There are many patients who go to the dental clinic without knowing that they suffer from gum disease, when a patient has red, inflamed gums and even bleeds spontaneously or during brushing is that he suffers from gum disease or gingivitis itself or periodontitis; these are about the teeth, but if they are about a dental implant we will call it periimplantitis.
The gingivitis is the most common form of gum disease. It is defined as an inflammatory reaction of the gum caused among other factors by the accumulation of bacterial plaque on the surface of the teeth that we do not remove with brushing. Other causes of gingivitis may be due to a viral, fungal origin or caused by injury, systemic diseases and, above all, by tobacco use. Due to the hormonal change in pregnant women it is very common in them to present gingivitis especially during the second and third trimesters of pregnancy. There are also different medications that cause gingivitis as an adverse effect, among them we have anticonvulsants, immunosuppressants and calcium antagonists.
If gingivitis is not treated it can evolve into periodontitis. Periodontitis is characterized by the presence of bleeding, there are changes in the color and shape of the gum, there may be a retraction of the gum in which the root of the tooth is exposed and bone loss can lead to dental mobility and even tooth loss. Likewise, periimplantits could be produced around dental implants since the surrounding gum could be affected by the accumulation of bacterial plaque, and in the same way that on the tooth it would first respond with a peri- implant mucositis that is the inflammation of the surrounding mucosa to the implant and after having an evolution would progress in periimplantitis in which the bone is affected.
How can we prevent gingivitis?
In order to prevent periodontal diseases, it is vitally important to have good oral hygiene since the objective is to eliminate and reduce the number of bacteria that cause these pathologies. This objective is achieved through a daily brush-based treatment, flossing to prevent the accumulation of bacterial plaque in the interpoximal areas (between tooth and tooth) and with the help of the use of antiseptics such as mouthwashes with chlorhexidine, which is an agent with bactericidal and fungicidal effect. With the use of rinses with chlorhexidine we will help eliminate and inhibit bacterial growth, reduce the risk of infection without damaging the teeth and gums. Chlorhexidine should be prescribed by a dentist with a treatment regimen, since it can cause side effects such as darkening of the teeth or produce dental stains, these are not permanent, but are easily removed with dental hygiene in the office.
Regularly going to the dental office will take control of the health status of your mouth. In the consultation, reviews are carried out periodically that with the help of the use of radiographs the dentist will have a vision of the state of your mouth. In addition, it is advisable to perform at least one dental hygiene a year to remove bacterial plaque and tartar that has accumulated on the surface of the teeth and that is impossible to remove with brushing and flossing. In dental Barcelona we encourage you to come and have a revision, here we will advise you on the best care for your gums and teeth. We will explain the best brushing techniques and how you should pass the thread correctly between tooth and tooth.