What are the signs of CIPD in the mouth?
One of the most important things to know about CIPD is that
it can be completely symptom free. The disease process tends
to follow an intermittent path over many years and often a
person is entirely unaware that they are affected until the
disease has reached more advanced stages. This is why regular
dental check-ups are important so that CIPD and other dental
diseases can be identified and treated in their earliest stages.
When CIPD is established in the mouth there is progressive
attachment loss around teeth. One of the most common developments
is that gum pockets form between the gum and the side of the
tooth. The gum may look exactly the same as before but if
your dentist uses a special probe to check between the gum
and the tooth, the probe can be pushed down further than normal
into the pocket. Gum pockets then seem to exacerbate the CIPD
problem as it is so difficult for you to keep these areas
clean using a toothbrush and floss at home. Late stage CIPD
can give other symptoms such as loose teeth, teeth drifting
and also the gums receding exposing the roots.
How can CIPD be treated?
The first and most important stage of treatment is diagnosis
of CIPD. Once this has been diagnosed it is important to check
any systemic risk factors such as diabetes or smoking. If
these risk factors can be modified then that is the next step.
With diabetes it is vital that this is well controlled and
liaising with your GP can help here. For smokers, giving up
is vital. Various aids to this are available and again liaising
with your GP to arrange these can make all the difference.
The cornerstones of effective treatment of CIPD are consistently
excellent oral hygiene, the cleansing of the affected root
surfaces to remove infected and toxin containing material,
and the reduction in specific types of bacteria whose presence
is associated with CIPD.
There are various treatment protocols but one of the most
common is called root planing. In this treatment your periodontist
or hygienist will treat your teeth using a combination of
ultrasonic and hand instruments to debride and cleanse your
roots. This is often carried out with local anaesthesia.
Once the initial treatment to stabilise your gum health has
happened it is vital that an individually tailored program
of longer term care and maintenance of your gum health is
followed to avoid a recurrence of CIPD.
Should I be concerned that my upper front teeth have
moved over the last year and have developed spaces between
The first thing to do is get a dentist to examine
you as soon as possible so that the reason for your tooth
movement can be diagnosed. There are various reasons why your
teeth may have moved, one of the commonest is drifting due
to loss of attachment in periodontal disease. It can also
be due to other causes and so a dental check-up is vital here.
Should I be concerned that my gums bleed when I brush
The most common reason for gum bleeding is as a result of
gingivitis where the gums are inflamed due to irritation from
dental plaque bacteria. Why not book an appointment to see
your dentist so you can have this diagnosis confirmed and
learn about effective treatments?
My mother lost all her teeth at a young age and I
have had several of my teeth extracted due to gum problems
– can these run in families?
Yes – it is now clear that proximately 10% of the population
are genetically more likely to suffer from various forms of
gum disease – particularly Chronic Inflammatory Periodontal
Disease. It is really important that you get the opinion of
a periodontal specialist so that you can discuss the various
options for treatment. Why not discuss a referral with your
Of course all treatment plans are specific to patients needs
but the following Price
Guide give and indication of our fees.