Periodontics (Gums)

  • By Website Team Technicians
  • 09 Dec, 2016

Q What happens at your first visit with a periodontist?
A   At your first visit, your periodontist will review your medical history and dental history, as well as any medications or drug allergies. Your periodontist will examine your gums and their attachment to each tooth by using small measuring instruments to check the space between the teeth and gums, paying attention to any sites that bleed. He or she will also look for any recession of gum tissue and check if any teeth are loose. Radiographs (x-rays) will be taken, to see if there is any bone missing from around the teeth. Your periodontist will discuss the findings with you and then make treatment recommendations.

Q Am I a candidate for dental implants?
A   The ideal candidate for dental implants is in good general health and has healthy gum tissues with adequate bone in their jaws to support the implant. If insufficient support is not present, soft and/or hard tissue grafting may be needed. Dental implants are one of the options to replace missing teeth. Your dentist and periodontist can work with you to establish if you are a candidate for dental implants and help you decide what your best option to replace missing teeth is.

Q I have gum recession around a tooth. Can anything be done to fix this problem?
A   There are various causes of loss of gum tissue resulting in root exposure. The most common causes are aggressive tooth brushing or gum disease. The first step in treatment of recession is to correct the cause. For patients who have healthy gums and normal support for their teeth, it may be possible to cover exposed root surfaces with gum grafts. For individuals with a history of gum disease, root coverage will be less predictable. Gum grafting involves the use of either your own tissue from another spot in your mouth or the use of commercially available tissue materials. For these procedures, the gum graft is stitched in place at the site of recession. With current techniques, post treatment discomfort is usually minimal, and the healed tissues usually provide a good match with the adjacent tissues.

Q show a lot of gums when I smile. What can I do about this?
A   There are several potential causes for excess gum tissue or “gummy smile.” This situation can be caused by certain medications, genetics, tooth wear, the position of the teeth in the jaw, or the growth pattern of the jaw bones. The situation can be worsened by poor oral hygiene. It is important that your periodontist determine the cause to select the proper treatment, which may include removing small areas of excess gum tissue and reshaping of the smile line. Because the results are immediately visible, patients are often surprised at how much their smile has improved.

Q Is there a relationship between tobacco use and periodontal disease?
A   Yes, smokers are more likely to get periodontal diseases and suffer from the more severe forms. Healing following the various forms of periodontal therapy may take more time. Tobacco use is associated with a number of detrimental effects to the mouth and the body as a whole. There can be a decrease in a patient's immune response (their ability to fight off infections), constrictions of blood vessels in the gum tissue around the teeth, an increased risk of certain types of mouth cancers and bad breath. On average smokers are four times as likely to exhibit signs of periodontal disease as were those persons who had never smoked. The good news is that research suggests that those persons who quit can reverse many of the adverse risks caused by the use of tobacco products.

Q What are the warning signs of Periodontal Disease?
A   There are various causes of loss of gum tissue resulting in root exposure. The most common causes are aggressive tooth brushing or gum disease. The first step in treatment of recession is to correct the cause. For patients who have healthy gums and normal support for their teeth, it may be possible to cover exposed root surfaces with gum grafts. For individuals with a history of gum disease, root coverage will be less predictable. Gum grafting involves the use of either your own tissue from another spot in your mouth or the use of commercially available tissue materials. For these procedures, the gum graft is stitched in place at the site of recession. With current techniques, post treatment discomfort is usually minimal, and the healed tissues usually provide a good match with the adjacent tissues.

By Tonya Davis 16 Jan, 2018
You've been to the dentist enough to know the basics — you're in and out after a quick cleaning, flossing and X-ray scan. But this time there was something different. Your dentist took a quick look at your gums, frowned and recommended that you get a surgery called a frenectomy sooner than later.

If you're like most people, you probably haven't ever heard of a frenectomy, and you're understandably a little frightened and confused by the recommendation. But frenectomies are actually minor surgeries that can go a long way towards preserving your teeth for decades to come.

Whether your dentist referred you to a gum specialist or has the know-how to perform a small frenectomy in-house, keep reading. We'll tell you what you can expect from this minor procedure.
By Tonya Davis 18 Dec, 2017
In toddlers and young children, a loose milk tooth usually heralds the arrival of its permanent replacement. This is a time of discovery, a time to celebrate. Loose milk teeth eventually fall out, as nature intended, and are replaced with permanent teeth. However, there is nothing natural about loose teeth in adults. A loose tooth is an indicator that something is wrong.

Teeth are held in place, within their sockets, by the periodontal ligament. These web-like tissue fibres cover the roots of teeth and anchor them to the jawbone. Gum tissue also helps to hold teeth in place. If teeth are loose then, there is an underlying issue that is affecting those tissues.
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Teeth whitening has come a long way over the last few thousand years. The ancient Egyptians whitened their teeth with ground pumice stone and wine vinegar 4,000 years ago. Later, the Romans decided that urine was their whitening agent of choice! It wasn't until the 1960s that peroxide, which is used to whiten teeth today, was used to whiten teeth.

Hydrogen and carbamide peroxide, the two main components of teeth whitening, can work wonders with stained teeth. What they cannot do, however, is whiten dental bridges or in fact any other type of dental restoration. Whitening agents simply cannot penetrate these materials in the same way they can natural teeth.

If your bridge needs to be whitened, you may be out of luck. However, if you get a bridge that is whiter than your natural teeth, you may be able to solve the problem by whitening your teeth to match. Learn more about your options below.
By Tonya Davis 27 Sep, 2017
Did you know that over 29% of adults are so scared of the dentist that they delay treatment and suffer from oral health problems? If you don't want your child to become part of the statistics, you need to give them the right messages about the dentist from the time they are young.

To ensure your little one doesn't develop a dental phobia, it's important to set a good example, portray dentist's visits as a positive thing and choose the right dentist. Read on for detailed advice on how to keep your child from getting scared at their next appointment.
By Tyler Vogelsberg 05 Sep, 2017
If you have recently noticed that your teeth are translucent to some degree, you may understandably be worried about what this indicates in regards to your oral health. Translucent teeth, however, are not always a sign that something is wrong. In fact, there are several reasons for this phenomenon, each of which will be explained below.
By Tyler Vogelsberg 01 Aug, 2017
When you think about losing teeth, you may picture a gap-toothed grin on a wide-eyed child who's talking about the tooth fairy. For children, tooth loss allows for the permanent teeth to erupt properly.

But many adults experience tooth loss as well. As an adult contemplating tooth extraction, you may feel nervous or even embarrassed, so it's
important to understand the causes of adult tooth loss, possible prevention and common  types of tooth replacement .

In this blog, we list four facts about tooth extraction that can help you feel more prepared for this procedure.
By Tonya Davis 29 Jun, 2017
In general, the typical shade of healthy teeth is an off-white hue with slight undertones of brown, yellow or grey. However, many people find that their teeth are much darker than off-white. If you're one of these people, you may be wondering why your teeth aren't as bright as everyone else's and what you can do about it.

Browning and yellowing teeth have a variety of possible causes. One of the most well-known is aging, but what about discolouration that happens before you reach your senior years? If you're an adult with stained teeth, there are two broad categories of tooth discolouration you should look to: extrinsic and intrinsic.

Both can be remedied in different ways, but the right solution will depend on which of these discolouration types is affecting you.
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