Commonly known as gum disease, periodontal disease is a progressive infection involving the gums, ligaments, and bones surrounding teeth. Periodontal disease, even in its mildest stages, shouldn’t be ignored.
Untreated periodontal disease is the main cause of tooth loss among adults in the United States because it can lead to bone destruction in the jaw ridge where the teeth attach. Your gums (known as gingiva) are an integral part of your oral health. Keeping them healthy will help keep tooth decay at bay and increase the likelihood of saving your teeth.
What’s more, if left untreated, chronic inflammation of the gums and their supporting tissue can increase your risk of heart disease! According to the American Academy of Periodontology, severe gum disease has also been associated with serious medical conditions such as strokes, diabetes, hardening of the arteries, osteoporosis, and even cancer.
What causes periodontal disease?
In a word: plaque – a sticky film that continuously forms on your teeth. Plaque contains bacteria that can irritate and inflame your gums, setting off a chain of events that can very well cost you your tooth if not managed in a timely fashion by an experienced periodontist.
Periodontal Disease has two stages
Periodontists grade the level of disease two ways. They are:
Gingivitis: the early stage of periodontal disease
Gingivitis literally means inflammation of the gingiva (the gums). The early stages of gingivitis may go unnoticed at first. This is because people in this stage often do not experience pain or tooth discomfort, however, they may notice that their gums are red, swollen, or bleed easily with brushing or flossing.
Signs of gingivitis include:
Red or purple gums
Swollen gums
Sensitive or painful gums
Bleeding gums
Bad breath (halitosis)
Gums that are soft
Gum recession that begins to expose the base of the tooth
Periodontitis: advanced gum disease
As gingivitis becomes more severe, the infection begins to involve the ligaments and bone supporting the teeth, threatening the very viability of the teeth. Aggressive bacteria begin to destroy not just the soft tissue of your gums, but also the jawbone supporting the tooth. Periodontitis is diagnosed when bone loss becomes apparent.
Signs of Periodontitis include
Gums pulling away from the teeth, creating a pocket between the gum and the base of the tooth where dangerous bacteria can breed
Red, swollen and tender gums
Pus visible along the gum line
Loose teeth
A change in your bite pattern
What are the risk factors for periodontal disease?
There are a number of variables that increase your odds of developing gum disease, such as:
Poor oral hygiene
Dentists and periodontists recommend brushing your teeth for two to three minutes twice a day. In addition, floss twice daily and rinse with antibacterial mouthwash to prevent tooth decay and maintain healthy gums.
Tobacco use
It makes little difference if you use chewing tobacco or you smoke it, they both make it harder for your body to fight off a gum infection. In fact, smokers are twice as likely as non-smokers to have gum disease.
Illness
Systemic illnesses such as autoimmune disease or uncontrolled diabetes increase your odds of having periodontal disease.
Hormonal changes
Hormonal changes in women – such as those that occur during puberty, pregnancy, or menopause – can increase your risk for periodontal disease.
Direct transmission between people
Yes, you can get gum-destroying bacteria by sharing cutlery, storing toothbrushes together, or kissing on the lips.
Can gum disease be prevented?
The good news is that gum disease is easily preventable. For most people, practicing good oral hygiene habits will keep them out of trouble.
Steps for preventing gum disease include:
Brushing your teeth twice daily for two to three minutes each time.
Flossing carefully and thoroughly two times a day to remove plaque buildup.
Using an anti-plaque mouthwash every time you brush and floss your teeth.
Regular checkups at your dental office to eliminate plaque and tartar buildup. See your dentist at least twice a year to have your teeth professionally cleaned by a dental hygienist.
Brushing and flossing after eating high carbohydrate foods like sweets. Your body converts carbohydrates into sugar that stimulates bacterial growth that can break down your tooth enamel, gum tissue, and bone.
The good news is that it’s very easy to treat gum disease if caught early. During the early stage of gum disease (known as gingivitis), you can be treated with relatively simple in-office non-surgical procedures performed by an experienced periodontist.
Untreated periodontal disease is the main cause of tooth loss among adults in the United States…
In-office deep cleaning treatments are the first step in treating early gum disease.
This procedure is known as periodontal scaling and root planing (aka a “deep cleaning”). This dentistry treatment removes the dental plaque and tartar build-up on and around your teeth.
After applying local anesthesia to one-quarter of your mouth (either one-half of your upper teeth or one-half of your lower teeth), your periodontist uses special tools to scrape dental plaque and tartar from the surface of your teeth (scaling) and to work below the gum line to polish away tartar, toxins, and micro-organisms from any exposed roots (root planing).
