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Medical Forum / General / Dentistry / June 2006

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Gums?

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JGJ - 10 Jun 2006 01:03 GMT
Hi

I find that when I brush my teeth sometimes my gums bleed to easily...

I have also found that the gum levels feel like they mgiht be a bit low on
some of my lower teeth (i.e the teeth isnt deep enough and if the gum lowers
it will fall out)

I am 22 years old - Looking at image of gum diseases I don't think I even
have a disease but I may be on the way...

Whast he best way to fight this and get my gums healthy?
I hear taking Vitamic C helps increase speed of recory - and I doubt I eat
balanced enough diet everyweek to get enough so should I consider getting
some vitamic C tablets?

I also I think I have some tartar (hard stuff) and according to the net this
can be helped by having your teeth cleaned by the dentist... shoudl I get
this done?
sars.elleb@gmail.com - 10 Jun 2006 05:04 GMT
Gingivitis is reversible if you brush after every meal, floss two times
a day, and get your teeth cleaned every 3-6 months at the dentist. I'd
reccommend getting an appointment pronto.  They'll x-ray for cavities
or signs of bone loss and check your gums for signs of gum disease. My
gums were bleeding a little and inflamed, but the dentist told me after
the cleaning, if I used better technique brushing and flossed everyday,
the gingivitis should get better in three weeks.

Gingivitis is the first stage of gum dsease. Like I said, it's
reversible. If they x-ray and notice signs of bone loss, that means you
have periodontitis, which is what my father has and it's irreversible.
You can continue brushing and flossing to keep it under control. And
remember, don't brush too hard and use a small soft bristle toothbrush.
Try brushing the visible parts of your teeth, the parts where you chew,
behind and the sides of the teeth. And gently brush the gums a little
as well.

If you have gingivitis you might notice some areas of your gums are
inflamed or sensitive or bleed when you brush or floss. If you rarely
floss and start doing it one day and they bleed, don't worry. That's
normal. Just keep flossing and the gums will "toughen" eventually.
That's not a sign of gingivitis. :)

The only way to get rid of tartar buildup is to get them professionally
cleaned at the dentist. Use Colgate tartar control toothpaste for now
on.

And I reccommend multivitamins unless you -know- you are lacking
vitamin C.

Anyway, these are the steps to stronger teeth:
1. Avoid sugar and sticky foods that get stuck in your teeth.
2. Drink water over other liquids, especially liquids with sugar like
soda or juice. If you want to avoid stains, avoid red wine, soda,
coffee, and dark tea like the plague. Not only does water help your
teeth, it helps you feel hydrated and fresh and helps people lose
weight. So drink up.
3. While eating, take a sip of water every few bites or so and swish
the water around in your mouth. It'll remove some food particles if you
can't brush right away.
4. But try to brush and floss immediately after eating.
5. A lot of articles on dieting say eating six small meals a day helps
people lose weight, but it's actually smarter to eat three big meals
(healthy, mind you) and eat the snack immediately afterwards. They say
you're less likely to get cavities if you eat a bag of candy in one
sitting and brush your teeth instead of eating a few pieces every few
hours because you're less likely to brush your teeth after eating a few
pieces every few hours. That would be too much brushing if you did...
6. Some people say Listerine is "blah", but my dentist says it's the
best mouthwash out there. Swish it in your mouth for thirty seconds
after brushing before going to bed. It says it reduces gingivitis with
good oral hygiene. Better safe than sorry, I say. Just don't use it too
much because it can dry your mouth.
7. Just eat healthy! Avoid sticky foods and try eating more vegetables
and fruits and meats. Drink milk or eat some cheese if you're not too
big on milk. And if you have to eat sugary foods, eat it every blue
moon. And I'd personally avoid sticky foods altogether.

> Hi
>
[quoted text clipped - 15 lines]
> can be helped by having your teeth cleaned by the dentist... shoudl I get
> this done?
Jennie - 11 Jun 2006 14:06 GMT
Does it matter what toothpaste to us?

