How may I understand periodontal disease or "gum disease"?
There are many different conditions which may affect the skin of your mouth and your gums. Chronic periodontal disease is very common - affecting over 50 % of the population at some time in their lives. It can be mild, moderate or advanced. It is normally characterised by the destruction of the bone around the roots of your teeth, and is normally associated with you experiencing bleeding gums ( although smokers may not exhibit any bleeding gums ). You can lose a little bone, or a lot of bone. It is an inflammatory condition. As well as poor oral hygeine, it is likely that any lifestyle factor which causes release of inflammatory chemicals into the blood will be very important in developing periodontal disease. Poor diet / obesity / smoking / lack of exercise /chronic stress are all significant lifestyle factors. The risk factors or causes of gum disease are multiple and it is likely that you will need to address several factors if you want to get the disease under control.
Those risk factors can be listed.....
• poor oral hygeine
• genetic predisposition
• bite problems
• poor nutrition
• stress and anxiety
We need to work together. We can help you to manage most of the risk factors listed above. The difficulty for you is that in the early stages at least you may be unaware of the presence of disease, and there may be no pain or obvious signs that there is a problem with your gums.
This is also difficult for us as we have to convince you, dear patient, of the need for treatment. It may be only when the condition is advanced that you may experience looseness or tenderness or a swollen gum, and by this stage the situation is much more serious and difficult to treat. We measure the absence or presence of disease by probing your gums for pockets, and deeper pockets means more damage to the bone has taken place. We also look for and measure any points where your gums bleed, as bleeding is a sign that your gums are unhealthy.
In fact the absence or presence of bleeding is the best way that you as a patient can "self police" the health of your gums. You should associate bleeding with unhealthy gums and no bleeding as a good sign that your gums are likely to be healthier. If your gums are bleeding then you may notice a taste of blood, or see blood on your toothbrush or interdental device (floss or interdental brush) or see blood when you rinse out. We need to eliminate the bleeding from your gums - only meticulous daily hygeine will do this - it may take several weeks to resolve bleeding. We need to work together.
Think about the the 3 M's
• Managing your risk factors - as discussed above
• Maintenance of your gum condition - healthy lifestyle and meticulous daily hygiene
• Monitoring of your condition from now on at intervals recommended by us
Ask yourself a simple question - what would I be prepared to pay in order that i may significantly improve my chances of not losing my teeth through gum disease? Can you afford not to?
You will appreciate that the time involved in helping to inform you of your disease and manage it will require us to charge you appropriately - what price your health? We will not charge you anything for any advice or help in the sphere of health improvement. Are you ready to get behind the steering wheel of your life?
454 Crow Road, Glasgow, G11 7DR
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