A number of conditions can affect teeth and gums. Let’s look at a few of the commonest problems:

Tooth decay – the root cause of tooth decay is plaque, which begins life as the bacteria that live naturally in the mouth. These bacteria thrive on the food we eat and drink, especially those containing sugars or starches, and form a sticky film over the surface of the teeth and gums. The bacteria in this plaque produce acids, which then attack the enamel on the surface of the tooth. Over time, this acid can destroy the enamel and a cavity will form as a result. Left untreated, dental cavities can destroy a tooth and cause significant pain. The only way to stop this extended damage is to have the cavity filled by a dentist.

Bad breath (halitosis) – certain foods, such as garlic and raw onion, give off an odour in the breath once they’ve been digested but this is only temporary and will resolve quickly. In other cases, bad breath can be caused by something else going on in the mouth. For instance, food that is stuck between teeth can rot, causing a bad smell. When teeth are not cleaned properly, the bacteria that grow in the mouth can cause gum disease and that, in turn, can lead to bad breath. Bad breath can also be a sign of health problems elsewhere in the body, such as sinus infections, chronic lung infections, liver or kidney disease and diabetes.

Sensitive teeth – if a mouthful of ice cream or a sip of hot tea makes a person wince, it is likely that they are suffering from sensitive teeth. Normally, teeth are not sensitive, but when enamel is worn away or gums recede, the underlying layer of dentine can become exposed. When stimuli such as hot or cold food and drink comes into contact with the exposed nerve endings inside the teeth, the result is the sudden, sharp pain associated with sensitivity. Gum disease (gingivitis)

Gum disease, or gingivitis as it is also known, is a very common oral health condition, with half the UK adult population estimated to have some degree of gum disease. Gum disease is caused by the build-up of plaque on the teeth. The bacteria in the plaque irritate the gums, causing inflammation and swelling. These swollen and irritated gums bleed more easily when the teeth are brushed. In fact, this bleeding may be the only sign that a person has gum disease. Other signs of gingivitis include bad breath or a bad taste in the mouth. Gum disease is most likely to occur if there is poor oral hygiene, but it is also more common in smokers, people with diabetes and anyone with a weakened immune system. Untreated gum disease can become more severe and is called periodontitis. If the bacterial plaque spreads below the gumline, the inflammation affects not only the gums but also the jawbone and the ligaments that hold the teeth in place. If it is left to progress further, periodontitis can lead to loose teeth that may even fall out. Signs of periodontitis include:

• Bad breath
• A foul taste in the mouth
• Receding gums
• Sensitive teeth
• Pus or painful abscesses
• Teeth becoming loose or falling out.