Gingivitis, also generally called gum disease or periodontal disease,
describes the events that begin with bacterial growth in your mouth and may end
-- if not properly treated -- with tooth loss due to destruction of the tissue
that surrounds your teeth.
What's the Difference Between Gingivitis and Periodontitis?
Gingivitis (gum inflammation) usually precedes periodontitis (gum disease). However, it is important to know
that not all gingivitis progresses to periodontitis.
In the early stage of gingivitis, bacteria in plaque build up, causes the
gums to become inflamed (red and swollen) and often easily bleed during tooth
brushing. Although the gums may be irritated, the teeth are still firmly planted
in their sockets. No irreversible bone or other tissue damage has occurred at
this stage.
When gingivitis is left untreated, it can advance to periodontitis. In a
person with periodontitis, the inner layer of the gum and bone pull away from
the teeth and form pockets. These small spaces between teeth and gums collect
debris and can become infected. The body's immune system fights the bacteria as
the plaque spreads and grows below the gum line.
Toxins or poisons -- produced by the bacteria in plaque as well as the body's
"good" enzymes involved in fighting infections -- start to break down the bone
and connective tissue that hold teeth in place. As the disease progresses, the
pockets deepen and more gum tissue and bone are destroyed. When this happens,
teeth are no longer anchored in place, they become loose and tooth loss
occurs. Gum disease, in fact, is the leading cause of tooth loss in adults.
What Causes Gum Disease?
Plaque is the primary cause of gum disease. However, other
factors can contribute to periodontal disease as well. These include:
Hormonal changes, such as those occurring during pregnancy, puberty, menopause, and monthly
menstruation, make gums more sensitive, which makes it easier for gingivitis to
develop.
Illnesses may affect the condition of your gums. This includes diseases such as cancer
or HIV that interfere with the immune system. Because diabetes affects the
body's ability to use blood sugar, patients with this disease are at higher
risk of developing infections, including periodontal disease.
Medications can affect oral health because some lessen the flow of saliva,
which has a protective effect on teeth and gums. Some drugs, such as the
anticonvulsant medication Dilantin and the anti-angina drug Procardia and
Adalat, can cause abnormal growth of gum tissue.
Bad habits such as smoking,
make it harder for gum tissue to repair itself.
Poor oral hygiene habits such as not brushing and flossing on a daily
basis, make it easier for gingivitis to develop.
Family history of dental
disease can be a contributing factor for the development of gingivitis.
Diabetes mellitus is a chronic condition characterized by high levels of sugar (glucose) in the blood. The two types of diabetes are referred to as type 1 (insulin dependent) and type 2 (non-insulin dependent). Symptoms of diabetes include increased urine output, thirst, hunger, and fatigue. Treatment of diabetes depends on the type.
HIV (human immunodeficiency virus) is the cause of AIDS (acquired immunodeficiency syndrome). HIV is a type of virus called a retrovirus, which infects humans when it comes in contact with a break in the skin or tissues such as those that line the vagina, anal area, mouth, or eyes.
Absecessed tooth is a painful infection at the root of a tooth or between the gum and a tooth, most commonly caused by severe tooth decay. Symptoms of abscessed tooth include fever, painful chewing, sensitivity in the teeth, bitter taste in the mouth, and swollen neck glands.
Dry mouth is a common side effect of many prescription and non-prescription drugs. Symptoms of dry mouth include a sticky, dry feeling in the mouth, frequent thirst, sores in the mouth; sores or split skin at the corners of the mouth, cracked lips, a dry feeling in the throat, a b urning or tingling sensation in the mouth, and a dry, red, raw tongue.
Menopause is the time in a woman's life when menstrual periods permanently stop, also called the “change of life." Menopause symptoms include hot flashes, night sweats, irregular vaginal bleeding, vaginal dryness, painful intercourse, urinary incontinence, weight gain, and emotional symptoms such as mood swings. Treatment of menopausal symptoms varies, and should be discussed with your physician.
Stress occurs when forces from the outside world impinge on the individual. Stress is a normal part of life. However, over-stress, can be harmful. There is now speculation, as well as some evidence, that points to the abnormal stress responses as being involved in causing various diseases or conditions.
Toothache usually refers to pain around the teeth or jaws. In most instances, toothaches are caused by tooth or jaw problems, such as a dental cavity, a cracked tooth, an exposed tooth root, gum disease, disease of the jaw joint (TMJ), or spasms of the muscles used for chewing. A toothache can also be caused by a problem that does not originate from a tooth or the jaw, like diseases of the heart (angina or heart attack), ear infections, and sinus infections. A thorough oral examination, which includes dental X-rays, can help determine the cause.
