Medical Forum / General / Dentistry / June 2006
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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