We often pay attention to teeth, their color and shape. But how often do we look at the gums and tissues surrounding the tooth?
Statistics shows that every third patient has gum disease and has no idea about it because bleeding is often considered as normal. But in reality - this is not the case. Pain, inflammation, bad breath, all these signs are symptoms of periodontitis.
In the first photo it is noticeable that gums are dark, swollen and inflamed, there is no periodontal attachment, between some teeth papillae is missing. This indicates that there is a pocket with many microorganisms and periodontal pathogens in it, that destroy the root of the tooth and the gingival ligament around it. The cause of this disease can be not only poor oral hygiene of the patient, but also incorrect restorations (fillings, crowns, etc.), which have overhanging edges that prevent the evacuation of food and lead to plaque. After average dental hygiene the surface of the tooth is cleaned of hard and soft plaque, but all the deposits that were deep under the gums and provoked soft tissue inflammation - remain.
In this case, periodontal and orthopedic treatment is needed in a complex approach. In the first photo, in addition to inflamed gums, we also see old metal-ceramic crowns that need to be replaced. They do not meet the aesthetic requirements of the patient and have an overhanging edge and poor adhesion to the teeth. This causes food to get between the teeth and gums and the accumulation of microorganisms, which leads to the destruction of the tooth root and gingival ligament.