UNDERSTANDING GUM DISEASE:
What Causes it and How to Treat it
Gum disease, also known as periodontal disease, is a common yet serious condition that affects the gums and can lead to damage of the soft tissue and bone that support the teeth. It is typically caused by poor oral hygiene, which allows plaque to accumulate on the teeth, leading to inflammation and infection.

Gum disease can range from mild gingivitis to severe periodontitis, which may result in tooth loss if not properly treated.
The primary cause of gum disease is the buildup of plaque—a sticky, colorless film of bacteria that forms on teeth. When plaque is not regularly removed through brushing and flossing, it can harden into tartar, which can only be removed by a dentist or dental hygienist. The bacteria in plaque and tartar irritate the gums and causing them to become inflamed. This initial stage of gum disease is called gingivitis. Gingivitis, characterized by redness, swelling, and bleeding of the gums, particularly when brushing or flossing. If left untreated, gingivitis can progress to a more serious form of gum disease known as periodontitis, where the inflammation spreads deeper into the tissues and bones supporting the teeth. In this advanced stage, gum recession, tooth mobility, and even tooth loss can occur.
In addition to poor oral hygiene, several lifestyle factors and health conditions can contribute to the development of gum disease. Smoking or chewing tobacco is one of the most significant risk factors, as it weakens the immune system and reduces blood flow to the gums, making it harder for the body to fight off infection. Hormonal changes, such as those during pregnancy, menstruation, and menopause, can also make gums more susceptible to disease due to changes in the body’s hormonal balance. Certain medical conditions like diabetes, heart disease, and autoimmune disorders can increase the risk of gum disease, as they impair the body’s ability to combat infections. Additionally, medications that reduce saliva flow, such as antihistamines, antidepressants, and certain blood pressure medications, can contribute to the development of gum disease. Saliva is crucial for washing away food particles and bacteria, so reduced saliva increases the risk of plaque buildup and infection.
Treatment for gum disease depends on its severity. For gingivitis, the first line of treatment is often a professional cleaning by a dentist or hygienist to remove plaque and tartar buildup. Additionally, improving oral hygiene practices, such as brushing at least twice a day with fluoride toothpaste and flossing daily, is essential to reverse gingivitis and prevent its progression. If gum disease has advanced to periodontitis, more intensive treatments may be necessary. Scaling and root planing, also known as deep cleaning, is a procedure where the dentist cleans below the gumline to remove plaque and tartar from the roots of the teeth. In more severe cases, surgical treatments such as flap surgery or bone and tissue grafts may be needed to restore damaged tissues and bone.
Ongoing oral care at home is vital for preventing gum disease from reoccurring. Brushing with a soft-bristled toothbrush, using floss or interdental brushes, and incorporating mouthwash with antibacterial properties into your daily routine can significantly improve oral health. Regular dental check-ups are also essential for detecting early signs of gum disease, as symptoms may not always be noticeable in the early stages.
In conclusion, gum disease is a common but preventable condition, primarily caused by poor oral hygiene but influenced by various lifestyle and health factors. Early intervention is crucial, as untreated gum disease can lead to severe oral health problems, including tooth loss. By practicing good oral hygiene and seeking timely care from dental professionals, individuals can effectively treat and prevent gum disease, preserving both the health of their gums and teeth for years to come.
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