Periodontitis (per-e-o-don-TIE-tis) is a serious gum infection that damages the soft tissue and destroys the bone that supports your teeth. The bacteria in the mouth stick to the sur-face of the tooth and multiply quickly which resulting in inflammation.

Untreated periodontitis can cause tooth loss or worse, an increased risk of heart attack or stroke and other serious health problems.
Diseases that may be associated with periodontal disease include:

  • Heart attack
    – Bacterial plaque from the oral cavity can make its way into a person’s bloodstream through the open area of infection and blood flow just under the gum lines. The plaque then travels through the arterial system and can become lodged in arterial plaque, or find its way into the heart. People that have suffered from heart attacks and strokes have been found to have oral bacteria present in the area where the blockage or attack took place.
  • Diabetes
    – Managing blood sugar levels is almost impossible when there is active gum disease. Likewise, bacteria feed on sugar, so when blood sugar levels are elevated, gum disease becomes advanced and completely unmanageable. The two conditions go hand-in-hand. Managing oral plaque through good daily hygiene, and controlling blood sugar levels through nutritional restrictions are essential. Diabetics must take their oral health seriously if they wish to extend the lifetime of their smile.
  • Erectile Dysfunction
    – Clinical studies show that there is a correlation between chronic periodontal disease and the management of erectile dysfunction. This is thought to be due to the damage of internal epithelial tissue during an inflammatory response of the body. The same studies suggest that managing periodontal dis-ease is an effective preventive measure to manage or prevent erectile dysfunction.
  • Obesity
    – Gum inflammation and periodontal disease may be linked to adults and children who are obese. Studies show that obesity may also cause advanced loss of bone around the teeth. The theories around obesity causing gum disease differ, and the relationship may also involve some aspects of blood sugar levels, such as in patients with diabetes. Regardless of whether or not it causes the induction of gum disease, obesity is considered a significant risk factor for periodontal diseases.
  • Premature Labor and Infants of Low Birth Weight
    – Oral bacteria can enter the placenta the same way it enters into the cardiovascular system, which is through areas in the mouth that have active gum disease. Pregnant women with active periodontal disease symptoms are shown to have an increased risk of going into labor prematurely. Babies born to these women are also likely to have low birth weights, even if they are born closer to full term.
  • Rheumatoid arthritis
  • Asthma
  • Alzheimer – Recent study found that gum diseases can link to dementia/Alzheimer

Signs and Symptoms

Signs and symptoms of periodontitis can include:

  • Swollen gums
  • Bleeding gums when brushing teeth
  • Bright red or purplish gums
  • Gums that feel tender when touched
  • Gums that pull away from your teeth (recede), making your teeth look longer than normal
  • New spaces developing between your teeth
  • Pus between your teeth and gums
  • Bad breath
  • Bad taste in your mouth
  • Loose teeth
  • A change in the way your teeth fit together when you bite

Causes of periodontitis include:

  • Gingivitis
  • Diabetes
  • Older age
  • Decreased immunity, such as that occurring with leukemia, HIV/AIDS or chemotherapy
  • Poor nutrition
  • Certain medications
  • Hormonal changes, such as those related to pregnancy or menopause
  • Poor oral health habits
  • Tobacco use
  • Poor-fitting dental restorations
  • Problems with the way your teeth fit together when biting

Types of periodontitis

There are different types, or classes, of periodontitis. Chronic periodontitis is the most common class, affecting mostly adults, though children can be affected, too. Aggressive periodontitis usually begins in childhood or early adulthood and affects only a small number of people.

