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Periodontal Disease & Dental Health PDF Print E-mail
Periodontal disease is the #1 cause of tooth loss in this country and afflicts three-quarters of the population. The early signs are so subtle that many people do not even realize they have it – until it’s too late.

You have heard all of your life how important it is to brush and floss regularly. Periodic, regular cleanings by a dentist are also critical. However, did you know that clean teeth and gums keep not only the teeth healthy, but also the entire body? When teeth and gums are unhealthy, not only is the result bad breath, but periodontal disease can even go so far as to cause a bad bite between the upper and lower teeth which eventually affects jaw health and so on.
Pick pockets are subtle thieves. It may be hours before you even realize that you were robbed. You reach into your pocket and your wallet is gone! Periodontal disease is also subtle. Since it is invisible and initially painless, it may be years before you realize you have it. It ultimately can rob you of your teeth.

What is Periodontal Disease?

Periodontal disease attacks the soft tissues (gums) and bone supporting the teeth. Unlike tooth decay, which directly attacks the teeth, periodontal disease undermines them. It can destroy the supporting structure of a tooth so that the tooth becomes so loose, it either falls out or has to be pulled. Though most tooth loss from periodontal disease occurs after the age of 35, the disease often begins during teenage years. It begins by affecting the gums and then affects the bone. Early symptoms include:
  • Bleeding of gums when brushing and flossing
  • Persistent bad breath
  • Soft, swollen or tender gums
  • Loose teeth
  • Gums shrinking away from the teeth
  • Sensitive teeth where the root surfaces are exposed
Plaque Attack

What causes periodontal disease? Bacteria is the culprit for the most common form of the disease.

The soft, sticky film of bacteria that constantly forms on your teeth is called plaque. If not removed by careful daily cleaning with a brush and floss, plaque thickens. It will combine with a hard deposit called calculus which is also known as tartar. The calculus provides a rough surface to which more plaque can attach itself.

As the plaque and calculus accumulate, the gums become inflamed and slowly detach from the teeth, leaving deep pockets that become filled with bacteria and puss.

In its latest stages, the connective tissue fibers which fasten the teeth to the bone, are destroyed and the bone socket gradually disintegrates.

Contributing Factors

All mouths are filled with bacteria. Why does periodontal disease strike some people and not everyone? One important factor is diet. Sugar-rich foods are especially harmful and should be avoided since plaque feeds on sugar! Lack of dietary calcium and the B and C vitamins will also increase the likelihood of periodontal disease. Other factors that aggravate this disease include:
  • Medical conditions
  • Pregnancy
  • Smoking or chewing tobacco
  • Worn-out fillings or crowns
A Bad Bite Will Worsen the Condition

Your bite is another more subtle aggravating factor. When your upper and lower teeth do not come together properly, they place excessive stress on the teeth. The powerful muscles which control the jaw exert tremendous force on the teeth. The force your teeth exert against each other can be as much as 300 lbs. per square inch!

Teeth were designed to withstand this force if it is directed straight down. When hammering, you must hit the nail straight on. Otherwise, the nail will bend. Its weakest point is where the nail is embedded in the board.

Similarly, misdirected forces of the upper and lower teeth against each other will weaken a tooth. The tooth is forced to rotate in its socket. Like the nail, the part of the tooth which is most affected by the misdirected forces is the part which is embedded in the bone, near the gum line. This puts pressure on certain parts of the bone in the socket. Then, the bone begins to disintegrate. The muscular forces generated by a bad bite aid the bacteria in its breakdown process by weakening the bone support.

Prevention is the Key

What can be done? Good oral hygiene and nutrition are important preventative measures that you can practice. This includes daily brushing and flossing and regular professional cleanings by your dentist or hygienist. You can also pay attention to early warning signs such as bleeding gums and loose or chipped teeth. Once bone and gum tissue are lost, they are lost forever.

If you are experiencing any of the symptoms of periodontal disease, consult your dentist. Through careful diagnosis, the dentist can determine if your bite is contributing to the disease. If so, the bite must be corrected so that the forces of the teeth against each other are properly directed.

Keeping your teeth and gums healthy will contribute to your overall health and enjoyment of life. Take time to understand your health.

Source: TMData Resources

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