Gum Diseases

Gum disease can be caused by a number of factors, but poor oral hygiene is the most common cause.

The gum diseases can be divided into three types. They are as follows:

  • 〉    Gingivitis
  • 〉   Periodontitis
  • 〉   Advanced Periodontitis


The main reason for the above diseases is Calculus and the bacteria growing under the calculus.

Our mouth is full of bacteria that combine with small food particles and saliva to form a sticky film known as plaque, which builds up on your teeth.

When you consume food and drink high in carbohydrates (sugary or starchy foods), bacteria in plaque turn carbohydrates into the energy they need, producing acid at the same time.

Over time, acid in plaque begins to break down your tooth’s surface and causes tooth decay.

Bacteria in plaque can also irritate your gums, making them inflamed and sore.

Plaque is usually easy to remove by brushing and flossing your teeth, but it can harden and form a substance called tartar if it is not removed. Tartar sticks much more firmly to teeth than plaque and can usually only be removed by a dentist or dental hygienist by scaling process.

Root Causes for Gum Diseases:

  • Poor oral hygiene, such as not brushing your teeth properly or regularly, can cause plaque to build up on your teeth.
  • Diet (Nutritional Deficiencies)


  1. 1. Vitamin C Deficiency
  2. 2. Alcohol consumption


Bad Habits

  1. 1. Smoking
  2. 2. Chewing of Pan Parag
  3. 3. Chewing of Jarda Pan and normal pan
  4. 4. Frequent use of Toothpicks


Health Factors

  1. 1. Diabetes
  2. 2. Pregnancy
  3. 3. Usage of Oral contraceptive Pills
  4. 4. Usage of Steroids


Gingivitis Symptoms:

〉   Red or swollen gums

〉   Tender or bleeding gums

〉   Bad breathe

〉   Painful chewing

〉   Sensitive teeth

〉   Receding gums or longer appearing teeth

Periodontitis Symptoms

“Periodontitis” (which means “inflammation around the tooth”)

Along with the above symptoms, the gums become swollen and the puss releases from it.

Periodontitis, gums pull away from the teeth and form spaces (called “pockets”) that become infected. The body’s immune system fights the bacteria as the plaque spreads and grows below the gum line. Bacterial toxins and the body’s natural response to infection start to break down the bone and connective tissue that hold teeth in place. If not treated, the bones, gums, and tissue that support the teeth are destroyed. The teeth may eventually become loose and have to be removed.

Treatment for Gingivitis

Deep Cleaning (Scaling and Root Planing)

Usually Scaling and root planing is used to treat gingivitis and little use of medication is required.

Sometimes Sub Gingival Curettage need to be done by the dentist.

The dentist, periodontist, or dental hygienist removes the plaque through a deep-cleaning method called scaling and root planing. Scaling means scraping off the tartar from above and below the gum line. Root planing gets rid of rough spots on the tooth root where the germs gather, and helps remove bacteria that contribute to the disease. In some cases a laser may be used to remove plaque and tartar. This procedure can result in less bleeding, swelling, and discomfort compared to traditional deep cleaning methods.

Treatment for Periodontitis

At this stage Flap Surgery is also required based on the case, along with the Sub Gingival Curettage.

Flap surgery involves lifting back the gums and removing the tartar. The gums are then sutured back in place so that the tissue fits snugly around the tooth again. After surgery the gums will heal and fit more tightly around the tooth. This sometimes results in the teeth appearing longer.

Treatment for Advanced Periodontitis

At this stage Bone grafting is also need to be done based on the case along with Flap Surgery.

Hospitalization is not required for the above three treatments, after surgery, patient can go to home.

Dr. Gowtham Kattamuri

Dr. Gowtham has done his BDS from Rajiv Gandhi University of Health Sciences in 2006 and  MDS – Conservative Dentistry & Endodontics from Dr. MGR Medical University in 2010. He is a skilled Endodontist with an experience of over 10 years. Dr. Gowtham is specialized in replacement of teeth, Dental Implants, prosthetics for maxillofacial defects such as artificial eye, ear, nose and orbital defects, Smile Makeovers with laminates, Zirconia, veneers metal free ceramics. He also performs general dental procedures such as restorations and extractions. He also is trained as an International Patient Coordinator.


GA Dental Clinics is a standout amongst the all the famous dental hospitals in Hyderabad, owing to the world class infrastructure it has, and the utility of leading edge technology at the clinic. Besides its unique infrastructure and highly qualified specialists, GA Dental believes in delivering services at par with global standards

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