GUM DISEASE
Description
Body System
[1] Tada A, Miura H. The Relationship between Vitamin C and Periodontal Diseases: A Systematic Review. Int J Environ Res Public Health. 2019;16(14):2472. Published 2019 Jul 11.
[2] Nishida M, Grossi SG, Dunford RG, Ho AW, Trevisan M, Genco RJ. Dietary vitamin C and the risk for periodontal disease. J Periodontol. 2000;71(8):1215-1223.
[3] Van der Velden U. Vitamin C and Its Role in Periodontal Diseases - The Past and the Present: A Narrative Review. Oral Health Prev Dent. 2020;18(1):115-124.
[4] Munday MR, Rodricks R, Fitzpatrick M, Flood VM, Gunton JE. A Pilot Study Examining Vitamin C Levels in Periodontal Patients. Nutrients. 2020;12(8):2255. Published 2020 Jul 28.
[5] Bogdan M, Meca AD, Boldeanu MV, et al. Possible Involvement of Vitamin C in Periodontal Disease-Diabetes Mellitus Association. Nutrients. 2020;12(2):553. Published 2020 Feb 20.
[6] Akman S, Canakci V, Kara A, Tozoglu U, Arabaci T, Dagsuyu IM. Therapeutic effects of alpha lipoic acid and vitamin C on alveolar bone resorption after experimental periodontitis in rats: a biochemical, histochemical, and stereologic study. J Periodontol. 2013;84(5):666-674.
[7] Pussinen PJ, Laatikainen T, Alfthan G, Asikainen S, Jousilahti P. Periodontitis is associated with a low concentration of vitamin C in plasma. Clin Diagn Lab Immunol. 2003;10(5):897-902.
[8] Figuero E, Soory M, Cerero R, Bascones A. Oxidant/antioxidant interactions of nicotine, Coenzyme Q10, Pycnogenol and phytoestrogens in oral periosteal fibroblasts and MG63 osteoblasts. Steroids. 2006;71(13-14):1062-1072.
[9] Sugimoto H, Watanabe K, Toyama T, et al. Inhibitory effects of French pine bark extract, Pycnogenol®, on alveolar bone resorption and on the osteoclast differentiation. Phytother Res. 2015;29(2):251-259.
[10] Kimbrough C, Chun M, dela Roca G, Lau BH. Pycnogenol chewing gum minimizes gingival bleeding and plaque formation. Phytomedicine. 2002;9(5):410-413.
[11] Chatterjee A, Kandwal A, Singh N, Singh A. Evaluation of Co-Q10 anti-gingivitis effect on plaque induced gingivitis: A randomized controlled clinical trial. J Indian Soc Periodontol. 2012;16(4):539-542.
[12] Manthena S, Rao MV, Penubolu LP, Putcha M, Harsha AV. Effectiveness of CoQ10 Oral Supplements as an Adjunct to Scaling and Root Planing in Improving Periodontal Health. J Clin Diagn Res. 2015;9(8):ZC26-ZC28.
[13] Prakash S, Sunitha J, Hans M. Role of coenzyme Q(10) as an antioxidant and bioenergizer in periodontal diseases. Indian J Pharmacol. 2010;42(6):334-337.
[14] Littarru GP, Nakamura R, Ho L, Folkers K, Kuzell WC. Deficiency of coenzyme Q 10 in gingival tissue from patients with periodontal disease. Proc Natl Acad Sci U S A. 1971;68(10):2332-2335.
[15] Manthena S, Rao MV, Penubolu LP, Putcha M, Harsha AV. Effectiveness of CoQ10 Oral Supplements as an Adjunct to Scaling and Root Planing in Improving Periodontal Health. J Clin Diagn Res. 2015;9(8):ZC26-ZC28.
[16] Hanioka T, Tanaka M, Ojima M, Shizukuishi S, Folkers K. Effect of topical application of coenzyme Q10 on adult periodontitis. Mol Aspects Med. 1994;15 Suppl:s241-s248.
[17] Raut CP, Sethi KS, Kohale B, Mamajiwala A, Warang A. Subgingivally delivered coenzyme Q10 in the treatment of chronic periodontitis among smokers: A randomized, controlled clinical study. J Oral Biol Craniofac Res. 2019;9(2):204-208.
[18] Bhat G, Kudva P, Dodwad V. Aloe vera: Nature's soothing healer to periodontal disease. J Indian Soc Periodontol. 2011;15(3):205-209.
[19] Karim B, Bhaskar DJ, Agali C, et al. Effect of Aloe vera mouthwash on periodontal health: triple blind randomized control trial. Oral Health Dent Manag. 2014;13(1):14-19.
