Gum Treatment (Periodontics)

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Gum Treatment (Periodontics)


Gum disease is one of the two most common diseases that affect our oral cavity. This disease affects the gum and bone surrounding the teeth. The disease does not produce obvious signs and symptoms until it has progressed to an advanced stage. In all stages of gum disease, patients usually suffer from bleeding gums as a result of bacteria causing damage to the gums.

Gum specialists (Periodontists) are specially trained dentists who detect and treat the complete range of gum diseases.

What is Gum Disease?
In order to understand gum disease, we need to first understand the structures surrounding the tooth. The tooth is divided into the crown and the root. The root is surrounded by bone, which in turn is covered by gums. There is a space between the tooth and gums, called a pocket, which is present both in healthy and diseased states.

Gum disease originates from bacteria that gain entry into the pocket. When bacteria enter, they attack the gums. This causes injury to the gums, resulting in spontaneous bleeding upon touch, pain, redness, and sometimes swelling.

If bacteria hardens to form tartar, it can spread deeper towards the bone and cause the destruction of the bone and as well as the deepening of the periodontal pocket.

In the advanced stage of gum disease (periodontitis), the tooth would have so much bone lost that it becomes shaky and may drift out of position. During the later stages of gum disease, the tooth can no longer be kept and has to be extracted.

The accumulated bacteria in the infected gums can enter our blood stream to be transported to the various organs; such as the heart, kidneys, and womb; in the body. The maintenance of good oral health is paramount in controlling a series of health problems that will occur with gum disease, but having said that, it becomes a vicious cycle as it is also established by the World Health Organisation (WHO) that patients afflicted with conditions such as diabetes are prone to the worsening of gum disease.

Benefits of Gum Treatment

  1. Saving of teeth
    The inevitable outcome of uncontrolled gum disease is tooth loss. Many of these teeth loss are not decayed nor fractured. They are either extracted because they are too loose and cause pain when eating or they can even drop out on their own. Gum treatment will save many of these teeth.
  2. Curing of bleeding gums
    Bleeding from the gums is one of the first few signs of gum disease. Many patients can experience bleeding upon brushing or eating. In severe cases, bleeding can occur spontaneously.
  3. Elimination of bad breath
    Due to the build-up of food and bacteria under the gums, patients with gum disease often complain of bad breath. Sometimes, people surrounding the patients can detect the smell emitting from the patient’s mouth as well. Successful treatment of gum disease can eliminate the problem of bad breath.
  4. Better health through better gums
    Untreated gum disease can cause bacteria to enter our blood stream and affect our health. Research have shown that patients with gum disease have an increased risk of heart disease, stroke, diabetes, pre-term birth etc. Hence it is important to have gum disease treated.

Treatment Process

  1. What you expect at their first consultation?
    1. Relevant x-rays will be taken and comprehensive examination are done by our qualified specialists.
    2. Our specialists will then discuss your pre-existing dental condition and treatment required to save your natural teeth.
    3. Discussion of treatment plan includes counselling on the duration of treatment, phases of treatment, cost and as well as maintenance protocol.
  2. Initial gum treatment (Phase I) 
    1. Periodontists will perform the initial gum treatment using ultrasonic scalers and fine instruments.
    2. Instructions and technique for maintenance of good oral hygiene is given.
    3. Local anaesthesia may be used to ensure that the treatment is pain-free.
  3. Definitive gum treatment (Phase II)
    1. The periodontist will perform definitive gum treatment in phase II.
    2. The periodontist will perform specialized treatment that will grow and regenerate the bone and gum around teeth.
    3. With the new bone and gum tissue being regenerated, the tooth will be better anchored to the gum after having gained more strength from bone support.
  4. Follow-up care
    1. After gum disease has been successfully treated, the periodontist will perform follow-up care to ensure that gum disease will not reoccur.
    2. Professional cleaning and careful monitoring will be done during follow-up care.
  5. Is the gum treatment painful?
    Gum treatment is generally pain-free. Most of our patients do not require painkillers after treatment.

