PERIONDOTISTRYPeriondotitis is an inflammation of periodontium and is caused by bacteria that accumulate between toothand gum tissue. It is required that this bacteria has to be removed regularly unless it will cause a conditioncalled Gingivitis, which is the inflammation of gum tissueGingivitis may be caused by:•Poor dental hygiene•Smoking•Diabete•Avitaminosis, etc.Periodontics is a dental specialty that includes the prevention, diagnosis and treatment of diseases of thetissues surrounding and supporting the teeth. These dental specialists are calledperiodontists, and they alsoare involved with periodontal plastic surgery and placing dental implantsPeriodontal diseases are bacterial infections of the gums, bone and periodontal ligament (fibers that supportthe teeth and hold them in the jaw). They destroy the gums and supporting bone that hold your teeth in your mouth. As a result, teeth mayloosen and fall.Causes of Periodontal Disease The primary cause of periodontal diseases is bacterial plaque, a sticky, colorless coating that forms on your teeth. If left untreated –generally as a result of poor oral hygiene habits – the bacteria in plaque infect the gums, releasetoxins that redden and inflame the tissue, and gradually destroy the tissues supporting the teethand underlying bone. When this happens, the gums separate from the teeth, forming pockets thatfill with more plaque and cause additional infection.Other factors that can affect the health of your gums include:Plaque Traps. Decayed teeth, broken or badly fitting partial dentures, crowded/crooked teeth andimproperly filled teeth can "trap" plaque buildup, making it difficult to remove by routine oralhygiene methods.Negative Behaviors and/or Practices. Your periodontal health can suffer due to poor personal oralhygiene practices, oral piercings, smoking, and drug and/or alcohol abuse. A stressful lifestyle andpoor nutritional habits, both of which can diminish your body's ability to fight infection, also canmake you more susceptible to periodontal disease.Systemic Factors. People with diseases such as diabetes and leukemia, on certain medications or with systemic conditions such as humanimmunodeficiency virus (HIV) infection, malnutrition or immunosuppression, may be especially vulnerable to gum disease due to lowerresistance levels.Hormonal Factors. Predominantly true for women, hormonal fluctuations during key life stages – puberty, pregnancy and menopause – cantrigger tissue changes throughout the body, including the mouth. At such times, a woman's chances for developing periodontal disease mayincrease.Genetic Influences. Genes and family history can indicate a predisposition for developing periodontal diseases.Tobacco Use. Tobacco users show a greater incidence of calculus formation on teeth, deeper pockets between gums and teeth, and more loss of bone and fibers that hold teeth. Chemicals in tobacco (tar and nicotine) diminish the healing process and likelihood of success afterperiodontal treatment. Smokeless tobacco users also are at higher risk of developing oral cancer.Medications. You should inform your dentist of any medicines you are taking, as certain medicines (e.g., oral contraceptives, antidepressantsand some heart medicines) can adversely affect your gums or have contraindications for antibiotics.You may have gum disease and not even know it. Often, there is no pain and periodontal diseases may notexhibit symptoms until serious bone loss has taken place. However, it is important to see your dentist orperiodontist at the first sign of these common symptoms of periodontal disease:Red, swollen or tender gums•Gums that bleed easily when brushingor flossing•Gums that pull away from teeth•Loose or separating teeth•Pus between gums and teeth•Persistent bad breath•Change in your bite (occlusion) and/or fit of removable denturesRegular professional dental checkups to evaluate the state of youroral health are essential for detecting and managing periodontaldisease. Your general dentist usually detects gum disease and treats it in the early stages. While some general dentists have the expertise to treat more advanced forms of periodontal disease, more frequently, gum disease requires specializedtreatment. Specilised treatment is offered by a Periodontist.Ongoing Periodontal Monitoring and MaintenancePeriodontal diseases are chronic diseases. Without vigilant, meticulous and ongoing treatment, periodontal diseases can and often do recur.Once your periodontal health has been evaluated, your periodontist will work with you to customize thebest treatment plan to control your periodontal disease.Treatment can vary depending on how far the periodontal disease has progressed. If diagnosed andtreated in its early stages, simple non-surgical periodontal therapy may be enough. If periodontitis hasprogressed to the extent where you have deep periodontal pockets and considerable bone loss, In suchadvanced stages surgical therapy may be required.Even when your periodontitis is under control you will still need to follow ongoing periodontal procedures to maintain your oral health. Thisongoing treatment lets your periodontist evaluate your periodontal health and ensures that your infection stays under control. During thesere-evaluation appointments, your mouth will be examined, new plaque and calculus will be removed, your teeth will be professionally polishedand your bite will be checked. •Clinic : +91 44 24662440•Mob : +91 9840067382•Email : info@dentalounge.com