Gingivitis and periodontitis

Introduction 

Watch this...

An expert explains how to look after your teeth and gums

Dental care tips

  • Brush your teeth twice a day, in the morning and in the evening.
  • Spend at least three minutes brushing them.
  • Always use a fluoride toothpaste. Use no more than a pea-sized amount of toothpaste for adults.
  • Use a small toothbrush so you can reach the back teeth.
  • Flossing is very important, because the toothbrush doesn't always reach the gaps between the teeth.
  • Don't brush too hard as this can damage the gums.

Gingivitis (often referred to as gum disease) is a condition which causes your gums to become red, inflamed and swollen. It can cause your gums to bleed when you brush your teeth.

Gingivitis is normally caused by a build-up of plaque on the teeth. Plaque is a sticky substance made up of bacteria, which is usually removed when you brush your teeth. However, if plaque is left to build up on your teeth, the bacteria will release toxins which can irritate your gums, making them painful.

Who gets gingivitis?

Most people have a mild case of gingivitis during their lifetime. It's important to look after your teeth and gums, and to have any case of gingivitis sufficiently treated. A mild case of gingivitis can usually be treated simply with a good oral hygiene routine, including brushing your teeth twice a day (in the morning and last thing at night) and flossing daily (or at least three times a week).

However, if it's not treated, gingivitis can develop into other forms of gum disease, which can cause more serious complications.

Periodontitis

Periodontitis (which used to be called pyorrhoea when severe) is another condition which affects your gums, and often follows a case of gingivitis. It can make your teeth feel loose and, in some cases, fall out. This is because the inflammation that starts in your gums spreads, and affects the tissue and bone that help keep your teeth securely in place.

Acute necrotising ulcerative gingivitis (ANUG)

Acute necrotising ulcerative gingivitis (ANUG) is another form of severe gum disease. It used to be called Vincent's gingivitis or trench mouth.

ANUG is rare and usually only affects people with a weakened immune system, or people who are malnourished. Ulcers which are extremely painful develop on your gums. The ulcers develop after the gums become infected with bacteria.

As well as the ulcers, ANUG causes the gums to swell, making it difficult to eat and drink. It can also cause the tissue around the gums to fall away, so that the teeth become loose.

  • show glossary terms

Disease


A disease is an illness or condition that interferes with normal body functions.

Bacteria

Bacteria are tiny, single-celled organisms that live in the body. Some can cause illness and disease and some others are good for you.

Inflammation


Inflammation is the body's response to infection, irritation or injury, which causes redness, swelling, pain and sometimes a feeling of heat in the affected area.

Tissue

Body tissue is made up of groups of cells that perform a specific job, such as protecting the body against infection, producing movement or storing fat.

Acute

Acute means occuring suddenly or over a short period of time.

Immune system


The immune system is the body's defence system, which helps protect it from disease, bacteria and viruses.

Ulcers


An ulcer is a sore break in the skin, or on the inside lining of the body.

Last reviewed: 10/12/2007

Next review due: 10/06/2009

What are these?

raychellebradley said on 15 August 2009

So the video advises:

1. You must visit your dentist
2. Thorough cleaning from the dentist
3. Visit your dentist regularly.

So, what are you supposed to do when you NHS dentists are not taking on new patients?????

or you have gingivitis and have to wait for over a month,
while being transferred again and again via a robot when all you need is to see a professionally qualified dentist!

I saw a dentist in leeds, who said it was severe, gave me a prescription and said to come back in 7 days. Unfortunatly due to low finances and living in sheffield this was not possible, so for over a month I have been trying to see a dentist, only to be transferred all the time.

This is my story, I am sure there are many similar cases:

1. Called dentist.
2, Said to call NHS direct for emergency dentist
3. Took details.
4, "If pain gets any worse, call back". It did.
5. An ambulance was sent for me, they checked my health everything was fine but I needed a dentist. Said to get a referral from my GP.
6. My GP said she couldn't refer me as she was a doctor, not a dentist.
7. Charles clifford dental hospital told me I needed a referral from my GP!.
8. Explained and went through the lines.

3 weeks later I get a checkup by a student, then was told I had to wait until next month to see someone. While waiting here a well-off gentleman was arranging when he could see a dentist when it suited him.

My pain is almost unbearable at the moment and I dread the phone bill, why can't you have a walk-in service for me, I don't see how repeating my details and going through a viscous circle on a telephone is going to solve my gum disease. I am 25 and a student, with a 3yr old son. I do not fancy loosing my teeth at this age Sorry, but not everyone can afford private!

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