
The most common cause of tooth loss today is gum disease and this results from incorrect oral hygiene allowing plaque to accumulate on the gums.
As the plaque builds next to the gums, the body’s defenses overreact and the gums bleed and become swollen. At this stage there may still be no pain or discomfort. The early sign of the gums bleeding when brushed is often ignored.
If all this is ignored then, in time, the gums lose their attachment to the teeth. The bone around the tooth recedes and the tooth becomes progressively looser until it is lost. During this later stage there are often episodes of pain and infection, abscesses and halitosis (‘bad breath).
Treatment
A hygienist, working under the prescription of the dentist, undertakes much of the treatment of gum disease. The hygienist specialises in the treatment of gum disease.
To prevent the onset or progress of gum disease we need to remove all the hardened plaque (sometimes called tartar, or calculus) from the tooth surface. This will reduce the inflammation in the gums and allows tooth brushing to be more effective.
To prevent the recurrence of gum disease we need to aim towards is perfect oral hygiene, which means total removal of all the plaque from all sides of the teeth at least twice a day. This normally involves tooth brushing and flossing.
Tooth Brushing
Flossing
Interproximal Brushes
When used they should slip into the spaces between your teeth and remove all the plaque. Most patients find them easier to use and to master than dental floss.
Oral Irrigation
Any bleeding that appears whilst you are brushing or flossing is normally a sign that some gum disease is present. This is caused by not enough accurate cleaning over the preceding days. Contrary to popular belief you need to brush and floss these areas more. not less, and if the bleeding does not resolve within a few days, contact the practice.