Periodontal treatment provided in Wolverhampton
Periodontology is the care of the gums, which are vital to your overall oral health as they support your teeth. Here at Parkdale Dental Clinic, we are able to offer you the highest quality periodontal care and treatments, including surgical interventions where necessary.
What Is Periodontal Disease?
Periodontal disease is the leading cause of tooth loss in adults and is an inherited condition. Other factors that contribute to periodontitis are plaque accumulation at the gingival margins, smoking, pregnancy, puberty, stress, hormonal imbalance and diabetes. Patients with bad oral hygiene will accumulate plaque deposits on their teeth. With time, the types of bacteria in undisturbed plaque change from aerobic to anaerobic strains. It is the anaerobic bacteria that are associated with the destruction of the periodontium in susceptible patients. Tobacco users have an increased risk periodontitis due to the adverse effects smoking has on the blood supply of the periodontium.
The bacteria involved in periodontal disease are bacillis fusiformis and borrella uincenti. As the accumulation of plaque bacteria is necessary for the development of periodontitis, it can be treated and more importantly prevented by good oral hygiene.
The first stages of periodontal disease is chronic gingivitis, which develops from bacteria in plaque that is allowed to build up and enter the gingival tissues. This increases the flow of blood to the gingiva which changes the gum from normal pale pink in colour and a stippled texture to red, swollen, bleeding gums and a shiny texture. This may cause enlargement of the gingival crevice which creates a false pocket. If detected early, gingivitis can be reversed and maintained by good oral hygiene.
This infection has damaged the supporting bone and fibers that hold your teeth in place. Gums may have begun to pull away from your teeth forming a ‘true pocket" below the gum line which traps food, bacteria and plaque. At this stage there is bone loss and mobility. If oral hygiene is maintained and treatment is commenced this can stabilise bone loss and minimise damage to the periodontal ligaments.
The fibers and bone that support your teeth are destroyed causing your teeth to be loose or move. This movement of your teeth can affect your bite causing other dental problems and if not treated to save these teeth, they may need to be removed or treated by a Periodontist to prevent further damage.
Clinical studies prove that periodontal disease, when left untreated, can result in increased probing depths, loss of attachment, and loss of teeth. A plaque index greater than 70% and smoking were the most predictive factors. The overall result when periodontal disease is left untreated is destruction of the periodontal support apparatus and tooth loss.
Plaque control methods
To stablise or manage gum disease, it is key to maintain good oral hygiene by brushing, flossing and using a chlorhexadine mouth wash on a daily bases. Hygiene visits every 3 months is important to help maintain good oral hygiene. If plaque is allowed to remain on the teeth over time, it will harden or calcify, and turn into a substance called calculus. This will then allow bacteria to settle.
There are five types of treatments available to help manage periodontal disease:
1. Oral Instructions
2. Flossing interdental aids.
4. Root Planing
5. Surgical ginvervectomy
6. Full mouth disinfection
Acute Periodontal disease
Acute periodontal disease comes on very rapidly and can be really painful and uncomfortable.
Pericoronitis- inflammation of the gingiva overlying an erupting tooth. Treatments available are antibiotics ,operculectomy and irrigation.
Acute Necrotising Ulcerative Gingivitis
Also known as ANUG. Common in young adults, related to stress, heavy smoking and low immune system. This could also be the first signs of AIDS. Antibiotics like Metrondazole and Chlorhexidine mouthwash can be indicated.
Acute Lateral Periodontal Abscess
An absess is formed deep within the periodontal tissues. Treatment used to treat this would be Metronidazole, Chlorhexidine mouthwash and irrigation.
Very common in infants and caused by the herpes simplex virus. Treated with antibiotics can stop the viruses fully developing, which will slow down the length of time you will experience symptoms.
Phil Forman | GDC no. 51578
Periodontist |BDS (Lond) DPDS (Brist) DipPerio (UCLAN)
Phil is joining our practice in May and brings with him a practicing lifetime of experience in periodontology. Phil qualified at the Royal Dental Hospital in London and went on to work with Bernie Keiser, one of the most the well-known periodontists during the 1980s and 90s, and then periodontal consultant Peter Hull at the Manchester Dental Hospital.
In 2000 Phil was appointed vocational training advisor in the South Manchester deanery and was responsible for a number of training practices. During this period Phil completed a diploma in post-graduate dental studies based at Bristol Dental School with certificates in crown and bridge, periodontology and practice management. He has recently completed a post graduate Diploma in Periodontology at UCLAN and is currently working on an MSc dissertation on the relationship between salivary cytokines and periodontal disease.