Standard Guidelines For Oral Health

Everyone can benefit from following the standard guidelines for oral health: flossing daily, brushing twice daily, maintaining a healthy diet, avoiding tobacco use, and having regular dental checkups.

Staying on top of your oral hygiene will help you avoid gum disease and will keep your teeth healthy and strong for a lifetime. However, particular groups of people have unique concerns when it comes to oral health.

Children and Teens

Periodontitis, the advanced stage of gum disease, is uncommon in children. But gingivitis, the first stage of the disease, is quite widespread in children and teens. Be aware of the signs of gingivitis: swollen, red, tender or bleeding gums.

During puberty, gum sensitivity can increase with hormonal fluctuations, leaving teens at a greater risk of gum disease. With good home care and professional cleanings, gingivitis can be prevented and treated.

Gum disease runs in families, so if one family member has experienced gum disease, everyone else should have screenings. Also, bacteria can be spread through saliva, so avoid sharing forks and spoons, especially if any signs of gum disease are evident.
As with adults, children with particular systemic conditions are especially susceptible to gum disease. These conditions include diabetes, Down syndrome, Kindler syndrome and Papillon-Lefevre syndrome. If your child has one of these conditions, let us and your general dentist know. If your child suffers from gum disease, especially long-term, treatment-resistant gum disease, it may be an indication of a systemic condition.

The best way to prepare your child for a lifetime of good oral hygiene is to establish good habits early on, act as a consistent role model, and schedule regular checkups for professional assessment and cleaning. The stronger the habits of brushing and flossing are in young children, the more likely they are to continue these habits through adolescence and adulthood.


Because women experience stages of increased and fluctuating hormones, they are more susceptible than men to gum disease and other oral problems during certain times of life. Periodontists have even created terms to describe some of these situations: pregnancy gingivitis and menstruation gingivitis. During both pregnancy and the monthly cycle, as well as during puberty, fluctuating hormones alter the reaction of gums to irritants like plaque, creating a higher likelihood of red, swollen, tender or bleeding gums.

Pregnancy carries special implications for oral health. The risk of gum disease is higher, and the potential effects of gum disease are critical, as research links gum disease to an increase in both premature labor and low birth weight. Be sure to let us and your general dentist know if you plan to become pregnant so we can take extra precautions against gum disease.

Age, medication, and hormonal changes combine during and after menopause to create special oral circumstances. Women may experience altered taste, increased temperature sensitivity, burning sensations, or dry mouth. These conditions can lead to gum disease, which can be exacerbated by osteoporosis. A strict regimen of brushing, flossing and professional cleaning can help avoid trouble during this time.

Older Adults

Adults are living longer and keeping their natural teeth longer than ever before. Nevertheless, the American Academy of Periodontology points out that older people have the highest rates of gum disease and need to do more to maintain good oral health and protect themselves from tooth loss.

Older adults commonly take medications that come with oral side effects such as dry mouth, altered taste, and changes in soft tissue. Arthritis and other mobility issues can make daily brushing and flossing more difficult. Osteoporosis, most common in older adults (especially women) can increase bone loss in the jaw, leading to tooth loss, especially in combination with gum disease. Let us or your general dentist know about any medications or mobility problems that affect your ability to take proper care of your teeth. We can recommend ways to overcome these issues. More older adults are opting for dental implants over dentures and bridges. Implants look and feel more like natural teeth. Whether you have implants or conventional dentures and bridges, it’s vital to retain the same level of care that you would with natural teeth.

Smokers and Tobacco Users

If an accelerated risk of lung disease, heart disease, stroke, and cancer aren’t deterrent enough, smokers and tobacco users also are at an increased risk of all manner of oral problems, including decay, tooth loss, bone loss, mouth sores, gum recession and oral cancer. Patients who smoke find that dental and periodontal treatments are less successful than with non-smoking patients because the chemicals in tobacco slow the healing process. Smoking and tobacco use are also major risk factors in the development of gum disease. Regular smokers and tobacco users tend to experience more deep pockets between the teeth and gums, more tartar and calculus on the teeth, and more bone loss and tissue loss than non-smokers. All of these conditions add up to periodontitis, the advanced stage of gum disease. The American Dental Association estimates that smoking may be responsible for almost 75% of gum disease among adults.

How Gum Disease Starts

Your mouth naturally produces a sticky substance called plaque. Without adequate brushing and flossing, this plaque builds up on your teeth. The bacteria in plaque produce poisons, or toxins, that irritate the gums, causing infection. As the infection increases in severity, it breaks down the bones and tissues that hold your teeth in place.

The Two Primary Stages of Gum Disease

Gingivitis: The initial stage of gum disease, known as gingivitis, is the mildest form of gum disease. During this stage, the gums become swollen and red, and may bleed with brushing or flossing. Gingivitis is frequently painless, and as a result, many people suffering from it don’t seek advice or treatment. But with professional treatment and daily attention to oral hygiene, gingivitis can be reversed before it progresses.

Periodontitis: Untreated gingivitis may develop into periodontitis, the more extreme form of gum disease. In this stage, the infected gums begin to separate from the teeth. The newly created spaces between the gums and the teeth are called pockets. As the disease progresses, these pockets grow larger, allowing for greater damage to deep tissues as well as bone. When enough tissue and bone are affected, the teeth loosen and may fall out or need to be removed.

Signs To Watch For

Because gum disease can exist without pain or discomfort, it’s important to be aware of the possible warning signs that may indicate a problem.

  • Gums that appear red or swollen
  • Gums that feel tender
  • Gums that bleed easily (during brushing or flossing)
  • Gums that recede or pull away from the teeth
  • Persistent bad breath
  • Loose teeth
  • Any change in the way teeth come together in the biting position
  • Any change in the way partial dentures fit

If you suspect that you may be suffering from gingivitis or periodontitis, make an appointment with our office or your dentist immediately. We can diagnose the problem, determine how far the disease has progressed, and recommend an appropriate treatment.

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