Why do I have gum disease?

Q.
Everytime I go to the dentist they say I have something wrong with my teeth. I took many steps.

1. I dont drink any fizzy juice or sweets packed with sugar.

2. I brush twice sometimes three times a day, in morning and after dinner but not straight after. using circular motions with the brush, angling it into my gum.

3. I use Listerine mouth wash stuff as well and occaisionally floss.

the only thing i realise iv done wrong is not flossing enough but surely what iv been doing to look after my teeth would not end up with filling after filling!

also how hard should you brush your teeth I never used to brush them too hard and i got loads of problems so i brush them a little more pressure yet still same problems!

also iv been told I could have gum disease as my gums are bleeding as well, I know gum disease is serious but I have not brought this on myself.

My diet is healthy, I don’t smoke or drink and I brush my teeth regularly.

A.
There is evidence that some people don’t naturally deal well with the acids that are produced by bacteria and sugar. Saliva is supposes to help to buffer or neutralise the acidity but there appears to be some people who don’t buffer the acids as well as others. This could, in part play a role in your need for fillings but there could be other things such as hidden sugars in your diet. This is not my area of expertise and as such, I would discuss this further with your dentist. Are you getting new cavities or are they replacing old fillings that are failing, if its the latter, it could just be that you have old fillings that are due for replacement.

You say you “could have gum disease”. There are two basic types of gum disease:
1) Gingivitis, as reversible non-destructive inflammation that would cause your gums to bleed
2) Periodontitis as destructive inflammatory process that causes bone loss around teeth.

If your gums bleed you could have either of the conditions. I would discuss this further with your dentist and, if they haven’t taken any X-rays already, I would want them to take some to check the bone levels.

Hope this helps, but this is something that would need to be seen and then discussed to make a diagnosis and then give advice.

Dr Ian Dunn

Dr Ian Dunn

PurelyPerio Clinic 334, PO Box 334, Wilmslow, Cheshire, SK9 0AG Web: www.purelyperio.co.uk Tel: 01625 419700

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