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SHOULD WE BLAME OUR GENES FOR OUR GUM DISEASE?
Dear readers, in this article we will tell you about the loss of teeth. Some of our teeth can be pulled directly from decay and unfortunately we can lose our teeth at a very young age. Tooth loss creates many problems, both aesthetically and in terms of function and speech. In addition, it can cause nutritional and related health problems that may occur as a result of reduced chewing activity. Losses, especially in the aesthetic area, can lead to many social and psychological effects, such as lack of self-confidence.
Did you know that gum disease is not only bad news for your teeth, but is also linked to serious health problems in other parts of your body? He’s 21 now. The link between oral health and general body health has been proven in the decennial and is supported by sound scientific evidence. Despite this, only 1 in 6 people are aware that people with gum disease increase the risk of stroke or diabetes, and only 1 in 3 people are aware of the link to heart disease.
There can be many reasons for tooth loss. These can be caused by trauma such as an accident, as well as caries, gum problems, or some systemic conditions that can be prevented by early detection.
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GUM DISEASES
Gum disease is the most common cause of tooth loss. Neglect of oral care and gum diseases that develop due to it, if left untreated, can lead to tooth loss in a short time. In order to prevent this, it is important that adults brush and floss their teeth effectively twice a day. In addition, individuals should go to the dentist regularly (at least 2 times a year) to normalize their oral hygiene by cleaning tartar or other gum treatment procedures, if necessary, and to stop the possible disease from progressing.
Bad oral hygiene is not the only cause of gum disorders. If you have a systemic disease such as diabetes mellitus (Diabetes mellitus), this condition has a negative effect on the health of the gums, as it affects systemic repair, so it is necessary for such patients to take even more care of oral hygiene.
If you are taking blood pressure medication, you should be checked by your dentist every 6 months. Some blood pressure medications (Calcium channel blockers) can cause gum growth and make it difficult to maintain oral hygiene. If there is such a condition, it may be recommended to consult internal medicine doctors immediately and replace the medication if appropriate. Smoking, malnutrition, and even some genetic factors can also be effective in gum disease.
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GENETIC FACTORS AND GUM DISEASES
In recent studies, it has been determined that gingivitis is related to genes.
Genetics is a risk factor for the development of both chronic periodontitis and aggressive periodontitis. Chronic periodontal disease is characterized by persistent inflammation of the gum tissue, usually in older adults. Aggressive periodontal disease involves the rapid deterioration of the bone around the teeth, usually at a relatively young age.
While research is underway to determine the exact genetic basis of gum disease, scientists have identified 38 genes associated with an increased risk of developing periodontitis. In particular, one of them, the FAM5C gene, has been associated with aggressive periodontal disease. FAM5C is also associated with cardiovascular disease. The common factor linking both conditions may be general inflammation in the body.
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DENTAL CARIES
Untreated tooth decay is also one of the most common causes of tooth loss. The incurable destruction of the teeth as a result of excessive loss of substances due to caries, unfortunately, leads to tooth loss. Dental loss can be prevented by going to the dentist regularly for a check-up and being treated by the Turkish dentist without neglecting in the presence of any symptoms.
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GENETIC FACTORS AND DENTAL CARIES
Caries usually develops as a result of insufficient oral care, but there are people who are more susceptible to tooth decay due to the way their body reacts to bacteria. In a study conducted by the University of Ankara Medical School, more than 300 samples of saliva were evaluated and beta-defensin 1 (DEFB1) gene, the G-20A significantly higher rate in people with a variant of caries, filled teeth, and tooth loss was determined.
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BRUXISM (TEETHING)
Another cause of tooth loss is bruxism (squeezing teeth). Especially this discomfort, which is characterized by muscle contraction of the muscles as a result of excessive forces of patients during sleep, can cause destruction of the tissues that support the teeth and teeth and cause tooth loss. It is very important that patients who squeeze teeth should definitely consult their dentists and be treated with appropriate treatment methods.
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WHAT CAUSES TOOTH LOSS?
A lack of teeth also opens the way to more tooth loss. The movement of teeth towards the missing tooth areas, disruption of jaw relationships and contacts, unilateral chewing activity accelerate tooth loss. In order to prevent this, the missing teeth have not been removed with implants or prosthetic procedures and the chewing system should be put into normal function. Increasing the awareness of individuals about oral health is very important in preventing tooth loss. Regular brushing and flossing allows you to solve many problems before they start. If there are symptoms such as bleeding gums, pain or sensitivity in the teeth when brushing your teeth, it is very important to contact the dentist and get treatment without wasting time. Preventive treatments prevent tooth loss.
