Consist of treatments of diseases like gingiva disease (gingivitis), advanced gingiva disease (periodontitis). Gingiva diseases usually have insidious courses. Bleeding of gingiva is the most important sign of this diseases. Therefore, gingiva bleedings should be cared and it should be applied to a specialist doctor without loosing time.
Gingivitis; It represents gingiva disease group when oral hygiene is not provided sufficiently. It’s an infectious disease and it’s effect is limited with gingiva level. The most important cause of gingiva disease is a sticky and colorless film layer accumulating on teeth and called ‘bacterial dental plaque’ . However, the causes of gingivitis is not limited with bacterial plaque, also using some medicines (niphedipine, phenitoin, cyclosporin A etc) , periods like hormonal unbalance occure like pregnancy, puberty or menopause have effects.
Bacterial plaque related gingivitis may recover with dental cleaning and regular check ups once in every 6 months by a dentist. However the most important factor for recovery is personal oral hygiene procedures performed by the patient properly and regularly. When all those factors are performed, gingivitis will recover easily and never start again. .
Periodontitis; Different from gingivitis, this disease is an inflammatory disease and damages the root surface of tooth, the bone surrounding the root and the connective tissue between. A periodontal pocket occurs between the tooth and gingiva. It can be similar with non treated gingivitis in some ways. Although periodontitis is a chronic disease, it’s advancement rate may increase sometimes. Usually when it starts disturbing the patient, unfortunately it means that this disease is existing for long term and it cause advanced level damages already. If the disease is in advanced level, abscess formation may be observed on gingiva. Usually patients apply to dentists with pain because they think that this problem is tooth related and infectious.
Periodontitis is Seperated into two Subgroups According to Clinical Manifestation;
- Chronic periodontitis,
- Aggressive periodontitis
Chronic Periodontitis; It is observed 85 % in community and especially seen over the age of 35. It develops when gingivitis which is caused by bacterial plaque and dental calculus is not treated. Diagnose can be done with clinical examination and radiographic evaluation in chronic periodontitis. Clinically the gingiva color lost it’s normal pink appearance and gingiva have darker red color, it is swolen and can bleed easily. Radiologically (from dental x-rays) advanced bone loss can be observed.
Aggressive Periodontitis; Different from chronic periodontitis, it effects younger patients in puberty or young adults and even in pre puberty period by proceeding faster and independently from the local effect of bacterial plaque. The most important thing is it can proceed causing tooth loss in very early ages. Research
shows that this disease may show genetic transition and thus people who have early tooth loss due to gingival disease in his/her family should absolutely be under a regular control of a dentist. Some microbiological evaluations may detect tendency to this disease.
Early diagnose has major importance for prevention of early tooth loss. This disease not only cause early tooth loss, it also leads loss of bone surrounding the teeth. This situation may lead difficulties during implant and prothetic procedures. It is very important that children having gingival disease tendency should be examined during puberty period.