Many people find that the biggest problem is dental cavities, but after 35 years they tend to reduce. "After this age, periodontal diseases such as gingivitis and periodontitis are the most common oral boards", considers the dentist Rodrigo Bueno de Moraes, a specialist in periodontics and scientific adviser of the Association of Dentists (ABCD).
Among these diseases, the most severe stage is periodontitis in which bacteria accumulated in the mouth due to the poor toothbrushing calcify in the teeth forming the dental calculus. "In addition to producing irritation, it provides the accumulation of more plaque in a vicious circle," considers the dentist Sydney Goldmann, a specialist in implants and oral aesthetics. These bacteria then begin to destroy the structures that support the teeth, gums and the beginning coming to the bone.
When the disease reaches this point, it is not always possible to reverse the damage already caused. So, here are some symptoms that gingivitis (early stage of the disease) has evolved into a periodontitis:
Main symptoms of periodontitis
The destruction of structures around the tooth can lead to its fall
1. Softening and tooth decay
The bacteria in plaque and dental calculus, also known as tartar, act necrotizing tooth. "This will destroy the bones and dental ligaments that support this structure," explains dentist and orthodontist Flavia Cury, of. Thus, the teeth begin to be softened and even a little change of position in the arcade or lean forward or backward.
If the action of bacteria does not stop when it comes to that point, the tooth may fall. The softening of the teeth caused by periodontitis may be similar in feel to the fall of a milk tooth. However, the milk tooth does not really have great links with the gum, since it is made to fall. The permanent tooth is attached to the arch by bones and ligaments, which makes her fall something much more serious.
The gums are falling, and most parts of the tooth structure are appearing
2. elongated teeth
The teeth of developing periodontitis who may appear more elongated than normal. This is because with the loss of the structures that support the teeth, the gums will fall and further exposing the teeth. "It's the gingival recession, which occurs because the gums need an anchor to settle around the tooth", considers Moraes odontologist.
3. Increased sensitivity
In addition to causing a change in the appearance of teeth, receding gums cause other types of consequence:. "The tooth crown, which was made to be exposed, is covered by enamel, a film that protects the teeth But with the downturn, the also dentin is exposed to the environment. it is more porous and contains nerve extensions that bind to the dental pulp ", said Moraes. When it is exposed, it ends up causing some sensitivity to external factors such as hot food, ice cream or acids.
Gums also usually swell and form periodontal pockets
4. Training bags gums
The gingival retraction causes the gums to become loose form some pockets around the teeth. It is like a fabric that is loosened, releasing space between the gums the tooth, which becomes a site that retains food and bacteria. "These grants even cause the disease come back more often," said Sidnei Goldmann. This can cause bacteria buildup pus or even lead to more serious infections, which can even spread to the rest of the body via the bloodstream.
5. pains
The pains are not as common in periodontitis, but may appear. "Usually the sensitivity, combined with the accumulation of waste and put in periodontal pockets can cause this pain," considers Flavia odontologist.
For the dentist Rodrigo de Moraes, its appearance may be a factor that helps in the early diagnosis of the disease, since the nuisance is often a factor that leads the patient to the dentist's office.
Over time, even the breath may change due to dirt in the teeth
6. Bad breath
Periodontitis can be classified as a large amount of accumulation of bacteria in the mouth, that by making the decomposition of food waste cause a bad odor. This, combined with the smell of bleeding and gingival pus, caused by inflammation, can cause halitosis (bad breath). "When the frame is well advanced, you can even have an odor similar to rotten eggs," says Goldmann.
7. Alteration of taste
The excess plaque and bacteria can also to change the taste of food. Another factor that helps in changing the flavors is the poor hygiene of the tongue, resulting from poor brushing, who also happens to accumulate bacteria and bacterial rest, and its function changed.
The importance of prevention
Prevent periodontitis is essential, because the more it destroys the bones and ligaments of the teeth more difficult to reverse it becomes. However, periodontal disease always begins as gingivitis, which is when the bacteria begin to accumulate on the tooth surface due to poor brushing, forming the so called biofilm (popularly known as plaque).
Bleeding on brushing is one of the first signs of gingivitis
After the period which lasts between 7 and 21 days it hardens, forming the so-called calculation. "These micro-organisms inflame the gums, which is red and prone to bleeding," describes Flavia Cury. The problem is that many people tend to consider this bleeding something banal and do not seek help from the dentist, which is the only one capable of removing this calculation bacteria and prevent disease progression.
Brushing and it takes
Furthermore, proper brushing is the most suitable for prevention of gingivitis and periodontitis later. The most appropriate is to use the brush with flat and soft bristles. "It is recommended that you position the brush across the board on the surface of the teeth and the tilt at 45 degrees to the gum to the bristles penetrate one mm in the tooth space with the gum," explains Rodrigo de Moraes. In this position, the expert teaches how to make short and vibratory movements, with between five to six repetitions.
The brushing of the tongue should be done with the same brush, but with different movements. "You should position the brush in the language of the background - but without causing anxiety - and bring it always forward," explains the expert.
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