Gingival pain: gingivitis and periodontitis

Dolore alle gengive: gengivite e parodontite rimedi

Gum Pain – Gingivitis

Gum pain can be a symptom of gingivitis or periodontitis. The first is an inflammation of the gums due mainly to poor oral hygiene. In fact, the food residues that remain between the teeth and gums and the plaque that accumulates there, allow the bacteria present in the mouth to attack the gums. The symptoms of gingivitis are redness, swelling and sometimes bleeding of the gums.

At this stage, gingivitis can be treated easily because the inflammation only affects the gums. If left untreated, however, the bacteria also attack the bone and the entire supporting apparatus of the tooth, and gingivitis becomes periodontitis, a much more serious disease that can cause permanent damage to the teeth and even lead to tooth loss.
Gum pain – periodontitis

As we have already mentioned, periodontitis is a disease that affects the periodontium, the supporting apparatus of the tooth, causing its destruction. The cause of periodontitis is bacterial plaque and tartar accumulation, which are deposited in the groove between the tooth and gums, creating pockets where bacteria settle and proliferate, destroying the tissues until the tooth falls out.

At this stage it is no longer possible to eliminate the bacteria with a toothbrush alone, or even with professional dental hygiene, but it is necessary to carry out specific interventions depending on the depth of the periodontal pockets, the pockets that form between the tooth and gum. In fact, between them there is a small space called the gingival sulcus; the bacterial plaque that is deposited in this sulcus, if not removed, can deepen it causing periodontal pockets.

Periodontitis in its initial phase is manifested by the inflammation of the gum, which appears swollen and bleeding and with the appearance of pockets, shallow at first. In its more advanced stages, however, it causes further destruction of the periodontal ligament and the bone that supports the tooth, causing the pockets to deepen. The gum resorbs and the root is uncovered, which is why the tooth looks longer.

Gum pain – remedies

For gum pain and the treatment of gum and periodontal diseases, there are several remedies. Gingivitis can be cured simply by removing bacterial plaque, so professional teeth cleaning is sufficient. The best therapy, however, is proper daily oral hygiene; brush your teeth regularly and properly, also use dental floss and if necessary the brush.

Periodontitis, on the other hand, requires more complex interventions. If the pockets are not very deep, gingival curettage is used. This procedure consists in scraping the inside of the pocket, between the tooth and the gum, with the consequent removal of plaque, tartar and infected tissue.

If the pockets are very deep, periodontal surgery is used. A small incision is made in the gum and the root is uncovered, the infected tissue is removed, plaque and tartar are removed and the procedure is closed. Thanks to this intervention it is possible to eliminate periodontal pockets and save the teeth even if they were moving and seemed destined to fall out.

At the Dental Office Dr Schmitz we solve very complex problems related to gum disease. If you really need help, we will do our utmost to solve your problem, no matter how serious it is.