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Dr. Sheela Neral, DDS & Associates

 
38215 W 10 Mile Rd, Suite #5
Farmington Hills, MI 48335
(248) 888-0364

 

 
43060 Mound Rd.
Sterling Heights, MI 48314
(586) 268-1040

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Posts for tag: periodontal disease

By Dr. Sheela Neral, DDS, PC
December 30, 2013
Category: Oral Health
TreatingtheImmediateandLong-TermEffectsofaGumAbscess

If you have recently noticed swelling, bleeding or pain in your gums, you may have developed a gum abscess. It's the result of periodontal disease, an infection in the gum tissue caused by bacterial plaque that has adhered to the teeth. It's important in the short term to treat the abscess, and in the long-term the underlying gum disease for the survival of the affected tooth and your overall health.

A gum abscess is a sac filled with infection that has developed between the tooth and gum. Besides swelling, you may also notice tenderness when you bite down on a tooth or feel that the tooth is loose. If the abscess originates from a root canal infection it tends to be much more painful, and the pain will seem generalized rather than from a specific tooth.

The first step in treatment is to drain the abscess. We would numb the area with a local anesthetic and then allow the infection to drain. After drainage we would clean and irrigate the infected root surfaces to remove any noticeable bacterial plaque, and possibly prescribe antibiotics and anti-inflammatory medication to reduce swelling and pain. The drained abscess should heal in a few days to a week.

The next step is to treat the underlying cause of the abscess. Depending on what we find in our examination, this can include root planing and scaling (deep plaque and tartar removal), or a root canal treatment where the infected pulp within the root canal is removed, and the canal is then cleaned, filled and sealed.

It's also a good idea for patients with gum disease to have a thorough health checkup. It's possible that other general health conditions such as diabetes or heart disease may be contributing to the gum disease, and vice-versa.

Treating a gum abscess and the underlying cause is about more than relieving pain or discomfort — you're also protecting your dental and general health.

If you would like more information on the treatment of abscesses or gum disease, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Periodontal (Gum) Abscesses.”

By Dr. Sheela Neral, DDS, PC
December 12, 2013
Category: Oral Health
BleedingGumsASignThatSomethingsAmiss

Your gums are red around the margins and bleed whenever you brush or floss but there's minimal to no pain... You: (select the most appropriate answer[s])

  1. are brushing or flossing too vigorously
  2. have an accumulation of dental plaque where the teeth meet the gums
  3. are using a toothbrush that's too firm
  4. are experiencing early signs of gum disease
  5. should see your dentist if this persists for more than 6 months

Kudos if you picked b) and d). The most common cause of bleeding gums is the accumulation of dental plaque (bacterial deposits) at the gum line, which is an early sign of periodontal (from the Latin “peri” – around, and the Greek “odont” – tooth) disease. It is usually painless so people tend to underestimate the risk of allowing gum disease to progress and become a more significant problem.

It's a common misconception that bleeding gums are caused by brushing or flossing too vigorously or using a toothbrush that's too firm. This is sometimes the case, but the abrasion would probably cause noticeable pain. Instead, it's likely that you're not brushing and flossing effectively enough, allowing bacterial deposits to accumulate at the gum line and feed on food particles that haven't been adequately flushed from your mouth.

The bacterial deposits form a whitish film that is hard to detect when you look in the mirror. But you will notice bleeding and redness and eventually inflammation of the gums — an immune response to disease-causing bacteria that flourish in the plaque. As the biofilm grows, with time it also hardens (calcifies), making it increasingly difficult to dislodge. Eventually, only professional cleaning can remove it and sometimes antibiotics are needed. If no action is taken, gum disease will progress, and eventually cause loss of the underlying bone that anchors the teeth.

There are other reasons that gums may bleed, such as elevated hormone levels in women, a side effect of certain medications, or a systemic (bodily) disease. Whatever the cause, it's important to get a professional diagnosis promptly and take appropriate therapeutic action as needed. Optimally, with good oral hygiene and regular checkups, you can avoid this problem entirely!

If you would like more information about preventing or treating bleeding gums, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Bleeding Gums.”