However, taking "the pill" can change your hormonal balance so that your gums are more susceptible to swelling, redness, and bleeding. This, in turn, can increase your risk of developing gum disease. Regular plaque removal and excellent oral hygiene are mandatory for you. ...Read more

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How to treat possible gum disease?

Gum Disease: Treatment for gingival problems will vary based on the extent of the condition. Mild gingivitis could be treated with scaling and root planing, whereas advanced periodontitis may require surgical intervention. Since each mouth is different, no one answer fits every situation. Let your dentist explain the extent of your problem and recommended treatment. ...Read more

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What is a good cure for gum disease?

What is a good cure for gum disease?

Remission!: Treatment for gum disease starts with a visit to your dentist. You will need a comprehensive exam, periodontal charting, x-rays all in order for a proper diagnosis. Once your condition is established, your dentist can discuss your individual treatment needs, go over your responsibility for maintenance at home and frequency of repeat professional visits. Gum disease can go into remission, not cured ...Read more

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I'm wondering is gum disease curable?

I'm wondering is gum disease curable?

No cure, sorry: It is a chronic disease, which we can make better and manage, but it usually doesn't go away forever. The only known 'cure' is to pull out the involved teeth, but please don't do that if at all possible. ...Read more

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Can salt help you treat your gum disease?

Can salt help you treat your gum disease?

It helps, not treat.: Salt will help to reduce inflammation, but that is only a symptom, not the cause. In gum disease, causes must be treated (bacterial, occlusal, and host factors). ...Read more

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What are signs of early-stage gum disease?

GINGIVITIS/PERIODONT: Inflamed gingiva, bleeding, or suppuration around teeth. Periodontal, or gum disease is a common condition affecting the tissues that comprise the dental supporting structure: gingiva, cementum, periodontal ligament, and the alveolar bone.
Periodontal disease may be a risk factor for a number of conditions including cardiovascular and pulmonary diseases, and pregnancies. ...Read more

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Can gum disease be linked with a toothache?

Can gum disease be linked with a toothache?

Yes...can be: A toothache can be associated with an infected gum.
I would suggest a consultation with a qualified dentist or specialist to determine the cause of the pain. ...Read more

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Do you usually need surgery for gum disease?

Do you usually need surgery for gum disease?

Depends: There are different stages of gum disease, ranging from gig eval inflammation to severe periodontitis. Treatment ranges from deep cleaning to periodontal surgery. See a periodontist for an accurate diagnosis. Then a proper treatment plan will be given for your particular stage! ...Read more

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What are the causes of gum disease if elderly?

Follow below: The same criteria would apply to you as with someone half your age.
We would still review your medical history, check your medications, illnesses, habits, genetics etc...
Treatment can vary and might include laser therapy which is very effective and relatively conservative. ...Read more

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Does having gum disease increase alzeihmers risk?

Does having gum disease increase alzeihmers risk?

Potential link: In a small study researchers find a potential link between gum disease and Alzheimer's, but more study is necessary to show clinical significance. Although the findings do not prove that oral bacteria causes Alzheimer’s disease, preventing gum disease is still a good idea, and step #1 is a good oral hygiene. ...Read more

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Is there a connection between stroke and gum disease?

Is there a connection between stroke and gum disease?

Possibly: A 2009 review of several studies found an overall association between poor oral health and atherosclerosis which can lead to stroke. The reason why is not completely understood but systemic inflammation may play a role.
See study here: http://www. Ncbi. Nlm. Nih. Gov/pubmed/19757736. ...Read more

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What is the name of that surgery to treat gum disease?

Periodontal surgery: There are several gum diseases and several ways to treat them. There are also different types of surgery. ...Read more

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How likely is it for a 13 year old to have gum disease?

Very likely: At any age. The bacteria, along with mucus and other particles, constantly form a sticky, colorless toxic “plaque” on teeth causing the gums to become inflamed and to easily bleed. This is a serious problem, which should be checked by a dentist. The good news is that this condition is curable. Call your dentist today! ...Read more

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Which branch of dentistry is concerned with gum disease?

Periodontics: A periodontist treats gum disease bone disease both conservatively or surgically depending upon the severity. Of the breakdown
See a periodontist before the disease loosens your teeth. ...Read more

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Can you have gum disease and not have any pain in your gums?

Can you have gum disease and not have any pain in your gums?

Absolutely: If you have pain you're at the tooth-loosing stage. Don't wait, see a Periodontist, a gum/bone specialist, for an evaluation. Painless early gum disease is easier/cheaper to treat than painful advanced gum disease. ...Read more

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How do I know if I have a cavity or some sort of gum disease?

How do I know if I have a cavity or some sort of gum disease?

Pain: Usually gum disease won't cause any pain. Your gums may be red, swollen and you see bleeding when you brush or floss, but it won't hurt. If you are having sharp pain or sensitivity to hot or cold, you may have a big cavity. Get to the dentist! ...Read more

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What would be the most effective remedy for cure gum disease?

What would be the most effective remedy for cure gum disease?

No cure, sorry: It is a chronic disease, which we can make better and manage, but it usually doesn't go away forever. The only known "cure" is to pull out the involved teeth, but please don't do that if at all possible. ...Read more

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Is it possible to have serious gum disease but have no bleeding?

Is it possible to have serious gum disease but have no bleeding?

It's possible: You've assumed that bleeding is a sign but that isn't always the case. Smokers have little if any bleeding (constricted blood vessels), giving them the false sense of security that their gums are healthy. Usually they are not. ...Read more

Dr. Gary Sandler
704 Doctors shared insights

Gum Disease (Definition)

Gun disease can range from gum swelling all the way to the bone keeping the teeth in place being lost, this can be be for a number of reasons, if you think you have gum disease please visit your ...Read more


Dr. Arnold Malerman
504 Doctors shared insights

Gingivitis (Definition)

A form of gum disease ...Read more