“Doctor Madam/Sir, there was no pain, but it started to shake..” Let’s see why it wobbled?
I mentioned gingivitis (see: I brush but it still bleeds) before. In this article, I continue with gum diseases.
I have emphasized that gingivitis, which I will tell you about periodontitis, the elder brother of gingivitis, is a disease that can be recovered without leaving any damage. Unfortunately, we cannot say the same for periodontitis. So what is this periodontitis and what kind of damage does it cause in our mouth?
Periodontitis
Before we start explaining periodontitis, let us briefly remind you of gingivitis for those who cannot read our article.
After eating, food residues that we call “debris” form on the teeth that are not cleaned. These residues are excellent media for bacteria. Bacteria that smell the food come here and start to multiply by sticking on these food residues. In this reproduction process, some bacteria die from time to time, and toxic wastes, which we call bacteria’s toxins, are also produced. This process continues as long as oral hygiene is not provided. After a while, this area hardens and tartar forms, which we call tartar. Thus, the gingivitis picture is completed. Gingivitis manifests itself in the mouth most often with bleeding and bad breath during brushing. If these tartars are cleaned and oral care is provided regularly, the gingivitis table will disappear. What if it’s not done?
This is where we come across the concept of periodontitis. Bacteria, dead bacteria, food residues and toxins (poisonous bacterial waste) accumulated on the tartar (teeth stones) leak through the gap at the junction of our teeth and gums – which we call the “periodontal gap” in medical terms – initiates bone destruction. Many people talk about the fact that their teeth wobble and fall out when they are intact. This is partially true. But there is also a wrong side. Because; A healthy tooth does not mean a tooth without caries, it means a tooth with healthy surrounding tissues and without caries etc.
Another factor of periodontitis is smoking. It has been determined that gingivitis is not severe in smokers, even it is not seen from time to time, and the disease starts as direct periodontitis. What does this mean? If people who neglect oral care have a habit of smoking, their gums get sick in a short time and bone destruction begins immediately. Since many smokers do not pass the gingivitis stage (swelling of the gums, edema, redness, wound, bleeding while brushing), they do not realize their disease, but when the bone destruction becomes severe and they are faced with movement (shaking) in their teeth, they knock on the door of the dentist.
Periodontitis is an irreversible disease. However, it can be stopped. Therefore, especially; Patients who smoke and have bad breath problems should go to a dentist every 3 months.
