Have you been looking after your teeth and seeing the dentist regularly for the last 20-years? In summary, Periodontitis is a condition that can be reversed and prevented through proper dental care and regular monitoring by your hygienist and periodontist to sustain the health of the gums. Now that you know how to stop it from recurring, it’s your job to make sure that you keep your mouth and particularly your gum margins free of any plaque or food debris to make sure that the condition can’t return. Inflammation has already breached the gum line. An oral examination is needed to be sure, which periodontitis can be seen by calcium, and plaque deposits on the lower portion of the teeth intertwining with the connecting gums/bones. Periodontitis (per-e-o-don-TIE-tis) is a serious gum infection that damages the soft tissue and destroys the bone that supports your teeth. If you haven’t then this dentist can hardly be blamed for the problem that you have, and if you have been seeing other dentists before this one you need to be looking at all the previous dentists that you have seen to establish why you have this problem. If you have a trash can full of rubbish, you can sterilise the trash can and all you get is sterilised rubbish. Professional dental cleanings: your dentist can thoroughly clean your teeth to get rid of gingivitis-causing bacteria and plaque. ----- Our mission is to create educational content. Aggressive periodontitis: It is marked by a rapid onset of bone destruction and tooth attachment loss and usually affects young people. Mild periodontitis is a reversible pathology meaning that the dentist can easily heal your gums. In extremely advanced cases, the periodontist can also do grafting, which is a procedure that involves taking tissue from one part of the mouth and replacing gum tissue that was damaged. It is generally reversible with treatment. In addition a good antibacterial mouthwash can provide protection against plaque and gingivitis. This is why it's important to catch it in its early stages and prevent it from moving on to periodontitis. Periodontitis has a lot of symptoms similar to that of gingivitis, such as bad breath, bleeding gums, wet-shiny appearance, or pink gums. At the start, gum disease is usually painless and develops slowly, the gums becomes red, swell, and bleed easily. Brush your teeth at least twice a day. Severe gum disease can result in so many complications such as pain, gum recession, loose teeth, bone loss, teeth loss and spread of infections. Many adults have lost their teeth to advanced periodontitis, which is a more serious and chronic form of gum disease. The severity of the damages and discomforts varies from mild inflammation to more serious conditions such as tissue damage, bone degradation and loss of teeth. If this applies to you you may need to see somebody to help you to break this bruxing habit. Make sure you see your dentist as soon as possible. Chronic periodontitis affects about 750 million people or about 10.8% of the world population as of 2010. Sadly, chronic periodontitis is irreversible. Omega 3 fatty acids found in fatty fish, flaxseed, and fish oil help decrease inflammation. The first thing to know is that there are two types of gum disease: gingivitis and periodontitis. I’m so frightened I can’t sleep. These bacteria tend to create toxins that damages or irritates the gums tissues. In addition, it’s helpful to know the signs and symptoms of the stages of periodontal disease. This is called deep cleaning, descaling, debridement, or root planing. In most cases, gingivitis is reversible, but you have to be proactive about your care and oral hygiene going forward. Luckily, gum disease can be reversed if it’s detected on time with daily oral care and through professional dental cleaning. With early intervention and treatment, periodontal disease is indeed reversible. Is Too Much Sport and Exercise Giving You Gum Disease? Periodontal disease is termed periodontitis, when gingivitis has progressed to the more severe condition. You can learn more about Dr Peter Galgut and his work here – About Dr Galgut. Once gingivitis has developed into the more advanced stages of Periodontitis, or advanced gum disease, this requires more complex treatments by a periodontal disease expert. A periodontal disease expert can remove the accumulation of plaque along the gum line by scraping it away. I have a gun disease and am wondering if strong mouth wAsh with alcohol would help or hurt my gums? But that is only the beginning of the story. along with gingivitis. Is periodontitis reversible? I had scaling & root planning treatment, but I was never given any medication in the form of antibiotics. But i forgot a lot of what they were saying about what happens “after.” They said something about being fixed in a few years and i was so anxious i dont remember what that was relating to. The major difference between the two is that gingivitis is reversible, while periodontitis is not. In the meantime hang on to the fact that most of your teeth are probably savable even if they have to be splinted together or restored after treatment and try not to panic too much about getting this problem sorted out. So if you would like to make an appointment to see me, I am in North London and you can telephone my reception service on 03451645075 and ask for a consultation appointment and I will then be able to advise you more specifically as to what can and should be done. Also, if you can keep your mouth absolutely debris and plaque-free, it gives the tissues a chance to heal even though you can’t get into the pockets and if you’re lucky, you may find the condition slowly