Periodontal disease treatment
Dear Doctor, it seems that periodontal disease, dental plaque, and calculus can only be treated through surgical and mechanical methods such as scaling.
Is there no better way to effectively eradicate these issues? Why do some individuals who follow their dentist's instructions for proper brushing still develop periodontal disease, while others who do not brush diligently remain unaffected? My point is, could periodontal disease be related to individual constitution? Are we limited to a static treatment approach? According to Wikipedia: 1.
Long-term accumulation of dental plaque, when combined with minerals from saliva, can calcify to form hard tartar.
It mentions "saliva." 2.
Due to the continuous reproduction of bacteria in our mouths, everyone develops dental plaque.
These bacteria thrive on components from our daily food and saliva.
It also mentions "saliva." Therefore, I have a significant question: Is there any literature that studies the relationship between periodontal disease and saliva?
Liao Xiansheng, 60~69 year old female. Ask Date: 2017/10/26
Dr. Zeng Guanghui reply Dentistry
The pathogenic factor of periodontal disease is dental plaque.
A normal oral cavity is not a sterile environment; however, when the quantity of bacteria in dental plaque increases, particularly with the presence of specific periodontal pathogenic bacteria, it can trigger an inflammatory response, leading to the absorption and destruction of both soft and hard oral tissues.
The minerals in saliva can gradually calcify dental plaque into calculus, but saliva also contains immune proteins that can inhibit oral bacteria, and it has a self-cleansing effect.
Nevertheless, the treatment of periodontal disease still requires mechanical removal of dental plaque from the teeth to eliminate the pathogenic factors, which will help reduce the inflammatory response in the periodontal tissues and allow them to gradually return to health.
Reply Date: 2017/10/26
More Info
Periodontal disease, commonly known as gum disease, is a multifactorial condition primarily caused by the accumulation of dental plaque, which is a biofilm of bacteria that forms on the teeth. The relationship between saliva and periodontal disease is an intriguing area of research, as saliva plays a crucial role in oral health, including the prevention of periodontal disease.
Saliva contains various components that contribute to oral health, such as antimicrobial proteins, enzymes, and minerals. These components help to neutralize acids produced by bacteria, wash away food particles, and provide essential nutrients to the oral tissues. However, the effectiveness of saliva can vary significantly among individuals due to factors such as genetics, diet, hydration, and overall health.
One of the key aspects of periodontal disease is the formation of dental plaque, which can mineralize over time to form calculus or tartar. This process is influenced by the composition of saliva. For instance, individuals with higher levels of certain minerals in their saliva may experience more rapid calculus formation. Conversely, those with a more balanced saliva composition may have a lower risk of plaque accumulation and, consequently, periodontal disease.
The effectiveness of mechanical treatments, such as scaling and root planing, is well-established in managing periodontal disease. These procedures aim to remove plaque and tartar from the teeth and root surfaces, allowing the gums to heal. However, these treatments do not address the underlying factors that contribute to the disease, such as individual susceptibility and oral hygiene practices.
Your observation about the variability in periodontal disease among individuals, despite similar oral hygiene practices, is valid. Genetic predisposition plays a significant role in an individual's susceptibility to periodontal disease. Some people may have a genetic makeup that makes them more prone to inflammation and tissue destruction in response to bacterial infection, regardless of their oral hygiene habits. This highlights the importance of personalized approaches to periodontal treatment and prevention.
In addition to mechanical treatments, there are emerging therapies that target the microbial aspect of periodontal disease. These include the use of antimicrobial mouth rinses, probiotics, and even systemic antibiotics in certain cases. Research is ongoing to explore the potential of saliva-based therapies, such as the use of saliva-derived proteins or enzymes that can inhibit bacterial growth or enhance tissue healing.
Regarding your inquiry about the connection between saliva and periodontal disease, there is indeed a growing body of literature exploring this relationship. Studies have shown that alterations in saliva composition can be associated with periodontal disease severity. For example, individuals with periodontal disease may exhibit changes in the levels of specific proteins or enzymes in their saliva, which could serve as biomarkers for disease progression.
In conclusion, while traditional mechanical treatments remain the cornerstone of periodontal disease management, understanding the role of saliva and individual susceptibility can lead to more effective and personalized treatment strategies. Ongoing research into the relationship between saliva and periodontal health may pave the way for innovative therapies that complement existing treatments and improve patient outcomes. It is essential for individuals to maintain good oral hygiene practices, stay hydrated, and consult with dental professionals for tailored advice on managing their periodontal health.
Similar Q&A
Managing Recurring Periodontal Disease: What You Need to Know
Hello, doctor: I underwent periodontal treatment two years ago and have been getting dental cleanings every six months since then. It was stable for a while, but recently I have noticed several teeth becoming loose, and the situation is quite severe. I am considering orthodontic ...
Dr. Zeng Guanghui reply Dentistry
The above situation indicates signs of periodontal disease. Periodontal disease is associated not only with dental plaque in the oral cavity but also with systemic conditions such as diabetes or bone metabolism disorders, which can affect the health of periodontal tissues. It is ...[Read More] Managing Recurring Periodontal Disease: What You Need to Know
Can Toothpaste Prevent Periodontal Disease During Orthodontic Treatment?
During orthodontic treatment, if you have periodontal disease, in addition to enhancing oral hygiene and using dental floss, are there any toothpaste options available to help prevent periodontal disease?
Dr. Wu Jinjun reply Dentistry
Most studies indicate that using toothpaste alone is not effective for the prevention and treatment of periodontal disease. The best approach remains to seek treatment from a periodontist and consistently maintain good oral hygiene practices (such as proper use of dental floss, i...[Read More] Can Toothpaste Prevent Periodontal Disease During Orthodontic Treatment?
Is Chronic Inflammation Linked to Periodontal Disease? A Dental Perspective
Hello Dr. Lin: I have been experiencing blood in my saliva, and in early June of this year, I visited an ENT specialist. The biopsy results indicated chronic benign nasopharyngitis, and the doctor did not recommend any further tests or treatments, only advising me to have annual ...
Dr. Lin Jiayong reply Dentistry
Hello: It is indeed possible. The upper molars are close to the maxillary sinuses, and the lower molars are near the throat. If there is severe periodontal inflammation, the nasopharynx may feel uncomfortable. It is advisable to consider treating periodontal disease, and if there...[Read More] Is Chronic Inflammation Linked to Periodontal Disease? A Dental Perspective
Understanding Gum Bleeding: Causes, Treatments, and Insurance Coverage
Bleeding while brushing your teeth and having bad breath can be signs of periodontal disease. What methods are available for a complete cure? Is dental cleaning covered by health insurance, or is it out-of-pocket? Thank you!
Dr. Yang Zhiren reply Dentistry
Hello, due to the long holiday, Dr. Yang will be off on Monday and will return to work on Tuesday to address your questions promptly. We apologize for any inconvenience. Thank you! Bleeding while brushing your teeth indicates that your gums are in an inflamed state. At this time,...[Read More] Understanding Gum Bleeding: Causes, Treatments, and Insurance Coverage
Related FAQ
(Dentistry)
Oral(Dentistry)
Gum(Dentistry)
Halitosis(Dentistry)
Saliva(Otolaryngology)
Tongue(Dentistry)
Mouthwash(Dentistry)
Saliva(Family Medicine)
Bruxism(Dentistry)
Oral Ulcer(Dentistry)