Periodontal gum disease is associated with
-Bleeding gums
Bleeding from the gums on slight provocation is the the first sign.Bleeding gums can make tooth brushing difficult.
-Pus discharge
Pus discharge is the advanced sign of periodontal gum disease.It’s often associated with #halitosis or #bad breath.
-Tooth/teeth mobility
Periodontal gum disease finally lead to mobility in teeth.It often leads to premature teeth loss.
-Halitosis or bad breath
One thing which is socially disgusting and noticed by someone .
-Tooth Sensitivity
Due to the plaque accumulation and exposed dentin.
Causes of periodontal gum disease
-Poor oral hygiene
Due to improper method and frequency of tooth brushing and flossing
-Plaque & Tartar (Calculus)
Such deposits are due to inadequate visits for professional cleaning of teeth by a dental hygienist/dentist
-Chronic Gingivitis (Swollen and inflamed gums)
Bulky and swollen gums associated with all the above features.
-Quality of saliva
Thick and frothy saliva is conducive to bad gum health.
-Hereditary
Teeth alignment, quality of saliva, various genetic factors leads a very important reason.
-Syestemic conditions such as Diabetes
-Side effects of various drugs
Calcium channel blockers ( Antihypertensive drug) Nifedipine, Anti epileptic drug such as Phenytoin were known to cause enlargement in the gums.
Treatment
-Eliminate local causative factors such as plaque control and removal of calculus with the help of ultrasonic scaling
-Motivate and educate patient for maintaining proper oral hygiene
-Screening of overall gingival and periodontal health by means if various diagnostic aids
-If required, perform other gingival and periodontal procedures also such as
-Sub gingival scaling and curretage
-Flap surgery
-Bone grafting
-Tissue grafting
-Tooth splinting