Good morning. How are you today?
Just fine, except that my gums are sore. I've noticed that they bleed when I brush my teeth.
Have you had this trouble before? Have you ever had treatment for a gum problem?
No, and I'm very worried about it.
When your gums bleed it usually means that your teeth need a thorough cleaning. In addition, you're probably neglecting your daily home care.
What do you mean by daily home care, Doctor？
Daily home care is brushing your teeth at least once a day for a minimum of four to five minutes each time. Also, you must use dental floss every day.
Well, I try to, but I've been very busy. I've neglected my teeth for a long time.
Let me examine you now.
I've seen your X-rays.
There's abnormal recession of the gums and of the tooth supporting bone from around your teeth.
It's the jaw-bone that holds the teeth firmly in your mouth.
What happens if this bone is lost?
If the supporting bone is lost the teeth will become loose.
Loose teeth can become infected very easily.
Look into this hand mirror. Can you see where the gums have receded?
A little bit of recession is normal when you get older.
When it occurs in excessive amounts, there's a possibility that periodontitis (pyorrhea) is developing.
What's that, Doctor?
I'll explain it to you after I finish my examination. Can you see the redness in your gums?
Look here. Your gums bleed in some places when I touch them.
Are the gums infected, Doctor?
No, don't worry. There's no infection. If there was infection, I'd prescribe an antibiotic.
An antibiotic isn't effective for the treatment of periodontitis.
Antibiotics might reduce the symptoms of chronic periodontal disease, but the benefits of antibiotics are temporary.
Antibiotics can't cure this condition or prevent the continual loss of gum and bone support from the teeth.