Pediatric Dentistry

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Pediatric Dentistry


Periodontology is a branch of dentistry that deals with the diseases of the soft (periodontal ligament, gum) and hard tissues (bone, cement) that surround and support the teeth, and their treatment. The maintenance of this connective tissue, which surrounds and nourishes the teeth, covers the upper part of the jawbone and ensures the proper attachment of the teeth within the jaw, is just as important as the teeth themselves. Untreated periodontal diseases can lead to tooth loss and the onset of some systemic diseases.

Characteristics of Healthy Gums

• There is never any bleeding of the gums during brushing.

• They are a pale pink color, matte, and firm.

• They surround the neck of the tooth like a collar and end at the point where the tooth meets the gum line.

• There is a distance of about 1-1.5 mm between the tooth and the gum.


Causes of Gum Disease

Inadequate Oral Hygiene: The lack of regular brushing habits or incorrect brushing can directly threaten oral hygiene. The absence of hygiene causes bacterial plaque and inflammatory diseases. Gum recession and patients not taking gum bleeding seriously during brushing can lead to worse situations. Untreated cavities can also lead to gum bleeding and gum disease.

Genetics: Genetic characteristics have been identified in a significant portion of gum disease cases. If there are people in your family who have gum problems, you can take preventive measures without getting this disease through regular dental visits and check-ups.

Smoking: Cigarettes, the number one enemy of oral and dental health, are one of the most important factors that accelerate the course and development of gum disease, in addition to its many harms.

Hormonal Changes: Hormonal changes during periods such as adolescence, menstruation, pregnancy, and menopause cause bleeding and sensitivity in women’s gums and increase susceptibility to disease. Regular dental visits, preventive practices, and periodic care are important during these periods.

Poor and Irregular Nutrition: Poor and irregular nutrition invites gum bleeding and disease like many diseases by weakening the body’s resistance. As the defense system weakens, the risk of gum infection increases.

Medication Use: Birth control pills (oral contraceptives), antidepressants, and some heart medications can have negative effects on oral and dental health, increase sensitivity, and damage the gums. When using these types of medications, it is important to inform the relevant doctor, dentist, and pharmacist and reach a consensus on the matter.

Stress: Proven to be a preparatory cause of many diseases, stress is also an important risk factor for gum disease. Stress disrupts the body’s defense system, preparing the ground for periodontal disease.

Teeth Grinding: Teeth grinding and clenching damage the tissues that support the teeth and accelerate tissue destruction.

Diabetes: Diabetes patients are susceptible to infection and therefore gum diseases. Infections in diabetes patients can be a precursor to periodontal disease or accelerate the progression of an existing gum disease.

Other systemic diseases: Any illness that disrupts the body’s defense system affects the condition of the gums. Certain diseases that affect a person’s overall health, such as heart disease, high blood pressure, arteriosclerosis, kidney disease, AIDS, and tuberculosis, can directly cause gum bleeding and diseases.


General Symptoms of Gum Disease

• Gum bleeding (during brushing or spontaneously),

• Gum recession or looseness of the gum that can be easily separated from the tooth,

• Bone loss supporting the teeth due to gum recession,

• Burning, swelling, redness, and discoloration of the gums,

• Pus discharge from between teeth and gums,

• Persistent bad breath and bad taste in the mouth,

• Poor fit of partial dentures,

• Loose or shifting teeth (gaps between teeth or increased spacing)

• Itching and desire to scratch the gums.


Treatment of Gum Disease

• The treatment process for gum disease should proceed as diagnosis, treatment, and regular follow-up visits.

• Oral and dental health education and hygiene training are essential.

• Dental plaque and tartar are removed.

• If necessary, deep cleaning is performed in gum pockets by the dentist. (This process is called scaling and root planing)

• Cleaning and scaling, along with medication prescribed by the dentist, should be applied.

• If the disease is advanced, periodontal surgical procedures (gum surgeries) should be applied. Surgical procedures may be required to prevent and prevent the recurrence of the disease in cases of gum recession, bone loss, and other conditions.

• These surgical and clinical treatments can be performed with conventional methods or, in some cases, laser treatments can be applied with the recommendation of the dentist. Laser treatments have been intensively and successfully used in gum diseases in recent years.