Taking care of your gums is as important as taking care of your teeth
Your gums are the the soft tissue lining of the mouth. When healthy, gums help to provide an effective barrier to life's constant barrage of bacteria.
In this article we'll look at what happens when your gums are not so healthy, what the complications can be, and what you can do to help keep your gums in good condition.
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What do healthy gums look like?
Healthy gums should be firm and keep your teeth securely in place. Your gums should not bleed when you touch or brush them.
A healthy gum colour may vary according to your natural skin tone, from shades of pink to shades of brown. A change in your usual gum colour is often a symptom of an underlying condition - red (gum disease, which we'll talk about here), very pale/white (anaemia, leukoplakia or vitamin deficiency), dark (if not normally dark then it can be a sign of an underlying problem).
Visit your dental team if you have any of the symptoms of gum disease, which can include:
- Inflamed gums, red, swollen and bleeding especially during or after brushing.
- An unpleasant taste in your mouth and/or bad breath.
- Loose teeth.
- Regular mouth infections.

Could I have gum disease?
Gum disease is not always painful and you may be unaware you have it.
This is one of the reasons why regular dental checkups are so important - your dentist will check for the signs of gum disease.
Common symptoms of gum disease include:
- your gums bleed when brushing your teeth, flossing, or eating hard foods such as apples.
- your gums are swollen, red and sore.
Gum disease can lead to:
- bad breath and an unpleasant taste in your mouth which isn't alleviated permanently by brushing or mouthwash.
- your gums shrinking, exposing more of your teeth.
- your teeth becoming loose or falling out.

What are the most common causes of gum disease?
Gum disease can be caused by a number of factors, but there's one underlying cause beneath most of these - plaque.
Smoking can exacerbate gum disease. Smoking produces bacterial plaque, which leads to gum disease. The gums are affected because smoking causes oxygen levels in the bloodstream to drop, so infected gums don't heal as quick as they otherwise would. Smokers may often find that they have more plaque and any gum disease worsens quickly.
Though it is now commonly agreed that vaping is safer than smoking, research into vaping is very much an ongoing thing. The propylene glycol contained in many e-liquids can cause your mouth to become very dry. The saliva in your mouth helps to protect against plaque and bacteria as one of your body's natural defence mechanisms, and with a dry mouth and absence of or low levels of saliva, plaque bacteria can multiply and cause infections below the gumline. If left untreated, the infection can turn into gingivitis or periodontal disease. (BDA, June 2022). Most sweet-tasting e-liquids from reputable sources and stores use artificial sweeteners rather than sugar. High sugar levels in cheap and often-imported disposable devices could however contribute to tooth decay and gum disease. Breakdown of metallic elements from old or poor-quality vape coils can cause irritation to your gums and teeth, especially if you have metallic fillings or dental fixtures. Research is ongoing.
Prescription medications can sometimes create environments where plaque-forming bacteria spread quickly. If you are on a medication, please discuss this with our team at your appointment.
A diet high in sugar and lacking essential vitamins can be detrimental to your gum health.
Hormonal shifts, especially during pregnancy, can increase susceptibility to inflamed or bleeding gums. In most cases this will disappear after the pregnancy.
Let's have a look at the stages of gum disease below...

What is plaque?
Pronounced as either "plark" or "plak" depending where in the UK you grew up - and not to be confused with other words with the same spelling - plaque in the dental sense is a sticky film that which builds up on your teeth, formed from natural mouth bacteria combining with small particles of food and saliva. This makes gums irritated, inflamed and sore.
Plaque is a sticky colourless deposit at first, but left untreated it will harden into tartar whichis often brown or pale yellow. It is commonly found between teeth, on the front of and behind teeth, on the chewing surfaces of the rear teeth, and along and below the gumline.
A build-up of plaque and tartar creates a breeding ground for bacteria, which in turn leads to the more serious gum problems, in this case what's known as gingivitis. More about tartar and gingivitis below...

Plaque evolves into tartar
Untreated, plaque hardens and forms a nastier scale-like substance called tartar, also known as dental calculus. Tartar sticks much more firmly to teeth than plaque and can usually only be removed by a dentist or hygienist using specialised tools.
Effective brushing and flossing can help to prevent the plaque from which tartar forms, but once formed, tartar is too hard and too firmly attached to remove with brushing alone. Tartar makes it harder to brush and floss effectively, leading to more bacteria build-up in your mouth. The spread of bacteria then in turn leads to cavities and tooth decay.
While there are products out there that claim to be effective at removing tartar from teeth, and dubious "remedies" with a variety of chemicals, we always recommend visiting your dentist for safe and professional scaling and polishing.

The early stage of gum disease: gingivitis
The first stage of gum disease is called gingivitis, and symptoms include: red and swollen gums, bleeding gums after brushing or flossing your teeth. Gingivitis is the most common form of gum disease, and most forms of gingivitis are a response to a build up of plaque on your teeth. Your immune system then tries to attack the infected gum tissue,
Gingivitis can be reversed or at least halted with a good oral hygiene regime, but left untreated can progress into periodontitis which is much more serious. While it's possible for gingivitis to not progress to periodontitis, periodontitis is always preceeded by gingivitis.
Symptoms to watch out for:
- Swollen and/or bright red gums.
- Gums that are tender or painful to the touch.
- Bleeding gums or bleeding after brushing and/or flossing.
- Bad breath that doesn't go away after brushing or using mouthwash.

Periodontitis
Untreated, gingivitis can cause tissues and bone that support the teeth to weaken. This is known as periodontitis. Symptoms include bad breath, loose teeth that can make eating difficult, and gum abscesses.
Periodontal disease can't be cured, but it can be controlled to an extent. You will need to keep up the care regime advised by your dental team.

Advanced periodontitis
If left untreated, periodontitis can cause serious damage to the gums and bone structure leading to loss of teeth. Infections and toxins can enter the blood stream and can exacerbate other conditions in other parts of your body.
Regular check-ups with your dental team will be essential to try to limit the damage. With serious cases of of periodontitis, you may need to have:
- to have deep cleaning under the gums.
- antibiotics to combat bacterial infection.
- to have compromised teeth removed.
- gum surgery.

Gum disease can affect your wider state of health
In recent years gum disease has been increasingly linked with health conditions such as diabetes, respiratory disease, cancers, strokes, cardiovascular disease, risk of pregnancy complications, and even dementia.
While more research is needed to understand how these links work, there is increasingly evidence that having a healthy mouth and gums can help improve your general health and reduce your risk of developing serious illnesses and diseases.

Protect your gums: healthy gums = healthy you
- Minimise the risks of getting gum disease in the first place:
- Soft to medium bristled toothbrushes are recommended by most dental professionals - harder brushes can damage your gums, especially if they're already sensitive.
- Brush at a 45-degree angle so you can get the bristles slightly under your gum line. This will help remove the bacteria and plaque buildup between your teeth and gums.
- Using a good quality toothbrush and toothpase.
- Floss between your teeth regularly.
- Visit your dentist for regular appointments, who will tell you if you need to see the hygienist.When was your last appointment?
TREATMENTS OVERVIEW
Farleigh Dental is a private dental practice, providing treatment on a private fee basis or as part of our in-house payment plans.
In addition to providing general dental treatment, we also offer cosmetic dental treatments.
For more information on the treatments offered at Farleigh Dental, find out more here.
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CONTACT US
by phone: tel:020 8657 4477
by email: reception@farleighdental.co.uk
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