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Periodontitis

Dr. HelloDox Care #
HelloDox Care
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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. Periodontitis can cause teeth to loosen or lead to tooth loss.

Periodontitis is common but largely preventable. It's usually the result of poor oral hygiene. Brushing at least twice a day, flossing daily and getting regular dental checkups can greatly improve your chances of successful treatment for periodontitis and can also reduce your chance of developing it.

Symptoms
Healthy gums are firm and pale pink and fit snuggly around teeth. Signs and symptoms of periodontitis can include:

Swollen or puffy gums
Bright red, dusky red or purplish gums
Gums that feel tender when touched
Gums that bleed easily
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
Loose teeth
Painful chewing
A change in the way your teeth fit together when you bite
There are several different types of periodontitis. The more common types include those below.

Chronic periodontitis is the most common type, affecting mostly adults, though children can be affected, too. This type is caused by plaque buildup and involves slow deterioration that may improve and get worse over time but causes destruction in the gums and bone and loss of teeth if not treated.
Aggressive periodontitis usually begins in childhood or early adulthood and affects only a small number of people. It tends to affect families and causes rapid progression of bone and tooth loss if untreated.
Necrotizing periodontal disease is characterized by the death of gum tissue, tooth ligaments and supporting bone caused by lack of blood supply (necrosis), resulting in severe infection. This type generally occurs in people with a suppressed immune system — such as from HIV infection, cancer treatment or other causes — and malnutrition.
When to see a dentist
Follow your dentist's recommended schedule for regular checkups. If you notice any symptoms of periodontitis, make an appointment with your dentist as soon as possible. The sooner you seek care, the better your chances of reversing damage from periodontitis.

Causes
In most cases, periodontitis begins with plaque — a sticky film composed mainly of bacteria. If left untreated, here's how plaque can eventually advance to periodontitis:

Plaque forms on your teeth when starches and sugars in food interact with bacteria normally found in your mouth. Brushing your teeth twice a day and flossing once a day removes plaque, but plaque re-forms quickly.
Plaque can harden under your gumline into tartar (calculus) if it stays on your teeth. Tartar is more difficult to remove and it's filled with bacteria. The longer plaque and tartar remain on your teeth, the more damage they can do. You can't get rid of tartar by brushing and flossing — you need professional dental cleaning to remove it.
Plaque can cause gingivitis, the mildest form of periodontal disease. Gingivitis is irritation and inflammation of the part of your gum around the base of your teeth (gingiva). Gingivitis can be reversed with professional treatment and good home oral care.
Ongoing gum inflammation can cause periodontitis, eventually causing pockets to develop between your gums and teeth that fill with plaque, tartar and bacteria. In time, these pockets become deeper, filling with more bacteria. If not treated, these deep infections cause a loss of tissue and bone, and ultimately you may lose one or more teeth. Also, ongoing chronic inflammation can put a strain on your immune system.
Risk factors
Factors that can increase your risk of periodontitis include:

Gingivitis
Poor oral health habits
Smoking or chewing tobacco
Older age
Hormonal changes, such as those related to pregnancy or menopause
Substance abuse
Obesity
Inadequate nutrition, including vitamin C deficiency
Genetics
Certain medications that cause dry mouth or gum changes
Conditions that cause decreased immunity, such as leukemia, HIV/AIDS and cancer treatment
Certain diseases, such as diabetes, rheumatoid arthritis, and Crohn's disease
Complications
Periodontitis can cause tooth loss. And some research suggests that the bacteria responsible for periodontitis can enter your bloodstream through gum tissue, possibly affecting your heart, lungs and other parts of your body. For example, periodontitis may be linked with respiratory disease, rheumatoid arthritis, coronary artery disease or stroke. But more studies are needed to confirm a link.

Prevention
The best way to prevent periodontitis is to follow a program of good oral hygiene, one that you begin early and practice consistently throughout life.

