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  1. THE CAUSE of gum disease
  2. SIGNS of gum disease
  3. THE STAGES of gum disease

 
THE CAUSE 

If environmental conditions promote the overgrowth of bacterial plaque (e.g. poor oral hygiene), changes in the quantity and quality of the plaque occur.


This causes gingivitis, an inflammation of the gingivae adjacent to the plaque layer, which is observed as a swelling and reddening of the gum tissue.
Gingivitis is an early response of the body to a build-up of plaque bacteria, and the effect of the toxins which the bacteria produce.
THE SIGNS

  There are some early signs of gum disease that help us to detect it and fight it before it becomes a serious problem :

1. Gums bleeding

2. Red-swollen gums

3. Loss of attachment between teeth and gums

4. Bad breath

5. Increased mobility of teeth
THE STAGES OF GUM DISEASE


The swelling of the gums contributes to deepening of the sulcus (to form a pseudopocket) exposing previously covered enamel - or, in severe cases, dentine - surface.
  This allows the formation of an environment suitable for the establishment of anaerobic bacteria underneath the gums (subgingival plaque), which may lead to the much more serious gum disease, periodontitis.

Prolonged irritation of the periodontal membrane around a tooth can lead to breakdown of the membrane and supporting structures, which is largely due to the body's own defense mechanisms attempting to neutralize the bacteria and their toxins.
  This produces a gingival pocket which, if allowed to develop, exposes the softer dentine in the root of the tooth.

Ultimately the supporting structures of the tooth may be lost, and the body begins to re-adsorb (or resorb) the alveolar bone in which the tooth was set.
The tooth gradually loosens and, if the condition is left untreated, the tooth will eventually be lost.
 
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