PREVENTION AND TREATMENT OF PERIODONTAL DISEASES
Dr Anthony Franzmann
Qualified from the University of Melbourne, Dr Anthony is a strong proponent of Preventive Dentistry.
30 years of clinical Experience across Australia, USA and UK. Several hundred Dental implant cases successfully completed a large number of highly customised full mouth and smile transformations achieved.
Periodontal Care Melbourne CBD
Gums are an important part of oral health. The supportive structures around the actual teeth hold the teeth in position and form the foundation for good oral health.
Our mouths are home to bacteria. These bacteria, along with mucous and other particles, constantly form a sticky, colourless “plaque” on teeth.
Brushing and flossing help remove plaque.
Unremoved plaque can harden and form “tartar” that brushing doesn’t clean.
Only a professional cleaning by your dentist or dental hygienist can remove tartar.
The longer plaque and tartar are unremoved, the more harmful they become. The bacteria can cause an inflammation of the gums that is called “gingivitis.”
With gingivitis, your gums become red, swollen and can bleed easily.
Gingivitis can usually be reversed with proper brushing and flossing and a regular clean by a dentist or dental hygienist.
This form of periodontal disease does not include bone loss and tissue that hold teeth in place.
When gingivitis is left ignored, it can advance to periodontitis.
In periodontitis, the gums recede from the teeth and form pockets that become infected.
The body’s immune system fights off bacteria as the plaque spreads and grows below the gumline. Bacterial toxins and the body’s natural response to infection start to break the bone, and the connective tissues that hold teeth in place.
If left untreated, the bones, gums, and tissue that support the teeth are affected. The teeth may become loose and have to be removed.
- Hormonal changes in girls/women
- Other illnesses medications. There are hundreds of prescriptions, and over the counter medications, some medicines can cause abnormal overgrowth of the gum tissue; this can make it difficult to keep teeth and gums clean.
- Genetic susceptibility
Who gets gum disease?
People usually don’t show signs of gum disease until the age of 30 to 40. Men are more likely to have gum disease compared to women.
Although teenagers rarely develop periodontitis, they can develop gingivitis, a milder form of gum disease.
Most commonly, gum diseases develop when plaque builds up along and under the gumline.
How do I know if I have gum disease?
The symptoms of gum (periodontal) disease include:
- Bad breath that doesn’t seem to go away
- Red or swollen gums
- Tender or bleeding gums
- Painful chewing
- Loosened teeth
- Receding gums or longer appearing teeth
Treatment for Gum Disease
The main goal of gum disease treatment is to control infection. The number and types of treatment will vary, depending on the severity of the gum disease.
Any type of treatment requires that the patient keep up good oral hygiene at home. Your Melbourne CBD dentist may also suggest changing certain behaviours, such as quitting smoking, as a way to improve treatment outcome.
Deep Cleaning (Scaling and Root Planing)
The dentist or dental hygienist removes plaque through a deep-cleaning method called scaling and root planing.
Scaling means scraping off the tartar from above and under the gumline.
Root planing gets rid of the rough spots on the tooth root where the germs collect and help remove disease-causing bacteria.
In some cases, a laser is used to remove plaque and tartar. This procedure can lead to less bleeding, swelling, and discomfort compared to other traditional deep cleaning methods.
Surgery might be necessary if inflammation and deep pockets remain after treatment with deep cleaning and medications.
A dentist may perform flap surgery to remove tartar deposits in deep pockets or to reduce the periodontal pocket and make it easier for the patient, dentist, and hygienist to keep the area clean.
This common surgery involves lifting back the gums and removing the tartar. The gums are then sutured back in place so that the tissue fits snugly around the tooth again.
After surgery, the gums will heal and fit more tightly around the tooth. This sometimes results in the teeth appearing longer.
Bone and Tissue Grafts
In addition to flap surgery, your dentist may suggest procedures to help regenerate any bone or gum tissue lost to periodontitis.
Bone grafting, in which natural or synthetic bone is placed in the area of bone loss, can help promote bone growth. A technique that can be used with bone grafting is called guided tissue regeneration.
In this procedure, a small piece of mesh-like material is inserted between the bone and gum tissue.
This keeps the gum tissue from growing into the area where the bone should be, allowing the bone and connective tissue to regrow.
– proteins that can help your body regrow bone naturally – may also be used.
In cases where the gum tissues have been lost, your Melbourne CBD dentist may recommend a soft tissue graft, in which synthetic material or tissue is taken from another area of your mouth is used to cover the exposed tooth roots.
Since each case is different, it is impossible to predict with certainty which grafts will be successful over the long-term.
Treatment results may depend on many factors, including how far the disease has progressed, how well the patient keeps up with oral care, and certain risk factors, such as smoking, which may lower the chances of success.
Ask your Melbourne CBD dentist what the level of success might be in your case.
Periodontal Care in Melbourne CBD
Periodontitis can be stopped if detected and treated early enough. Treatment is typically very successful.
Dr Anthony Franzmann will work closely with you to find the perfect treatment option for you.
Periodontal Care – Competitively priced and without long waited periods!
Call us on (03) 9642 8955 or request an appointment online.
We are located at Level 17, 190 Queen Street in Melbourne CBD.
Frequently Asked Questions
How can I keep my teeth and gums healthy?
- Brush your teeth two times a day with a soft-bristled toothbrush and fluoride-containing toothpaste
- Floss daily to remove plaque from hard-to-reach areas between the teeth
- Visit your Melbourne CBD dentist routinely for a dental check-up and professional cleaning.
- Don’t smoke. If you do, try stopping.
Can gum disease cause health problems beyond the mouth?
For example, something else may cause both gum disease and another condition, or it could be a coincidence that you suffer from gum disease and other health problems.
More research is needed to explain whether gum diseases actually cause health problems beyond the mouth and whether treating gum disease can keep you from other health conditions.
In the meantime, it’s a known fact that preventing gum disease can save your teeth – a very good reason to take care of your oral health.