Good oral hygiene. That means brushing your teeth for two minutes at least twice daily — in the morning and before going to bed — and flossing at least once a day. Flossing before you brush allows you to clean away the loosened food particles and bacteria.
Regular dental visits. See your dentist or dental hygienist regularly for cleanings, usually every six to 12 months. If you have risk factors that increase your chance of developing periodontitis — such as having dry mouth, taking certain medications or smoking — you may need professional cleaning more often.
Diagnosis
To determine whether you have periodontitis and how severe it is, your dentist may:

Review your medical history to identify any factors that could be contributing to your symptoms, such as smoking or taking certain medications that cause dry mouth.
Examine your mouth to look for plaque and tartar buildup and check for easy bleeding.
Measure the pocket depth of the groove between your gums and teeth by placing a dental probe beside your tooth beneath your gumline, usually at several sites throughout your mouth. In a healthy mouth, the pocket depth is usually between 1 and 3 millimeters (mm). Pockets deeper than 4 mm may indicate periodontitis. Pockets deeper than 6 mm cannot be cleaned well.
Take dental X-rays to check for bone loss in areas where your dentist observes deeper pocket depths.
Treatment
Treatment may be performed by a periodontist, a dentist or a dental hygienist. The goal of periodontitis treatment is to thoroughly clean the pockets around teeth and prevent damage to the surrounding bone. You have the best chance for successful treatment when you also adopt a daily routine of good oral care and stop tobacco use.

Nonsurgical treatments
If periodontitis isn't advanced, treatment may involve less invasive procedures, including:

Scaling. Scaling removes tartar and bacteria from your tooth surfaces and beneath your gums. It may be performed using instruments, a laser or an ultrasonic device.
Root planing. Root planing smoothes the root surfaces, discouraging the further buildup of tartar and bacteria, and removes bacterial byproducts that contribute to inflammation and delay healing or reattachment of the gum to the tooth surfaces.
Antibiotics. Topical or oral antibiotics can help control bacterial infection. Topical antibiotics can include antibiotic mouth rinses or insertion of gels containing antibiotics in the space between your teeth and gums or into pockets after deep cleaning. However, oral antibiotics may be necessary to completely eliminate infection-causing bacteria.
Surgical treatments
If you have advanced periodontitis, treatment may require dental surgery, such as:

Flap surgery (pocket reduction surgery). Your periodontist makes tiny incisions in your gum so that a section of gum tissue can be lifted back, exposing the roots for more effective scaling and root planing. Because periodontitis often causes bone loss, the underlying bone may be recontoured before the gum tissue is sutured back in place. After you heal, it's easier to clean these areas and maintain healthy gum tissue.
Soft tissue grafts. When you lose gum tissue, your gumline recedes. You may need to have some of the damaged soft tissue reinforced. This is usually done by removing a small amount of tissue from the roof of your mouth (palate) or another donor source and attaching it to the affected site. This can help reduce further gum recession, cover exposed roots and give your teeth a more pleasing appearance.
Bone grafting. This procedure is performed when periodontitis has destroyed the bone surrounding your tooth root. The graft may be composed of small fragments of your own bone, or the bone may be synthetic or donated. The bone graft helps prevent tooth loss by holding your tooth in place. It also serves as a platform for the regrowth of natural bone.
Guided tissue regeneration. This allows the regrowth of bone that was destroyed by bacteria. In one approach, your dentist places a special piece of biocompatible fabric between existing bone and your tooth. The material prevents unwanted tissue from entering the healing area, allowing the bone to grow back instead.
Tissue-stimulating proteins. Another technique involves applying a special gel to a diseased tooth root. This gel contains the same proteins found in developing tooth enamel and stimulates the growth of healthy bone and tissue.
Lifestyle and home remedies
Try these measures to reduce or prevent periodontitis:

Brush your teeth twice a day or, better yet, after every meal or snack.
Use a soft toothbrush and replace it at least every three to four months.
Consider using an electric toothbrush, which may be more effective at removing plaque and tartar.
Floss daily.
Use a mouth rinse to help reduce plaque between your teeth, if recommended by your dentist.
Supplement brushing and flossing with an interdental cleaner, such as a dental pick, interdental brush or dental stick specially designed to clean between your teeth.
Get regular professional dental cleanings, on a schedule recommended by your dentist.
Don't smoke or chew tobacco.

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Bleeding Gums

Dr. HelloDox Care #
HelloDox Care
Consult

Bleeding gums are one of the most common signs that something is wrong in your mouth. While we may brush bleeding gums under the rug and assume we were just brushing or flossing too aggressively, healthy gums shouldn’t bleed very easily.

If you’ve noticed a bit of blood in the sink after brushing your teeth, there may be an underlying health condition causing it. To maintain your oral hygiene, you will want to find the source of the bleeding and do what you can to eliminate it. Here is what you can do to better understand why your gums are bleeding and some ways you can fix that problem.

What Can Cause Bleeding Gums?
There are a few different reasons that your gums may be bleeding. Each source of bleeding gums will need to be treated a different way, so it is important to find the unique reason your gums are bleeding and treat it appropriately. Bleeding gums are usually not something that should cause serious alarm. However, in order to prevent a more serious condition from appearing, you will want to react appropriately and solve the underlying problem. To know how to get rid of your bleeding gums, you first need to know why your gums are bleeding. Here are some of the most common reasons your gums may be bleeding.

