Gum Disease

Gingivitis Periodontitis

Most people think that if they take good care of their teeth, they'll keep them for a lifetime. But that's only partially true. Good gums care is just as important.

How do I know my gums are healthy?

Your dentist can check your gums at your visit. There are some early signs you may notice that might indicate your gums need extra care!

	Tenderness or sensitivity, especially when brushing or flossing
	Gums that bleed when brushing
	Red or swollen gums

The fact is the leading cause of tooth loss isn't cavities, it's gum disease. Gingivitis is an early stage of gum disease and, if left untreated, it can lead to the more serious condition called periodontitis.

What is periodontal disease?
Bacterial plaque is a sticky, colorless film that constantly forms on the teeth and is recognized as the primary cause of periodontal disease. If plaque isn't removed each day by brushing and flossing, it hardens into a rough, porous substance called calculus or tartar. Toxins are produced and released by bacteria in plaque which irritate the gums. These toxins cause the breakdown of the fibers that hold the gums tightly to the teeth, creating periodontal pockets which fill with even more toxins and bacteria. As the disease progresses, pockets extend deeper and the bacteria move down until the bone that holds the tooth in place is destroyed. The tooth eventually will fall out or require extraction.

Warning signs of periodontal disease.
Signs include red, swollen or tender gums, bleeding while brushing or flossing, gums that pull away from teeth, loose or separating teeth, pus between the gum and tooth, persistent bad breath, changes in the way you bite, and a change in the fit of partial dentures.

Treatment for periodontal disease.
In the early stages, most treatment involves scaling and removing plaque and calculus around the tooth and smoothing the root surfaces. Antibiotics or anti-microbial may be used to supplement the effects. In most cases of early gum disease, called gingivitis, plaque removal and proper daily cleaning achieve a satisfactory result. More advanced cases may require surgical treatment, which involves cutting the gums, removing the hardened plaque build-up, and attending to the damaged bone. This procedure is also designed to smooth root surfaces and reposition the gum tissue so it will be easier to keep clean.

How do I keep my gums healthier?

Healthy gums start at home, so keep an eye out for the signs that your gums may need extra care. And, of course, see your dentist regularly. He or she, along with your hygienist, can professionally remove plaque and provide you with instructions on how to maintain the care they have provided.

Dr. Daniel J. Castillo
10625 N Military Trail, Suite 202
Palm Beach Gardens, FL.33410
561-691-6061
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