Financing Gum Treatment

  1. Gum treatment costs
    1. The cost of gum treatment is dependent on the following factors:
    2. Experience and skill level of the dentist
    3. Whether additional adjunct procedures are required
    4. We encourage you to meet with our professionals to find out more about the dental treatments available for your condition, price ranges and other fees applicable.
  2. Insurance claim
    Please check with your insurance advisors on your dental coverage. Our patient care counsellors are able to assist with the details on your insurance claim forms. You will then submit the necessary documentation required to your insurer. You may enquire through our website to check if your insurance company has an existing arrangement with our clinic.

FAQs on Gum Treatment

  1. What will happen without treatment?
    1. Gum treatment that is left untreated will lead to following:
      1. Gum recession
      2. Shaky teeth
      3. Bad breath
      4. Bleeding gums
      5. Spacing between teeth
      6. Shifting of teeth
    2. The final stages of gum disease presents with pain and tooth loss.
  2. Must I have follow-up care?
    1. After gum disease has been successfully treated, the periodontist will perform follow-up care to ensure that gum disease will not reoccur.
    2. Professional cleaning and careful monitoring will be done during follow-ups.
    3. Follow-up appointments for proper check and clean are important as a lack of it will lead to the recurrence of gum disease.
  3. Can gum disease cause other health problems?
    1. Bacterial infections, causes gums to bleed easily from the pockets. Bacteria can also gain entry into the blood stream through the pockets present. This can gives rise to the effects on other parts of the body which affects general health. It is uncommon knowledge that patients with advanced gum disease actually have a large surface area of infection and inflammation. In fact, research has shown that the surface area over which bacteria can enter the blood stream is equivalent to the total surface area represented by two hands.
    2. Bacteria affects the blood stream in two ways. They can either enter the blood stream directly, or they can send chemicals into the blood stream. These harmful substances can then be transported to the various organs in the body. For example, harmful chemicals produced by the bacteria can increase the insulin resistance of diabetic patients and worsen the diabetic condition. It is also well established by the World Health Organization (WHO) that diabetes can lead to the worsening of gum disease.
  4. Why do I get more bleeding from the gums and have shaky teeth during pregnancy?
    1. Mothers-to-be often suffer from severe gum bleeding and even dramatic gum swellings. This is due to the increase in estrogen and progesterone levels during pregnancy. These changes in hormonal levels can lead to gum disease.
    2. When a pregnant mother has gum disease, the gum are weaker and tend to bleed. This causes bacteria from the oral cavity can enter the blood stream. . These bacteria will travel in the blood stream and enter the placentain in great numbers to reach the foetus. Such an infection of the placenta can lead to pre-term, low birth weight babies. If a pregnant mother has an untreated gum disease, she is exposed to 7 times more risk of catching the infection when compared to a pregnant mother who is treated for gum disease. When a baby is born pre-matured, at a low birth weight, the baby is more prone to medical problems such as breathing problems, heart problems, learning difficulties and many other health issues.
    3. Research has shown that gum treatment by gum specialists can reduce the risk of pre-term low birth weight babies. One research report done in University of North Carolina, USA, had shown that mothers-to-be who had their gum disease treated had the same low risk for pre-term low birth weight babies when compared to mothers-to-be who had healthy gums.
    4. It is therefore imperative to have gum disease treated early during the pregnancy. It is advisable to have treatment done during the second trimester too. In fact, it is recommended to have a gum check by a specialist before trying for a baby to avoid the problems mentioned, as prevention is better than cure. The practice of good oral hygiene practice is also important to minimize the amount of bacteria residing in the mouth. Flossing at least once a day and brushing twice a day will go a long way in preventing gum disease and cavities.
  5. How do I choose a dentist for this procedure?
    1. As gum treatment is a specialised treatment, your prosthodontist dentist should possess relevant post graduate qualifications. A full-fledged prosthodontist would have to undergo 3-years of full-time training, continuous education in the form of regular attendance of lectures and hands-on course are important for constant upgrading skills and knowledge.
    2. It is also important to see before and after photos of work performed by the prosthodontist. This is because, before and after photos of work performed will provide an idea of the possible final outcome. These photos can also be used to gauge the prothodontist’s experience in the specific clinical situation.