Brushing Too Hard
Your gums may be taking a beating if you’re brushing too hard or you’re using a toothbrush that is too strong for your gums. Many people seem to be under the impression that the harder they brush, the cleaner their teeth will be. While you may be removing the bacteria from your teeth and gum line, you’re also causing damage which can cause discomfort, pain, and bleeding. Take a look at your toothbrush to tell if you’re brushing too hard. If the bristles are bent or frayed, you may be pressing too hard on your gums. While you need to use pressure to effectively brush your teeth, it should feel more like a massage than a pressure washing. Try to ease up on the brushing or purchase a toothbrush with softer bristles and see if the bleeding stops. If your gums are still bleeding without brushing, there are other issues to consider.

Gingivitis
While you may not want to believe you have the beginning stages of gum disease, gingivitis is one of the most common reasons for bleeding gums. Gingivitis causes your gum to bleed because plaque and bacteria causes swelling and infection in the gums. If you ignore bleeding gums caused by gingivitis, you may progress into the more advanced stages of gum disease. Serious consequences, including tooth loss, can develop from more advanced gum disease. To effectively remove and treat gingivitis, practice good brushing and flossing habits.

Medications
Certain medications thin your blood, causing you to bleed easier. Even common over the counter medications like ibuprofen can cause your blood to become thinner. If you’ve noticed that your gums started bleeding around the same time you started a new medication, the new drug may be at fault. Talk to your doctor or dentist about the bleeding gums you’re experiencing and that you think it is related to the medicine. They can help you develop an oral hygiene regimen that keeps your teeth and gums healthy and clean without contributing to your bleeding.

Flossing
Flossing is recommended for all individuals for keeping their teeth, gums, and mouth healthy. But if you’re new to flossing or you’ve missed a few days of flossing, you may notice that flossing causes your gums to bleed. The more your gums get used to flossing, the less likely they will be to bleed. While the blood may be alarming at first, it should stop after a few days of flossing. You may have additional bleeding if you are flossing and have gingivitis. However, flossing is a great way to clear up gingivitis and restore oral health.

Pregnancy
Many woman experience bleeding gums while they are pregnant. Because of the change in hormones that comes with being pregnant, you may be more susceptible to developing gingivitis. During your pregnancy, you may need to take additional steps to maintain proper oral hygiene. Regular brushing and flossing should be enough to keep the gingivitis at bay while pregnant. While these are not the only reasons for bleeding gums, they are some of the most common. Look for factors that may indicate the reason behind your bleeding gums.

Published  

Bleeding Gums

Dr. HelloDox Care #
HelloDox Care
Consult

Bleeding gums are one of the most common signs that something is wrong in your mouth. While we may brush bleeding gums under the rug and assume we were just brushing or flossing too aggressively, healthy gums shouldn’t bleed very easily.

If you’ve noticed a bit of blood in the sink after brushing your teeth, there may be an underlying health condition causing it. To maintain your oral hygiene, you will want to find the source of the bleeding and do what you can to eliminate it. Here is what you can do to better understand why your gums are bleeding and some ways you can fix that problem.

What Can Cause Bleeding Gums?
There are a few different reasons that your gums may be bleeding. Each source of bleeding gums will need to be treated a different way, so it is important to find the unique reason your gums are bleeding and treat it appropriately. Bleeding gums are usually not something that should cause serious alarm. However, in order to prevent a more serious condition from appearing, you will want to react appropriately and solve the underlying problem. To know how to get rid of your bleeding gums, you first need to know why your gums are bleeding. Here are some of the most common reasons your gums may be bleeding.

Brushing Too Hard
Your gums may be taking a beating if you’re brushing too hard or you’re using a toothbrush that is too strong for your gums. Many people seem to be under the impression that the harder they brush, the cleaner their teeth will be. While you may be removing the bacteria from your teeth and gum line, you’re also causing damage which can cause discomfort, pain, and bleeding. Take a look at your toothbrush to tell if you’re brushing too hard. If the bristles are bent or frayed, you may be pressing too hard on your gums. While you need to use pressure to effectively brush your teeth, it should feel more like a massage than a pressure washing. Try to ease up on the brushing or purchase a toothbrush with softer bristles and see if the bleeding stops. If your gums are still bleeding without brushing, there are other issues to consider.