reverses itself in many, and if you’re very lucky, in all of the affected sites in your mouth. That’s why you need to be going to the dentist or hygienist or even a specialist periodontist regularly. However, although you will be able to eradicate the infection, you may not be able to regain the bone that was lost. At best it can only be halted by appropriate treatment and satisfactory personal oral hygiene. Although the progression is slow, but once the disease has progressed to the point where bone and the surrounding supporting tissues are being destroyed, reversing the disease becomes a different story. So you have periodontal disease. and periodontitis. Boost your immunity: The Academy of General Dentistry (AGD), recommends boosting your overall immune system if you notice early signs of gingivitis. Thank you! What is the clinical picture of periodontitis? Gingivitis is Reversible & No bone loss. If you really want a clean trash can you need to get rid of the rubbish first and then it is clean so you don’t need to sterilise it afterwards. They did the scaling and put antibiotics in between my teeth and sent me in my way. He was awarded Dentist of the Year in both 2010 and 2013 in recognition of his contributions to periodontal disease treatment. Check out our #1 Recommended 60 Seconds Dental Remedy To Rebuild Your Teeth and Gums And Get Rid of Any Dental Problems within a WEEK. If the gingivitis is left untreated, it leads to periodontitis. I had scaling & root planning treatment, but I was never given any medication in the form of antibiotics. Did you recently get a cleaning? I have a couple of points that I need to be made about your communication to me. Periodontitis can cause teeth to loosen or lead to tooth loss.Periodontitis is common but largely preventable. While periodontitis is more severe than gingivitis, it is still treatable through various surgicaland non-surgicalprocedures. Plastic and … This professional cleaning is done using special dental instruments and ultrasonic devices. Here are some treatments options for periodontitis: 1. I’m confused, should I have been given antibiotics? Of course if there is no one in your area and you are prepared to travel, there are periodontists in other parts of the country, and it goes without saying that I would be delighted to see you and help you to resolve this problem for you if you can come and visit me in north-west London. Grafting covers up the exposed roots of the teeth. Gingivitis is a mild form of Periodontal disease that causes irritation, redness & swelling (inflammation) of your gingiva/gums where the inflammatory process is limited to the gingival epithelium and connective tissue. In severe cases, a permanent disfigurement (such as gum recession and elongation of teeth) remains and the patient has to accept these limitations. Signs that you may have periodontitis include puffy, bleeding gums that feel tender when touched. However, before you know how to treat this oral health condition, you must first know what you are facing. Brushing with soft-bristled toothbrush and the use of antibacterial mouthwash for at least twice a day can help to get rid of gingivitis-causing bacteria. Gingivitis is the mildest form of periodontal disease and if caught in time, it can be treated quite easily and is reversible. You should not go to the dentist very regularly to ensure that is the condition starts to recur that it’s not in the bed before it can do any further damage. No, you don’t need any antibiotics or anything. There are two main stages of periodontal disease, the initial stage is called gingivitis while the advanced stage is known as periodontalitis. At first, your dentist will have to carry out some necessary examinations to determine the severity of your condition and draw up a plan of treatment. Dental Issues. In many cases, contacting the right periodontal expert will mean that he or she can treat your teeth with without the need for surgery. I’m sorry but I cannot be more specific than this unless I had the chance to see your mouth and assess the problem. Periodontitis can be stopped if caught and treated early enough. Steatosis caused by experimental periodontitis is reversible after removal of ligature in rats Our results demonstrate that the microvesicular steatosis caused by periodontitis in rats is reversible after removal of the ligature, which is associated with the increase in oxidative stress and lipid peroxidation in the liver. In my previous article, I explained more on the symptoms of each of these stages using pictures. Is the periodontitis fixed with the scaling or do i meed to keep coming back for treatments? And I do have a small amount of bone loss, my dentist said don’t worry about it. Welcome to Boards.ie; here are some tips and tricks to help you get started. Hi Dr. Periodontitis unfortunately is NOT reversible. Mouthwashes to not cure periodontal disease. He runs his private practice clinic in North London. If you would like to talk to a periodontal disease expert or if you would like your dentist to refer you to a periodontal specialist, please get in touch here Let me explain it to you in this way. As periodontitis progresses, bad breath may become a problem and your gums may recede from your teeth, making them appear longer. Your dentist gave you the right treatment, and you should now be seeing him regularly to check that the condition really is under control and you need to have your teeth professionally cleaned and you need to look after them as best as you can. Hi, im 20 and i recently went to the dentist and found out i had early periodontitis (gums a little slightly detached from some teeth i think?) During this year he has never suggested routine visits, cleaning or anything. With better dental hygiene, gingivitis is reversible—but if you don’t take care of your teeth, periodontitis will develop. Dr Galgut is one of the UK’s leading periodontists. 