The best way to prevent periodontal disease and, therefore, the need to specify treatments is to follow a correct oral hygiene. Even so it is advisable to visit the dentist to prevent problems that may arise over time.
What are the pathologies that affect the gums?
The accumulation of plaque and tartar in the neck of the teeth, ie the gum line, will lead to gingivitis , bleeding and reversible gum redness. If no solution is found and is related to other factors such as tobacco consumption, the situation can be aggravated by getting periodontitis , which is pyorrhea or loss of tooth holding bone. It should be noted that this second phase of the disease is irreversible, although its progress can be paralyzed by taking the appropriate measures. The main drawback is that they are painless diseases for the patient, so it is usually late for the specialist in dentistry .
Can these types of diseases be prevented?
The way to prevent and stop periodontal disease, gums, is correct oral hygiene, apply appropriate treatment and avoid habits such as smoking.
What are the treatments to avoid these oral health problems?
We treat periodontal diseases at all stages. If the patient has gingivitis, a mouth cleaning is carried out and specific instructions will be given for correct hygiene at home. In the case of already suffering periodontitis, in addition to the treatment described for gingivitis, deeper cleanings with anesthesia, which sometimes may require surgery.
What health consequences can these oral conditions cause?
May influence the patient's overall health. The inflammatory pathologies of the gums are directly related to the diabetes, compromising the control of the glucose if the person does not have the habit of taking care of the health of its gums. Similarly, if the patient is not careful with their blood sugar levels, the loss of bone that holds the teeth is significantly accelerated. There is also scientific evidence linking periodontal problems with premature births, children with low birth weight, respiratory and cardiac difficulties. When the restraint disappears, the teeth move and become lost. Therefore, it reduces the masticatory capacity and influences the digestive process.
Our mouth is also part of the business card that represents the face. Do these gum problems affect our social relationships?
Of course. When we introduce ourselves to others, we usually look first at the eyes and then we look at the mouth. People with problems such as those described modify their way of smiling, covering their mouths for it. They cause negative consequences in social and couple relationships due to bad breath, fear of smiling, separation and loss of dental pieces, among others. At present, these pathologies can be stopped, if you arrive in time, without losing your teeth. If it were already late, we can replace missing teeth with implants.
What happens when the patient has a recession or retraction of gums?
When this situation occurs, tenderness and other problems in the exposed root, such as wear and decay. If the recession is in the most visible part of the mouth, it also affects the aesthetics, lengthening the teeth and generating the aged smile effect. The recommended treatment is gum grafting, both to prevent and to correct.
And when someone has very small teeth and you see your gums a lot when you smile?
For those teeth that have not finished externalizing, we can lengthen them by means of the "recontorneo of gums" to aesthetically perfect the smile correcting the dental proportions and avoiding so much gum. Other times the same treatment should be performed on very worn teeth, with large cavities or broken ones, since what is left of the healthy tooth is not enough to restore it. In these situations the piece is lengthened allowing its reconstruction.
What happens when your own dental pieces can no longer be restored?
From this moment the specialist resorts to implants, artificial roots of titanium, the metal most compatible with the human body. When there is sufficient bone and gingiva, they apply without the need for added treatments. If there is absence of bone or gingiva, they can be regenerated through grafts of the patient, favoring an optimal long-term result.
Something that prevents many patients from going to the dentist is fear or anxiety, is not it?
effectively. When the case requires it, superficial sedation is practiced using medication. We also use sedation with nitrous oxide, the so-called "gas of laughter," which is given by inhalation.
How long does a tooth have to be replaced? Can it be done in a single day?
Depending on the situation and needs of the patient. When it needs bone and / or gingiva grafts, the procedure can be delayed for months, but whenever possible the teeth are placed from the first day. These are of a provisional material, allowing the patient to develop their social life and chew with normality. After a few months the final pieces are placed.
Can implants generate any kind of consequence?
In principle they are techniques that will last for the whole life. Even so, sometimes, especially if the patient does not follow daily care, plaque causes inflammation in the gingiva and loss of bone that holds the implants. It is the same course that makes your teeth lose, but faster because of the infection of the implant.
How can these problems be avoided?
It's a matter of taking care of the details. There are multiple implant manufacturers: good, regular and very bad. In the case of companies that offer the implant as a product with a lifetime warranty, it may be more costly, but it is worth it. Also important for success are a good gingiva surrounding the implants, the surgical technique used, the quality, the fit of the prosthesis and the correct maintenance and hygienic care of the patient.
What is guided surgery?
We can perform a guided surgery to place implants: one, several or all the teeth of the mouth. The first step is to perform a bone scanner. Subsequently, through a computer program we performed a virtual surgery simulating the placement of the implants in the most appropriate position. This study is sent by internet to the company that manufactures the splint or guide to place the implants, through the mucosa. In this way, they are implanted with total precision, reducing the time of the intervention and without incisions or points, which leads to a more comfortable postoperative period, with less pain and inflammation. This is the ideal technique to place the teeth in a single day.