The Most Common Dental Problems
The Most Common Dental Problems
How does pregnancy affect your dental health?
How does pregnancy affect your dental health?
Changes in your body during pregnancy can affect your teeth and gums. For example:
- You have increased levels of certain hormones, like progesterone and estrogen, in your body during pregnancy. These can increase your risk for certain oral health problems.
- Your eating habits may change. You may eat more of certain foods during pregnancy than you did before you were pregnant. The kinds of food you eat can affect your dental health.
- You may brush and floss your teeth less than you did before you got pregnant. This may be because your gums are tender or you’re more tired than usual. For some women, brushing and flossing may cause nausea (feeling sick to your stomach).
These changes can increase your risk for certain dental problems during pregnancy, including:
- Cavities (also called tooth decay or caries). These are small, damaged areas in the surface of your teeth. Being pregnant makes you more likely to have cavities. You can pass the bacteria that causes cavities to your baby during pregnancy and after birth. This can cause problems for your baby’s teeth later in life.
- Gingivitis. Gingivitis is inflammation (redness and swelling) of the gums. If untreated, it can lead to more serious gum disease. Pregnancy hormones can increase your risk for gingivitis. Sixty to 75 percent of pregnant women have gingivitis. Signs and symptoms include:
- Redness and swelling
- Tenderness in the gums
- Bleeding of the gums, even when you brush your teeth gently
- Shiny gums
Loose teeth. High levels of the hormones progesterone and estrogen during pregnancy can temporarily loosen the tissues and bones that keep your teeth in place. This can make your teeth loose.
Periodontal disease (also called periodontitis or gum disease). If gingivitis is untreated, it can lead to periodontal disease. This causes serious infection in the gums and problems with the bones that support the teeth. Your teeth may get loose, and they may have to be extracted (pulled). Periodontitis can lead to bacteremia (bacteria in the bloodstream). This is a serious condition that needs immediate treatment. Smoking is a cause of severe gum disease.
Pregnancy tumors (also called pyogenic granuloma). These tumors are not cancer. They’re lumps that form on the gums, usually between teeth. Pregnancy tumors look red and raw, and they bleed easily. They can be caused by having too much plaque which is a sticky film containing bacteria that forms on teeth). These tumors usually go away on their own after giving birth. In rare cases they may need to be removed by your health care provider.
Tooth erosion. If you have vomiting from morning sickness, your teeth may be exposed to too much stomach acid. This acid can harm the enamel (the hard surface) of your teeth. Morning sickness also called nausea and vomiting of pregnancy or NVP is nausea and vomiting that happens during pregnancy, usually in the first few months. Cool.
Dental Health
Gingivitis and Periodontal Disease
Gingivitis and Periodontal Disease (Gum Disease)
Gingivitis, also generally called gum disease or periodontal disease, describes the events that begin with bacterial growth in your mouth and may end – if not properly treated – with tooth loss due to destruction of the tissue that surrounds your teeth.
What's the Difference Between Gingivitis and Periodontitis?
Gingivitis (gum inflammation) usually precedes periodontitis (gum disease). However, it is important to know that not all gingivitis progresses to periodontitis.In the early stage of gingivitis, bacteria in plaque build up, causes the gums to become inflamed (red and swollen) and often easily bleed during tooth brushing. Although the gums may be irritated, the teeth are still firmly planted in their sockets. No irreversible bone or other tissue damage has occurred at this stage.
When gingivitis is left untreated, it can advance to periodontitis. In a person with periodontitis, the inner layer of the gum and bone pull away from the teeth and form pockets. These small spaces between teeth and gums collect debris and can become infected. The body's immune system fights the bacteria as the plaque spreads and grows below the gum line.
Toxins or poisons – produced by the bacteria in plaque as well as the body's "good" enzymes involved in fighting infections – start to break down the bone and connective tissue that hold teeth in place.
As the disease progresses, the pockets deepen and more gum tissue and bone are destroyed. When this happens, teeth are no longer anchored in place, they become loose and tooth loss occurs. Gum disease, in fact, is the leading cause of tooth loss in adults.
What Causes Gum Disease
What Causes Gum Disease
Plaque is the primary cause of gum disease. However, other factors can contribute to periodontal disease as well. These include:
* Hormonal changes, such as those occurring during pregnancy, puberty, menopause, and monthly menstruation, make gums more sensitive, which makes it easier for gingivitis to develop.
* Illnesses may affect the condition of your gums. This includes diseases such as cancer or HIV that interfere with the immune system. Because diabetes affects the body's ability to use blood sugar, patients with this disease are at higher risk of developing infections, including periodontal disease.
* Medications can affect oral health because some lessen the flow of saliva, which has a protective effect on teeth and gums. Some drugs, such as the anticonvulsant medication Dilantin and the anti-angina drug Procardia and Adalat, can cause abnormal growth of gum tissue.
* Bad habits such as smoking make it harder for gum tissue to repair itself.
* Poor oral hygiene habits such as not brushing and flossing on a daily basis, make it easier for gingivitis to develop.
* Family history of dental disease can be a contributing factor for the development of gingivitis.
What Are the Symptoms of Gum Disease?
What Are the Symptoms of Gum Disease?
Gum disease may progress painlessly, producing few obvious signs, even in the late stages of the disease. Although the symptoms of periodontal disease often are subtle, the condition is not entirely without warning signs. Certain symptoms may point to some form of the disease. The symptoms of gum disease include:
* Gums that bleed during and after tooth brushing
* Red, swollen, or tender gums
* Persistent bad breath or bad taste in the mouth
* Receding gums
* Formation of deep pockets between teeth and gums
* Loose or shifting teeth
* Changes in the way teeth fit together upon biting down, or in the fit of partial dentures.
Even if you don't notice any symptoms, you may still have some degree of gum disease. In some people, gum disease may affect only certain teeth, such as the molars. Only a dentist or a periodontist can recognize and determine the progression of gum disease.
How Can Gum Disease Be Prevented?
How Can Gum Disease Be Prevented?
Gum disease can be reversed in nearly all cases when proper plaque control is practiced. Proper plaque control consists of professional cleanings at least twice a year and daily brushing and flossing.
Brushing eliminates plaque from the surfaces of the teeth that can be reached; flossing removes food particles and plaque from in between the teeth and under the gum line. Other health and lifestyle changes that will decrease the risk, severity, and speed of gum disease development include:
* Stop smoking. Tobacco use is a significant risk factor for development of periodontitis. Smokers are seven times more likely to get gum disease than nonsmokers, and smoking can lower the chances of success of some treatments.
* Reduce stress. Stress may make it difficult for your body's immune system to fight off infection.
* Maintain a well-balanced diet. Proper nutrition helps your immune system fight infection. Eating foods with antioxidant properties, for example, those containing vitamin E or vitamin C (vitamin E-containing foods include vegetable oils, nuts, green leafy vegetables; vitamin C-containing foods include citrus fruits, broccoli, potatoes) can help your body repair damaged tissue.
* Avoid clenching and grinding your teeth. These actions may put excess force on the supporting tissues of the teeth and could increase the rate at which these tissues are destroyed.
Despite following good oral hygiene practices and making other healthy lifestyle choices, the American Academy of Periodontology says that up to 30% of the Americans may be genetically susceptible to gum disease. And those who are genetically predisposed may be up to six times more likely to develop some form of gum disease. If anyone in your family has gum disease, it may mean that you are at greater risk as well. If you are more susceptible to gum disease, your dentist or periodontist may recommend more frequent check-ups, cleanings, and treatments to better manage the condition.