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> Gingivitis is reversible if you brush after every meal, floss two times
> a day, and get your teeth cleaned every 3-6 months at the dentist. I'd
[quoted text clipped - 77 lines]
>> can be helped by having your teeth cleaned by the dentist... shoudl I get
>> this done?
sars.elleb@gmail.com - 11 Jun 2006 17:26 GMT
Well, the dentist told me to use tartar control and to make sure it had
ADA on it. :)

> Does it matter what toothpaste to us?
>
[quoted text clipped - 98 lines]
> >> can be helped by having your teeth cleaned by the dentist... shoudl I get
> >> this done?
JGJ - 11 Jun 2006 20:29 GMT
> Gingivitis is reversible if you brush after every meal, floss two times
> a day, and get your teeth cleaned every 3-6 months at the dentist. I'd

thanls for that

two of my teeth have the gums slightly too high up - i think i cant see
slightly the part of the teeth thats meant to be under the gums - its rough
feeling - is that the bone or is it tartar?

If i go to the dentist is there anyway they can help grow the gums back to
stop it getting worse?
JGJ - 11 Jun 2006 21:04 GMT
i suppsoe this is the best way to describe it - check out this pic where one
tooths gum has gone really low down

http://www.bium.univ-paris5.fr/sfhad/iahd/04/img/021.jpg

maybe i shoud get a gu graft - how hard is it?

http://www.beverlyhillsperio.com/gumgraft14.jpg
Steven Bornfeld - 11 Jun 2006 21:36 GMT
> i suppsoe this is the best way to describe it - check out this pic where one
> tooths gum has gone really low down
>
> http://www.bium.univ-paris5.fr/sfhad/iahd/04/img/021.jpg

    This is a so-called "free gingival graft".  The graft material
generally comes from the roof of the mouth.  It works well, but you wind
up with a funny-looking area of gum (usually becomes less funny-looking
over time).  The biggest disadvantage is that there is a second surgical
site, and usually that one hurts more postoperatively than the recipient
site.

> maybe i shoud get a gu graft - how hard is it?
>
> http://www.beverlyhillsperio.com/gumgraft14.jpg 

    It's not clear what kind of grafting was done here, but you have a very
nice cosmetic result.  These kinds of surgery generally work well, but
they're pretty involved and IMO should be done by a competent periodontist.

Steve
JGJ - 11 Jun 2006 23:01 GMT
>> i suppsoe this is the best way to describe it - check out this pic where
>> one tooths gum has gone really low down
>>
>> http://www.bium.univ-paris5.fr/sfhad/iahd/04/img/021.jpg

all the brown stuff around the tooth - what is that and can it be cleaned
off? (not mt teeth btw)
Steven Bornfeld - 11 Jun 2006 23:55 GMT
>>>i suppsoe this is the best way to describe it - check out this pic where
>>>one tooths gum has gone really low down
[quoted text clipped - 3 lines]
> all the brown stuff around the tooth - what is that and can it be cleaned
> off? (not mt teeth btw)

    Hey--that's not bad at all.  This is a patient who's had perio
surgery--surely the teeth have been cleaned shortly before.  There is
some mild staining and perhaps a bit of calculus.  Yes, it can be easy
to clean off.  You can imagine that cleaning this area will be difficult
for the patient until the surgical area is cleaned.  It will likely have
a periodontal dressing protecting the area for at least a few days, and
this will trap more dirt.  It can be challenging to keep things clean
enough for optimal healing.
    After healing is completed of course there shouldn't be a problem.

