Gum Disease

Gum disease is primarily caused by certain bugs/bacteria, which live in the mouth. These bacteria are found in plaque and can cause damage to the gums and underlying bone, which holds the teeth in your mouth. If plaque is allowed to build up, it will cause the gums to become inflamed and bleed easily. This is called gingivitis. If this is allowed to continue, then eventually the underlying support structures can become involved. This is known as periodontitis.

How do I know I have this problem?

Frequently, it is the dentist or hygienist who has spotted that there is a gum related problem. 

However, you may have noticed that your gums bleed when you brush them or that your breath is unpleasant. Your teeth may feel slightly mobile or have even drifted forwards.  The gums may have become swollen and painful – occasionally requiring antibiotics.

Signs and Symptoms of Gum Disease

  • Red swollen gums

  • bleeding gums after brushing

  • bad breath

  • loose teeth

  • gum abscesses

  • receding gum

What is Gum Disease?

Gum Disease or Periodontal Disease is an infection of the tissues that support and hold the teeth in your mouth.  The primary aetiological factor is plaque. This is a sticky matrix containing the bacteria that have the potential to cause the inflammatory process. 

In the early stages it takes the form of Gingivitis.  Gingivitis is a reversible problem that affects the gums around the neck of the teeth. If excellent cleaning is reinstated the problem will resolve. If the problem is allowed to continue, then there may be further irreversible damage of the soft tissue and underlying bone – this is called periodontitis.

What does treatment involve?

In the first appointment, the periodontist will carry out a thorough dental history, clinical and radiographic examination. The pocket depths around each tooth are measured and recorded in a periodontal chart. This will allow a full assessment as to the extent of the gum problem and provide a diagnosis. 

You will then be provided with a comprehensive letter detailing the issues and steps needed to address the problems.  This may well involve a course of non-surgical periodontal therapy, which is normally carried out by a hygienist. You would be advised on the best way to make your mouth healthy. If any teeth had reached a stage, where extraction was advised, then advice with regards to replacement would be provided. 

Gavin McGregor