The role of gum disease in tooth loss

Gum disease is increasingly common amongst adults in Italy. Many of us don’t recognise the early symptoms. This can be problematic, not just for your gum health but also for increasing your risk of tooth loss and even having an impact on your general health. It’s important to know what to look for, when it comes to gum disease, and how you can treat your gums to restore your oral health. Dr Guido Bracchetti answers the most common questions about gum disease.


Can you have advanced gum disease without being aware of it?

It’s possible to have early stage gum disease without being aware of it. You may only have a little discomfort, red gums or some slight bleeding, which many people think is a normal occurrence of flossing or hard brushing. Bleeding is actually the first sign of inflammation.

It is not until you start to get further into the disease that symptoms become more obvious. Often patients only realise they have gum disease when they get heavier bleeding, abscesses, teeth feeling looser and even bone loss and gum recession.


Book an appointment with a specialist dentist at Studio Bracchetti to learn more.


Can the effects of gum disease be reversed?

It is possible to reverse gum disease, depending on the stage at which you start to intervene. The sooner you notice symptoms, the better for reversing the effects of gum disease in Milan. You can start controlling inflammation in the gums and periodontal tissue with a good daily hygiene routine. The sooner you see a dentist in Milan, the sooner you can start to reverse the damage of gum disease or at least stop the progression of the disease.


How is gum disease best treated?

You should visit your dentist as soon as possible. By only improving your home hygiene routine without sound advice from a good dentist or hygienist, you may not see the necessary results. As soon as you realise there is an issue, you should seek advice from a good dentist, ideally a periodontist, which is a gum specialist. You need someone with the training and skill to advise you properly.

The best way is prevention, with a conservative approach as soon as you notice the early symptoms. This means hygiene appointments with periodontal charts and recall ideally 2-4 times a year. You can see a huge improvement from this maintenance approach.

If you are already at an advanced stage of gum disease, there may be the need for a surgical approach. This could involve treating the soft tissue around the tooth and rarely, extractions. Treatment is about trying to prolong the health of the teeth.


What happens in your mouth when you lose a tooth?

When a tooth is lost to advanced gum disease, there are a number of critical anatomical changes in the jaw. When the tooth is lost, the height and thickness of the jaw bone starts to slowly decrease. This can cause problems not only with placing potential implants, but also with the remaining teeth moving to fill the gap and occlusal changes affecting the bite.


What are the long-term health implications of missing one or more teeth?


There can be a wide spectrum of implications. If you lose a number of teeth, depending on where they are in the mouth, this can affect the bite and spacing of the teeth. It can also affect nutrition and diet, with the inability to chew properly if the missing teeth causes issues with occlusion.


Why do you need healthy gums before you can have dental implants in Milan?

Gum health is imperative for both natural teeth and dental implants. If you are prone to periodontal disease, there will be a greater chance of developing disease around the dental implant, known as peri-implantitis and peri-mucositis.

Before placing the implants, it’s really important to have complete control of the gum health and to address any periodontal conditions. Some people wrongly assume that because the implants are made from metal they can be placed in the mouth without worry of disease. This is a misconception, as it is the same issues that will occur as with the natural teeth.


When it comes to gum disease – prevention is always the best option

Try to look out for and recognise symptoms of gum disease.

If you have any gum bleeding, don’t assume it is just due to hard brushing or flossing. This can be a sign of gum disease and should be checked. Equally, any inflammation or mobility in the teeth should be checked by a dentist. There is a misconception that those issues will go away if ignored.

This isn’t the case, treatment should be sought immediately to avoid the disease progressing and leading to tooth loss and surgery.


What are your options if you have already experienced tooth loss?

If you have already lost one or several teeth, there are a number of options for replacing your missing teeth in Milan. You can book an appointment with a specialist dentist at Studio Bracchetti to find out more. Book now!