We are pleased to serve the community of Slidell, LA. Our doors are always open to welcome new patients who areready to receive the best in dental care.
Find Us:
Patient Library
Find helpful information in our digital library.
Archive:
- 2020
- 2019
- 2018
- 2017
- 2016
- 2015
Tags
- celebrity smiles (56)
- oral health (19)
- dental hygiene (1)
- tooth contouring (1)
- cosmetic dentistry (9)
- dental injury (6)
- mouthguards (2)
- veneers (4)
- crowns (5)
- mouthguard (2)
- dental injuries (1)
- dentures (2)
- oral hygiene (20)
- pediatric care (1)
- teeth whitening (5)
- tooth bleaching (1)
- Toothache (4)
- nutrition (6)
- dental erosion (1)
- chipped teeth (1)
- sedation dentistry (1)
- oral sedation (1)
- athletic mouthguards (1)
- Dental Implants (12)
- orthodontics (4)
- braces (9)
- laser dentistry (2)
- gum disease (15)
- wisdom teeth (5)
- periodontal disease (4)
- root canal (4)
- Root Canals (2)
- dental sealants (1)
- bone grafting (2)
- pediatric dentistry (6)
- tooth decay (9)
- sealants (1)
- tooth staining (1)
- bad breath (1)
- bonding (1)
- Fillings (1)
- abscessed tooth (1)
- partial denture (1)
- dental emergency (1)
- anesthesia (1)
- periodontal (gum) disease (1)
- restorative dentistry (3)
- geographic tongue (1)
- teeth wear (1)
- air abrasion (1)
- burning mouth syndrome (1)
- tooth grinding (1)
- dental crowns (1)
- orthodontic treatment (6)
- bacteria (1)
- porcelain veneers (3)
- preventative dentistry (1)
- tooth pain (3)
- pregnancy (3)
- tmj disorders (1)
- sinus surgery (1)
- teething (2)
- Oral Cancer (3)
- cancer treatment (1)
- bone loss (1)
- teeth grinding (2)
- bruxism (1)
- blood pressure medications (1)
- medicine (1)
- Dental Extractions (1)
- Damaged Teeth (1)
- thumb sucking (1)
- smile makeover (2)
- osteoporosis (2)
- smoking (2)
- gum recession (2)
- pulp capping (1)
- root canal treatment (3)
- chipped tooth (1)
- Filling (1)
- dental implant (2)
- Oral Cancer Screening (1)
- dental exam (1)
Categories:
Your Case of Gingivitis Could Develop into Something More Harmful
That bit of gum bleeding after you brush, along with redness and swelling, are strong signs you have gingivitis, a form of periodontal (gum) disease. Without treatment, though, your gingivitis could turn into something much more painful and unsightly — a condition commonly known as “trench mouth.”
Properly known as Acute Necrotizing Ulcerative Gingivitis (ANUG), the more colorful name arose from its frequent occurrence among soldiers during World War I. Although not contagious, many soldiers contracted it due to a lack of means to properly clean their teeth and gums and the anxiety associated with war. Inadequate hygiene and high stress still contribute to its occurrence today, along with smoking, medications that dry the mouth and reduced disease resistance — all of which create a perfect environment for bacterial growth.
ANUG can arise suddenly and be very painful. The cells in the gum tissue begin to die (“necrotizing”) and become swollen (“ulcerative”), especially the small triangle of gum tissue between the teeth called the papillae, which can appear yellowish. Patients also encounter a characteristic foul breath and taste. Untreated, ANUG can damage tissue and contribute to future tooth loss.
Fortunately, antibiotics and other treatments are quite effective in eradicating bacteria that cause the disease, so if caught early it’s completely reversible. We start with a complete examination to confirm the diagnosis and rule out other possible causes. We then attempt to relieve the pain and inflammation with non-steroidal, anti-inflammatory drugs like aspirin or ibuprofen and begin antibiotic treatment, most notably Metronidazole or amoxicillin. We may also prescribe a mouthrinse containing chlorhexidine and mild salt water rinses to further reduce the symptoms.
We must also treat any underlying gingivitis that gave rise to the more acute disease. Our goal here is remove any bacterial plaque and calculus (hardened plaque deposits) that have built up on tooth surfaces, particularly below the gums. Only then can we fully bring the disease under control.
It’s also important you become more consistent and effective with daily brushing and flossing, quit smoking, reduce undue stress, and get better rest and nutrition. Establishing these new habits and lifestyle changes will help ensure you’ll never have to experience trench mouth again.
If you would like more information on ANUG and other periodontal gum conditions, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Painful Gums in Teens & Adults.”