If your gums start bleeding easily, you may have early onset of pyria. Pyria is the technical term that some dentists use for a later stage of gingivitis. It is more commonly known an periodontal disease or periodontitis. It refers to an infection of the periodontium, the tissues holding your teeth in place. Pyria usually develops from gingivitis due to poor oral hygiene.

How to prevent and treat Pyria

Prevention and treatment of pyria overlap to a large degree. As with so many oral health conditions, the key to both prevention and treatment is to maintain a good oral hygiene regimen. This is vital to overcoming the infection and taking the stress off your connective oral tissues. Ensure that you consistently and thoroughly brush your teeth with fluoride toothpaste two or three times a day. Use a medium bristle toothbrush. Move it in an elliptical motion. Gently brush just under the edges of the gumline. Floss once a day. Uses an arm’s length of floss. Gently pull a fresh section of the floss between each contact point of your teeth. Do not snap the floss hard against the gums. Gently but firmly graze the floss against both contact edges of each tooth, pushing as close against the gums as possible. Use an anti-bacterial mouthwash like this one every time you brush.


If Gingivitis is not addressed it can lead to Pyria disease. Gingivitis is usually caused by a lack of proper dental hygiene – mainly a lack of flossing. Without proper dental hygiene, bacteria form a layer of dental plaque, irritating the gums, and ultimately leading to pyria, This bacterial inflammation of the gums makes the gums bleed when brushing and gives them a red and swollen appearance.

The tissue holding your teeth in place include the gums, the cementum, or outer layer of the roots of the teeth, the alveolar bone around your teeth, and periodontal ligaments, connecting your tooth roots to the bone. All of these can be degraded by the byproducts of infection resulting from bad oral hygiene. These include enzymes produced by the infectious bacteria and by your body’s natural enzymes reaching spaces made accessible by infection. Eventually, the connective tissues, gums, and bone can be worn down to the point of tooth loss. The loss of tissue, including bone, can be irreversible.

What are the causes and signs of Pyria?

Other factors besides plaque caused by poor oral hygiene can contribute to pyria. Chief among these is smoking. Illnesses that can be a factor include diabetes, cancer, and HIV. Other contributing factors include hormonal changes or certain medications, especially those that reduce saliva, which helps protect teeth from plaque. Stress can also be a factor.

Red, swollen or bleeding gums and bad breath can either be signs of gingivitis or pyria. The clearest signs of pyria are pockets forming between your gums and teeth, receding gums, which make your teeth appear longer, or loose or shifting teeth. It is important to note that pyria can reach an advanced stage without ever causing any pain.

No matter how well we brush and floss, some of our dental plaque will stay and harden into calculus, also called tartar. This can also be a host for the harmful bacteria which cause pyria. Calculus can only be completely removed with professional cleaning at your dentist’s office. Make sure you go in twice a year for your dental checkup and cleaning.

Other great ways to prevent or treat pyria are to quit smoking, eat a healthy diet and reduce stress. If, however, the disease has reached an advanced stage, a dentist may administer a local anesthetic before using special curettes to clean the plaque and calculus which has accumulated below the gumline. This is called root surface instrumentation (RSI), and usually requires multiple visits to complete. If it is not successful, the dentist may decide that surgery is necessary. Such surgery is invasive and specialized, involving bone grafting and guided tissue regeneration.

Final Tips

With good hygiene and the proper treatment degeneration of the connective tissue around your teeth can be stopped, but not always reversed. Think about the future and the painful, expensive and debilitating effects of poor oral hygiene. In fact, clinical studies have associated pyria with other health problems such as stroke, hypertension, and erectile dysfunction, to name a few. Follow the oral hygiene steps above to both prevent and treat gum disease. Make sure you visit your dentist for regular cleaning and checkups. Quitting smoking will not only greatly help prevent or reverse pyria, it is the best decision you will ever make. For both your teeth and your peace of mind, reduce stress through exercise, getting enough sleep and nipping problems in the bud. Finally, try to remember, more veg and less sugar! Treat yourself with a delicious curry rather than sweets. A few small changes in habit can usually conquer pyria.

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