Periodontal disease and orthodontic issues?
I have bad breath, but taking medication to reduce heat in my body hasn't helped.
People say it might be a dental issue.
Could it be periodontal disease? Sometimes I bleed when I brush my teeth, and my bad breath is really troubling me.
I used to get dental cleanings, but it doesn't seem to have improved anything.
If it is periodontal disease, will it require a long time to treat?
Additionally, I would like to ask about my two front teeth, which are slightly protruding but not to the extent of being buck teeth.
Is there a way to correct them without wearing braces? I only want to correct these two teeth; do I have to wear braces for all my teeth to achieve this? Thank you!
Xiao Han, 20~29 year old female. Ask Date: 2010/04/17
Dr. Zhuang Suhui reply Dentistry
Hello: Periodontal disease can potentially cause bad breath, but bad breath is not necessarily caused by periodontal disease.
If you experience bleeding while brushing your teeth, it indicates that your gums are likely inflamed.
Simply getting a dental cleaning is not sufficient; it is important to brush your teeth regularly and thoroughly to improve the situation.
Orthodontic issues require a comprehensive assessment, so it is necessary to evaluate the extent of the correction needed.
I recommend visiting a dentist for a definitive answer.
Reply Date: 2010/04/17
More Info
Gum disease, also known as periodontal disease, can indeed be a significant contributor to bad breath, or halitosis. This condition arises from the accumulation of plaque and tartar on the teeth, which can lead to inflammation of the gums (gingivitis) and, if left untreated, progress to periodontitis. Symptoms of gum disease include swollen, bleeding gums, persistent bad breath, and even tooth mobility in advanced cases. The bleeding you experience while brushing your teeth is a classic sign of gum disease and should not be ignored.
If you have been experiencing persistent bad breath despite taking medications to reduce "heat" in your body, it is essential to consider that the underlying issue may be dental in nature. The bacteria that thrive in the presence of plaque and tartar produce volatile sulfur compounds, which are primarily responsible for foul odors in the mouth. Regular dental cleanings are crucial, but if you find that they have not significantly improved your condition, it may be time to consult a periodontist for a more thorough evaluation and treatment plan.
Treatment for gum disease can vary depending on the severity of the condition. For mild cases, improved oral hygiene practices, including more frequent brushing and flossing, along with professional cleanings, may suffice. However, more advanced cases may require scaling and root planing, a deep cleaning procedure that removes plaque and tartar from below the gum line. In some instances, surgical interventions may be necessary to restore gum health. The duration of treatment can vary; while some patients may see improvement within a few weeks, others may require several months of consistent care to fully address the issue.
Regarding your concern about the alignment of your front teeth, there are indeed options available that do not involve traditional braces. If your primary concern is with just a couple of teeth, you might consider alternatives such as clear aligners (like Invisalign) or dental bonding. Clear aligners are a popular choice as they are less noticeable and can be removed for eating and cleaning. However, they are most effective for mild to moderate misalignments. Dental bonding involves applying a tooth-colored resin to the teeth to improve their appearance and can be a quick solution for minor cosmetic issues.
It's important to consult with an orthodontist to discuss your specific needs and determine the best course of action. They can provide you with a comprehensive evaluation and help you understand the potential outcomes of various treatment options. Remember, addressing both gum health and alignment issues is crucial for achieving optimal oral health and a fresh breath.
In summary, if you suspect gum disease, it is vital to seek professional dental care as soon as possible. Improving your oral hygiene routine and possibly undergoing treatment for gum disease can significantly enhance your breath and overall dental health. Additionally, for cosmetic concerns regarding your teeth, exploring options with an orthodontist can lead to effective solutions without the need for full braces. Taking these steps will not only help alleviate your current concerns but also contribute to long-term oral health.
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