Articles on gums

Do Your Gums Bleed-Helping Guide

Dr. Swasti Jain, Dentist
More than 80% of adults have some form of periodontal disease and 99% of those have no signs to indicate they have a problem. Your mouth is a portal to your body. More than 90% of all systemic diseases have oral manifestations.When you research the problem of bleeding gums, you will quickly realize that EVERYONE has a toothpaste solution to this problem.Other than seeing your dentist, which should be your first step, exactly what can you do on your own to help with bleeding gums?The first line of defense is proper dental hygiene:Brush your teeth after every meal.If any bleeding is noticed while brushing, this means you need to brush and floss more often or more thoroughly and that you need your teeth professionally cleaned.Floss at least once/day using proper flossing methods. By not flossing you allow the bacteria to build up to dangerous levels. Decrease the quantity and frequency of your consumption of sugar. Sugar helps plaque grow.Visit your dentist twice a year.Mouth rinse containing chlorhexidine, an antimicrobial agent, which removes excess bacteria.use a high-quality electric toothbrush.Is bleeding of the gum a serious problem?Yes, bleeding gums is a serious problem. It is either indicating the beginning of the destructive process involving the supporting tissue around the tooth or some serious underlying systemic problems. Gum disease is caused by plaque, a sticky film of bacteria that constantly forms on the teeth. These bacteria create toxins that damage the gums.The adage “To keep your teeth, take care of your gums.” has a basis in reality. Gingivitis is one of the most common forms of gum (periodontal) disease. Gingivitis affects the tissues that surround and support your teeth. The bacteria which causes gingivitis, can turn into tartar buildup, irritate your gums and lead to bleeding. Left unchecked, gingivitis can lead to a more serious form of gum disease called periodontitis. This long-term infection can eventually cause loss of your teeth. Gum disease - not decay - is the #1 cause of tooth loss. Gum disease generally doesn’t hurt. You may have it for years before you feel discomfort. Don’t wait until you feel the pain.When plaque has hardened on your teeth, it will be necessary for a dental hygienist or a dentist to scrape this material off your teeth.Good oral hygiene is the best way to prevent bleeding gums, gingivitis, and periodontitis.

The Sequence of Gum Disease

Dr. Parag M. Khatri, Dentist
Healthy GumsHealthy gums are pink and firm.They don't bleed when brushed or flossed. The space between the gums and the teeth, called the sulcus, is 1 to 3 millimeters deep. (One millimeter is about the same thickness as a dime.)Periodontal disease, a chronic bacterial infection, can affect one or many of your teeth. The disease has four stages: gingivitis, early periodontitis, moderate periodontitis and advanced periodontitis. Approximately 50% of adults have gingivitis, 35%have early to moderate periodontitis and 7% to 15% have advanced periodontitis.Early (Mild) PeriodontitisInitially, this may go unnoticed by most people. The symptoms of gingivitis typically worsen. The gums may be slightly more tender and can have a greater tendency to bleed. Periodontal pockets will measure in the range of 3 to 5 millimeters. (One millimetre is about the same thickness as a dime.)What can be done: Once periodontitis has set in, good oral hygiene should remain top priority, but specific periodontal treatments will be needed. For mild periodontitis, a conservative, non surgical approach can still be used to get the disease under control.The first step is scaling and root planing, a deep cleaning technique. Scaling and root planing remove plaque and calculus (tartar) from under the gum line and smooth any bumps or rough a reason the tooth roots, where plaque tends to accumulate.In some cases, antibiotics are used in combination with scaling and root planing. Antibiotics to treat periodontal disease can be swallowed as a pill or applied in gel, powder or chip form and placed directly into the affected area of the mouth.When scaling and root planing and/or antibiotic treatment are not successful, periodontal surgery may be needed.Important: Unlike in gingivitis, the effects of periodontitis are not always reversible. Even if the disease is brought under control, it is a chronic condition that can always resurface if oral hygiene becomes lax. It's important that people diagnosed with Periodontist diligently follow up on their Periodontist' recommendations.Moderate PeriodontitisAlthough periodontitis usually progresses slowly, it can worsen in bursts. Therefore, if mild periodontitis goes untreated, more bone and connecting fibers can be destroyed. In addition,it is important to note that recent studies suggest a link between periodontal health and overall health.What happens: The inflammatory response to the bacteria in your plaque continues to wreak havoc on the connective tissue and bone around the teeth. The pockets around teeth deepen as more tissue is destroyed.Symptoms: Gums may become even more red and puffy and bleed easily. Because there is a greater amount of tissue destruction, teeth may begin to loosen. Teeth may start to hurt when you chew or become more sensitive to hot or cold. Pockets measure 5 to 7 millimeters. (One millimeter is about the same thickness as a dime.)What can be done: Mild to moderate periodontitis typically responds to scaling and root planing and the use of antibiotics. In some cases, more extensive treatment may be needed, including a different antibiotic or several courses of antibiotics. If antibiotic treatment fails, the next step is usually periodontal surgery to reshape the gums or encourage new growth of the bone that has been lost because of periodontal disease.If periodontal disease has destroyed the fibers and bone that support the teeth in the jaw, the teeth may become loose. If this happens, the loose teeth may have to be splinted to other teeth to stabilize them.Advanced PeriodontitisWhat happens: Bone and connective tissues continue to be destroyed.Symptoms: The symptoms are similar to those of moderate periodontitis, but worse. Teeth can become very loose and it may hurt to bite or chew. Because the teeth are so loosely connected to the underlying bone, they may reposition themselves in the mouth. Pressing on the gums may produce pus, a sure sign of a severe infection.Pockets measure more than 7 millimeters. (One millimeter is about the same thickness as a dime.)What can be done: This stage of the disease will require surgical treatment, such as periodontal pocket reduction surgery or bone regeneration. During periodontal pocket reduction surgery, the gum tissue is folded back, the disease-causing bacteria are removed, the tooth roots are smoothed, and the gums are secured back in place. This helps the gum tissue to reattach to healthy bone. A bone regenerative procedure also involves folding back the gum tissue. Then, bone grafts or tissue-stimulating proteins are placed where the bone has been destroyed. This helps to encourage the body's natural ability to regrow the lost bone and tissue.Loose teeth may be splinted to stabilize them. Extremely loose and/or painful teeth may need to be extracted.

