Periodontitis is caused by growth of plaque (biofilm) below the gum-line in patients where body is fighting a lot against the biofilm.
To understand this further, let’s talk about factors governing body’s defence or fight against the biofilm, they are:
- genetic tendency (this is the main cause)
- smoking (adds fuel to the fire of genes)
- uncontrolled diabetes
While it is possible to give up smoking, it is not possible to change genetics.
Rather than loosing the teeth by loosing battle against biofilm, we need to treat the biofilm. Biofilm in microscope looks like the first image, which is basically bacteria encapsulated within a matrix or capsule that protects them against body’s natural defense system, as shown in the schematic diagram (from dentalcare.com). Similar to host defense, mouthwashes and antibiotics are not able to eliminate this biofilm either.
Another thing to understand, is the position of biofilm, which is below the gumline in a space called “periodontal pockets”.
As we can see in the image, the biofilm is below the gumline in periodontal pockets, causing loss of tooth supporting structures. Regular brushing or mouthwashes are not even likely to get in these spaces.
These spaces get inflamed, the total surface area is around a palm size ulcer next to biofilm! Another analogy would be cleaning drainage line with a big ulcer on palm without any protection. Well, the things are not seen (biofilm below the gumline causing ulcers or bleeding gums) may go unnoticed over long years. Research shows that it can contribute to severe conditions like heart attack and stroke. So it is very important to get treatment done.
As explained before, the treatment is aimed at accessing the biofilm below gumline and destructing it so that the gums can heal the pockets which can be easily maintained by you with regular professional maintenance (scale and clean).
Once the disease process is properly controlled, it is possible to regenerate lost supporting tissue in suitable cases as well.
Contact us to see how we can help you… Keeping your teeth longer……