Periodontal Treatment

Periodontal Treatment

What is periodontal/ gum disease? Who is a periodontist? READ MORE BELOW

Who is a Periodontist?

A periodontist is a dentist who specializes in the prevention, diagnosis and treatment of periodontal disease. Periodontists have also taken advanced training in the placement of dental implants. Periodontists receive extensive training in these areas, as part of 4 additional years of education beyond 5 years of dental school. Periodontists also provide other treatments, such as crown lengthening, soft tissue grafting and bone regeneration.

What is gum disease/ periodontal disease?

The word “periodontal” means “around the tooth.” Periodontal Disease (also known as “gum disease”, “pyorrhea” or “periodontal infection”) is an ongoing bacterial infection in the gums and bone around your teeth. This infection leads to an inflammation under the gums. If it isn’t treated, the inflammation can destroy the bone around your teeth resulting in tooth loss.

Periodontal infection is the cause of 75% of all adult tooth loss.

More importantly, research has associated periodontal infection to several serious medical problems, including; heart disease, diabetes and stroke.

As ongoing research continues to define how periodontal disease is associated with these and other health problems, good oral health is essential. Good periodontal health is a key component of a healthy body.

When your infection has a burst of activity, or when there are signs that this is about to occur, it is very important that you contact us without delay to schedule a comprehensive evaluation. We will be able to determine the treatment necessary to control your periodontal infection and set you on a path toward excellent oral health. In most cases, we can treat the disease without surgery with early detection.

In the early stages of gum disease, most treatment involves non-surgical procedures; however, in more advanced stages, surgical procedures are often required. The following are detailed descriptions of these procedures.

Scaling & Root Planing

The upper level of infection in the pockets around your teeth can be removed using specialized instruments. This procedure is called, “Scaling and Root Planing,” “Phase One Treatment” or “Initial Therapy.” It is done under local anesthesia and is quite different from the routine dental cleaning that is traditionally done in the general dentist’s office. 

Does Scaling & Root Planing Hurt?

Depending on the depth of the pocket and severity of the infection, the area is numbed to make the process more comfortable. Many of our patients comment on how easy and painless the procedure ended up being.

Once the root surface is cleared of tartar and smoothed, the gums are given a chance to heal and can actually reattach to the root eliminating deep pockets.

Lower Level Infection Removal

If your infection has spread into the bone that supports your teeth and is below the level that can be reached with Scaling and Root Planing, additional procedures may be is necessary to reach and remove this deeper infection. This may also require the use of antibiotics in conjunction with treatment.

Periodontal disease has been linked with the following diseases and conditions:

Heart disease & Heart attack

Recent studies have shown that people with periodontal disease are 2.7 times more likely to suffer a heart attack.

Stroke

Studies have also shown that people with periodontal disease are 3 times more likely to suffer a stroke.

Pre-Term Childbirth

Women with periodontal disease are 7-8 times more likely to give birth prematurely to a low birth-weight baby.

Diabetes

Periodontal infection can raise blood sugar in diabetic patients. Periodontal treatment often results in a reduced need for medication.

Respiratory Disease

Periodontal infection in the mouth can be breathed in and increase the severity of such respiratory diseases as pneumonia, bronchitis and emphysema.

Some Patients Are at Higher Risk

Patients in certain higher risk categories (see below) should pay particular attention to any signs of periodontal disease.

Those patients having a personal or family history of:

  • Heart disease
  • Heart attack
  • Stroke
  • Premature childbirth
  • Diabetes
  • Respiratory diseases

Those patients having higher risk lifestyles, including:

  • Chronic stress
  • Smoker
  • Sedentary and overweight

Higher Risk Patients

If you have been told you have periodontal disease (or some of its symptoms) it is vital that you seek evaluation and treatment.

People with periodontal disease have low resistance to periodontal bacteria. This causes an ongoing gum infection that grows in “bursts” of activity. Each time it grows, more support for your teeth bone is lost. Some factors that can cause a “burst” of activity are:

  • Poor oral hygiene
  • Dental plaque
  • Smoking
  • Genetic factors
  • Stress or tension
  • Diet
  • Medication
  • Illness

Periodontal infection is usually painless until it reaches an advanced stage. However, there are some symptoms which can indicate the presence of periodontal infection. These include:

  • Red or swollen gums
  • Bleeding when brushing (pink toothbrush), or at other times
  • Aching, itchy, sore or tender gums
  • Receding gums (teeth beginning to look longer)
  • Pus between your teeth and gums when you press down on the gums
  • Bad breath
  • Any change in the way your teeth fit together when you bite
  • Any change in the fit of partial dentures
  • Loose, separating or protruding teeth

If you notice any of the above warning signs of periodontal infection, please contact our office for a periodontal examination.

Important Note: Your gums can look and feel quite normal and yet deep pockets of periodontal infection can still be present. To be certain about any periodontal disease, have your periodontist examine you for signs of infection.

Gum Disease is a Major Cause of Adult Tooth Loss

The majority of adult tooth loss is due to periodontal disease. When your gums and bone are damaged by periodontal infection, there is less support for your teeth. As this support disappears, your teeth first become loose and prone to more damage and infection. This ultimately leads to tooth loss. When your dentist recommends periodontal treatment, it is important to get started right away.

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