2. Good periodontal disease treatment involves both a course of treatment with a good periodontal disease expert and the simple preventive dentistry steps you can practice at home. Gingivitis and Periodontitis are both periodontal diseases. Eating the right food can help you maintain healthy gums. It’s always advisable not to allow periodontal disease to progress into advanced periodontitis. Nevertheless it is important that you take this matter seriously and that you see your orthodontist for an opinion on the gum recession, as well as your dentist, and possibly ask to be referred to a periodontist, or someone with special expertise in gum conditions just to make sure that the condition is not going to progress to the nightmare scenario that you describe. May I suggest that you go to the website of the General Dental Council and there you will find a listing of dentists, and specialists. Gingivitis to Periodontitis. Most people who experience gingivitis do not feel any pain, but their gums may be red or swollen and may bleed after brushing and flossing. Gum Disease: Electric toothbrushes VS standard toothbrushes. Frequent gums bleeding when you’re brushing or flossing and even eating is never a good thing. What you probably need most at this stage is to get some professional help from either a periodontist like myself, or a dentist who can advise you how best to prevent the receding gums and the looseness from getting worse with time. The main four stages of periodontal disease. The infection from the affected gums can easily spread, targeting the immune system and other vital organs such as the heart and lungs. Certain foods such as nutrition-rich diet of fruit, meat, vegetables and fish, and dairy and whole-grain products are effective for immunity boosting. Periodontitis is very common, and is widely regarded as the second most common dental disease worldwide, after dental decay, and in the United States has a prevalence of 30–50% of the population, but only about 10% have severe forms. The reason why you have gum disease is you have accumulated debris and dental tartar underneath the gums that has to be professionally removed by means of deep cleaning. However, early periodontalitis can be treated with a minimally-invasive deep cleaning procedure. If they cannot, or will not do this, you need to find someone else who can manage the condition for you. Is periodontitis reversible or irreversible? Gum disease is a sneaky, progressive disease, and here's why: The first stage, called gingivitis, occurs when bacterial plaque is not thoroughly removed from your teeth. Smokers should quit their bad habit if they are concerned about their oral health as well as their general wellness. In my previous article, I explained more on th… Is It Possible to Reverse Periodontal Disease? This site uses Akismet to reduce spam. This is known as scaling and root planing. The answer is that you have to clean your teeth everywhere very well, including in between your teeth to minimise the amount of debris around that can cause the infection, so that when you go to your dentist only a minimal amount build-up of debris has got in under the gums and he/she can then remove that. Periodontitis – if left untreated, gingivitis can develop into this more serious condition which can cause irreversible damage. You write that whatever you do at home you cannot get into those pockets of infection and clear what is collecting there. They may suggest a deep cleaning. These procedures may seem extreme but can help save your original teeth and reverse the signs and symptoms of the disease. This is very scary stuff and I’m sure when you first heard about it and had the treatment done you panicked a bit and didn’t take in very much of what you were told. Reversing gingivitis is entirely possible. So if you have a few bad periods in a row, or you get pregnant, it will certainly set off an active patch of gum problems, so you need to make sure that you keep in touch with your dentist even more regularly, particularly if you notice that your gums are getting a bit red and bleeding at times like this. Causes of Periodontitis. Using a mouthwash simply doesn’t do this cleaning and it is up to you brush your teeth properly and carefully twice a day your mouth clean. Sometimes, if some teeth are missing already, dental implants is used as replacements to teeth roots, providing a base for removable or permanent artificial teeth. Treatment at this stage will be a combination of regular treatment from your periodontist as well as doing your part at home. BACKGROUND AND OBJECTIVE: Periodontitis may promote harmful systemic effects such as changes in hepatic tissues. Detecting and treating periodontal disease in its early stages is crucial to prevent spread of infections, extreme gums recession, bone deterioration and teeth loss. I’m sorry it’s taken me a while to reply to your enquiry but somehow or another got lost in my system and I’ve only found it now. Sometimes dentists also put some antibiotics under the gums when they have finished the cleaning to get any bacteria that may have escaped the cleaning process, but I personally very seldom use these antibiotics because I find that healing usually occurs without the need for them. If periodontal disease is detected and treated in its early stages, this disease can be reversed. So this is a team effort between you maintaining the best level of cleanliness that you can at home, and your dental team getting to the parts that you can’t reach. 