Because this is slow and meticulous work, many periodontists prefer to treat one-quarter of your mouth at each visit and space the visits out over several weeks.
As you can imagine, a number of specialized tools are used for these dental care procedures, ranging from hand tools to ultrasonic and laser instruments that help blast away tartar.
How is advanced gum disease (Periodontitis) treated?
Once gum disease has continued to progress, resulting in bone loss, this is known as periodontitis and requires more drastic treatments. For instance, it may be necessary to perform surgery to open the infected gums to expose the tooth root for more thorough scaling and planing.
If the infection is particularly serious, your dental professional might take a saliva sample to identify the offending bacteria. Then they can prescribe oral antibiotics or insert time-released antibiotic granules directly into your gum pockets. If significant bone and gum tissue has been lost due to untreated periodontitis, grafting procedures might be able to fill in bone and gum tissue defects.
How is severe Periodontitis treated?
Severe periodontitis is treated with osseous surgery. This procedure requires anesthesia. It involves cutting a flap in the gum and folding it back to expose any diseased tissue in the gum and tooth-root surfaces that need removing with scaling and planning. Flap surgery is a fairly common procedure being widely performed nowadays.
Once the dead tissue is gone and the surrounding bone and gums are clean, your periodontist might attempt to re-contour one or more teeth to eliminate pockets where bacteria can breed before sewing the gums back in place.
If your gums have receded significantly and have pulled away from your teeth enough to expose your tooth root, your periodontist might recommend grafting gum tissue. Donor tissue is harvested from the roof of your mouth (or another source) to fill in the area with inadequate gum coverage. The tissue grafts are sutured into place to fill defects and, over time, heal with a natural appearance.
Similarly, if the bone foundation underlying a tooth is eroded to the point that it can’t support the tooth, bone graft material can be inserted where it’s needed before the gums are sutured closed.
Once you have undergone treatment for gum disease, whether, in its early stage or advanced stage, it’s vital that you adopt the oral care regimen recommended by your periodontist in order to avoid the loss of more gingival tissue and bone.
What are some overall health risks associated with gum disease?
Gum disease can make it more difficult for people with diabetes to control their blood sugar levels. Conversely, uncontrolled diabetes can increase the risk of gum disease. There is an association between gum disease and heart disease. Specific bacteria associated with gum disease may contribute to the development of cardiovascular problems such as heart attack and stroke.
Bacteria from the mouth can be inhaled into the lungs, increasing the risk of respiratory infections, such as pneumonia, especially in the elderly population or patients with compromised immune systems.
Pregnant women with gum disease may be at higher risk of complications such as preterm birth and low birth weight. Hormonal changes during pregnancy can also make the gums more susceptible to inflammation and infection.
Rheumatoid arthritis is a chronic inflammatory condition that affects the joints. There has been some studies to detect a link between gum disease and rheumatoid arthritis.
Why trust your periodontal care to MD Periodontics?
Dr. Abdy Moshrefi and Dr. Nazanin Daneshmand are board-certified periodontal specialists who have been delivering outstanding results in treating gum disease for two decades. What’s more, they have been acknowledged by their peers for contributions to the field and are among the very best gum specialists in Los Angeles.
It is our patient-centric philosophy that has made us one of the top specialty practices that Los Angeles dentists refer their patients to for years. We work closely with our referring doctors to coordinate all dental work, keeping your comfort and well-being as our top priority.
We take pride in making sure that our patients have all available treatment options presented to them in terms that they can understand. This way, they are well-informed before they make an important decision about their oral health care. We always make sure that you understand every step of the treatment plan before we proceed because we want you to be comfortable and relaxed, knowing that you are in professional hands.
When it comes to your oral health, do your research and look for the best. You deserve it.
To schedule an appointment, click here or call (310) 859-9449.
We are conveniently located to patients throughout Southern California and the Los Angeles area. Our Beverly Hills office is conveniently located near West Los Angeles, Culver City, West Hollywood, Downtown Los Angeles, Marina del Rey, Pacific Palisades, Malibu, Manhattan Beach, Sherman Oaks, and Encino.
Understanding Periodontal Disease: Common Questions
Gum Disease FAQs
Is gum disease genetic?
There is a combination of both genetic and environmental factors that can contribute to an individual’s risk of periodontal disease. Certain genetic factors can make individuals more susceptible to developing periodontal disease, including inflammatory pathways, variations in immune responses, and positioning of teeth and gums.
