Patient's Query
Hi doctor,
I am a 32-year-old male, and I recently had a scaling and root planning done for mild to moderate periodontitis. It also included a laser treatment as I had bleeding gums. My gum pockets were mostly of 3 mm, and three to four teeth had pockets of 5 mm to 6 mm.
I am experiencing bleeding even though I was treated about three months back. I want to have healthy gums so that I can have good overall health. May I know if periodontitis reduces lifespan if one is diagnosed in the early 30s? I want to maintain my oral health without undergoing expensive and painful surgery.
Please advise.
Hi,
Welcome to icliniq.com.
I read your query and understand your concern.
Do not worry, and periodontitis will not affect your lifespan though it will have the potential to cause systemic diseases. It means it is a risk factor for developing generalized health conditions. The mouth is a mirror of general health, so bleeding gums for a long time is chronic and needs daily follow-up as per my advice.
I am going to give you a series of suggestions. But tell me, firstly, do you notice bleeding while brushing only? Or bleeding from the gums is present every now and then? I will also be suggesting certain medications for improving your gum health.
I hope this has helped you.
Thank you.
Patient's Query
Hi doctor,
Thank you for the reply.
I usually have bleeding sometimes while brushing, and no bleeding after that. I had a deep cleaning done three months back, and it was fine for about five days with no bleeding. I brush twice a day and floss thoroughly before sleeping. I am a bit concerned with the bleeding.
Hello,
Welcome back to icliniq.com.
I understand your concern.
Once you get a deep cleaning done, the gum problems will not resolve immediately. The regrowth of the gum tissue takes around three to four months approximately.
To avoid any painful gum surgery in the future, You can follow these suggestions-
Regards.
Patient's Query
Hi doctor,
Thank you for the reply.
I will follow what you said and will follow up with you.
Hi,
Welcome back to icliniq.com.
I understand your concern.
Make sure you take the Omega or alpha-Lipoic acid supplements once daily.
Take care.
Thank you.
Patient's Query
Hi doctor,
Thank you for the reply.
Chlorhexidine is not available without a prescription at my place. Can you send me a prescription?
Hi,
Welcome back to icliniq.com.
I understand your concern.
You can buy any easily available branded mouthwash either from a pharmacy or online. Rinse with mouth wash twice a day. Once after brushing and then after dinner. As for Omega 3-6 supplements, you get direct supplements everywhere. So, do not worry. Thank you.
Patient's Query
Hi doctor,
Thank you for the reply.
Bleeding has reduced today. I am rinsing my mouth with salt water. As you mentioned, taking care of oral health also helps maintain overall health. However, I have a concern regarding the black spots between the teeth. They have been there for the last five years.
I have visited dentists from time to time, but nobody has told me about them. Usually, they say I have no cavities except gum bleeding and inflammation. May I know if those spots are cavities? If not, can they be removed?
Hi,
Welcome back to icliniq.com.
I understand your concern.
From the picture (attachments removed to protect the patient's identity), it is not very clear.
There might be tiny cavities in between your teeth. They can be filled if it is not exactly near the gum line.
Thank you.
Patient's Query
Hi doctor,
Thank you for the reply.
I have had these spots between the teeth for almost eight teeth, and I am unsure if I have them for other teeth. All these spots are around the gum line. Let me know how long should I wait to get them removed? I am not experiencing any pain or discomfort.
Hi,
Welcome back to icliniq.com.
I understand your concern.
If they are melanin spots, they must be removed by laser surgery. But hyperpigmented melanin spots are common findings on the gum.
If it is caries, then it can be treated by restoration (fillings).
It needs a physical examination.
Thank you.
Patient's Query
Hi doctor,
Thank you for the reply.
I will consult you if I ever have other dental issues.
Hi,
Welcome back to icliniq.com.
I understand your concern.
Do follow the supplements and mouthwash suggested.
I hope this has helped you.
Thank you.
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Answered byDr. Achanta Krishna Swaroop
Medically reviewed byiCliniq medical review team
Same symptoms don't mean you have the same problem. Consult a doctor now!
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