  • Dental plaque forms on teeth – this is a pale-yellow biofilm that develops naturally on teeth. If is formed by bacteria that try to attach themselves to the tooth’s smooth surface.
  • Brushing teeth gets rid of plaque, but it soon builds up; within a day or so. If it is not removed, within two or three days it hardens into tartar. Tartar is much harder to remove than plaque. Another name for tartar is calculus. Getting rid of tar-tar requires a professional – you cannot do it yourself.
  • Plaque can gradually and progressively damage teeth and surrounding tissue. At first, the patient may develop gingivitis – inflammation of the gum around the base of the teeth.
  • Persistent gingivitis can result in pockets developing between the teeth and gums. These pockets fill up with bacteria.
  • Bacterial toxins and our immune system’s response to infection start destroying the bone and connective tissue that hold teeth in place. Eventually the teeth start becoming loose, and can even fall out.

Risk factors for periodontitis

  • Smoking – regular smokers tend to develop gum diseases
  • AIDS – people with AIDS are prone to gum diseases
  • Cancer – during cancer treatments most of the patients will suffer from bleeding gums and other gums diseases
  • Hormonal changes in female – pregnant and menopause women are at the risk to develop more gums problems
  • Diabetes patients – as it is more difficult for the patients to control the sugar level in the mouth, the bacteria can live longer when the sugar level is high

How to Prevent Periodontitis

  • Proper Brushing 
    Direct your toothbrush toward the gumlines helps target and remove bacteria where it matters the most. Be sure to choose a high quality toothbrush with gentle bristles that are soft on your delicate gum tissue. Brush at least twice each day for two minutes each time.
  • Flossing 
    Wrap the floss around your teeth and slight it up and down under the gumlines, along the root of your teeth. If you have problem to floss, try using a floss pick or water flosser. No matter how good you brush, you’ll never be able to remove bacteria under the gums without flossing. Floss at least once a day to remove debris from under the gums, be-tween the teeth, where a brush won’t reach.
  • Use Oral Botanica
    Oral Botanica liquid toothpaste importantly is the safest and the most effective oral care product, it is 100% organic food grade product which kills harmful bacteria on contact.
    Daily use of the Oral Botanica as toothpaste, mouthwash and breath freshener suppresses bacteria commonly associated with destructive gum disease. Oral Botanica is oil toothpaste so it can reach bacteria living in gum pockets, on the tongue, and on the roof and walls of the mouth whereas conventional toothpaste cannot reach.
  • Improving your immunity
    A diet rich in key vitamins and fresh vegetables can improve your immune system and reduce infection in the body. DHA, vitamin C, iron, and fibrous fruit are all shown to increase blood supply, boost the immunity, and speed up healing.
  • Discontinue Using Tobacco Products
    If you’re suffering from gum disease, smoking is one of the worst things you can do for your mouth. It is rare to see any type of healing take place in the mouth of people who smoke. The sooner you kick the habit the better it is.
  • Seeing Your Dentist for Routine Preventive Care
    Regular cleanings will remove tartar buildup, any areas of plaque that are missed, and help you keep your mouth healthy all year long. For patients with healthy mouths, professional cleanings are recommended every 6 months. People with active gum disease may need to be seen every 3 to 4 months until symptoms are reversed. Once you use Oral Botanica regularly, the plaque build-up is slower than people who are using conventional toothpaste.

How to Treat Periodontitis

For advanced periodontitis, your gum tissue may not respond to nonsurgical treatment, you may require dental surgery such as:

If periodontitis is not advanced, your dentist may conduct less invasive procedure, including:

  • Scaling to remove tartar and bacteria from your tooth surfaces and beneath your gums.
  • Root planning to smoothen the root surfaces, discouraging further build up of tartar and bacterial endotoxin
  • Antibiotics
  • Fluoride treatment (be aware of the risk of Fluoride)

For advanced periodontitis, your gum tissue may not respond to nonsurgical treatment, you may require dental surgery such as:

  • flap surgery (pocket reduction surgery)
    Your dentist makes tiny incision in your gum so that a section of gum tissue can be lifted back, exposing the roots for more effective scaling.
  • Soft tissue grafts
  • Bone grafting
  • Guided tissue regeneration
  • Enamel matrix derivative application