How to prevent gum disease?
The most important task in preventing gum disease falls on the individual himself. To maintain teeth in a healthy condition, bacterial dental plaque must be removed through daily oral care procedures (brushing and flossing). It is equally important to visit a gum disease specialist at regular intervals. Daily oral care procedures can minimize tartar formation, but may not prevent it completely. It is necessary for the areas that cannot be reached with a toothbrush, dental floss or other cleaning tools to be evaluated by a gum disease specialist in order to remove existing dental plaque and/or tartar.
What is the treatment of gum diseases?
Gums Treatment in the early stages of the disease includes removing the attachments (plaque and tartar) on the teeth and ensuring a smooth root surface. This process ensures the removal of bacteria and irritants that cause inflammation in the gums. Generally, this treatment is sufficient for the gum to adapt to the tooth again or for the gum to shrink and eliminate the pocket. In the majority of cases in the early stages of gum disease, daily effective oral care following scaling, plaque removal and ensuring a smooth root surface is sufficient for successful treatment. More advanced cases may require surgical treatment. The purpose of this treatment is to clean the tartar in the deep periodontal pockets surrounding the teeth, to eliminate the pocket by shrinking and to ensure a smooth root surface, and to create a more easily cleanable gingival form.
After periodontal treatment, patients should be examined regularly by a gingival disease specialist and plaque should be removed. It is necessary to control and remove new tartar accumulation from the environment. But it should not be forgotten that; To maintain what has been achieved with periodontal treatment, no procedure can be more beneficial than the effective implementation of daily oral care procedures.
WHAT SHOULD BE CONSIDERED AFTER TREATMENT?
Recommendations after Initial Gum Treatment:
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As it is known, uncomplicated, simple gingivitis is the most common gum disease affecting the interdental and marginal gingiva. is. It is one of the leading causes of gum bleeding. Failure in treatment may cause the destruction to progress to deeper periodontal tissues and cause early tooth loss. Elimination of dental plaque and factors that increase plaque accumulation and/or prevent its removal should be the main goal of the initial treatment intervention. In the treatment of simple gingivitis; A careful examination should be performed to evaluate dental plaque, tartar, food impaction, restorations with protruding or distorted contours, irritating removable prostheses and pocket depths.
Simple gingivitis treatment should not be completed in a single session and should include the following stages, respectively.
1.Uncomplicated gingivitis treatment should begin with explaining and teaching the importance of plaque control to the patient.
2. Teeth should be cleaned of all adhesives such as plaque, tartar and paint and a good polishing process should be done. Polishing is an important factor in preventing recurrence of gingivitis. Bacterial plaque, which is the most important factor in the onset of gingivitis and the initial stages of tartar formation, accumulates much more quickly on unpolished rough surfaces.
3. When the patient comes for control, the gums are observed and the effectiveness of plaque elimination is evaluated. In areas where inflammation is still present, tartar and plaque elimination may not be fully achieved. Cleaning is performed again, and the patient is re-motivated about plaque elimination. The patient must be called for a check-up to evaluate the success of the treatment or the reasons for failure listed below.
Reasons for failure in gingivitis treatment:
Especially if the tiny calculus particles in the apical areas of the enamel-cement junction have not been completely eliminated,
If a good polishing has not been done after the accumulations have been cleaned,
If the attachments on the teeth have been cleaned but the primary cause of the irritation has not been eliminated,
If the patient has not been able to perform an effective plaque control.
Information and recommendations that should be given to the patient during this treatment:
1. Periodontal diseases begin with gingivitis, and the most important cause of gingivitis is dental plaque. Tartar forms when dental plaque calcifies. Dental calculus has a rough surface and is always calcified. It is covered with intact plaque. Thus, tartar creates a suitable nest for plaque, causing inflammation to persist and intensify. For this reason, formed tartar must be cleaned by a physician. Re-formation of tartar in a cleaned mouth can be prevented with effective oral care.
2. The patient should be warned about possible bleeding after treatment, and these bleeding areas and type should be evaluated when he comes for control. If bleeding comes from the marginal gingiva, newly formed plaque is the cause of this bleeding and elimination of the plaque solves the problem. If the bleeding comes from the bottom of the pocket, the root surface has not been completely cleaned and the remaining appendages have not become biologically suitable due to plaque. These appendages must be completely cleaned to completely eliminate bleeding.
3. Scaling is not a dangerous or damaging procedure to teeth.
4. There may be sensitivity in the teeth after scaling, this is normal. After scaling, the surface previously covered with tartar is exposed, and this exposed surface becomes sensitive to cold and heat. This sensitivity is expected to disappear in three to four days. The important thing is that the patient does not neglect effective brushing and oral care due to the sensitivity of his teeth.
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