Gingivitis
While you may not want to believe you have the beginning stages of gum disease, gingivitis is one of the most common reasons for bleeding gums. Gingivitis causes your gum to bleed because plaque and bacteria causes swelling and infection in the gums. If you ignore bleeding gums caused by gingivitis, you may progress into the more advanced stages of gum disease. Serious consequences, including tooth loss, can develop from more advanced gum disease. To effectively remove and treat gingivitis, practice good brushing and flossing habits.

Medications
Certain medications thin your blood, causing you to bleed easier. Even common over the counter medications like ibuprofen can cause your blood to become thinner. If you’ve noticed that your gums started bleeding around the same time you started a new medication, the new drug may be at fault. Talk to your doctor or dentist about the bleeding gums you’re experiencing and that you think it is related to the medicine. They can help you develop an oral hygiene regimen that keeps your teeth and gums healthy and clean without contributing to your bleeding.

Flossing
Flossing is recommended for all individuals for keeping their teeth, gums, and mouth healthy. But if you’re new to flossing or you’ve missed a few days of flossing, you may notice that flossing causes your gums to bleed. The more your gums get used to flossing, the less likely they will be to bleed. While the blood may be alarming at first, it should stop after a few days of flossing. You may have additional bleeding if you are flossing and have gingivitis. However, flossing is a great way to clear up gingivitis and restore oral health.

Pregnancy
Many woman experience bleeding gums while they are pregnant. Because of the change in hormones that comes with being pregnant, you may be more susceptible to developing gingivitis. During your pregnancy, you may need to take additional steps to maintain proper oral hygiene. Regular brushing and flossing should be enough to keep the gingivitis at bay while pregnant. While these are not the only reasons for bleeding gums, they are some of the most common. Look for factors that may indicate the reason behind your bleeding gums.

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Vitamin C - 8 Reasons Why Your Body Needs It!

Dr. HelloDox Care #
HelloDox Care
Consult

Vitamin C is a water soluble vitamin, which is essential for various functions and it is not produced or stored by the body, so it is important that the food contains adequate amount of it. It plays a vital role in heart, eyes, skin, and prenatal health and immunity. Long-term non-availability of vitamin C can lead to various symptoms, which though are not immediately threatening, can turn dangerous in the long run.

1. Bruised skin: Easy bruising is one of the early symptoms of vitamin C deficiency. There could be capillaries which appear superficial and have an increased tendency to bruise and bleed. There could also be unexplained reddish purple marks on the skin in people who have low levels of vitamin C.

2. Bleeding gums: Another major indicator of vitamin C deficiency is swollen gums that tend to bleed easily. This again is related to their role in collagen formation and if not identified and treated in the early phases, it can lead to severe gum inflammation, periodontal disease, and even loss of teeth.

3. Slow wound healing: Vitamin C has an important role to play in connective tissue formation, and if there is less of vitamin C in the body, collagen formation is delayed. This can lead to prolonged and delayed healing of wounds, even simple ones like cuts and bruises. The added role of vitamin C as an immune booster also leads to reduced healing when there is vitamin C deficiency.

4. Nosebleeds: Frequent unexplained nosebleeds is another sign of vitamin C deficiency. Reduced amounts of vitamin C make the capillaries fragile causing them to bleed easily.

5. Dry skin: While weather does determine if the skin is dry or normal, vitamin C also does. The decreased levels of collagen can lead to an unhealthy skin which can turn red and can be dry and can also lead to keratosis pilaris, which is an accumulation of melanin pigments in the skin. Good amounts of vitamin D helps as a good anti-ageing agent and reduces wrinkles and retains moisture. It also has sun protective effects and antioxidant properties.

6. Unexplained weight gain: Vitamin C plays a vital role in fat metabolism and therefore deficiency leads to weight accumulation, especially around the waist. It helps oxidise fat and so helps in weight regulation.

7. Lowered immunity: Vitamin C deficiency affects the body’s susceptibility to infections, making it prone to more severe and frequent infections. People catching a common cold very frequently could be suffering from vitamin C deficiency.

8. Emotional health: Vitamin C is also a mood regulator, so inadequate amount can lead to depression. Try eating a juicy orange and see yourself feeling better!

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Home Remedies For Bleeding Gums; Natural Ways To Keep Your Gums Healthy

Dr. HelloDox Care #
HelloDox Care
Consult

You bite into an apple and see a red patch on the bitten part. Embarrassing much? Take another instance; you are brushing your teeth and as you spit out the paste, you see a hint of blood in the sink. Your bleeding gums may be a cause of worry; seeing blood oozing out of your gums is not normal. Bleeding gums can be one of the indications of a gum disease; therefore, it is important to take care of not just your pearly whites, but also your gums that hold them firmly. Here's everything you'd want to know about bleeding gums and home remedies to keep them healthy.
What Causes Bleeding Gums?

