The Stages of Gum Disease
The line is clear: up to a point it is reversible, beyond it is not.
Stage one: gingivitis
Inflammation affects only the gum; the bone beneath is not yet involved. The gums are red, slightly swollen and bleed on brushing. Crucially this stage is fully reversible — scaling and corrected hygiene return the gum to normal within weeks with no permanent loss.
Stage two: periodontitis
Once inflammation reaches the bone the picture changes: the sulcus deepens into a pocket that cannot be cleaned at home. Bone begins to resorb and that loss does not return. Treatment now aims to halt rather than reverse.
Which signs indicate which stage
- Bleeding only on brushing → gingivitis, reversible
- Recession and longer-looking teeth → bone loss has begun
- New gaps between teeth → loss of the papilla
- Persistent bad breath → bacteria in deep pockets
- Pus from the gum → active infection
- Loosening and a changing bite → advanced bone loss
Medication-Related Dry Mouth and the Risk of Decay
Saliva is the mouth's most important protection: it buffers acid, clears food debris, returns minerals to the enamel and carries antibacterial components. When flow falls, all of that protection weakens and decay appears at an unusual speed and in unusual places.
Which medicines reduce saliva?
The drug groups that cause dry mouth are broader than people expect, and most are taken long term:
- Blood-pressure medicines, diuretics in particular
- Antidepressants and anti-anxiety medicines
- Allergy medicines (antihistamines)
- Medicines for an overactive bladder
- Some painkillers and muscle relaxants
- Medicines used in Parkinson's disease and epilepsy
Root decay: the adult's silent problem
In dry mouth, decay starts on the root surface rather than the enamel. The root is not covered by enamel: it consists of cementum and dentine and dissolves in acid far more easily. In someone with gum recession and reduced saliva, decay can therefore progress within months to encircle the tooth. Pain appears late, because the spread is horizontal rather than towards the nerve.
What can be done: not stopping the drug but increasing protection
Do not stop the medicine on your own judgement; dry mouth is a treatable side effect. Drinking water often and in small amounts, stimulating flow with sugar-free gum, using a high-fluoride toothpaste, avoiding alcohol-containing mouthwashes and shortening the review interval work together. Where dryness is marked at night, moisturising gels can be used.
An additional problem for denture wearers
Saliva forms the thin film that holds a full denture against the palate. When it falls the denture starts to move, pressure points cause sores and the ground is prepared for fungal infection. Removing the denture at night and keeping it in clean water then matters even more. A fit problem may come from the dryness rather than the denture itself, and that distinction is made at examination.
Getting Here, Booking and Emergencies from Ahatli
Route, booking and emergency arrangements for patients from Ahatli.
Getting here from Ahatli
Ahatlı lies in the Kepez district of Antalya; Kepez is one of the central districts, about 6 kilometres from the clinic. We also see patients from neighbouring areas that share the route from Ahatli, such as Yavuz Selim, Zafer, Atatürk, Beşkonaklılar. You can ask for the location on WhatsApp when travelling from Ahatli.
Appointments for Ahatli
At this distance, splitting treatment into visits is no problem for patients from Ahatlı, and attending reviews is easy too. As with patients from Kepez generally, appointments for families from Ahatli can be scheduled consecutively.
Emergencies from Ahatli
Setting out from Ahatlı at night is quick; come without delay in an emergency, and calling as you leave means preparation is done in advance. For patients coming from Dental Clinic in Ahatli, the clinic is open 24/7 and in an emergency the order is set by severity rather than arrival time. For spreading facial swelling, difficulty swallowing or breathing, or toothache with fever, go to the nearest emergency department.

































