The Link Between Gum Health and Heart Disease

Dr. Ishwari Bhirud, Dentist
Claiming around 750,000 lives each year, heart disease is the No. 1 killer of both men and women in the India. Did you know that research has found a link between this deadly disease and the health of your gums?Treating gum disease can go a long way in lessening the impact of coronary artery disease (CAD), according to a 2014 study in the Journal of  Preventive Medicine. Patients who were treated for gum disease have lower medical costs and fewer hospitalizations for CAD.Does gum disease cause heart disease?Despite the link between gum disease and heart disease, it’s not clear whether one actually causes the other, according to the Indian Heart Association.The two conditions have some of the same risk factors, including smoking poor nutrition and diabetes.But even in non-smoking populations, researchers have found a strong correlation between the oral condition and heart disease. One hypothesis is that bacteria from the oral cavity spread throughout the body, worsening other inflammatory conditions, like heart disease, rheumatoid arthritis and type 2 diabetes.Prevention is the best medicineRegular healthy habits can lower your risk of both gum disease and heart disease. And if you already have one or both of these conditions, these strategies can help reduce their impact.Brush and floss regularly. To remove plaque-forming bacteria, brush for at least two minutes, twice a day, and don’t skip the floss.Choose a healthy diet, rich in essential nutrients (especially vitamins A and C). Reduce or eliminate sugar and starches.Avoid cigarettes and smokeless tobacco. Even smokeless tobacco can destroy your gums and increase your chance of heart disease.Visit the dentist for regular cleanings and exams. Your dentist can identify signs of systemic illness and catch gum disease early on. 

