The cause of periodontal disease is bacterial plaque which produces endotoxins that damage the gums.
The clinical picture
Signs of gum disease
of gum disease depends on the stage of the disease. The first stage is to reduce
the limescale and treat cavities. In rare cases, the patient’s teeth bite also
needs treating. Antibiotic treatment or mouthwashes containing antibiotics help
to remove the bacteria that create toxins. If there are pussy pockets in the
gums, there is sometimes a need to apply antibiotic subtances to the pockets.
In more severe cases, it is necessary to surgically open the gums and separate them from the teeth in order to clean the swollen, pussy pockets and remove plaque and tarter from the roots (root planing) before sowing the gum back to the teeth. This procedure also involves scraping part of the dental cement on which food debris has settled.
If the gum disease spreads to the bone, the surgical procedure becomes more complicated and also involves removing focal infection from the bone, stabilizing the tooth and re-fixing it to the bone.