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Gum conditions can occur in many different types and sizes. It is possible to encounter different gingival problems from time to time, such as gingivitis, aphthae, gingival abscess, gingival enlargement, gingival recession or gingival bleeding. Examine the gingival disorders that you should contact a gingival specialist (periodontist) as soon as you encounter them.
Gingivitis or gum infection is called gingivitis in its early stages. One of the most common causes of gingivitis is known as inadequate oral and dental care. Gingivitis, which is one of the most common gingival diseases, damages the pink gingiva tissue that frames the jawbone and the soft part of the gingiva. However, when caught in the early stages and treated while in the gingivitis stage, it does not affect the fusion mechanism of the tooth or the bone to which it is attached.
While local gingivitis, that is, local gingivitis, indicates infections that may take place around a single tooth, gingivitis that can spread can also damage other teeth and other gingival tissues from a single point. It is precisely for this reason that when there is any suspicion of gingivitis, it is necessary to consult a periodontologist as soon as possible. The most common symptoms of gingivitis include swelling, gum pain, bleeding when the area is touched or brushed, and redness in the area.
Periodontal abscess, also known as gingival abscess, refers to abscessed gingival infections that can occur in different parts of the mouth. These abscesses may occur in the gingival tissue, gingival sockets, or tooth root fork. Periodontal abscesses, which appear as an infection with a local abscess, destroy the attachment mechanism of the tooth in a very short time and may cause the attached tooth to fall out. The most common symptoms of periodontal abscess are a visible, smooth and shiny swelling in the gingival pocket and inflamed gingival pain. However, a gingival abscess can also cause discharge, pain, tenderness, and pain in the jawbone.
Chronic Periodontitis: Chronic periodontitis, the most common symptoms of which include redness, swelling, bleeding, bone destruction, tooth looseness and formation of tooth pockets deeper than 5 millimeters, is a serious condition involving the bone that supports the gingiva. In chronic periodontitis, the attachment mechanism of the tooth can also be seriously affected by this process. As you may encounter local periodontitis, it is also possible to face chronic periodontitis spread over wider areas. The biggest risk of such gingival disorders to the patient is the loss of the tooth attached to the gingiva. In order to determine the situation, it is necessary to take a dental x-ray, evaluate the results of the x-ray and determine the risk of tooth loss. Chronic periodontitis is classified according to the risk of danger to the oral bones and affected teeth and is treated accordingly.
It is important to remember that most chronic periodontitis is caused by gingivitis (gingivitis) that has not been treated in a timely manner, so any gum condition should never be taken lightly.
Gum recession is a gum condition that occurs as a result of chronic periodontitis. When the neck of the tooth root becomes visible from the outside, it is understood that the gum has receded. Excessive brushing is also among the causes of gum recession, so it is useful to be extra careful when caring for gums.
In cases where gingival recession occurs, the reasons that push the tooth root to come out should be treated, and then gingival aesthetic procedures should be started to eliminate aesthetic concerns. The appearance of the head of the root of the tooth and the appearance of the tooth longer than it is are among the most obvious symptoms of gingival recession.
Perio-Endo Lesions: Swelling, severe pain in the roots of the teeth, and an extreme sensitivity to cold and heat may be the precursors of perio-endo lesions. Since the nerves, vessels and pulp tissue of the tooth in general are directly related to the tissues that support the tooth, in some cases, an infection that starts in the roots of the teeth can overflow to the gums. The opposite of this situation is also possible. In such cases, the prescribed treatment should include a treatment plan that combines periodontology treatment and endodontic treatment.
When it comes to gingival aesthetics, which is also called pink aesthetics, although there is no direct gingival disease from a medical point of view, a series of cosmetic applications may occur in order for the patient to feel better, improve their physical appearance and increase their self-confidence. Gum aesthetics is one of the most frequently applied applications about gums. In most cases, patients, when faced with gingival diseases, of course, firstly want the disease to be eliminated medically, and then to eliminate the defects that may occur in terms of aesthetics.
It is possible to encounter many different methods and improvement techniques for gingival aesthetic procedures:
One of the most frequently applied methods in gingival aesthetics is gingival treatment called gingivectomy. Very good results are obtained with the cosmetic procedure applied to people with a high gingival appearance, which we call “gummy smile”. In this way, when patients smile, the amount of gums appears less than before. Apart from this, gingival bleaching is a preferred method especially in individuals with dark skin color. The black-purple pigment layer in the gingiva is peeled off with laser application and after healing, pink colored gingival tissue is formed under the peeled area.
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