Lifestyle factors such as poor oral hygiene, diet, smoking, and regular visits to the dentist play a significant role in the development and progression of periodontal disease.
What are the health risks associated with gum disease?
Health risks associated with gum disease are:
Advanced periodontal disease can lead to tooth loss
Receding gums, where the roots are exposed, making the teeth more sensitive and susceptible to decay
Halitosis, or bad breath due to build up of bacteria in the mouth
Severe gum disease can lead to painful pockets of pus that develop into abscesses
When should someone visit a dentist if they suspect they have gum disease?
You should visit a dentist as soon as possible if you suspect you have gum disease. The longer you wait, the worse it is. Maintaining good oral hygiene is critical for preventing periodontal disease and promoting overall oral health.
Can salt water help with gum disease?
Yes. Warm Salt water rinses can help reduce inflammation and soothe gum irritation.
Can you treat gum disease at home?
There are some steps at home to help manage the symptoms of gum disease, however, It’s important to see a dentist for proper diagnosis and treatment plan depending on the severity of your condition.
Maintaining good oral hygiene habits at home by brushing twice a day using a soft bristle brush at 45 degree angle, maintaining circular motions.
Flossing daily, wrapping floss around each tooth in a c-shape manner.
Rinsing with an alcohol-free mouth rinse and or using a water pik
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Frequently Asked Questions
What initial signs indicate gum problems?
Common signs of gum problems include red or purple gums, swelling, tenderness, bleeding, bad breath, softness, gum recession, and painless symptoms that progress to advanced stages with signs like pockets between gums and teeth, loose teeth, and a change in bite pattern.
Can non-surgical methods treat periodontal issues?
Non-surgical methods can treat periodontal issues in the early stage, such as in gingivitis. This includes scaling and root planing to address plaque and tartar build-up. However, advanced cases may require more invasive treatments like tissue or bone grafts to restore gum and bone health.
What dietary changes improve gum health?
Dietary changes that can improve gum health include reducing sugar intake, increasing consumption of fruits and vegetables high in fiber, and incorporating foods rich in vitamins C and D. Additionally, drinking plenty of water and limiting acidic and sticky foods can benefit gum health.
Do genetics heavily influence periodontal conditions?
Genetics can heavily influence periodontal conditions, impacting inflammatory pathways, immune responses, and the positioning of teeth and gums. Lifestyle factors like oral hygiene, diet, smoking, and dental visits also play significant roles in the development and progression of gum disease.
Does periodontal therapy minimize tooth mobility?
Periodontal therapy can help reduce tooth mobility by addressing the underlying gum disease that leads to bone loss. By treating the infection and restoring gum health, the support structures around the teeth can be strengthened, potentially improving tooth stability.
Are holistic practices effective for gum ailments?
Holistic practices can be effective for gum ailments. Approaches like natural remedies, herbal treatments, and lifestyle changes can complement traditional treatments for periodontal disease. It's important to consult with a dental professional to ensure proper care and management of gum health.
What technologies diagnose periodontal disease accurately?
Advanced technologies like digital x-rays, cone-beam computed tomography (CBCT), and intraoral cameras accurately diagnose periodontal disease. These tools provide detailed imaging and analysis to identify issues early on for effective treatment.
Can regular cleanings prevent periodontal problems?
Regular cleanings can help prevent periodontal problems by removing plaque and tartar buildup, reducing the risk of gum disease progression. It's crucial to maintain consistent oral hygiene habits and attend dental check-ups to detect and address any issues early on.
Are periodontal treatments generally pain-free?
Periodontal treatments can involve procedures like scaling, root planing, tissue grafts, and bone grafts. While local anesthesia is used, discomfort levels vary depending on the individual and the severity of the treatment required. Communication with your periodontist can help manage pain during and after procedures.
How quickly can gum infections spread?
Gum infections can spread quickly from mild gingivitis to severe periodontitis if left untreated. The infection can progress from the gums to the ligaments and bones surrounding teeth, potentially leading to tooth loss and various serious health risks.
Do certain medications exacerbate gum conditions?
Certain medications, such as antihistamines, decongestants, and antidepressants may exacerbate gum conditions by reducing saliva flow, leading to dry mouth which can contribute to gum disease. It's important to inform your dentist about all medications you are taking to address these issues effectively.
Can periodontal issues lead to halitosis?
Yes, periodontal issues can lead to halitosis, also known as bad breath. When gum disease progresses, it can cause pockets of pus and bacteria buildup, resulting in unpleasant breath odor. Proper treatment by a periodontist can help alleviate this symptom.
What maintenance follows periodontal treatment completion?
