Gum Diseases and Terrible Breath (Halitosis)

Gum diseases can be categorized into two broad groups, namely gingivitis and periodontitis.

Gingivitis can be an inflammation of the gingivae (gums) in all of the age brackets but manifests with greater regularity in children and the younger generation.

Periodontitis is surely an inflammation with subsequent destruction of the other tooth-supporting structures, namely the alveolar bone, periodontal ligament and cementum and subsequent decrease of teeth. This issue mainly manifests noisy . middle age with severity increasing from the elderly.

Gingivitis can or may progress to periodontitis state in the individual.

Gum diseases have been discovered to be one of the most widespread chronic diseases the world over using a prevalence of between 90 and 100 per cent in adults over 35 years of age in developing countries. It’s already been confirmed to be the explanation for loss of teeth in individuals Forty years and above.

Smelly breath is probably the major consequences of gum diseases.

Many of the terms which can be greatly related to bad breath and gum diseases are listed below:

Dental Plaque- The essential desire for the prevention and treatment of a condition is an comprehension of its causes. The primary reason behind gum diseases is bacteria, which form a complicated around the tooth surface referred to as plaque. These bacteria’s would be the source of smelly breath.

Dental plaque is bacterial accumulations for the teeth or another solid oral structures. When it is of sufficient thickness, seems like being a whitish, yellowish layer mainly across the gum margins about the tooth surface. Its presence may also be discerned by way of a conventional dye or fluorescent dye (demonstrated by illumination with ultraviolet light), disclosing solution or by scraping the teeth surface over the gum margins.

When plaque is examined underneath the microscope, it reveals many various kinds of bacteria. Some desquamated oral epithelial cells and white blood cells can also be present. The micro-organisms detected vary in line with the site where they are present.
You’ll find gram positive and gram negative organisms, filamentous and flagellated organisms, spirochetes or even small quantities of even yeasts, mycoplasma and protozoa.

Clean tooth surfaces after brushing are normally included in a skinny layer of glycoproteins from saliva called pellicle. Pellicle permits the selective adherence of bacteria for the tooth surface.

Throughout the first few hours, the bacteria proliferate to make colonies. Additionally, other organisms may also populate the pellicle from adjacent areas to form a complex accumulation of mixed colonies. The material present relating to the bacteria is named intermicrobial matrix forming about 25 % with the plaque volume. This matrix is especially extra cellular carbohydrate polymers produced by the bacteria from dietary sugars; salivary and gingival fluid components; and dying and dead bacteria.

Small quantities of plaque are appropriate for gingival or periodontal health. Some people can resist larger numbers of plaque for very long periods without developing destructive periodontitis (inflammation and destruction from the supporting tissues) although they will exhibit gingivitis (inflammation in the gums or gingiva).

Diet And Plaque Formation- Diet may play an important part in plaque formation by modifying the total amount and composition of plaque. More the plaque formation would be, there will be more halitosis bad breath.

Fermentable sugars increase plaque formation because they provide additional energy supply for bacterial metabolism and provide the unprocessed trash (substrate) to the output of extra cellular polysaccharides.

Secondary Factors

Although plaque will be the primary cause of gum diseases, many others viewed as secondary factors, local and systemic, predispose towards plaque accumulation or alter the response of gum tissue to plaque. The neighborhood factors are:

1) Cavities from the teeth;

2) Faulty fillings;

3) Food impaction;

4) Poorly designed partial dentures (false teeth);

5) Orthodontic appliances;

6) Misaligned teeth;

7) mouth-breathing

8) Grooves on teeth or roots near gum margins;

9) Reduced salivary flow; and,

10) Tobacco smoking.

The systemic factors which potentially impact the gum tissues are:

1) Systemic diseases, e.g. diabetes, Down’s syndrome, AIDS, blood disorders yet others;

2) Hormonal changes – during puberty, pregnancy, contraceptives intake and menopause;

3) Drug reactions, e.g. immunosuppressive drugs, antihypertensive drugs and antiepileptic drugs; and,

4) Dietary and nutritional factors, e.g. protein deficiency and vit c and B deficiency.

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