Importance of Gums Aesthetics

Dr. Ragini Parmar, Dentist
Respect Nature’s Crown and Don’t Expose The Roots!When you smile, you are not only exposing your teeth but also your gums.  The way your gums look can also affect your appearance. Consult the best Endodontist in Mumbai, he/she will tell you - the color of the gums should be a healthy pink and not black or dark red.Gum RecessionTooth sensitivity is one of the signs of receding gums. This occurs when the margin of the gum tissue which surrounds the teeth pulls back, exposing the tooth or the tooth’s root. ‘Pockets’ or gaps are formed between the gum line and the teeth and, thus it becomes easy for bacteria to enter the pockets. Gum infection can cause your gums to recede. When gums recede, the tooth takes on longer, pointed dimensions. Some of the major causes of gum recession are:Improper brushing of teeth i.e. aggressively attacking your teeth with the toothbrush causing the enamel of the tooth to wear away which in turn causes the gums to recede.Do you grind or clench your teeth? If so, this puts pressure on the teeth leading to gum recession.Don’t pick your tooth with a toothpick! Floss them instead.Bleeding GumsWhen plaque builds up along the gum line, it leads to gingivitis (inflamed gums). Bleeding gums can occur if you brush your teeth vigorously or during flossing. The gums become sore which is accompanied by swelling of the gum tissue.During pregnancy, the woman’s body undergoes many hormonal changes, which can increase gum sensitivity – thereby increased bleeding of the gums.HalitosisIn simple language, it means BAD BREATH! Bad breath occurs because of poor oral hygiene. Improper brushing and flossing of teeth can leave food particles in the mouth thereby causing them to rot, which causes a foul and unpleasant odor.Now who would want to sit next you if you are reeking of foul garbage?PeriodontitisWhen the plaque surrounding your teeth is not removed, it hardens to form tartar, which in turn causes increased bleeding and an advanced stage of gum disease.Yes, your best endodontist in Mumbai is always available to help you, but do remember – man-made solutions are not permanent and it therefore, makes more sense to follow oral hygiene and display healthy pink gums along with your dazzling smile! So before your teeth begin to look like Dracula’s fangs, a visit to your dentist is advisable if your are suffering from the above symptoms.Laughter is a God given gift to mankind, so increase your face value and make a good first impression. Be in the pink of health!

All Gummed Up and Nowhere to Go

Dr. Ragini Parmar, Dentist
Your smile is a marriage between your gums and your teeth. When you smile, you are not only exposing your teeth but also your gums. The way your gums look can also affect your appearance. Consult the dentist, he/she will tell you that the color of your gums should be a healthy pink and not black or dark red.3 Major Gum ProblemsThe following are detailed problems that one can experience with relation to their gums:Gummy SmileA gummy smile exposes the way your gums look. Although it is not a medical condition (unless you have bleeding or receding gums), it could be a skeletal anomaly, where the teeth look small showing off the crown of your teeth. This makes the smile look disproportionate. However, a dentist practicing in dental cosmetics or aesthetics (Prosthodontist or Orthodontist) could guide you towards getting a more proportionate smile.     2. Gum RecessionThe major cause of gum recession is gum infection. Here, bacteria attack the teeth and settle in little nooks and crannies known as pockets. If the bacteria are not removed, they continue to erode the teeth and gums. In such cases, the margin of the gum tissue, which surrounds the teeth, pulls back, exposing the tooth or the tooth’s root. Hence, the tooth takes on a longer, pointed dimension. Further deterioration causes gaps to be formed in your teeth like little tunnels to your mouth. This may seem funny to an onlooker but for the person suffering, it is gruesome. Some of the major causes of gum recession are:Aggressively attacking your teeth with the toothbrush weakens the gums causing them to recede. Avoid brushing and flossing your teeth aggressively.Chewing Tobacco weakens the gums as well.When there is a severe lack of Vitamin C in your diet, you are prone to Scurvy, which causes gum disease.Do you grind and clench your teeth? Do you suffer from Bruxism? If so, then this also puts pressure on your teeth leading to gum recession.Hereditary is another major cause for gum recession.     3.  Bleeding GumsWhen plaque builds up along the gum line, it leads to gingivitis (inflamed gums). This leads to bleeding of gums. Bleeding gums can also give your teeth a red tinge, which makes your smile very unattractive.Bleeding gums can occur if you brush your teeth vigorously or during flossing.During pregnancy, the woman’s body undergoes many hormonal changes, which can increase gum sensitivity. This could cause the gums to bleed.Use of common items like safety pins or toothpicks to dig out food particles from your teeth is a BIG NO-NO. Don’t pick your teeth! Floss them instead.Your smile is a package, which includes your teeth and gums. If a person neglects their gums, even the perfect smile will fade into the background with imperfect blackish gums. So, the next time you feel the need to cover your mouth when you smile, it’s time to pay a visit to your dentist and rectify that gummy smile!Although your dentist is always available to help you, but remember that man-made solutions are not permanent. Therefore, it makes more sense to adopt proper oral hygiene habits and display healthy pink gums along with a dazzling smile! So, before your teeth begin to look like Dracula’s fangs, a visit to the best Periodontist in Mumbai is advisable. Laughter is a God-given gift to humankind, so increase your face value and strike a good first impression. BE IN THE PINK OF HEALTH!