Following periodontal treatment completion, maintaining good oral hygiene practices such as regular brushing, flossing, and dental check-ups is crucial. Practicing proper dental care at home and attending scheduled follow-up appointments with your periodontist help in preventing the recurrence of gum disease and maintaining healthy gums and teeth.
Do diabetics face higher gum disease risks?
Diabetics face higher gum disease risks due to fluctuations in blood sugar levels that can lead to increased bacterial growth in the mouth. This can accelerate the progression of periodontal disease, which in turn can worsen diabetes symptoms. Dental care is crucial for diabetic patients to maintain overall health.
How frequently do gum check-ups occur?
Regular gum check-ups are typically recommended every six months to monitor and maintain oral health. However, individuals with a history of gum disease may need more frequent visits as determined by their periodontist.
Does stress impact periodontal disease progression?
Yes, stress can impact periodontal disease progression by weakening the immune system and making it harder for the body to fight off infections, including gum disease. This can lead to increased inflammation and slower healing, exacerbating the condition.
Are there age-specific periodontal treatment adjustments?
Periodontal treatment may need adjustments based on a person's age and specific oral health needs. Children, adults, and seniors may require different approaches, such as special attention to growth and development in younger patients or managing systemic conditions in older individuals.
Is fluoride beneficial for gum health?
Fluoride is beneficial for gum health as it helps strengthen tooth enamel, making it more resistant to decay-causing bacteria. Regular fluoride use can prevent cavities and reduce the risk of gum disease by protecting teeth and gums from harmful oral bacteria.
Can mouthwashes reverse early periodontal issues?
Mouthwashes alone cannot reverse early periodontal issues. They can help manage symptoms but are not a substitute for professional treatment by a periodontist. Seeking proper diagnosis and treatment is crucial for addressing periodontal disease effectively.
How does obesity affect gum diseases?
Obesity increases the risk of developing gum diseases due to the negative impact on the body's immune response and inflammatory pathways. Excess weight can lead to systemic inflammation, which in turn can contribute to the progression of periodontal disease.
Does insurance typically cover deep cleanings?
Insurance coverage for deep cleanings can vary depending on the specific policy. It's best to check with your insurance provider to understand the extent of coverage for periodontal treatments like deep cleanings.
Can children develop serious gum conditions?
Yes, children can develop serious gum conditions. Genetics, poor oral hygiene, and lifestyle factors play a significant role in gum disease development even at a young age. It is important for parents to monitor children's dental health and seek professional treatment if any signs of gum disease are observed.
Are certain toothbrushes better for periodontitis?
Toothbrushes with soft bristles are better for periodontitis, as they are gentler on sensitive gums. Electric toothbrushes can also be beneficial, providing more effective plaque removal. Consult with your periodontist for personalized recommendations suited to your specific oral health needs.
What role does flossing play regularly?
Flossing regularly helps remove plaque and food particles from between teeth, preventing gum disease and cavities. It is essential for maintaining oral hygiene and preventing periodontal disease progression.
Can periodontal treatment restore gum recession?
Gum recession caused by periodontal disease can sometimes be restored through treatments like tissue grafts or other surgical procedures performed by a periodontist. It's essential to address gum recession promptly to prevent further complications.
How do pregnancy hormones affect periodontitis?
During pregnancy, hormonal changes can increase the risk of periodontal disease. The shift in hormones can make gums more sensitive and susceptible to inflammation, leading to a higher likelihood of developing periodontitis during this time.
Are dental implants prone to periodontitis?
Dental implants can be vulnerable to peri-implantitis, which is a condition similar to periodontitis in natural teeth. Proper oral hygiene and regular dental visits are essential to prevent inflammation and bone loss around dental implants.
Can new filling materials reduce inflammation?
New filling materials can help reduce inflammation in the gums if they are able to effectively seal and protect the tooth, preventing bacteria from causing further irritation and infection. Choosing the right material and ensuring proper placement is crucial for minimizing inflammation.
What periodontal treatments require specialist referrals?
Periodontal treatments requiring specialist referrals include tissue grafts, bone grafts, and advanced periodontitis treatments. Specialists perform in-office non-surgical procedures for gingivitis and more drastic treatments for periodontitis involving bone loss, ensuring proper care.
Do sealants help in preventing periodontitis?
Sealants are primarily used to prevent tooth decay by creating a protective barrier on the chewing surfaces of the teeth. While they can help in reducing the risk of cavities, sealants alone may not be sufficient to prevent periodontitis, which requires comprehensive oral hygiene and regular dental care to address gum disease.
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