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Gum Disease

A white dental floss container spilling green dental floss on the left. A white toothpaste tube spilling green toothpaste in the center. a white and green toothbrush on the right.Gum disease, also known as periodontal disease, is an oral infection below the gum line, caused by debris or bacteria that settled along the gum. Periodontal disease is a common dental disorder found in many patients. It can be managed and should not be ignored.

You may have heard several dental terminology associated with this disorder: tartar, gum disease, gum inflammation, gum pockets, gingivitis or periodontitis. All of these terms surround infection of the gums, and can be treated. Infection of your gums can be a serious disorder. This is the tissue that provides strength and support for your teeth.

Dr. Garine wants to see you if you see signs including:
•  gums that are red versus pink.
•  gums that are sensitive to the touch.
•  gums that are easily irritated.
•  gums that bleed when you brush or floss (this is not normal).
•  gums that appear to be pulling away from your teeth, making your teeth appear longer.

All of these signs are not normal—they are signs indicating infection.

How did infection start below the gum line?

With constant daily use, our mouths are exposed to a large amount of bacteria. Naturally forming plaque left on your teeth will rest on the ridges of your gum line and between your teeth. Plaque is a mass of bacteria. As this bacteria filled mass dries, it forms what is called calculus, this is a hardened material that should not be removed without the help of a hygienist or Dr. Garine, and it should be removed. Plaque and calculus are decaying your teeth. As bits of it extend below the gums, your gums will become infected, and as defense to the infection, your gums will pull away from the bacteria which will cause detrimental effects to your teeth in the long run.

Brushing your teeth twice a day, along with flossing and rinsing, are your best defense to keep plaque from building on your teeth. Semi annual dental cleanings remove any built-up plaque that has remained, and any calculus that has hardened.

What are the effects of gum disease?

Gum disease begins with inflammation, This is your body's response system to bacteria being present. If you are noticing signs of inflammation including, red, irritated, puffy, bleeding gums, we can help. Catching these signs early is to your benefit, your gums can not heal if ignored. As the bacteria irritates your gum tissue, your gums will begin to pull away from what is irritating them, and in this case that would be your teeth. This is not what you want, your gums are the support system for your teeth. As your gums pull away, you may begin to notice that your teeth are shifting in your mouth, this will effect your bite and you may notice that the alignment of your jaw is not the same. Eventually, this will lead to tooth loss. No longer supported, your teeth will actually fall out. Keeping your natural teeth is always our first priority.

At your dental cleaning, our hygienist will measure the depth of your gum pockets. This is the pocket of space that is between your teeth and the gum just below the ridge. If your gum pockets measure more than 3mm this may be an indication of periodontal disease. Dr. Garine and his staff can help. Gum disease is maintained by our hygienist who will remove what is causing the inflammation. She will be able to determine if a normal cleaning is all that is necessary or if a more involved cleaning called a deep cleaning is necessary.

What is a deep cleaning?

A deep cleaning is how we remove plaque, tartar or calculus from below the gum line. This is not something you should do yourself, it needs to be performed by someone with both education to do so and the appropriate tools. Deep cleanings begin with scaling—this is where we remove the irritating bacteria. Using a tool that creates oxygenated bubbles, we are able to clean a majority of the gum area. Our hygienist will then use a hand scaler to remove anything that is left over. Once scaling is completed, the next step is called root planing. This process smooths the roots of your teeth. By smoothing the roots, bacteria will not be able to easily attach again in the future. She may then decide if an anti-bacterial gel is necessary, or if Dr. Garine needs to consider a prescription strength rinse.

After your deep cleaning, it is normal for your gums to ache for a day or two. The tissue is healing and hopefully reattaching in the days that follow your deep cleaning. Dr. Garine may ask for your next exam to be less than the standard six months.

If you have questions concerning gum disease, periodontitis, or deep cleanings, please contact one of our two easily accessible locations.

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Wael Garine, DDS   Visit us on Google+

345 Jupiter Lakes Blvd, Suite 304
Jupiter, FL 33458

     Call: (561) 747-4272

     Fax: (561) 747-4294

Robert M. Gleiber, DMD   Visit us on Google+

4100 South Dixie Hwy, Suite B
West Palm Beach, FL 33405

     Call: (561) 832-2551

     Fax: (561) 832-2596

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Wael Garine, DDS | www.drgarine.com | Jupiter - (561) 747-4272
West Palm Beach - (561)832-2551
345 Jupiter Lakes Blvd, Suite 304, Jupiter, FL 33458 - 4100 South Dixie Hwy, Suite B, West Palm Beach, FL 33405



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