1. Gingivitis (reversible phase)
This causes gum inflammation and bleeding, either spontaneously or after brushing. It is a result of bacterial plaque accumulation around the teeth that produces gum inflammation. Gingivitis is the first step towards periodontitis.
Gingivitis does not destroy the tissues supporting the teeth (the bone and ligament). It is reversible. Given that the main cause of gingivitis is plaque, it is essential that this is eliminated.
Aggravating factors in the appearance of gingivitis are: poor hygiene, hormone changes during pregnancy, the use of oral contraceptives and systemic diseases.
2. Periodontitis (irreversible)
In this stage, the tissues supporting the teeth (the periodontal bone and ligaments) have alredy suffered a degree of destruction. The loss of bone around the teeth means that they begin to move and even fall out.
Periodontitis is a chronic disease (like diabetes, hypertension and asthma) and has no cure but can be treated and controlled. The treatment consists of eliminating the bacterial plaque from the teeth roots and showing the patient hygiene techniques that can keep the mouth healthy. Once bone loss has been controlled, we begin to treat the after-effects for bone loss (regeneration) and for gum loss (mucogingival surgery).
In the same way as natural teeth can be affected, implants can also suffer from bacterial attack, known as periimplantitis. The plaque gains access to the bone via the implant. The standard treatment is surgery although the prognosis is limited in success. The best way to avoid it is to maintain good levels of hygiene around the implants and to attend periodic checkups.
ADVANCES IN PERIODONTICS
At Zamora Dental Centre we offer you the most effective and up-to-date periodontal dental treatments.