- Gum disease is a category of diseases characterized by inflammation of the gums or damage to the tissues supporting the teeth, ranging from gingivitis to periodontitis.
- Key related factors include bacteria within plaque and oral hygiene status, while smoking, diabetes, hormonal changes, certain medications, and individual susceptibility can increase the risk.
- If the inflammatory response to plaque persists, gums may swell and the gap between the teeth and gums may deepen, and in severe cases, the tissues and bone supporting the teeth are damaged.
- Representative manifestations include red and swollen gums, easy bleeding, changes such as gums receding from the teeth, and formation of periodontal pockets along with damage to tooth-supporting tissues.
- Onset and degree of progression may vary depending on oral hygiene, smoking, systemic diseases, medications, genetic/immunological characteristics, and dental care.
- Gingivitis is a relatively mild form that can improve with proper management, but if left untreated, it can progress to periodontitis, leading to the destruction of supporting tissues and tooth loss.
- Diagnosis is not confirmed by symptoms alone but is determined by comprehensively evaluating gum color, swelling, bleeding, periodontal pocket depth, tooth mobility and occlusion, and dental imaging results if necessary.
- Since gum bleeding or bad breath can appear in various oral problems and the disease can progress even with minimal symptoms, test results must be interpreted alongside risk factors.
- The basis of management is daily toothbrushing and flossing, regular dental checkups, and professional cleaning; if progressed, professional treatment tailored to the periodontal status may be necessary.
- Gingivitis can improve with routine oral care and regular professional cleaning, but periodontitis requires separate evaluation and treatment depending on the extent of damage.