Pyorrhea: Symptoms, Causes, and Treatment


Are you experiencing bleeding gums, pain while chewing, and bad breath? Do you feel embarrassed when people turn away from you due to your bad smelling mouth? Well! Then you may be suffering from a serious condition called pyorrhoea and you need to see your dentist immediately, if not seen already.

What is Pyorrhea?

Pyorrhea is known by several names such as periodontitis, gingival disease, or periodontal disease. Pyorrhea is an oral health condition characterized by a serious infection of the gums. It results due to the continuous growth and accumulation of bacteria on teeth and gums. As the disease progresses, the bones and teeth also get damaged leading to more severe complications. However, if periodontitis disease is treated early, and proper hygiene is maintained then the damage to the teeth and bones can be stopped.

What are the Symptoms of Pyorrhea?

Periodontitis results due to poor dental hygiene. Improper oral hygiene due to irregular cleaning of your teeth or unable to reach the deeper or inner surface of the tooth may result in plaque build-up and lead to pyorrhea. The symptoms of pyorrhea usually depend on the stage of the disease and its progression. Some of the general symptoms of pyorrhoea include:

  • Bleeding gums which is usually observed while brushing the teeth or flossing
  • Changes in the position of your teeth or loose teeth
  • Gums pulling back from the tooth surface exposing the root surfaces of your teeth.
  • Swollen, red, or tender gums.
  • Development of plaque or sticky film like tartar on the surface of the teeth.
  • Pain accompanied while chewing food.
  • The decay of tooth and tooth loss
  • Bad breath or foul/metallic taste in your mouth
  • Triggering of inflammation throughout your body
  • Extra spaces between the teeth can be seen.

The early stages of periodontitis are usually not noticeable and your dentist will likely be the first one to notice it.

What causes periodontitis?

There are various stages of periodontitis and it usually starts when bacteria in the mouth grows and starts to multiply on your teeth. Most of these bacteria are considered to be harmless but when proper hygiene is not maintained these bacteria tend to form plaque- a sticky film like material composed of bacteria. If this condition is left untreated, then the plaque build-up can eventually advance to pyorrhea. So, it’s important to consult your dentist for pyorrhea treatment before it’s too late. Below is the detailed description of how periodontitis develops and is caused:

  1. Pyorrhea symptoms may appear due to poor oral hygiene, the bacteria in your mouth proliferate and multiply to form a sticky substance known as dental plaque.
  2. If the plaque is not removed in time from the surface of the tooth, it grows and deposits certain minerals on the tooth surface over time.
  3. This mineral deposit formed is referred to as tartar, which promotes more bacterial growth toward the root surface of the tooth.
  4. The body’s immune response is triggered by this bacterial growth leading to inflammation in your gums.
  5. The inflammation in the gum of the tooth causes its disruption over time, which leads to the development of receding gums or a periodontal gap in between the gum and the root.
  6. This in turn leads to severe infection where harmful anaerobic bacteria try to colonize in the formed periodontal pocket and start to multiply over there.
  7. The bacterial growth is followed by the release of toxins that can damage the internal structure of the mouth like gums, teeth, and supporting jaw bone or other structures.

Risk factors that can increase the risk of periodontitis include:

  • Smoking
  • Diabetes especially type 2
  • Overweight/obesity
  • In women who are pregnant, menstruating, or have reached menopause are at higher risk of getting periodontitis due to hormonal changes that make the gums more sensitive
  • HIV/Leukemia which may alter the immunity
  • Medications causing dry mouth
  • Hereditary reasons
  • Poor nutrition and deficiency of various vitamins like vitamin C014587901*4

How is pyorrhea diagnosed?

Early stages of pyorrhea may not show any significant symptoms. Only your dentist will be able to detect any pyorrhoea symptoms during a routine dental examination. So, it’s important to visit your dental doctor on a daily basis.

During diagnosis, your oral surgeon may insert a tiny probe into your mouth to check and inspect the presence of any pockets in your gums. The dentist may also scrape a certain amount of tartar or plaque from the surface of your tooth and may recommend you to undergo a dental X-ray or refer to an expert dental surgeon.

What are treatment options available for pyorrhea treatment?

The primary pyorrhea treatment involves removing the dental plaque from the surface of the tooth/gums. The following are some treatment options recommended in pyorrhea treatment.

  1. Maintaining proper Oral hygiene practices
    In order to reduce the number of bacteria in your mouth, your doctor will ask you to follow certain practices. Your dentist will advise you on how to use toothbrushes and keep your teeth and gums clean. They may also recommend you other oral hygiene products like mouthwash or water pick that can help treat pyorrhea.
    Few other tips that can keep your teeth healthy include:
    • Use of electric toothbrush to clean your tooth more effectively
    • Dental flossing once/twice a day to remove plaque.
    • Consult your dentist for tooth cleaning at least once a year
    • Quit smoking and chewing tobacco.
  2. Professional cleanings
    The procedure for pyorrhea treatment involves removing excessive plaque/tartar from the tooth surface and its roots. During the procedure, your dentist will polish the teeth and try treating them with antiseptic agents like fluoride. In order to promote healing a deep cleaning of periodontal pockets is required.
  3. Antibiotics
    Antibiotics may also be prescribed in some cases, to halt the progression or growth of the bacteria on the surface of the tooth. Your doctor may prescribe you these antibiotics in the form of a mouthwash, gel, oral tablet, or a capsule.
  4. Follow-up appointments
    Follow-up appointments may be required every 3-6 months to evaluate treatment success. In case, the condition is not controlled your dentist may refer you to an expert surgeon or you have to undergo surgery.
  5. Surgery
    Even after the pyorrhea treatment with antibiotics and cleaning, if the inflammation tends to persist then your dentist may recommend you to undergo a surgical procedure known as flap surgery. The surgery aims to remove and clean any deposits formed under your gums. During the procedure, your doctor may inject anesthesia and your gums are lifted to access the roots to be cleaned. Afterwhich, your gums are then sutured back into the place. In case of any bone loss, bone grafting surgery may be done.

Why Choose Samadhan Clinic?

Numerous clinics in Delhi offer pyorrhea treatment. You just need to go through all the factors and check the best dental clinic in Delhi. Samadhan clinic in Delhi offers the best treatment for pyorrhea. With the state of the art facilities and highly skilled and experienced surgeons around the world, the clinic delivers the best treatment options for all your dental problems. Your oral/dental surgeon will suggest the best possible treatment for your pyorrhea related problem.