Periodontitis

Periodontitis is the inflammation of the structures that support a tooth, which includes the bones, gums, and ligaments. This inflammation is caused by bacteria in the mouth, which can result in bone destruction, and eventually, the affected tooth falls off. It can be prevented by maintaining good oral hygiene.

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I have had bad breath for more than a year and it ruined my relationship with my friends. Kindly help.

Query: Hello doctor,I have had bad breath for more than a year. I have tried every solution, including mouthwashes, flosses, tongue scrapers, and every other thing the dentist told me, but it did not go away. The smell is significantly worse in my last molar and back of my tongue. This bad breath ruined my...  Read Full »


Dr. Raghu

Answer: Hello, Welcome to icliniq.com. I can understand your concern. Bad breath can be caused due to multiple reasons. It can be due to dental conditions like dental caries, periodontitis, or oral ulcers, and systemic conditions like stomach ulcer, tonsillitis, cold, GERD (gastroesophageal...  Read Full »

Two of my teeth remain wobbly after having receding gums. What to do?

Query: Hi doctor,I have receding gums, and they are sore as well. Two of the teeth are wobbly, and I am terrified they are going to fall out. I am only 19 years old. I brush and floss my teeth twice a day. I used to smoke. Since I have noticed my teeth issue, I quit smoking. Please help me. I am desperat...  Read Full »


Dr. Honey Arora

Answer: Hi, Welcome to icliniq.com. As per your complaint, it looks like you have deep gum infection and it is causing loss of attachment of teeth to gums making them loose. As you are a smoker, it causes the gum health to deter even faster. When there is a recession, only home remedies will not be sufficie...  Read Full »

I have dark grayish colored patches on my upper four teeth. What to do?

Query: Hi doctor, I am a 24 year old female, and I have dark grayish colored patches on the crown of my four upper teeth along the gum line. I can send pictures if you want. Is it periodontitis? I am very scared.  Read Full »


Dr. Tinu Thampy

Answer: Hi, Welcome to icliniq.com. Thank you for your query. The dark gray colored deposits on your teeth is a part of the subgingival calculus. That means, the deposits started long back and irritated the gingiva. The slight bleeding from gums made it stained. This is not periodontitis. But, it is the sta...  Read Full »

Why are my gums bleeding during and after brushing the teeth?

Query: Hi doctor,I have been having bleeding gums for two weeks while brushing my teeth, and today there was bleeding a few hours later. What could this indicate? Are there any medications necessary to help? Please help.  Read Full »


Dr. Disha Kandi Yermal

Answer: Hi, Welcome to icliniq.com. I have gone through your query and attachment (attachments removed to protect the patient's identity). From the attachment it is noticable that there is gingival inflammation and localized periodontitis. In a particular area there is recession and inflammation of pe...  Read Full »

Are multiple painful sores in the mouth indicative of canker sores?

Query: Hi doctor, I have multiple painful sores in my mouth that appeared two days ago. One being large, what I think to be a canker sore (kind of grey flesh with a bunch of swollen gum below it), one small sore (that is just two little dots in my mouth), and the other I have not looked at. I have had poo...  Read Full »


Dr. Bharat Joshi

Answer: Hello, Welcome to icliniq.com. Please be calm. They can be ANUG (acute necrotizing ulcerative gingivitis), lichen planus, canker sores (the grey color is descriptive of necrosis), or noma. So I suggest you please share pictures for confirmation of diagnosis. I would also suggest you do a biops...  Read Full »

Is it possible to accommodate dental braces in regions with severe bone loss?

Query: Hi doctor,Most of my teeth were grafted in my bottom. I underwent surgery as my gums were not so thick to have braces and I had severe gum recession. I want to know how much bone is necessary to wear braces. If the bone loss is severe, what are the other options to restore it? How to control my gum ...  Read Full »


Dr. Shamaz Mohamed

Answer: Hi, Welcome to icliniq.com. I understand your need to have orthodontic treatment using braces. For having braces, it is important that you should not have any gum diseases. Gum diseases like periodontitis cause bone loss and hence it can be prevented by undergoing gum treatment. It includes gu...  Read Full »

Can periodontitis, once treated, reoccur?

Query: Hi doctor, I am 28 years old. I had gum diseases two years back, which was treated. I last visited a dentist two years before, and after that, there was a lockdown. In the lockdown, I noticed that my front teeth are very slightly mobile. Initially, I could feel them with my tongue. After that, the ...  Read Full »


Dr. Bharat Joshi

Answer: Hello, Welcome to icliniq.com. Please be calm. There can be chances of periodontal infections characterized by mobility and bone loss. I suggest you: 1) Please share picture of the involved teeth for the proper diagnosis. 2) Get an OPG (orthopantomogram) done. I hope this was helpful.  Read Full »

I have some mobile teeth with periodontitis. What is the treatment option other than extraction?

Query: Hi doctor,I am a 62-year-old female. I have moderate to severe periodontitis. A couple of teeth are mobile with some crowns. I have some missing teeth. My dentist advised me to have an extraction of seven teeth. I want a second opinion. I would like to treat them first. Please suggest.   Read Full »


Dr. Naveen Thomas

Answer: Hi, Welcome to icliniq.com. In the upper jaw, there are at least three teeth presenting with periodontitis and deep pocket formation. The only option is to do an extraction. If you do not have any symptoms for now, then you can delay doing extraction for few months or for a couple of years. In the...  Read Full »

How to control bleeding gums?

Query: Hello doctor, For months now, I am suffering from a gum problem. It bleeds while brushing but no pain. Two connected teeth (as shown in the attached picture) are slightly moving. A white soft gum-like tissue has grown. If I try to brush it away, it bleeds. Keeping in mind that I cannot attend any ...  Read Full »


Dr. Beryl Fredrick

Answer: Hello, Welcome to icliniq.com. I have gone through your query and attachment and understood your concern (attachment removed to protect patient identity). From your tooth picture and your symptoms, the condition is called periodontitis. It is a condition wherein the bone and the gums surrounding ...  Read Full »

How to save my molar tooth?

Query: Hi doctor, I am 18 years old. A few days ago, I had a toothache on my molar teeth and have mobility when touched. I have a big hole in that tooth from my childhood. I guess the black circle is the vein of the tooth. I could not afford to get an implant tooth. I had pain in that tooth a year back...  Read Full »


Dr. Prerna Jain

Answer: Hi, Welcome to icliniq.com. From your attached pictures (attachment removed to protect patient identity), it is clear that this tooth is decayed with loss of large crown structure. The decay has also spread to the roots.  As you have mentioned, there is some mobility on touching the tooth and some...  Read Full »

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