Cancer is a disease caused by an abnormal growth of cells, also called malignancy. It is a group of 100 different diseases, and is not contagious. Cancer can be treated through chemotherapy, a treatment of drugs that destroy cancer cells.
Wisdom teeth are the third set of molars that people get in their late teens or early twenties. Impacted wisdom teeth that only partially erupt allows for an opening for bacteria to enter around the tooth and cause an infection, which results in pain, swelling, jaw stiffness, and general illness. Before your wisdom teeth are pulled, the teeth and the surrounding tissue will be numbed with a local anesthetic. Recovery from wisdom tooth removal depends upon the difficulty of the extraction.
Smoking is an addiction. More than 430,000 deaths occur each year in the U.S. from smoking related illnesses. Secondhand smoke or "passive smoke" also harm family members, coworkers, and others around smokers. There are a number of techniques available to assist people who want to quit smoking.
Kawasaki disease is a rare children's disease characterized by a fever that lasts more than five days and at least four of the following five symptoms are present: rash, swollen neck lymph gland, red tongue, swelling or redness of the hands or feet, and conjunctivitis. High doses of aspirin are used to treat Kawasaki disease. Cortisone and antiinflammatory drugs may also be used during treatment.
Bruxism is the medical term for teeth grinding. Bruxism may be caused by stress or anxiety and often happens during sleep. Symptoms and signs include jaw pain, headache, and abnormalities in your teeth. Treatment may involve practicing stress-management techniques, cutting back on caffeine and alcohol, avoiding gum chewing, training oneself not to grind the teeth, and wearing a mouth guard.
The time when boys and girls begin the process of sexual maturation is called puberty. During this time, both sexes undergo a series of biological changes that include a rapid increase in height, bone growth, weight increase, the growth of pubic hair, breast development and the onset of menstruation in girls, and testicle, penis, and muscle enlargement in boys.
Bad breath can result from poor oral hygien habits and may be a sign of other health problems. Bad breath, also called halitosis, can be made worse by the types of food you eat and other unhealthy lifestyle habits.
Menstruation (menstrual cycle) is also referred to as a "period." When a woman menstruates, the lining of the uterus is shed. This shedding of the uterine linking is the menstrual blood flow. The average menstrual cycle is 28 days. There can be problems with a woman's period, including heavy bleeding, pain, or skipped periods. Causes of these problems may be amenorrhea (lack fo a period), menstrual cramps (dysmenorrhea), or abnormal vaginal or uterine bleeding. There are a variety of situations in which a girl or woman should see a doctor about her menstrual cycle.
Learn more about what cavities like, their symptoms, treatment and prevention. See how tooth decay, plaque and bacteria contribute to the creation of cavities and how regular brushing and flossing can help.
Gum problems may be caused by improper brushing and flossing, gum disease, canker sores, treatments and hormonal changes. Symptoms of gum problems include red, swollen, sore and bleeding gums. These symptoms can be prevented by brushing twice a day, flossing daily, eating a well-balanced diet, drinking enough water, not smoking, and relaxing.
Smokeless tobacco can have negative health effects such as cancers, poor oral health (gum disease and tooth decay), infertility, pregnancy complications, and nicotine addiction.
Osteoporosis may be linked to bone loss in the jaw, which in turn, leads to tooth loss. Low bone density may result in ill-fitting dentures, tooth loss, and gum disease. Dental X-rays may be able to distinguish people with osteoporosis from those with normal bone density.
What is the history of HIV, and when was HIV discovered?
The history of the human immunodeficiency virus (HIV) and acquired immunodeficiency syndrome (AIDS) dates back to 1981, when
homosexual men with symptoms of a disease that now are considered typical of AIDS were first described in Los Angeles and New York. The men had an unusual type of lung infection (pneumonia) called
Pneumocystis carinii (now known as
Pneumocystis jiroveci)
pneumonia (PCP) and rare skin tumors called Kaposi's sarcomas. The patients were
noted to have a severe reduction in a type of cell in the blood (CD4 cells) that is an
important part of the immune system. These cells, often referred to as
T cells, help
the body fight infections. Shortly thereafter, this disease was recognized
throughout the United States, Western Europe, and Africa. In 1983, researchers
in the United States and France described the virus that causes AIDS, now known
as HIV, belonging to t...
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