If there has been a loss of teeth, it is necessary to start treatment before the time is up. Dentists guide and treat their patients by examining the appropriate treatment methods. The most common method of treating tooth deficiency is bridges (Fixed prostheses) and movable prostheses. Physicians recommend the appropriate treatment method with appropriate materials by looking at the length and area of the toothless area. If the toothless area is not very long, restorations with metal porcelain or zirconia porcelain may be preferred. If the toothless region completely includes the teeth in the posterior molar region, which is called the free finite, then the need for a movable prosthesis can be considered. If our patients are completely toothless, a design is made that will provide support for the toothless area and lips with full dentures.
Currently, implant-supported prosthetic treatments with screws placed in the jawbone that act as a tooth root are offered as the gold standard treatment option in most cases. Our patients are evaluated systemically before implant treatment. In current implant treatments, implants can be applied to most patients except for a few patient groups.
Diabetics should be evaluated more carefully due to the change in the healing mechanism in the body. The HbA1c value should be determined by blood tests. Patients with this value below 7 can be implanted. Another risky group is patients taking bisphosphonate drug groups. Implant construction is not suitable for these patients. Implant applications can be performed by approaching patients other than Bun in a controlled manner. For example, in patients using blood thinners, surgery may be performed by cutting the blood thinner a few days before the operation or applying an equivalent treatment instead of it under the supervision of a doctor due to a blood control problem that may occur due to surgery.
The amount of bone is very important for local evaluation. The doctor evaluates the bone volume both vertically and horizontally with X-rays and regional tomographs, and if it is not suitable, he considers the approach to treatment with bone insertion methods. In addition, the amount and type of gum is also important, and the doctor may also consider additional gum operations appropriate for the implant if he deems it necessary. Apart from these, whether there is enough distance for the prosthesis to be made, its length, treatment method and material are also decided according to the amount of the toothless field and the number of implants is decided.
“One of the most frequently asked questions for physicians is is it a bridge or an implant?” we should prefer it. The answer to this question is always the implant under favorable conditions. One of the biggest advantages of implant treatments is that there is no application to the intact teeth of patients. Because in order to make a bridge, it is necessary to shrink the tooth by cutting the teeth on the supporting teeth. But if the implant is to be made, it is not necessary to perform an operation on the teeth next to it. Another issue is that the implant acts as a root and prevents the bone in the missing tooth area from melting. In addition, it is possible to provide treatment options by restoring the teeth as they are in their normal structure one by one during implant treatments.
In order not to lose teeth all the time, it is essential to maintain our oral hygiene in the best way and to visit the dentist frequently. It is most correct to prevent tooth loss by having the troubles that may occur treated. But still, if there have been dental losses, we should never forget to go to the dentist in Antalya and get treatment in no time.
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Turkey's world-renowned organ transplant specialist. Dr. Demirbaş has 104 international publications and 102 national publications.
Physician's Resume:
Born on August 7, 1963 in Çorum, Prof. Dr. Alper Demirbaş has been continuing his work as the President of MedicalPark Antalya Hospital Organ Transplantation Center since 2008.
Prof. who performed the first tissue incompatible kidney transplant in Turkey, the first blood type incompatible kidney transplant, the first kidney-pancreas transplant program and the first cadaveric donor and live donor liver transplant in Antalya. Dr. As of August 2016, Alper Demirbaş has performed 4900 kidney transplants, 500 liver transplants and 95 pancreas transplants.
In addition to being the chairman of 6 national congresses, he has also been an invited speaker at 12 international and 65 national scientific congresses. Dr. Alper Demirbaş was married and the father of 1 girl and 1 boy.
Awards:
Eczacibasi Medical Award of 2002, Akdeniz University Service Award of 2005, Izder Medical Man of the Year Award of 2006, BÖHAK Medical Man of the Year Award of 2007, Sabah Mediterranean Newspaper Scientist of the Year Award of 2007, ANTIKAD Scientist of the Year Award of 2009, Social Ethics Association Award of 2010, Işık University Medical Man of the Year Award of 2015, VTV Antalya's Brand Value Award of 2015.
Certificates:
Doctor of Medicine Degree Hacettepe University Faculty of Medicine Ankara, General Surgeon Ministry of Health Turkey EKFMG (0-477-343-8), University of Miami School of Medicine Member of Multiple Organ Transplant, ASTS Multiorgan Transplant Scholarship. Lecturer at Kyoto University. Lecturer at University of Essen, Research assistant at the University of Cambridge .
Professional Members:
American Society of Transplant Surgeons, American Transplantation Society Nominated, Middle East and Southern Africa Council Transplantation Society 2007, International Liver Transplantation Association, Turkish Transplantation Association, Turkish Society of Surgery, Turkish Hepatobiliary Surgery Association.
Disclaimer:
Our website contents consist of articles approved by our Web and Medical Editorial Board with the contributions of our physicians. Our contents are prepared only for informational purposes for public benefit. Be sure to consult your doctor for diagnosis and treatment.