Gum Disease (cont.)
Steven B. Horne, DDS
Dr. Steve Horne began his career at Brigham Young University obtaining his BA in English. He earned his doctorate of dental surgery in 2007 from the University of Southern California where his pursuit for academic excellence landed him on the dean's list. He was recognized for his superior clinical skills and invited to help teach other dental students in courses on restorative dentistry, prosthodontics, and tooth anatomy. During dental school, he provided dental care for underserved populations of Los Angeles and Orange County, Mexico, and Costa Rica with the international volunteer organization AYUDA. After graduation from USC, Dr. Horne entered active duty with the U.S. Army and practiced dentistry at Fort Knox, Kentucky, for four years. During this time, in 2010, he was deployed as part of a medical unit to Baghdad, Iraq, to provide dental and triage support to military and civilian workers who were involved in the effort there. During his military service, he received multiple Army Achievement Medals, the Army Commendation Medal, and served as company commander. After leaving the Army in 2011, Dr. Horne joined a private practice in La Jolla, Calif., and became credentialed with Scripps Memorial Hospital La Jolla as a dental consultant. Health and education are of paramount importance to Dr. Horne, and since 2012, he has been writing dental articles for MedicineNet and WebMD to provide accurate information about oral health to the public. He is a member of the American Dental Association (ADA), Academy of General Dentistry (AGD), California Dental Association (CDA), and the San Diego County Dental Society and American Academy of Cosmetic Dentistry (AACD). He is a preferred provider with Invisalign and spends countless hours each year pursuing continuing education in order to maintain a standard of excellence in dentistry. Dr. Horne has been married for 15 years to his wife, Christy. They have 3-year-old twins, Camille and Trent, and very recently welcomed their third child, Colette Elise, on July 6! The heart and soul of the family is Roscoe, their chocolate Labrador.
Charles Patrick Davis, MD, PhD
Dr. Charles "Pat" Davis, MD, PhD, is a board certified Emergency Medicine doctor who currently practices as a consultant and staff member for hospitals. He has a PhD in Microbiology (UT at Austin), and the MD (Univ. Texas Medical Branch, Galveston). He is a Clinical Professor (retired) in the Division of Emergency Medicine, UT Health Science Center at San Antonio, and has been the Chief of Emergency Medicine at UT Medical Branch and at UTHSCSA with over 250 publications.
In this Article
- What is gum disease (gingivitis)?
- What is the difference between gingivitis and periodontal disease?
- What causes gum disease?
- Does gum disease cause bad breath?
- What does gum disease look like? What are gum disease symptoms and signs?
- How do health-care professionals diagnose gum disease?
- What is the treatment for gum disease?
- What types of specialists treat gum disease?
- What types of medication are used to treat gum disease?
- Are home remedies or natural treatments effective for gum disease?
- Is it possible to reverse gum disease?
- Is gum disease associated with other health problems?
- How is gum disease managed in children?
- How is gum disease managed in pregnancy?
- Is it possible to prevent gum disease?
- What is the best toothpaste to use to prevent gum disease?
- Is gum disease contagious?
- Find a local Doctor in your town
What does gum disease look like? What are gum disease symptoms and signs?
A person with gingivitis will typically have one or more of the following signs and symptoms:
- Bright red, swollen gums that bleed very easily, even during brushing or flossing
- A bad taste or mouth odor
- White spots or plaques on the gums
- Gums that look like they're pulling away from the teeth
- Pus between gums or teeth
- A change in the way the teeth fit together in the mouth or spaces opening up between teeth
- Change in the way partial dentures fit
As gingivitis progresses (chronic gingivitis), various complications may arise. The affected person may develop receding gums or areas where the root of the tooth becomes uncovered by the shrinking, diseased gums. Deep pockets may develop around the teeth that trap food, plaque, and debris. If gingivitis advances to periodontal disease, the person may lose gum tissue or bone around the teeth and the teeth may become loose or fall out. These changes can develop either very slowly or very rapidly and can affect either a few teeth or the entire mouth. If oral hygiene is almost never done or if the person becomes immune-compromised, acute necrotizing ulcerative gingivitis may develop (ANUG, formerly termed trench mouth). This is a painful condition where infected gums swell, ulcerate, and slough off dead tissue.
It is possible to have gingivitis and not notice any signs or symptoms, so regular visits to the dentist are vital in determining a patient's specific risk level. The dentist is the primary-care provider of the mouth and will be able to provide all of the facts and information necessary in diagnosing the disease and taking steps in curing or reversing gum disease.
How do health-care professionals diagnose gum disease?
The following methods and symptoms are very useful in the diagnosis of gum disease:
- Measuring the gums: A dentist or hygienist will use a periodontal probe to measure the depths of the pockets around all of the teeth in the mouth generally once per calendar year. Healthy gums will have pockets 1 mm-3 mm deep. Beyond that, the deeper the pockets, the more severe the disease.
- Taking X-rays: Dental bitewing X-rays will help show the level of the underlying bone and whether any bone has been lost to periodontal disease.
- Examining sensitive teeth: Teeth that have become sensitive around the gum line may indicate areas of receding gums.
- Checking the gums: A dentist or hygienist will look for red, swollen, or bleeding gums.
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