Tag: periodontitis

Blog posts, information and advice which mention Periodontitis

Looking for an emergency dentist? Here’s what you need to know

The search term “Emergency dentist near me” gets almost 4000 searches in the local area per month, so we know that people looking for an emergency dentist and that they need information about treatments and options available.

We have broken this article on emergency dental treatments down into a few headings:

  1. Teeth which have come out completely.
  2. Loose teeth.
  3. Broken teeth.
  4. Tooth abscesses.

1. Teeth which have come out completely

What to do if the tooth comes out completely

If the tooth has come out completely you may be able to replace it so long as it is not damaged. If there are still blood vessels or nerves attached do your best to keep these intact and only hold the tooth by the crown section and not the roots.

Where to hold a tooth if it has been knocked out

If you can, gently place the tooth back into the socket ensuring it is the right way round. Only do this if the tooth is completely clean and hasn’t been in contact with the ground.

If the tooth has been in contact with the ground place it into a clean (ideally sterile) plastic bag with some milk and take it with you to your dentist or accident and emergency at the local hospital.

If the socket is bleeding profusely then gently bite down onto a soft piece of gauze, when the bleeding subsides don’t immediately remove the gauze as this could dislodge the blood clot and the bleeding could start again. Alternatively use a cold teabag, it has been shown that the tea contains substances which can help to reduce the amount of bleeding.

Do teeth grow back in adults?

Unfortunately not. Once your baby/deciduous teeth have fallen out you only get one set of permanent teeth. The only teeth which may grow after this initial set have come through are the very last molars or wisdom teeth.

2.Loose teeth

Can a loose tooth become tight again?

If the looseness of the tooth has been caused by gum disease then yes, if the gum disease is treated and the problem resolved then the tooth can tighten up again. This shows the importance of the early treatment of gum disease and how the situation can be saved if caught early.

3.Broken teeth

Is a chipped tooth an emergency?

A chipped tooth is only an emergency if either the tooth is bleeding or the gum surrounding the tooth is bleeding and won’t stop. If the tooth has chipped and there is no pain or bleeding then this would not normally be considered a dental emergency, you should however make an appointment to see the dentist as soon as possible to rebuild the tooth if required.

Can a chipped tooth heal itself?

Amazingly, yes, a chipped tooth can heal itself but it won’t rebuild itself. If the tooth chips and the softer underlying dentine has become exposed the tooth will react to this and create what is known as secondary dentine. This secondary dentine is often much darker but is also harder and will protect the softer underlying tooth. If you want the full contour of the chipped tooth to be restored then the only way to do this is to visit your dentist who will then use dental bonding or possibly veneers or a crown.

How to fix a chipped tooth

A chipped tooth can only be fixed by your dentist. If the chip is small then they may use dental bonding to rebuild the full contour of the tooth. If the chip is significant then dental bonding may not be adequate and a full dental crown or veneer can then be used. This may require a small amount of reduction of the healthy tooth structure in some instances.

4.Tooth abscesses

Is an abscess a dental emergency?

Yes. an abscess is a buildup of pus from an infection around the tooth. It is characterised by significant swelling, redness and pain. An abscess will not go away on its own and in extreme circumstances can spread to other parts of the body and make you ill.

What helps a tooth abscess?

If you have a tooth abscess then we recommend you contact your emergency dentist as soon as possible, whilst you are waiting to see them you can reduce the pain by rinsing your mouth with warm salt water, this is particularly effective if the abscesses caused by gum infection. Saltwater can help to remove bacteria from the infected area.

 

We also recommend:

  • Taking recommended doses of over-the-counter painkillers.
  • Avoiding particularly hot or cold food and drinks as it may make the pain worse.
  • Eating on the opposite side of your mouth.
  • Using a softer toothbrush than you would normally and don’t floss around the affected area until it has been seen by a dentist.

Please note, these are all temporary solutions and you will need to see a dentist to get the abscessed sorted.

Dr Nishan Dixit

Dr Nishan Dixit

Dr Nishan Dixit is the founder and principal dentist of Blue Court Dental. Patients enjoy his relaxed, friendly and gentle approach while experiencing his meticulous attention to detail. He has a special interest in providing smile makeovers, natural-looking white fillings and cosmetic braces, but also provides a range of treatments from preventative and general dental care to complex dental rehabilitation.
Dr Nishan Dixit

How to prevent gum disease – part 2

Dr Nishan Dixit

Dr Nishan Dixit

Dr Nishan Dixit is the founder and principal dentist of Blue Court Dental. Patients enjoy his relaxed, friendly and gentle approach while experiencing his meticulous attention to detail. He has a special interest in providing smile makeovers, natural-looking white fillings and cosmetic braces, but also provides a range of treatments from preventative and general dental care to complex dental rehabilitation.
Dr Nishan Dixit

Last week on 30 August we posted the first of our two-part article about the prevention of gum disease, we talked about the risks of gingivitis and periodontitis and explained some of the symptoms of both of these conditions. In this second blog post we talk in more detail about the treatment of both gingivitis and periodontitis. Read the first blog post by clicking here.

Treating gum disease

The best way to treat all gum disease is to practise good oral hygiene, lower your stress levels and improve diet. Visit your dentist or hygienist for treatment.

Good oral hygiene involves:

  • Brushing your teeth for 2-3 minutes twice a day
  • Using an electric toothbrush
  • Using toothpaste that contains fluoride
  • Flossing your teeth regularly
  • Not smoking

Mouthwash

Your dentist or hygienist may recommend using an antiseptic mouthwash that contains chlorhexidine.