2. The way to prevent the problem from recurring, once you have had the pockets of infection eliminated by seeing a dentist/hygienist or a specialist dentist (periodontist) is to prevent the debris from accumulating again by cleaning your teeth properly and carefully and not missing out any places in your mouth. Alcohol is used in mouthwashes to dissolve substances that cannot be dissolved in water, so the alcohol is not free alcohol because it is combined chemically into the mouthwash. Sorry for so many questions, but during the whole shut down i haven’t been able to contact my dentist and I’m getting a little teeth anxious. Symptoms of periodontal disease include receding gums, inflammation along the gum line, pain, and sensitivity to changes in temperature. In the early stages, it’s possible that you can reverse periodontal disease with extra attention to dental hygiene and the addition of some antimicrobial products. To help combat and reverse periodontal disease, the dentist will remove tartar and plaque from below the gum line. My Story. Over time, if they are not removed, disease-causing bacteria start to attach themselves to the plaque. Additionally, this study adopted an animal-friendly model to test the delivery system. I’m stressing myself out about this when I’m stressing out about college. Halitosis, also known as bad breath – What are the causes and how is it treated? I have treated many people with very advanced periodontal disease you still have most of their teeth. What is the probing depth of periodontitis? Am I right or is my thinking wrong? Thank you. Dentists always advise that you should not allow periodontal disease to progress this far. You can then search for periodontists in the specialist section, and specify Southport, and see what comes up. You may also notice chronic bad breath that doesn’t go away and pus between teeth and gums. Unless they’re treated, they keep getting deeper, and that’s what causes … Ask any periodontal disease expert and they will tell you, proper dental hygiene is the best way to prevent periodontal disease from occurring. Periodontal Scaling: periodontal scaling is more extensive, deep professional cleaning procedure. Why Your Bad Breath May Be More Serious Than You Think. Early detection is the key to a full and speedy recovery. If this does not work, you can contact the British Society of Periodontics (BSP) and if they do not maintain a searchable list, you can contact them and find out if they can let you have the names of any dentists and/or periodontists in your area or nearby, and once you have this list you have the names of dentists who are likely to be able to sort this out for you. tissue, without loss of attachment, is a mild and reversible condition. But once the disease has progressed to chronic state, where it becomes a threat to teeth and the bones of the mouth, the reversion becomes a different story. Fortunately, if you are already at this advanced point, your dentist can still give you options to help treat your periodontitis and preserve as much of your original smile as possible. Where you have pockets of infection underneath your gums, sterilising all of the accumulated debris in them like dental plaque, food debris and tartar is a waste of time and effort. Firstly you need to have your teeth and most importantly the roots of your teeth cleaned. When patients respond favorably to any treatment we provide, they are healed, not cured. According to the Centers for Disease Control and Prevention (CDC), nearly 50 percent of individuals in the United States who are over 30 years of age have periodontal disease (with 9 percent of them having severe periodontitis). I went to see my dental nurse and she says my dental disease has got worse at the back of my teeth. I’ve been to see my dentist and it’s the first time ever that they’ve mentioned gum disease I’m 32 she said I need to brush between the teeth so she send me to see someone else which won’t be till September but hasn’t told me how to brush between my teeth , any help will be greatly received thank you. Dr Peter Galgut Clinical Periodontist PhD MPhil (Lond), MSc (Lond), BDS (Rand), FDS, MRD. Diana you also have an additional problem because as a woman we know that the sex hormones do have an effect on gum disease. Hi Dr. (study, study), and even cardiovascular disease and diabetes (study, source). You can check here to see – the cost of implants, how it’s done, the true meaning and side effects of dental implants. Moreover, reversing periodontitis may require costly approach depending on the the severity of the damages. Most people have to go to the dentist /hygienist every six months to manage this condition come on but if it is active, you may need to go as frequently as every 3 months especially during active matches to make sure that the condition doesn’t get going again. A periodontal disease expert can also perform surgery to treat deeper pockets of infection. Your email address will not be published. Required fields are marked *. You said that you’ve been going to your dentist for a year and he never told you that you had periodontal disease until your last appointment. How to fix + whiten a discolored tooth (steps), Chipped tooth discoloration: Reasons & Best Treatments, Yellow Teeth Stains: Causes + Best Treatment & Remedies, Tooth discoloration after trauma, Reasons & Treatments, 9 Tooth Discoloration Causes + Sure Prevention Guide. Gingivitis and Periodontitis are both types of Periodontal disease or Gum disease. 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