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Gingivitis and periodontis - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Dental Health
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3390 Questions
User :   Hi, I have had gum problems for over twelve months. I have had over 20 lots of anti-biotics in the last 12 months. My gums are sore and inflamed. I have white spots on my throat. I have ear pain to. The roof of my mouth feels swallen. I have been to the doctors but they are not very helpful. Please help I am worried I have got cancer. It is effecting me so bad I am not sleeping properly because I keep worring.
Doctor :   hi
Doctor :   How old are you?
User :   29
Doctor :   Do you have dental caries?
User :   what do you mean
Doctor :   caries of the teeth
Doctor :   teech become black
User :   no my teeth are white and healthy
Doctor :   *teeth
Doctor :   Ok
Doctor :   So you only have gum problem, Ha
User :   yes,
Doctor :   Did u consulted detist
Doctor :   *dentist
User :   Yes, he said he was worried because I have had so many infections.
User :   He is sending me to see a specialist
Doctor :   iwhat specialist?
Doctor :   Periodontist
User :   I do not know the correct name, He has a doctor qualification and
User :   dentist
Doctor :   but is he a dental specialist
User :   yes,
Doctor :   ok
Doctor :   The bacteria cause inflammation of the gums that is called "gingivitis." In gingivitis, the gums become red, swollen and can bleed easily. Gingivitis is a mild form of gum disease that can usually be reversed with daily brushing and flossing, and regular cleaning by a dentist or dental hygienis
Doctor :   When gingivitis is not treated, it can advance to "periodontitis" (which means "inflammation around the tooth.") In periodontitis, gums pull away from the teeth and form spaces (called "pockets") that become infected. The body's immune system fights the bacteria as the plaque spreads and grows below the gum line. Bacterial toxins and the body's natural response to infection start to break down the bone and connective tissue that hold teeth in place. If not treated, the bones, gums, and tissue that support the teeth are destroyed. The teeth may eventually become loose and have to be removed
User :   The doctor and dentist I have seen do not seem overly concerned. I just keep worring it is cancer!!!!!!! My gums do not bleed they are just sore. I am worried about the white spots and ear ache
Doctor :   When u have gum infection u will get ear ache
User :   ok, What are the white spots and swollen mouth from
Doctor :   if the white spot is there for long time and not growing , u do not have to worry
User :   ok
Doctor :   if the white spots r growing in size they need biopsy
User :   I have only noticed 3 on the back of my mouth. can gingivitis cause repeat infections
Doctor :   yes
User :   ok, do you think I need to be worried
Doctor :   You just having Gingivitis and periodontis
Doctor :   There are white spots which are not grwing
Doctor :   You do not smoke
User :   I smoke, do you think that what it is
Doctor :   It can be precancerous lesion
Doctor :   it could be fungal infection
Doctor :   Did it come out when u scrap
User :   What do you
Doctor :   when you scratch it , does it go away
User :   no,
Doctor :   ok
Doctor :   How long is it there?
Doctor :   is it growing?
User :   What is precancerous lesion
User :   no its not growing,
Doctor :   that is good
Doctor :   when the throat is constatntly exposed to smoke, the irritated mucosa become hard
Doctor :   and it is called leukoplakia
Doctor :   It could be normal
Doctor :   If it is abnormal, it has abnormal cells . The abnormal cells leads to cancer
Doctor :   We can know only with bipsy of the spots
User :   I also take anti-depressants
User :   I have a very dry mouth
Doctor :   That does not effect
User :   ok,
Doctor :   Many people has leukoplakia, white spots but they are not harmful
Doctor :   in some cases they are normal
Doctor :   Given ur age profile, I do not think it is cancer
User :   ok, I will quit smoking anyway.
Doctor :   That is clever decision
Doctor :   That will decrease the harm
User :   One more question, the roof of my mouth is feeling bumpy
Doctor :   get examined by dentist
User :   ok, thanks
Doctor :   he will fell it with the hand
Doctor :   if he thinks it is normal u do not have to worry
User :   ok,
Doctor :   *feel
Doctor :   Did I answer ur queries?
User :   some of them, thanks
Doctor :   every body has different anatomy
Doctor :   Many of them normal
User :   I know, I think I worry to much, it has worried me because it has gone on so long.
Doctor :   Only thing is we need to get examined by MD and if he feel it is normal variation, that is OK
User :   lk thanks
Doctor :   Thank you for consulting me
Doctor :   Bte
Doctor :   Bye
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