Bleeding gums can be caused due to the following factors:

1. An unhygienic mouth can be home to various bacteria, which can lead to plaque build-up on your gum line. The accumulation of plaque on your gums can cause gingivitis, which in turn can cause inflammation and bleeding in the gums.

2. Vitamin C and vitamin K deficiencies in the body can also cause bleeding gums.

3. Infection in the gum may also cause your gums to bleed.

4. Hormonal changes during pregnancy may also be one of the reasons.

5. Poor oral hygiene is the basis of all the diseases in gums and teeth.

6. Excessive use of tobacco may also be harmful for your gums.

7. Last, but not the least, poor eating habits can be one of the causes of bleeding gums.

#Symptoms of Bleeding Gums

Some of the symptoms of bleeding gums may include:
-Loosening of teeth
-Inflamed gums
-Bad breath
-In some cases, formation of pus around the gums.
-Swollen gums

Home Remedies for Bleeding Gums

We suggest some natural remedies for bleeding gums that you must keep handy:

1. Salt water rinse

Salt has anti-inflammatory and antiseptic properties that help reduce the swelling and combat infections that cause bleeding gums. All you need is warm water and some salt; mix the two and rinse your mouth thoroughly with the solution. Use it at least two to three times a day.

2. Honey

Take some raw honey on your fingertips and massage on your gums gently. Honey has anti-bacterial and anti-inflammatory properties that help kill the bacteria causing bleeding gums. Make sure you apply honey on your gums regularly.

3. Cranberry juice

Take some unsweetened cranberry juice and drink it on a daily basis. Cranberry comprises phenolic acids and anthocyanins, which are known to have anti-microbial properties that help keep your teeth and gums off the harmful bacteria.

4. Oil pulling

Oil pulling is a process of swishing some oil in your mouth to help fight infections that cause your gums to bleed. Rinse with coconut oil or sesame oil to ensure that your mouth is wary of harmful bacterial growth.

5. Turmeric

Turmeric has long been known to help heal infections; thanks to its therapeutic properties. Its curcumin compound is said to have anti-inflammatory and anti-microbial properties that help stop the gums from bleeding. All you need to do is mix some turmeric and mustard oil together and massage the mixture gently on your gums.

Other amazing natural ingredients may include aloe vera, ginger, baking soda, neem, apple cider vinegar and lemon juice..

Ayurvedic Remedies To Stop The Gums From Bleeding

According to the book The Complete Book of Aurvedic Home Remedies by Dr. Vasant Lad, here are a few home remedies that you can bring into use for bleeding gums.

1. Triphala tea is effective for a bleeding gums and gingivitis. Triphala has astringent properties and it is known to be haemostatic, that is, it stops the bleeding. Gargling and swishing the mouth with triphala tea are helpful for both the conditions.

2. One cup of orange juice with half teaspoon of natural sugar and a pinch of cumin will help keep bleeding gums at bay.

3. Drink a glass of lemon water, which is also known to help stop the blood.

4. Raw apples are said to be beneficial. Eating a raw apple for about half an hour after meals helps to clean the teeth and heal the gums. You can eat pears too.

5. Try eating raspberries two to three times a day on an empty stomach. Make sure you do not combine them with a dairy product.

6. Massage your gums with coconut oil so that your gums are strengthened.Other than these home remedies, make sure you brush your teeth on a daily basis, especially after eating sugary and processed foods. Ensure that you brush gently, in order to avoid damaging soft tissues of your gums. Consuming foods like yogurt, green tea, soy, garlic, et al may also help keep your gums healthy. Go on and ensure a healthy mouth and blood-less gums!

Dr. Anuja Lathi
Dr. Anuja Lathi
MBBS, Dermatologist, 13 yrs, Pune
Dr. Shrikant Choudhari
Dr. Shrikant Choudhari
MS/MD - Ayurveda, General Surgeon, 6 yrs, Pune
Dr. D. Malekar
Dr. D. Malekar
MBBS, Family Physician, 21 yrs, Pune
Dr. Vijay Mane
Dr. Vijay Mane
BHMS, Homeopath Family Physician, 22 yrs, Pune
Dr. Snehal Toke
Dr. Snehal Toke
BDS, 2 yrs, Pune
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