The frequency of gum disease increases with age – almost every second person suffers from it. And the risk increases after the age of 30. However, at the initial stage, inflammatory diseases of the oral cavity can cause almost no discomfort. But this does not mean that they can be ignored. The most reasonable solution is to visit the dentist every 6 months: the doctor will conduct an examination, take an x-ray to assess the condition of the teeth and surrounding tissues. And then, if necessary, offer therapy.
There are many situations where gum disease can lead to complications during dental procedures. One of them is implantation. Therefore, before deciding to install artificial teeth, you need to make sure that the gums are healthy.
Why is it dangerous to do implantation if the gums are not healthy? “Inflammation of the gums is the presence of a large amount of infection, pathogenic bacteria in the oral cavity, which are dangerous during implantation,” explains periodontal surgeon Amina Dovlatova. “According to statistics, the success of the operation is reduced by 50% with periodontitis, when the gums are not cured.”
“If the implantation is done by a qualified doctor, the gums should be in remission or healthy,” confirms dentist-surgeon, implantologist Dmitry Fedorov. – A periodontist prescribes anti-inflammatory treatment depending on the diagnosis and brings the condition of the gums to the possibility of implantation. Any exacerbation of gum disease can be removed and brought to a state of remission.
However, if the teeth are already very loose (due to advanced periodontitis), then there is a high risk that they will not be saved.
“Implantation is also indicated when periodontal treatment methods cannot give an effect,” continues Dmitry Fedorov. – Sometimes there is no point in saving, according to a clinical diagnosis, the doctor determines the lack of opportunities for treatment to save teeth. For example, mobility of the 3rd degree is a direct indication for tooth extraction.
But further, after the completion of treatment, you can think about implantation. By the way, it is important to take care of the gums even after the installation of artificial teeth. “As a rule, after the operation, a dental gel is prescribed for five days – Solcoseryl, Cholisal or another. The gel helps to speed up healing and removal of sutures,” explains implantologist Dmitry Fedorov.
What will help with inflammation?
Recall that you need to go to the periodontist at the first signs of gum disease. This is bleeding when brushing your teeth, eating, bad breath that does not go away after brushing your teeth, reddened areas on the gums, plaque on the tongue, exposure of the necks of the teeth, pain in the gums. If the diagnosis – periodonitis or gingivitis – is confirmed, the doctor will prescribe anti-inflammatory therapy.
One of the components of such treatment is dental gels. “The specific drug is selected by the doctor after examination and anamnesis (information about the medical history),” says dentist Daria Karasyova. — It’s great that really high-quality drugs appear on the market, it makes the doctor’s work and the patient’s life easier, but only if the patient acts together with the doctor. I note that the gel “Cholisal” acts in a complex way, that is, it works against bacteria, viruses and fungi, and also anesthetizes and has an anti-inflammatory effect. You should not buy the drug without a doctor’s prescription and be treated on your own. Gels and ointments can mask the disease, temporarily relieve the intensity of symptoms. And the disease will continue to progress and take on new forms. As a result, the patient will come to the dentist when self-treatment ceases to help, and the disease runs the risk of becoming chronic or complicated.”
By the way, inflammatory diseases of the gums can also occur in young patients, for example, when correcting an overbite and other anomalies of the dentoalveolar system.
“During orthodontic treatment, the gums may temporarily become inflamed at the stage of active movement of the teeth, and the gel helps relieve pain and inflammation. This is a very effective situational tool on the market at the moment,” notes Daria Karasyova.
Hygiene plus diet
Of course, today the possibilities of medicine are such that it is possible to replace at least all teeth with artificial ones. But it is better to resort to this method not so often, but to try to save as many of your own teeth as possible. Yes, and the implants will not last long if you do not take care of the oral cavity. To do this, it is important to maintain hygiene in order to prevent the reproduction of harmful microorganisms. Proper brushing of teeth is not only the prevention of caries, but also inflammatory gum disease.
“A dentist can teach you how to properly brush your teeth,” says Daria Karaseva, an orthodontist. — By the way, we doctors here often discover a lot of new things for patients. Including the fact that for brushing your teeth it is necessary to use not only a paste and a brush, but also additional means – dental floss, irrigator, rinse aid.
But that’s not all. It is important to follow a proper diet and a generally healthy lifestyle. “The diet should contain a large amount of fiber (vegetables, fruits, herbs, cereals), protein (meat, fish, poultry, dairy and sour-milk products), explains Daria Karasyova. – At the same time, easily digestible carbohydrates (sweets, pastries) and fatty foods should be limited. From sugar and flour products, bacteria are activated that multiply by eating sugar, and pathogenic fungi are activated – all this reduces the immunity of the oral cavity. During the period of exacerbation of gum disease, sweet, starchy, strongly solid foods are recommended to be excluded altogether. In general, nutrition should be balanced, any restrictive diets will not be useful for both the whole body and the gums. Be sure to monitor the level of sugar in the blood – in particular, diabetes can also provoke gum disease.