Dr Eric Gill Society

Disability Learning & Health

How does gum disease start; and what causes it?

Healthy gums are the foundation of healthy teeth. The gums form the first barrier against mouth bacteria which; in sufficient amounts; could cause advanced gum disease and eventual tooth loss.

It has also been proven scientifically that there is a close link between gum disease and heart disease in many cases. Therefore, gum health is one of the important factors in maintaining your general well-being.

How does gum disease start

Well, gum disease is mainly caused by plaque bacteria. Plaque is a film of bacteria and other substances which cling to the tooth surface. If plaque is left unremoved, it increases in thickness, and the bacteria increase in number. Bacteria inside the plaque film are very toxic to gum tissue, and the first sign of gum disease is gum bleeding when you brush or spontaneously. Gum bleeding is not caused by brushing; it is caused by plaque bacteria secreting toxins and causing gum inflammation.

At this stage, getting the right advice on the appropriate brushing technique in addition to cleaning between the teeth (not with a toothpick!) and following the advice are sufficient to remove the plaque film and reverse the inflammatory process. This will reduce or eliminate bleeding and return the gum to excellent health. This is the stage of gum disease that dentists call gingivitis.
Gingivitis is preventable and easily treated; you only need to visit your hygienist or dentist regularly to get advice on keeping your teeth plaque-free and your gums healthy and comfortable.

In the another post I will be discussing the advanced stages of gum disease, their causes and the ways to prevent their occurrence, and possible ways of managing advanced gum disease; it is worth remembering that without professional help and advice, gum disease could progress quite rapidly and eventual tooth loss could be the result; it is also worth noting that without professional advice and treatment; over the counter remedies alone would not work.

How much does treating your gums cost. Well Mint, a London dentist, has treatments starting at £73.

How much does treating your gums cost.

Bleeding Gums

Gum disease is a preventable condition in most cases. However, it needs to be diagnosed first. As it was mentioned in the previous posting; gum disease is relatively silent and may not cause any significant symptoms. Strangely enough; the most common symptom of gum disease mostly overlooked by many; and sometimes considered as “normal”; is bleeding gums.

Bleeding when brushing or spontaneously is never normal. Imagine rubbing your skin or eye then discovering that this leads to some bleeding; would you consider this normal? Would you overlook it, and consider it as “one of those things that happens from time to time”? Hardly.

Gum tissue is naturally tough, as it must resist the trauma of heat and cold, rough and tough foodstuff, brushing and many other stimuli. Gum bleeding is a sign of inflammation caused by bacteria present in the plaque that accumulates around the gum tissue and is not effectively removed by regular homecare.

The enzymes and toxins secreted by the plaque bacteria cause damage that starts the inflammation process, which in turn changes the natural toughness of the gum tissue. As a result, and in response to the attack by plaque bacteria, the tiny blood vessels in the gum tissue start to open up to increase the flow of blood, which contains the necessary defence cells. The gum tissue becomes swollen and bleeds easily and profusely to minor trauma e.g. brushing and chewing.

Surprisingly, many people, when experiencing bleeding gums, think that brushing lightly, brushing with a soft brush, or even not brushing at all would stop the bleeding! Indeed it may; but not because the cause of the bleeding has been eliminated; the plaque will still be there and the damage that it is causing would certainly continue.

  • Now, you may think I am assuming you do not brush your teeth!

I never said that; in fact, I know you do, maybe once , twice or even more per day; however, this does not mean that you are “cleaning” all the plaque off. Most of us; including myself; when we were young; were given a toothbrush and toothpaste and were asked to brush twice a day; and that was it! No one showed us how to “clean” the plaque off; in fact no one showed us what the plaque looks like! Much like giving someone a hairbrush and asking them to brush their hair and make it tidy without a mirror in sight! And expecting a good job!

Most people brush; most people use toothpaste, and most people use mouthwash, but most people expect these things to do the job of cleaning the plaque off! The sad fact is..they won’t. It is you who can clean the plaque off and prevent gum disease from causing irreparable damage. 

If you do not have gum disease, you would most certainly not lose any teeth, and you would not spend a lot of money on your dental care.

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