Tag Archives: Periodontitis

Bone Defects and Furcation Involvement Part 2

Continued from Part 1

Diagnosis and treatment planning for bone defects and furcation involvement

Careful radiographic or x-ray examination is done but it may not reveal the presence of a bone defect or its precise morphology.

Direct examination of bone morphology:

  • Lift a full thickness mucoperiosteal flap
  • Granulations are curetted and root surfaces planed clean
  • Alveolar crest examined, morphology of bone defect can be defined
  • Mode of treatment decided Continue reading

Bone Defects and Furcation Involvement Part 1

Periodontal disease involves the peridontium consisting of the gums, alveolar or jaw bone, the periodontal ligament and the cementum of tooth. Therefore it is of no surprise if the disease leads to bone defects in our jaw bone or cause furcation involvement. Continue reading

Effect of Systemic Factors on the Periodontium Part 2

Continued from Part 1

Drug reactions

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  • Epanutin/phenytoin/dilantin/DPH – an anticonvulsant drug given to epileptics, some degree of gums enlargement occurs in a large percentage of epileptics taking phenytoin, especially in those under 40 years of age.
  • Cyclosporine – an immunosuppressive drug, it can produce fibrous hyperplasia of the gums. The condition is however less common in patients on cyclosporine, but when it occurs it may be very severe.
  • Nifedipine – a calcium channel blocking drug given to treat cardiac angina, arrhythmias and hypertension, it produces fibrous hyperplasia of the gums. Nifedipine hyperplasia is less firm than the other two, and contains a higher proportion of ground substance. Continue reading

Effect of Systemic Factors on the Periodontium Part 1

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The periodontium or the commonly known as the tooth supporting tissues consists of the gums, alveolar or jaw bone, the periodontal ligament and the cementum of tooth. Numerous systemic conditions can have effects on the periodontal tissues such as:

  • Physiological changes (mainly sex hormone effects)
  • Systemic disease – endocrines, genetic conditions, granulomatous conditions, blood disorders, immunological conditions, dermatoses
  • Infections
  • Drug reactions
  • Dietary and nutritional factors

This article will discuss some of the systemic factors stated above that are more commonly seen. Continue reading

Aggressive periodontitis

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Gum disease is not limited to adults. Periodontitis (inflammation of the supporting tissues of the teeth or also known as the periodontium) can also occur in young people. Periodontal disease can generally be divided into different types including chronic, aggressive and necrotizing periodontal disease; with aggressive periodontitis commonly seen in the younger age group. Continue reading

Symptoms of chronic periodontal disease

Chronic periodontal disease is a disease which involves the destruction of gums and supporting tissues. This disease is often seen in adults and is the commonest cause of adult tooth loss. Before we proceed to discuss about the symptoms of chronic periodontal diseases, let us have a look at the characteristics of healthy gums. Continue reading

How Does Smoking Affect Your Gums Part 2

Continued from Part 1

Smoking Cessation and Recovery

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Smoking cessation is an essential component for the successful treatment of periodontal disease as there is little rationale for treating periodontitis without eliminating one of the major causes of the disease. Thus, there is also the question of whether periodontal surgical treatment is indicated without a commitment by the patient to quit smoking. As with other smoking diseases, cessation is only the first step of a long healing process where the smoker often does not approach the lower risk of the nonsmoker for 10 to 20 years.

Continue reading

Causes of gum bleeding

Causes of gum bleeding

1.      Gum diseases

A. Gingivitis.

Gingivitis comes from the word “gingiva” which means gums and “-itis” which means inflammation, hence gingivitis means inflammation of the gums. Poor tooth brushing technique or the lack of it leads to accumulation of plaque around the teeth, and eventually leads to gum diseases such as gingivitis. You should suspect gingivitis when you have other symptoms such as :

i)       altered appearance of your gums (deep red in colour, soft and swollen appearance, loss of a scalloped and knife-edge shape)

ii)     discomfort and pain

iii)    unpleasant taste

iv)    bad breath or halitosis Continue reading

Difference Between Periodontist & Endodontist

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There are many fields of specialties in dentistry including periodontology and endodontology. Not many can tell a periodontist and an endodontist or other specialists apart as they are not exposed to these specialists. This article will help you tell the difference between a periodontist and an endodontist. Continue reading

Dental care for the elderly

Gerodontology is a branch of dentistry that deals with the diagnosis, prevention and treatment of oral diseases. There are few problems which may affect the oral health status of the elderly: Continue reading