[20] Ashouri Moghaddam A, Radafshar G, Jahandideh Y, Kakaei N. Clinical Evaluation of Effects of Local Application of Aloe vera Gel as an Adjunct to Scaling and Root Planning in Patients with Chronic Periodontitis. J Dent (Shiraz). 2017;18(3):165-172.
[21] Jadhav AN, Rathod SR, Kolte AP, Bawankar PV. Effect of Aloe vera as a local drug delivery agent in the management of periodontal diseases: A systematic review and meta-analysis. J Indian Soc Periodontol. 2021;25(5):372-378.
[22] Ajmera N, Chatterjee A, Goyal V. Aloe vera: It's effect on gingivitis. J Indian Soc Periodontol. 2013;17(4):435-438.
[23] Vangipuram S, Jha A, Bhashyam M. Comparative efficacy of aloe vera mouthwash and chlorhexidine on periodontal health: A randomized controlled trial. J Clin Exp Dent. 2016;8(4):e442-e447. Published 2016 Oct 1.
[24] Mangaiyarkarasi SP, Manigandan T, Elumalai M, Cholan PK, Kaur RP. Benefits of Aloe vera in dentistry. J Pharm Bioallied Sci. 2015;7(Suppl 1):S255-S259.
[25] Rashed HT. Evaluation of the effect of hydrogen peroxide as a mouthwash in comparison with chlorhexidine in chronic periodontitis patients: A clinical study. J Int Soc Prev Community Dent. 2016;6(3):206-212.
[26] Marshall MV, Cancro LP, Fischman SL. Hydrogen peroxide: a review of its use in dentistry. J Periodontol. 1995;66(9):786-796.
[27] Muniz FWMG, Cavagni J, Langa GPJ, Stewart B, Malheiros Z, Rösing CK. A Systematic Review of the Effect of Oral Rinsing with H2O2 on Clinical and Microbiological Parameters Related to Plaque, Gingivitis, and Microbes. Int J Dent. 2020;2020:8841722. Published 2020 Oct 31.
[28] Putt MS, Proskin HM. Custom tray application of peroxide gel as an adjunct to scaling and root planing in the treatment of periodontitis: a randomized, controlled three-month clinical trial. J Clin Dent. 2012;23(2):48-56.
[29] Hossainian N, Slot DE, Afennich F, Van der Weijden GA. The effects of hydrogen peroxide mouthwashes on the prevention of plaque and gingival inflammation: a systematic review. Int J Dent Hyg. 2011;9(3):171-181.
[30] Wennström J, Lindhe J. Effect of hydrogen peroxide on developing plaque and gingivitis in man. J Clin Periodontol. 1979;6(2):115-130.
[31] Grant WB, Boucher BJ. Are Hill's criteria for causality satisfied for vitamin D and periodontal disease?. Dermato-endocrinology. 2010 Jan 1;2(1):30–6.
[32] Machado V, Lobo S, Proença L, Mendes JJ, Botelho J. Vitamin D and periodontitis: A systematic review and meta-analysis. Nutrients. 2020 Jul 22;12(8):2177.
[33] Saïz P, Taveira N, Alves R. Probiotics in oral health and disease: a systematic review. Applied Sciences. 2021 Aug 31;11(17):8070.
[34] Vivekananda MR, Vandana KL, Bhat KG. Effect of the probiotic Lactobacilli reuteri (Prodentis) in the management of periodontal disease: a preliminary randomized clinical trial. Journal of oral microbiology. 2010 Jan 1;2(1):5344.
[35] Tripathi P, Blaggana V, Upadhyay P, Jindal M, Gupta S, Nishat S. Antioxidant therapy (lycopene and green tea extract) in periodontal disease: A promising paradigm. Journal of Indian Society of Periodontology. 2019 Jan 1;23(1):25-30.
[36] Forouzanfar A. Review of the therapeutic effects of Camellia sinensis (green tea) on oral and periodontal health. J. Med. Plant Res. 2011 Oct 23;5:5465-9.
[37] Hammer KA, Dry L, Johnson M, Michalak EM, Carson CF, Riley TV. Susceptibility of oral bacteria to Melaleuca alternifolia (tea tree) oil in vitro. Oral microbiology and immunology. 2003 Dec;18(6):389-92.
[38] Ripari F, Cera A, Freda M, Zumbo G, Zara F, Vozza I. Tea tree oil versus chlorhexidine mouthwash in treatment of gingivitis: a pilot randomized, double blinded clinical trial. European journal of dentistry. 2020 Feb;14(01):055-62.
[39] Feghali K, Feldman M, La VD, Santos J, Grenier D. Cranberry proanthocyanidins: natural weapons against periodontal diseases. Journal of agricultural and food chemistry. 2012 Jun 13;60(23):5728-35.