Steve
JGJ - 12 Jun 2006 00:52 GMT
> Hey--that's not bad at all.  This is a patient who's had perio
> surgery--surely the teeth have been cleaned shortly before.  There is some
[quoted text clipped - 7 lines]
>
> Steve

can the brown staining be cleaned? i have little on the sides of my teeth or
is it permanement and what kind of cleaning is needed?
Steven Bornfeld - 12 Jun 2006 01:21 GMT
>>Hey--that's not bad at all.  This is a patient who's had perio
>>surgery--surely the teeth have been cleaned shortly before.  There is some
[quoted text clipped - 10 lines]
> can the brown staining be cleaned? i have little on the sides of my teeth or
> is it permanement and what kind of cleaning is needed?

    The type of stain in the photo you referenced can be scaled and/or
polished off--routine stuff.

Steve
sars.elleb@gmail.com - 11 Jun 2006 22:03 GMT
Receding gums isn't a good sign, but like I said, my father has
periodontitis too and once he started going to the dentist more often
and flossing, he slowed down the process quite a bit.

Please go to the dentist. Like my dentist said, the earlier you go and
deal with the problem, the more options you have.

Here's an excerpt about gum grafting:

"I have had several gum graftings, so here is what to expect. You will
be very numb during the surgery, but, at least for mine, they removed
the tissue from the roof of my mouth, but all you could feel was a
little pressure. Make sure you cannot feel anything when the begin the
procedure.
Afterwards, get your pain medicine filled and settle in for about
two-three days of recuperation. You will experience pain, but just take
your medicine as directed, and it is not too bad.
I had my first two grafting procedures for the gums around my back
molars. The third one I had was for my front bottom teeth. I had it on
a Friday, and over the course of the weekend, I would pull out my
bottom lip to take a look at it. I think this might have been because I
had no idea what the first two looked like back there, curiosity at how
it was healing, etc.
But, anyway, the stitched did not hold and it opened up, the worst pain
ever. I had to wait for it to heal over and close up, than had to have
the grafting all over again two months or so later. So, don't do that,
no matter how strong the curiousity is to just peek at it.
Other than that, it is really not as bad as it sounds. Make sure you
have liquid nourishment products available. You won't be able to eat
for a week or so with the front grafting, or at least, I
couldn't.....On a bright note, I lost the ten pounds I never seemed to
be able to lose."

> > Gingivitis is reversible if you brush after every meal, floss two times
> > a day, and get your teeth cleaned every 3-6 months at the dentist. I'd
[quoted text clipped - 7 lines]
> If i go to the dentist is there anyway they can help grow the gums back to
> stop it getting worse?
JGJ - 11 Jun 2006 22:59 GMT
So they take the skin/gum from the roof of your mouth - so what happesn to
the roof of your mouth - are you left with a smallsih gap or does the
skin/gums grow back there?

I will goto dentist and ask for a clean (scaling?) and thenask him then

When you need your tooth clean do you normally ask for it in advance or do
you get it done on the spot? my appointment is for a checkup -if i say i
nadvance he maybe able to do it then and there, if not i may have to go back
again later.
Steven Bornfeld - 11 Jun 2006 23:52 GMT
> So they take the skin/gum from the roof of your mouth - so what happesn to
> the roof of your mouth - are you left with a smallsih gap or does the
> skin/gums grow back there?

    Yes, it grows back.  But there is a big raw area, and it takes time.

> I will goto dentist and ask for a clean (scaling?) and thenask him then
>
> When you need your tooth clean do you normally ask for it in advance or do
> you get it done on the spot? my appointment is for a checkup -if i say i
> nadvance he maybe able to do it then and there, if not i may have to go back
> again later.

    Some offices have pretty rigid policies.  I generally don't clean teeth
the same day as initial exam for a new patient, but if the teeth clearly
are OK even if I've taken a full set of x-rays I'll sometimes develop
the bitewings while the patient is in the chair, and clean the teeth at
the same visit if the patient requests it and the periodontal condition
is good.
    For recall appointments I generally clean the same visit.
    You are best calling the office and asking their policy--they may be
able to accommodate you, and may have to schedule more time accordingly.

Steve
 
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