Pyorrhoea is serious gum infection that damages the ligaments, gums and supporting bone. There is a pus discharge from the roots of the teeth and gums. The pus is often swallowed along with food which lead to various infections.

At an advanced stage of periodontal disease, it causes bleeding and discharge of pus from gums. It is one of the most widely prevalent diseases. This disease is a primary cause for tooth loss among adults. It is usually the result of poor oral hygiene.

Pyorrhea, is caused by bacteria is known as Pyorrhea alveolaris. It mostly occurs in persons over 40 years.

SYMPTOMS

  • Swollen and puffy gums
  • Bright red, dusky red, purplish gums or shiny surface
  • Bleeding gums
  • Bad breath
  • Pain during eating
  • Tenderness of gums
  • Loose teeth
  • New spaces will develop between your teeth
  • Recession of gums
  • Pus discharge
  • Pocket formation between tooth and gums
  • Bone resorption occurs in advance stages of a disease
  • Periodontal abscess

TYPES

There are different types of periodontitis. The more common types are:

  • Chronic Periodontitis: It is the most common type of disease, affecting mostly adults. Though children can be affected, too. This type is caused by plaque build-up and involves slow disorientation that may improve and get worse over time but cause the destruction of the gums and bone and loss of teeth if not treated.
  • Aggressive Periodontitis: It occurs during adolescence and affects some people. It tends to affect the family and leads to rapid progression in gums and bone. Loss of teeth occurs if not treated.
  • Necrotizing Periodontal Disease: It is characterized by necrosis of gum tissue, ligaments and supporting bone due to lack of blood supply, resulting in severe infection. This type occurs mainly in the immunosuppressed people such as – such as HIV infection, cancer treatment or other cause – malnutrition.

CAUSES

Pyorrhea is triggered by bacterial activity.

A thin layer of harmful bacteria is continuously building upon our teeth which leads to bacterial plaque formation. The removal of plaque can occur by brushing twice a day but the formation of plaque occurs again after taking meals.

Calculus is the hard form of the plaque, removal of that is hard and under it bacteria produce many toxins that irritate the gums causing them to be inflamed, tender and prone to bleed.

Other factors contributing to pyorrhea include chemical irritants in the mouth, incorrect brushing technique, stagnation of food particles, and improper use of toothpicks.

Poor oral hygiene is the main cause of pyorrhoea in addition to indigestion and hyperacidity.

Ongoing gum inflammation can cause periodontitis, eventually causing pockets to develop between your gums and teeth which fills with plaque, calculus, and bacteria. Within time, these periodontal pockets become deeper and bacteria start producing toxic products. If not treated, these deep infections cause a loss of tissue and bone, and ultimately loss of teeth occurs.

RISK FACTORS

Factors that can enhance your risk of periodontitis include:

  • Gingivitis 
  • Poor oral health habits
  • Smoking or chewing tobacco
  • Hormonal changes occur during pregnancy or menopause
  • Substance abuse
  • Inadequate nutrition, including vitamin C deficiency
  • Certain medications that cause dry mouth or gingival changes 
  • Conditions such as immunocompromised patients. For e.g. leukemia, HIV/AIDS and cancer treatment
  • Certain diseases, like diabetes, rheumatoid arthritis, and Crohn's disease 
  • Obesity 
  • Genetics
  • Old age

COMPLICATIONS

  • Pyorrhea causes tooth loss
  • Alveolar Bone destruction
  • In advance, stage bacteria can also affect the vital organs such as the heart, lungs and other parts of the body
  • Pyorrhea may be linked with respiratory disease, coronary artery disease or rheumatoid arthritis
  • Osteomyelitis is also observed in advance stages

AYURVEDIC TREATMENT FOR PYORRHEA

According to ayurvedic treatment, pyorrhoea reflects the vitiation of rasa and rakta dhatus. This vitiation is caused by impaired digestion. The harmful product produced during digestion mix with this two dhatus and then accumulate in gums and an oral cavity which out during actions like brushing teeth. So pyorrhoea is treated as a certain body energy disorder in Ayurvedic terms, caused by poor digestion.

Digestion is restored with herbal treatments, which ensures the proper daily elimination of harmful toxins. Cleansing herbs for the blood are administered and tooth powders recommended to reduce pus formation and bleeding.

HOME REMEDIES

  • Use of Ayurvedic tooth powders for prevention and cure of pyorrhoea are recommended.
  • Take few black raisins with water, a pinch of rock salt at bedtime. This helps us in curing pyorrhoea.
  • Licorice root powder mixed with honey should be used for gum massage.
  • Drink fresh juices of carrot and spinach.
  • Rub rock salt or camphor powder on gums to improve oral hygiene and prevents pyorrhea.
  • Applying sesame oil, mustard oil on gums and teeth reduces bacterial growth in the oral cavity for pyorrhoea.
  • Gargling with warm sesame oil, decoctions of Triphala or some other Ayurvedic herbs prevent infections in the oral cavity and help in curing pyorrhoea.

DIET AND LIFESTYLE ADVICE

  • People suffering from pyorrhoea need to make sure that their digestion runs properly. They should choose suitable food as per their constitution and perform physical exercises.
  • Sedentary lifestyle, late-night meals, day sleep should be avoided as these habits can disturb the digestion.
  • Oral hygiene should be maintained. A suitable brush or brushing technique should be used to avoid the harmful injuries of gums.
  • Eating fresh fruits like guavas, bananas, and oranges help in maintaining oral hygiene.
  • Avoid toxin and acid producing food.

PREVENTION

The best ways for preventions periodontitis are:

  • Good oral hygiene: brush twice a day with proper brushing technique and use of herbal products.
  • A regular visit to the dentist: see your dentist every 6-12 months. If you have a risk factor that increases the chance of periodontitis such as dry mouth and smoking increases the risk of disease. Cleaning of teeth is also helpful.
  • Proper care and hygiene should be maintained by scaling and root.