[40] de Medeiros AK, de Melo LA, Alves RA, Barbosa GA, de Lima KC, Carreiro AD. Inhibitory effect of cranberry extract on periodontopathogenic biofilm: An integrative review. Journal of Indian Society of Periodontology. 2016 Sep 1;20(5):503-8.
[41] Nayak PA, Nayak UA, Khandelwal V. The effect of xylitol on dental caries and oral flora. Clinical, cosmetic and investigational dentistry. 2014 Nov 10:89-94.
[42] Kitchens DH. Xylitol in the prevention of oral diseases. Special Care in Dentistry. 2005 May;25(3):140-4.
[43] Tran PL, Luth K, Wang J, Ray C, de Souza A, Mehta D, Moeller KW, Moeller CD, Reid TW. Efficacy of a silver colloidal gel against selected oral bacteria in vitro. F1000Research. 2019;8.
[44] Nikolić M, Glamočlija J, Ćirić A, Perić T, Marković D, Stević T, Soković M. ANTIMICROBIAL ACTIVITY OF OZONE GAS AND COLLOIDAL SILVER AGAINST ORAL MICROORGANISMS. Digest Journal of Nanomaterials & Biostructures (DJNB). 2012 Oct 1;7(4).
[45] Torwane NA, Hongal S, Goel P, Chandrashekar BR. Role of Ayurveda in management of oral health. Pharmacognosy reviews. 2014 Jan;8(15):16.
[46] Kulshrestha N, Panwar D, Singh RR. Effect of Ayurvedic herbs Neem (Azadirecta indica), Khadir (Acacia catechu), Madhuk (Madhuka indica) on Periodontal Disease. Journal of Ayurveda and Integrated Medical Sciences. 2021 Apr 30;6(02):143-7.
[47] Moulishree JP, Devi G, Arivarasu L. Effect of Oil Pulling Over Inflammation and Gum Health. Annals of the Romanian Society for Cell Biology. 2021 Mar 1:2768-76.
[48] Asokan S, Emmadi P, Chamundeswari R. Effect of oil pulling on plaque induced gingivitis: A randomized, controlled, triple-blind study. Indian Journal of Dental Research. 2009 Jan 1;20(1):47-51.
[49] Suh Y, Patel S, Kaitlyn R, Gandhi J, Joshi G, Smith NL, Khan SA. Clinical utility of ozone therapy in dental and oral medicine. Medical gas research. 2019 Jul 1;9(3):163-7.
[50] Gupta G, Mansi B. Ozone therapy in periodontics. Journal of medicine and life. 2012 Feb 2;5(1):59.
1. Vitamin C: Vitamin C, in addition to its antioxidant properties, plays a critical role in slowing periodontal issues. It supports the differentiation of periodontal ligament progenitor cells, aiding tissue repair and strengthening gum health.
2. Coenzyme Q10 [CoQ10]: Coenzyme Q10 enhances gum health by increasing its concentration in affected tissue, where it helps reduce oxidative stress and inflammation. This suppression of inflammation aids in managing advanced concerns and promoting healing.
3. Vitamin D: Vitamin D helps regulate the immune response and reduce inflammation in the gums. By promoting calcium absorption, it also supports strong teeth and overall oral health.
4. Oral Probiotics: Oral probiotics help restore balance to the oral microbiome, reducing harmful bacteria and inflammation. This rebalancing contributes to improved gum health and alleviates related symptoms.
1. Pycnogenol Extract: Pycnogenol contains procyanidins, which bind to damaged blood vessels in the gums, helping to prevent minor bleeding and strengthen capillary walls. This action stabilizes gum tissue and promotes overall oral health.
2. Aloe Vera Juice: Aloe vera juice, rich in antibacterial, anti-inflammatory, and antioxidant properties, naturally soothes gum inflammation. Its use in oral care can relieve discomfort and promote healthier gums.
3. Green Tea Extract: Green tea is packed with antioxidants like catechins, which reduce inflammation and fight harmful bacteria. Regular use supports oral health and helps prevent issues from progressing.
4. Tea Tree Oil: Tea tree oil’s antimicrobial properties help combat bacterial growth in the mouth, particularly targeting the bacteria that contribute to oral health issues. Its use in natural mouthwashes and toothpastes promotes healthier gums.
5. Cranberry Extract: Cranberry extract, rich in proanthocyanidins, prevents harmful bacteria from adhering to teeth and gums. This action reduces the risk of plaque buildup, supporting oral health.
1. Hydrogen Peroxide: Hydrogen peroxide acts as an antibacterial agent, helping to reduce plaque buildup, control gingivitis, and kill harmful oral bacteria. Its versatility makes it a useful addition to oral care routines.
