Gum disease 

Introduction 

The Tokkels: stop tooth decay

You can stop tooth decay by following a few simple rules. Use fluoride toothpaste; spit, don't rinse; brush before, not after, meals.

The risks of gum disease

The state of your teeth affects your overall health. Find out how gum disease is linked to health problems elsewhere in the body

Gum disease, also known as gingivitis and periodontal disease, is where the gums become swollen, sore or infected.

Gum disease is very common, affecting 15-20% of the world's population. In the UK, the number of people with gum disease is much higher.

It is estimated that half the adult population has some degree of gum disease and most people experience it at least once. It is much less common in children.

If you have gum disease, your gums may bleed when you brush your teeth and you may have bad breath.

In severe cases of gum disease, a condition called periodontitis can develop. It affects the tissues that support teeth and hold them in place. In the UK, 10-15% of adults have severe periodontitis, with many more being affected by mild to moderate levels.

If periodontitis is not treated, the bone in your jaw can decay and small spaces can open up between the gum and teeth. Your teeth can become loose and may eventually fall out.

Read more about the symptoms of gum disease.

What causes gum disease?

Gum disease is caused by a build-up of plaque on the teeth. Plaque is a sticky substance that contains bacteria.

Some bacteria in plaque is harmless, but some is very harmful for the health of your gums. If you do not remove plaque from your teeth by brushing them, it will build up and irritate your gums, leading to inflammation and soreness.

Read more about the causes of gum disease.

When to see your dentist

You should make an appointment to see your dentist if your gums are painful, inflamed or if they bleed when you brush your teeth.

You can find a dentist near you by using the post code search facility.

Preventing and treating gum disease

Mild cases of gum disease can usually be treated or 'reversed' by maintaining a good level of oral hygiene. This includes brushing your teeth using an effective technique at least twice a day and flossing daily.

If necessary, your dentist will be able to give your teeth a thorough clean and remove any hardened plaque (tartar). They will also be able to show you how to clean your teeth effectively to help prevent plaque building up in the future.

If you have severe gum disease, you will need to have further non-surgical treatment and, in some cases, surgical treatment. This will usually be carried out by a specialist in periodontics.

Read more about treating gum disease and how to keep your teeth clean. Also, read more about preventing gum disease.

Complications of gum disease

If you have untreated gum disease that develops into periodontitis, it can lead to further complications such as:

  • gum abscesses (painful collections of pus)
  • damage to the periodontal ligament (the tissue that connects the tooth to the socket)
  • damage to the alveolar bone (the bone in the jaw that contains the sockets of the teeth)
  • receding gums
  • loose teeth
  • loss of teeth

Read more about the complications of gum disease.

Last reviewed: 21/03/2012

Next review due: 21/03/2014

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Comments are personal views. Any information they give has not been checked and may not be accurate.

Duncan Scorgie said on 27 May 2013

This article identifies that the incidence of gum disease is much higher in the UK than on a global scale.

Part of that is undoubtedly because of the vast underfunding for treating gum disease by the NHS in general dental practice. This has been brought about by an unofficial policy of "implicit rationing", whereby treatments are denied to people by making it impossible for the dentist to treat by reducing the fees year on year, (or rather by not keeping up with inflation!). Implicit rationing is, by definition, an implied policy rather than explicitly stated.

What is worse is that the evidence for the link between gum disease and other conditions is becoming stronger. This does not mean that treating gum disease will prevent heart disease, but similarly it has also not been shown that this is not the case.

We do know however that diabetics tend to improve glycaemic control when their gum disease is better controlled.

Perhaps it is false economy for the treatment of gum disease to be so heavily underfunded? Time and more research will tell whether the role of gum disease in heart disease is coincidental or whether there is a cause-effect relationship.

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Musto said on 24 May 2013

Ian,

Thank you for your recent comments. Following some further research, the statistic illustrating the incidence of people with severe periodontitis has been corrected to 10-15% of the UK population which is certainly a more accurate reflection. The overall global incidence of gum disease (15-20%) has also been added at the start of the topic.

Many thanks once again and apologies for the previous slightly misleading info.

Editorial team, NHS Choices

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Ian Dunn said on 19 May 2013

Some of your figures are wrong. Gingivitis affects the majority of the population at some point and Periodontitis, the destructive form or gum disease, affects around about 10-15% of the UK adult population severely and many more to mild-moderate levels.

These figures can be found in the last UK Dental Health Survey.

This condition should not be underplayed as it has aesthetic, health and functional issues once the disease is established and in most cases is treatable.

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P McCormack said on 15 February 2013

I had a Bacterial Maxillary Sinus Infection 20 years ago my GP repeatedly failed to treat it went away by itself after 4 years.
Because of the constant venting of pus most of witch went in my mouth I also had Gingivitis for that whole time.

I'm currently loosing all of my teeth one by one I’ve pulled three of my upper molars with my fingers now only have two teeth that I can chew with.

My NHS dentist says at 44 I'm to young for false teeth and Guys hospital don’t want to know.

Nothing to do with hygene all to do with a negligent gp

i.Ve just been left to rot.

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