Antibiotics

On their own, antibiotics are not effective at treating periodontitis, and they may only be recommended in severe cases of gum disease. Metronidazole and Amoxicillin are the most common antibiotics prescribed. Your dentist will advise you accordingly if required.

Dental Treatments

The following dental treatments may be recommended to treat gum disease and periodontitis.

Scale and polish

To remove plaque and tartar (hardened plaque) that can build up on your teeth. This is a “professional clean” carried out by your dentist or hygienist.

Root Surface Debridement

In some cases of gum disease or periodontitis, root surface debridement may be required. This will involve several visits. It is a ‘deep clean’ under the gums removing the plaque and tartar deposits and bacteria from the roots of your teeth and the pockets.

Before having the treatment, you may need to have an anaesthetic to numb the area. You may experience some sensitivity after the procedure.

Further treatment

If you have severe gum disease or advanced periodontitis, you may need further treatment which requires a referral to a periodontist (gum specialist) who can carry out advanced treatments such as periodontal surgery.
However in some cases, it may be necessary to remove the infected tooth.

It is important to visit your dentist and hygienist at least every six months so any problems with teeth and gums can be detected and treated early.

If you have had problems with gum disease and periodontitis in the past, or you have increased risk of developing gum problems, for example, if you smoke or have diabetes, you may be advised to visit your dentist and hygienist more frequently so your teeth and gums can be closely monitored

How to Prevent Gum Disease

Dr Nishan Dixit

Dr Nishan Dixit

Dr Nishan Dixit is the founder and principal dentist of Blue Court Dental. Patients enjoy his relaxed, friendly and gentle approach while experiencing his meticulous attention to detail. He has a special interest in providing smile makeovers, natural-looking white fillings and cosmetic braces, but also provides a range of treatments from preventative and general dental care to complex dental rehabilitation.
Dr Nishan Dixit

By failing to look after your gums you increase the risk of the gums becoming inflamed and turning into gingivitis. If this is left untreated it can progress into the more serious condition periodontitis which can ultimately lead to tooth loss. Not only is this unattractive but it can be costly to replace missing teeth, and so we recommend that you do everything you can to look after your teeth and gums.

In this series of two blog posts we will look at gingivitis and periodontitis, what causes these conditions, how you can spot them and then in the second blog post we will look at the treatments on offer.

Gum disease and gingivitis

tooth-diagramGum disease, which includes periodontal disease, is inflammation and infection that destroys the tissues that support the teeth, including the gums, the periodontal ligaments and the tooth sockets (alveolar bone). Gum disease affects more than half of the adult population with natural teeth. It can be treated by a dentist or hygienist and in the early stages the effects can be reversed. There are two main types of gum disease:

Gingivitis is inflammation of the gums. Gingivitis is due to the long term effects of plaque deposits on your teeth. Plaque is a sticky material made of bacteria, mucus and food debris that develops on the exposed parts of the teeth. If you do not remove plaque, it turns into a hard deposit called tartar (or calculus) that becomes trapped at the base of the tooth. Plaque and tartar irritate and inflame the gums. Bacteria and the toxins they produce cause the gums to become infected, swollen and tender. You may notice bleeding on brushing or a bad taste in the mouth.

Risks for gingivitis

  1. Certain infections and systemic diseases
  2. Poor dental hygiene, stress and smoking
  3. Pregnancy
  4. Uncontrolled diabetes
  5. Misaligned teeth, rough edges of filling, ill- fitting mouth appliances (such as braces, dentures, bridges and crowns)
  6. Use of certain medications

Symptoms of gingivitis

  • Bleeding gums
  • Red or purple appearance to gums
  • Tender and swollen gums
  • Mouth ulcers
  • Shiny appearance to gums

Periodontitis occurs when inflammation or infection of the gums (gingivitis) is untreated or treatment delayed. Infection and inflammation spreads from the gums to the ligaments and bone that support the teeth. Loss of support causes the teeth to become loose and eventually fall out. Periodontitis is the primary cause of tooth loss in adults. Plaque and tartar build up at the base of the teeth.

Inflammation causes a pocket to develop between the gums and the teeth, which fills with plaque and tartar. Soft tissue swelling traps the plaque in the pocket. Continued inflammation leads to damage of the tissues and bone surrounding the tooth. Because plaque contains bacteria, infection is likely and a tooth abscess may develop, which increases the rate of bone destruction and may lead to eventual tooth loss.

Risks for periodontitis

  1. Genetics i.e family history
  2. Diabetes
  3. Poor nutrition, smoking and stress
  4. Pregnancy-may lead to delivery of pre-term babies
  5. HIV and associated infections
  6. Rheumatoid arthritis
  7. Clenching/grinding teeth
  8. Some medications
  9. Cardiovascular disease

Researchers have found that people with gum disease are almost twice as likely to suffer from coronary heart disease. This type of heart disease occurs when plaque (deposits of fat, cholesterol, calcium and other material) form in the walls of the coronary arteries causing the walls to become thicker. This limits the amount of oxygen and nutrients that are necessary for proper heart function.

Bacteria from gum disease enters the bloodstream and connects to the plaque in the coronary arteries, possibly contributing to the formation of blood clots.

Watch out for the second post in this series which talks about the treatments for both gingivitis and periodontitis, this will be posted on this blog on Friday, 6th September.