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1.
A
healthy mouth has firm, pink gums that don't bleed when
probed, flossed or brushed. The gum is not attached to
the tooth right from the top. There is a 1-3mm deep
crevice around the gum line called the gingival sulcus.
Flossing correctly cleans this area. Your toothbrush
will not reach into the sulcus, so it is important to floss
and brush daily.
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2.
When
plaque bacteria accumulate in the sulcus the gingival crest
becomes red and inflamed. It bleeds easily when probed,
flossed or brushed. If the gum attachment starts to give
way the probe will penetrate deeper into the sulcus.
This is now a pathologic condition known as pocket formation.
This can be treated with scaling and polishing and improving
oral hygiene.
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3.
As
plaque accumulates it begins to calcify from the minerals in
your saliva. This rough, hard deposit is called tartar.
The mechanical damage tartar causes the gums along with
increasing amounts of bacterial toxins causes the bone
supporting the tooth to be eroded away. The gums begins
to recede and the tooth loosens. To treat this deep
scaling, root planing and polishing accompanied by improved
oral hygiene is needed.
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4.
An
advanced stage of periodontitis can be reached without much
pain despite what the mouth may look like. Patients with
this condition may not even be aware of the bad breath that
accompanies the chronic puss drainage. The teeth are so
mobile and the bone damage so advanced that the teeth will
probably need to be removed to clear the infection.
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