7 Signs that gingivitis progressed to periodontitis
Many people find that the greatest oral problem is cavities, but after 35 years they tend to reduce it. "After that age, periodontal diseases such as gingivitis and periodontitis are the most frequent dental conditions," says dental surgeon Rodrigo Bueno de Moraes, a specialist in periodontics and scientific advisor to the Brazilian Association of Dental Surgeons (ABCD).
Among these diseases, the most serious stage is periodontitis, in which bacteria accumulated in the mouth due to bad brushing calcify in the teeth, forming the dental calculus. "In addition to producing irritation, it promotes the accumulation of more plaque in a vicious circle," says dental surgeon Sidnei Goldmann, an implant and oral esthetician. These bacteria then destroy the structures that support the teeth, beginning with the gums and reaching the bones.
When the disease reaches this point, it is not always possible to reverse the damages already caused. So, look at some symptoms that gingivitis (early stage of the disease) has progressed to periodontitis:
Major symptoms of periodontitis
Illustration of the falling tooth - Photo: Getty Images
1. Softening and falling of the teeth
Bacteria of plaque and dental calculus, also known as tartar, act necrosing the tooth. "This is destroying the bones and dental ligaments that support this structure," explains odontologist and orthodontist Flavia Cury of São Paulo. With this, the teeth begin to soften and even change a little position in the arch or lean forward or back.
If the action of the bacteria does not stop when it reaches that point, the tooth may fall. The softening of the teeth caused by periodontitis may resemble sensation in the fall of a milk tooth. However, the milk tooth really does not have great connections with the gums since it is made to fall. The permanent tooth is attached to the dental arch through bones and ligaments, which makes its fall somewhat more severe.
Periodontitis tooth - Photo: Getty Images
2. Elongated teeth
The teeth of those who develop periodontitis may appear to be more elongated than normal. This is because with the loss of the structures that support the tooth, the gums fall and expose the teeth even more. "It is the gingival retraction, which occurs because the gingiva needs an anchorage to settle around the tooth," says the Moraes odontologist.
3. Increased sensitivity
In addition to causing a change in the appearance of teeth, gingival retraction causes other types of consequences: "The crown of the tooth, which was made to be exposed, is covered by enamel, a film that protects the teeth. But with the retraction, the dentin is also exposed to the environment. It is more porous and contains nerve extensions that attach to the pulp of the tooth, explains Moraes. When it is exposed, it eventually causes sensitivity to some external factors, such as hot, cold or acidic foods.
Illustration of gum pockets - Photo: Getty Images
4. Formation of gum pockets
Gum retraction causes the loosening gum to form some pockets around the teeth. It is like a tissue that loosens, freeing space between the gum the tooth, which becomes another place that holds food and bacteria. "These bags even make the disease come back more often," explains Sidnei Goldmann. This buildup of bacteria can cause pus or even lead to more serious infections, which can even spread to the rest of the body through the bloodstream.
The pains are not so common in periodontitis, but they may appear. "Normally the sensitivity, combined with accumulation of waste and pus in the periodontal pockets can cause this pain," says the dental technician Flávia.
For the dentist Rodrigo de Moraes, its appearance may be a factor that helps in the earlier diagnosis of the disease , since the nuisance is usually a factor that takes the patient to the dentist's office.
Illustration of girl with bad breath - Photo: Getty Images
6. Bad breath
Periodontitis can be classified as an accumulation of large amount of bacteria in the mouth, which when decomposing food residues cause a bad odor. This, together with the smell of bleeding and gum pus caused by inflammation, can cause halitosis (bad breath). "When the picture is well advanced, it may even have a smell like the rotten egg," explains Goldmann.
7. Taste change
Excess bacterial plaque and bacteria can also alter the taste of food. Another factor that helps in this change of the flavors is the poor hygiene of the tongue, resulting from bad brushing, which also accumulates bacterial and bacterial remnants, having its function altered.
The importance of prevention
Preventing periodontitis is fundamental , because the more it destroys the bones and ligaments of the teeth, the harder to reverse it becomes. However, periodontal disease always begins as a gingivitis, which is when bacteria begin to accumulate on the surface of the teeth due to poor brushing, forming the so-called dental biofilm (popularly known as plaque).
Toothbrush with After the period between 7 and 21 days it hardens, forming the so-called calculus. "These microorganisms inflame the gums, which turns red and prone to bleeding," says Flavia Cury. The problem is that many people tend to regard this bleeding as something trivial and do not seek help from the dentist, who is the only one who can remove this calculation of bacteria and prevent the progression of the disease.
Brushing well is necessary
Furthermore , proper brushing is most appropriate for prevention of gingivitis and periodontitis later. It is best to use the brush with flat and soft bristles. "It is recommended that you position the brush transversely over the surface of the teeth and tilt it 45 degrees toward the gum so that the bristles penetrate a millimeter into the tooth space with the gum," Rodrigo de Moraes describes. In this position, the specialist teaches to make short and vibrating movements, with between five and six repetitions.
The brushing of the tongue must be done with the same brush, but with different movements. "You should position the brush at the bottom of the tongue - but without causing anxiety - and always bring it forward," explains the specialist.
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