Facts About Your Gums That May Surprise You

Dr. Shruti Shanbhag, Dentist
Do you complain of-Food getting stuck in gaps between your teethBad breathBleeding gumsTeeth becoming mobileSensitivity of teethAll these scenarios are likely indicators of Gum Disease.Patients often believe that they’re in the best of oral health if their teeth are “white” and “cavity-free”. What they fail to realize is that the healthiest of teeth are worthless without healthy support! The gums and their underlying bone play a hugely important role in maintaining the teeth. Often taken for granted,the monotonous task of brushing and flossing our teeth daily has never been more important in order to avoid gum disease known as periodontal disease and the risk it places on our overall health.Gum disease is mainly caused by bacteria from plaque and tartar build up. Other factors that have the potential to cause it include:Tobacco useClenching or grinding your teethCertainmedications and hormonesGeneticsRecent studies suggest periodontal or gum disease may contribute to or be warning signs of potentially life threatening conditions such as:Heart Disease  and Stroke Diabetes Chronic Kidney Disease.Preterm BirthCombating gum disease is easy. See a dentist regularly, and tell her if your gums feel tender, bleed or show any of the above symptoms. Gingivitis can be reversed with regular brushing & flossing and regular scaling at the dentist to remove plaque and tartar.Often the dentist will use full mouth x-rays to evaluate gum and bone levels to determine the best route of treatment. To combat periodontitis, a dentist or periodontist may perform a deep cleaning around the teeth and below the gum lines and prescribe medication to combat the infection. If the disease has progressed to affect your gums and bone, your dentist might suggest surgery, such as a gum graft.

Are Your Gums Keeping Your Smile From Looking Its Best?

Dr. N Srinivas, Dentist
Gums around your teeth can make or break your smile.You can have very attractive natural teeth,bonding,veneers or crowns,but if your gum tissue is red,puffy,or bleeding,then the result is an unattractive smile.Also if your gum tissue shrinks away from your beautiful restorations,leaving a black triangle where the gum used to be,you are left with an older-looking and unaesthetic smile.What is gum disease?Gum disease also called periodontal disease is caused by excessive bacteria building up in the mouth.In early stages,gum may bleed easily and appear red,tender,spongy,and slightly swollen.Eventually,the disease may lead to recession of the gums,destruction of the underlying bone,loosening of the teeth,and ultimately tooth loss.In addition,periodontal disease present a major health risk.Research has shown that it has a strong connection with heart disease,lung disease,diabetes,and other systemic illnesses.Gum disease treatment:Plaque removal accomplished through diligent home care(brushing,flossing)and regular visit to the dentist for professional cleanings,often prevents gum disease or stops it in its early stages.If gum disease is more advanced ,professional root planing and curettage may be required.Root planing is the removal of plaque and calculus from the  tooth crowns  and root surfaces.Curettage is the removal of the diseased gum tissue.These procedures combined with meticulous home care may be sufficient to control the disease,depending on its severity.In later stages of the disease,surgery is often required.The dentist surgically fits sections of gum tissue,removes plaque and calculus,and corrects bone defects.The tissue is then positioned to allow more efficient cleaning.The procedure usually requires only a local anesthetic.If surgery reveals extreme bone loss,then bone grafting or guided bone regeneration (GBR) is sometimes required.These procedures are typically performed over the course of several appointments but in some cases may be done all at once with the use of conscious sedation.Prevention is best!Regular brushing,flossing,rinsing,gum massage.keep your mouth as clean as possible. 

Are You Suffering From Bleeding Gums?

Dr. Mukesh K Asrani, Dentist
Have you ever noticed bleeding from your gums while brushing or biting on an apple or any food? If yes, then better get alert, this is a sign of some underlying disease. Let us discuss some common causes of gum bleeding and methods to overcome them.Gum disease like Gingivitis or Periodontitis - This is the most common cause of bleeding gums. It is caused by deposition of plaque and tartar on the teeth near the gum line. Many people will also have bad odor and sensitive teeth along with gum bleeding. This disease should be treated as early as possible as ignorance may lead to loosening of teeth and eventually tooth loss.Hard toothbrush - Many people think that using a hard toothbrush helps in better cleaning of teeth. In fact, hard toothbrush causes trauma to the gums and often causes them to bleed.Vitamin C deficiency - This vitamin plays an important role in maintaining integrity of gums and thus its deficiency causes swelling in gums and bleeding.Pregnancy - Hormonal changes during pregnancy are often a cause of gum bleeding. This can be prevented by maintaining proper oral care.Other conditions like Purpura, Hemophilia, Leukemia, vitamin K deficiency, etc can also cause bleeding gums but these are quiet rare and can be diagnosed by blood examination.Tips to manage bleeding gumsProfessional teeth cleaning - If you notice even a single drop of blood from your gums, get a dental advice and  get your teeth cleaned so that gum disease can be prevented as well as managed at the earliest.Use a soft to medium toothbrush, brush twice a day and floss daily.Massage your gums with mustard oil or olive oil mixed with a pinch of salt.Eat more of citrus fruits.Visit your dentist every six months.Good oral health will lead to good general health. Let your healthy smile be an inspiration to the world. Stay healthy. Stay blessed.

