Spotting and Treating Early Signs of Gum Disease in Children

Gum disease is often considered a problem for older people. However, about 50% of children have gum or periodontal disease, which can weaken teeth and cause bigger dental issues down the road. Early treatment can help prevent worsening disease and complications.  

Gum Disease in Children

Gum disease, or periodontal disease, is inflammation and bacterial infections in the gum tissue. Anyone can develop gum disease, but the most common type in children is a mild form known as gingivitis, which causes swollen gums.

Untreated gingivitis may progress to periodontitis, where gums become diseased and the bone around the tooth breaks down. Teeth become loose and unstable, leading to tooth loss.  

The most common cause of gum disease is poor oral hygiene, including inadequate brushing or flossing, which causes plaque buildup. However, it’s not the only cause. Pediatric periodontal health issues can also develop from:

  • Crowded teeth
  • Open mouth breathing
  • Dry mouth
  • Bite problems that cause irregular contact between teeth
  • Stuck food
  • Diabetes
  • Certain medications

Spotting Signs of Gum Disease

Early signs of gum disease usually start with gingivitis and plaque and tartar buildup. Your child’s gums may be:

  • Red
  • Swollen
  • Tender  
  • Bloody during brushing and flushing  

You may also notice bad breath that won’t go away. If gingivitis doesn’t improve, the condition progresses and may lead to more serious signs, including:

  • Loose teeth
  • Separating teeth with abnormal spacing
  • Gums pulling away from teeth, known as receding gums
  • Pockets of pus between teeth and gums
  • Change in bite or jaw alignment
  • Tooth loss

Treating Gum Disease in Children

Early treatment is essential to prevent further damage and complications. While most children don’t develop severe gum disease, it can happen. Without treatment, the infection and inflammation eat away at the underlying bone around your child’s teeth. The bones will no longer hold their teeth in place.  

Treatment depends on your child’s age, health, and the severity of gum disease. Regular cleanings, for example, can clear up gingivitis, along with daily brushing and flossing.  

Complex cases of gum disease may need more in-depth treatment. For instance, scaling and root planing, also called deep cleaning, removes plaque under the gum in the early stages of disease. A deep cleaning also smooths the root of the teeth, allowing the gums to reattach.  

Your dentist may also prescribe antibiotics by mouth, or apply them directly to the gums in periodontal pockets. Severe disease may need surgery to clean the infected gums and reshape or replace the tissue.  

How to Keep Your Gums Healthy

Oral hygiene and regular dental cleanings and checkups are critical to keeping your child’s gums healthy. Cleaning your teeth and controlling bacteria is one of the most important steps.  

To promote healthy teeth and gums:

  • Brush your child’s teeth morning and night
  • Floss morning and night between teeth and around the gumline
  • Use fluoride toothpaste
  • Use an electric toothbrush with a soft-bristled head
  • Replace the brush head every 3 to 4 months or after illness
  • Provide a healthy diet with fruits, vegetables, and calcium-rich foods
  • Avoid nighttime bottles or cups with sugary drinks  
  • Offer only water in daytime bottles or sippy cups

Nurture Healthy Smiles with Columbus Pediatric Dentist

Part of overall child wellness is healthy teeth and gums. Hines Little Smiles, a New Albany pediatric dentist clinic, offers comprehensive pediatric dental care, with a healthy dose of fun, comfort, and compassion. Schedule an appointment and discover how we can help your little one’s smile.

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A dentist demonstrates to a child patient a large dental model for educational purposes during a consultation.