Periodontal Disease Treatment (Gum Disease)
Gum disease is a serious condition that affects people from all walks of life. Our dentistry provides periodontal services for all stages of gum disease to restore your oral health.
Periodontal disease, commonly known as gum disease, is the most common adult dental affliction. About 30% of the population experiences gum disease, and it’s the number one cause of tooth loss in adults. Many denture cases begin as a result of the ravages of this condition. While not curable, it is controllable. But it requires a focused strategy, similar to managing other chronic conditions such as high blood pressure or diabetes.
Gum disease can advance in stealth mode with few signs or symptoms in early stages. Many patients diagnosed with this condition find themselves surprised at the quiet damage progressing in their mouths. In simple terms, consider the gums and bone around your teeth as the foundation where they sit. Just like a house, the foundation must be sound regardless of the beauty of the house. When the foundation crumbles, the rest of it goes too.
Regular dental exams, professional cleanings, and good oral hygiene practices at home are essential to detecting and strategically managing periodontitis.
What causes periodontal disease or gum disease?
Our mouths provide a home to millions of bacteria, both beneficial and harmful. Bacteria form a sticky substance, plaque, that adheres to the teeth. Brushing and flossing aim at removing plaque before it mineralizes into tartar. Tartar becomes a colony for more bacteria and adds to their population, pumping out toxins into the gums.
Gums react to this bacterial invasion with an inflammatory response under the direction of the immune system. Around the base of each tooth, a small collar of gum tissue exists that forms a small crevice or pocket. This warm, dark environment provides a perfect habitat for deeper tartar and bacterial penetration, with their toxins seeping into the base of the collar.
Early inflammation results in bleeding gums, known as gingivitis. Bacteria left untreated and undisturbed successfully create a chronic infection in the gum collar. In many cases, the bone begins to deteriorate around the teeth as the bacteria burrow deeper into the gums. While gums may be slightly tender at this stage, there’s generally minimal discomfort as the bone dissolves.
More than 50% of the bone around your teeth can disappear before any signs of looseness or pain begin to appear. The bone around teeth never regenerates, so this loss becomes permanent and harder to control as the bacteria hide deeper into the gums. Untreated gum disease leads to abscess and generalized tooth loss in many advanced cases.
How is periodontal disease or gum disease treated?
Periodontal disease, or gum disease, is effectively treated in two ways, which treatment you receive depends on the severity of the gum disease.
Scaling and root planning are recognized as the standard treatment for periodontitis. The procedure is highly effective in managing the condition in its early to moderate stages. It also does an excellent job of reversing its harmful effects. When providing scaling and root planing treatment, your dentist will access the areas below the gum line and between the teeth and remove harmful accumulations of plaque, tartar and oral bacteria. Then the root surfaces will be smoothed out to prevent future accumulations. Your gums should then begin the healing process and eventually reattach themselves to the teeth.
The second treatment is called bone grafting and is often required when bacteria and plaque have reached the jawbone and caused some amount of deterioration and decay. Your dentist must surgically access the damaged jawbone in order to regenerate it. This is accomplished by applying proteins and artificial bone-like material to the areas of decay. This will help encourage new bone growth. Bone grafting is often a necessary step for strengthening the jawbone so that it can support dental implants to replace missing teeth.
How do I prevent periodontal disease or gum disease?
Regular home care is critical to arrest the progression of gum disease. Within a few hours of a careful cleaning, the bacteria begin to repopulate and adhere to the teeth. Plaque left undisturbed will start to harden and mineralize within 24 hours. And deeper gum pockets require even more diligence to prevent the bacteria from burrowing further into the foundation of your teeth.
Since the deepest sections of gum pockets previously damaged by bacteria can be difficult to reach at home, a particular maintenance schedule with us proves essential. We can customize your plan to include 2, 3 or 4 visits a year depending on the severity of disease and its response to treatment and home care.
If our combined efforts don’t halt your gum disease, we will suggest referral to a trusted specialist, known as a periodontist. With specialized training in many gum conditions, further treatment may be recommended.
Current research continues to establish clear links between bacterial disease in your mouth and ailments in other parts of the body. Studies show a link between oral bacteria and conditions such as heart disease, stroke, arthritis, Alzheimer’s, and certain types of cancers. The integration of oral and general health has never been better understood than it is currently.
Bleeding gums provide a direct pathway into the bloodstream, a journey that toxic oral bacteria can quickly take. In fact, if bleeding gums connected into one single patch, it would create a 2 x 2-inch square. If an open wound of this size existed on your skin, infection would be a concern. Bleeding, infected gums offer this open door to your body and sit saturated in colonies of bacteria. This helps explain why researchers continue to identify oral bacteria deposits in various areas of our bodies.
Diabetes and other auto-immune disorders lower the body’s ability to fight infection, allowing uncontrolled gum disease to advance faster and with more destruction. Research also confirms that the inflammation in the mouth can aggravate diabetes, making it harder to control. This two-way relationship between two chronic conditions emphasizes the importance of optimal oral health.
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