Seven Natural Methods to Prevent Bleeding Gums.

Dr. Prashant Ojha
Gum bleeding is very common now a days.  But most of the natural treatments at home can go a long way toward improving your oral health and stopping bleeding gums. like1) Clove oil - massage the gums with clove oil or just chew a piece of clove. it may cause burning sensation,but very helpful to prevent bleeding gums.2) Peppermint oil- peppermint oil (chamomile tincture). these oils are very beneficial for teeth and gums health. it has been used to treat gingivitis with positive outcomes.3) Tea tree oil- tea tree oil has anti-bacterial property . .tea tree oil is derived from the leaves of melaleuca alternifolia, it is soothing on application and eases away pain you may have on your gums. 4) Citrus fruits-  vitamin c is very important for the overall health of delicate gum tissue, because the vitamin c helps to prevent collagen from breaking down. without collagen, gums become extra tender, and thus susceptible to bleeding  orange, lemon,strawberries and kiwis,nuts and seeds,apples, celery, and other low-acid, fibrous foods and cabbage are the best and rich sources of vitamin c. use plenty of them.5) Probiotic Milk- It is rich in calcium and, therefore, can be used as an effective home remedy for bleeding gums.  It reduce symptoms of gingivitis and help heal and restore damaged bone tissues.6) Aloe Vera- It is very useful against inflammation of gums. It destroys bacteria responsible for gingivitis. It also helps in speeding up of the process of healing. Massage the aloe Vera gel into the gums. Aloe vera contains many potentially active constituents: Vitamins, enzymes, minerals, sugars, lignin, saponins, salicylic acids, and amino acids. Polysaccharides are considered to be the active ingredients of Aloe's anti-inflammation and immune-modulation effects.7) Saline Solution-  It improves blood circulation in mouth and reduces swelling. Using a saline solution to rinse in the morning and evening will effectively cure and prevent bleeding gums . Its high osmolality reduces inflammation and can be microbicidal. Warm saline rinses have been used successfully in post extraction cases. We have also been using it in post surgical periodontal cases for many years and the results have been excellent.

This Is What Chewing Too Much Gum Does to Your Health!

Dr. Vijita Mehta, Dentist
Adults and children alike enjoy chewing gum, but while chewing gum can have its advantages, such as freshening breath, it can also have its disadvantages. Being aware of the detrimental effects of gum can help consumers make healthful decisions when next purchasing and planning on chewing gum.1. Plaque FormationPlaque is a clear bio film of buildup on the teeth that can lead to both tooth decay and gum disease. Chewing gum or eating any food can cause plaque to form. After consuming food or chewing gum, plaque can formulate on the teeth within a few hours. The bacteria found in plaque can directly lead to tooth decay. If plaque is not removed from teeth quickly enough through brushing and flossing, bacteria can calcify, turn in to tartar and eventually lead to gingivitis if left untreated.2. Tooth DecayChewing sugared gum can lead to tooth decay and gum disease. The chewing gum literally coats the teeth with sugar and can be especially destructive if you don’t brush your teeth immediately after chewing. Switching to a sugarless brand can alleviate the problem.3. Unhealthy components of Chewing GumOther than sugar, chewing gum has many ingredients in that are not necessarily good for you in the long term. like aspartame and other sweeteners that are known carcinogens (cancer inducing factors) .4. Stomach issuesMost of the chewing gum contains powerful gastric juice. According gastroenterologist, chewing on an empty stomach can trigger or aggravate gastritis or other stomach troubles. It has been observed that the content of chewing gums which are usually rubber base, sweeteners, combined with fragrances and softeners are obviously not good for health.5. Tooth and Jaw IssuesFrequent chewing over time can also result in the wearing down of tooth enamel. In individuals who are susceptible to dental caries, a thin enamel can cause the caries to spread even faster, and a sugar – containing chewing gum will only accelerate the decay rate even more.