2. Periodontitis
• If gingivitis is left untreated, it can develop into periodontitis.
• Symptoms:
• Gum recession.
• Formation of pockets between teeth and gums.
• Bad breath (halitosis).
• Loose teeth as the disease progresses.
• Cause: Accumulation of plaque and tartar below the gumline, leading to destruction of connective tissue and bone.
• Irreversible: Can only be managed, not cured.
Causes and Risk Factors
• Poor oral hygiene (inadequate brushing or flossing).
• Smoking and tobacco use.
• Diabetes (poorly managed blood sugar increases susceptibility).
• Hormonal changes (e.g., pregnancy, menopause).
• Genetic predisposition.
• Stress (affects immune response).
• Medications (e.g., those causing dry mouth or reducing saliva flow).
• Poor nutrition (vitamin C deficiency).
Complications
• Tooth loss: Severe periodontitis can cause teeth to loosen or fall out
• Systemic health risks: Periodontal disease has been linked to cardiovascular disease, diabetes complications, and respiratory infections.• Bone loss: Periodontitis erodes the jawbone, which can complicate future dental implants.
Prevention
• Brush teeth twice a day with fluoride toothpaste.
• Floss daily to remove plaque between teeth.
• Use mouthwash to reduce bacterial load.
• Visit the dentist every 6 months for cleaning and checkups.
• Quit smoking and avoid tobacco products.
• Manage chronic conditions such as diabetes.
Treatment Options
1. Non-surgical treatments:
• Scaling and root planing: Deep cleaning of plaque and tartar beneath the gumline.
• Antibiotic therapy: Oral or topical antibiotics to control infection.
• 2. Surgical treatments (for advanced cases):
• Flap surgery: Lifting the gums to clean deeper areas and reattach tissue.
• Bone grafts: To restore bone lost to periodontitis.
• Soft tissue grafts: To repair receding gums.
Conclusion
Periodontal disease is preventable with proper oral care and early detection. If symptoms appear, early intervention is key to halting its progression and avoiding severe complications. Regular dental visits play a crucial role in managing the condition effectively.