2. Xylitol: Xylitol’s anti-inflammatory and antibacterial properties inhibit harmful bacteria in the mouth, reducing plaque formation and lowering the risk of dental issues.
3. Colloidal Silver: Colloidal silver targets bacteria like Streptococcus mutans and Porphyromonas gingivalis. Its antimicrobial effects promote oral hygiene and healthier gums.
1. Ayurveda: Ayurveda promotes gum health through the use of herbal remedies like triphala, dietary changes, and lifestyle modifications. This holistic approach supports oral hygiene by reducing inflammation and balancing oral health.
2. Oil Pulling: Oil pulling with coconut oil helps remove harmful bacteria from the mouth, reducing plaque buildup and improving gum health. This traditional practice supports oral hygiene and may help prevent inflammation.
3. Ozone IV: Ozone IV therapy uses antimicrobial ozone gas to eliminate bacteria, viruses, and fungi in the mouth. This therapy fosters a healthier oral environment by reducing harmful microorganisms.
Supplements
Plant Extracts
Natural Compounds
Alternative Treatments
Symptoms & Signs
Causes
Plaque Buildup
Books That You May Want To Read
How Nutrients Function
Antioxidants: Antioxidants protect cells from oxidative stress caused by free radicals, potentially reducing the risk of chronic diseases such as cancer and cardiovascular ailments. They safeguard DNA integrity, slow down aging processes, and support overall cellular health.
Enzymes and Coenzymes: Enzymes catalyze biochemical reactions, while coenzymes assist in these processes by binding temporarily to enzymes. Together, they regulate digestion, energy production, immune responses, and various metabolic pathways.
Fruit Extracts: Rich in antioxidants, vitamins, and fiber, fruit extracts offer numerous health benefits, including anti-inflammatory, anti-cancer, and immune-boosting properties. They also support digestive health and contribute to overall well-being.
Herbal Extracts: Herbal extracts contain bioactive compounds with various medicinal properties, including antioxidant, anti-inflammatory, and antimicrobial effects. They have been used traditionally to support digestion, immunity, and overall health.
Other Nutrients: Other nutrients encompass a wide array of essential compounds crucial for various physiological functions. This category includes neurotransmitters and their precursors, which facilitate nerve signaling and are vital for central nervous system function. Additionally, naturally occurring structural components and biological detergents, such as phospholipids and bile salts, play critical roles in tissue repair, fat digestion, and overall bodily function. Phospholipids contribute to cell membrane integrity and fat emulsification, while bile salts are key to digesting and absorbing dietary fats. Hormones and their precursors regulate numerous physiological processes, including metabolism, growth, and reproduction. Furthermore, naturally occurring chemicals and metals play pivotal roles in enzymatic reactions, immune function, and overall health maintenance.
Probiotics: Probiotics are live microorganisms that confer health benefits when consumed. They support gut health, immune function, and oral hygiene by promoting the growth of beneficial bacteria and inhibiting the growth of harmful pathogens.
Vitamins: Vitamins are essential micronutrients that play diverse roles in supporting cellular processes, immune function, and overall health. They must be obtained through diet or supplementation to ensure proper bodily function.
Nutrients Explained In Nutritional Guide
Podcast Episodes To Listen To
Educational Videos To Learn From
Functional Lab Tests That You Might Consider
References
Things To Do
The dietary recommendations for gum disease include:
consuming a whole-foods-based diet that includes fresh vegetables, fruit, meat, and whole grains.
consuming a wide variety of vegetables throughout the day supplies the body with the necessary vitamins and minerals.
foods rich in vitamin A and C to support the general health of the gums.
foods rich in minerals [sodium, potassium, calcium, magnesium, phosphorus, and iron], which promote healthy teeth.
improve your gut health and feed your microbiome fiber-rich foods.
consuming anti-inflammatory foods.
stay hydrated.
Furthermore, consider:
a soft toothbrush that won't irritate your gums.
changing toothbrushes every month for hygiene reasons.
brushing your teeth after every meal.
visiting your dentist regularly.
massaging your gums gently to boost circulation.
flossing regularily.
using a tongue scraper.
using a non-toxic mouthwash. You can try a hydrogen peroxide solution.
investing in an oral irrigator.
Things To Avoid
Diet components to avoid gum disease include:
sugar in any form. Sugar is highly inflammatory and serves as a nutrition source for pathogenic bacteria.
processed, packaged, junk, and fast foods.
refined carbohydrates.
Excessive alcohol consumption deprives the body of essential vitamins and minerals.
Additionally, avoid the following:
smoking, which contributes to inflammation.
chronic stress.
harsh chemicals.
antibiotics that destroy the beneficial bacteria.
skipping dental appointments.