What is periodontal disease?

Periodontal Disease, also known as gum disease, is a chronic bacterial infection that affects the gums and bone supporting the teeth. This disease begins when the bacteria in plaque (the sticky, colorless film that constantly forms on your teeth) causes the gums to become inflamed.

In the earliest stage of Periodontal Disease — gingivitis — the gums become swollen and red due to inflammation, which is the body's natural response to the presence of harmful bacteria. In more severe forms of the disease, called periodontitis, the gums pull away from the tooth and supporting bone and tissue is destroyed. Teeth may eventually become loose and have to be removed.

Periodontal Disease is the leading cause of tooth loss in adults, but it's largely preventable with good oral hygiene and regular dental visits.



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Signs and symptoms

  • Red, swollen, or tender gums

    Healthy gums should be firm and pale pink. If your gums appear puffy, bright red, or dusky red, it may indicate gingivitis.

  • Bleeding gums during brushing or flossing

    If your gums bleed when you brush or floss, it's an early sign of gum disease.

  • Receding gums

    If your teeth look longer than normal, your gums might be pulling back (receding) from your teeth, exposing the roots.

  • Persistent bad breath

    Bad breath that won't go away, or a constant bad taste in your mouth, can be a sign of Periodontal Disease.

  • Loose or shifting teeth

    If your teeth feel loose or start to shift in your mouth, it may be a sign of advanced Periodontal Disease.

Diagnosis and treatment

During your regular dental exam, your dentist or dental hygienist will check for signs of Periodontal Disease by:

1

Measuring the depth of your gingival pockets - The small space between your gums and teeth. Deeper pockets indicate more severe Periodontal Disease.

2

Examining for gum inflammation, bleeding, and recession - Your dentist will visually examine your gums and measure any areas of gum recession.

3

Checking for loose teeth and proper bite alignment - Periodontal Disease can cause teeth to loosen and shift.

4

Taking dental X-rays - To check for bone loss in areas where your dentist observes deeper pocket depths.

Treatment options

The main goal of periodontal treatment is to control infection. The treatment varies depending on the extent of the gum disease:

Early Stage (Gingivitis)

  • Professional dental cleaning
  • Improved home care routine
  • More frequent dental check-ups

Advanced Stage (Periodontitis)

  • Deep cleaning (scaling and root planning)
  • Medications (antibiotic treatments)
  • Surgical treatments (flap surgery, bone or tissue grafts)

Periodontal maintenance

After periodontal treatment, regular maintenance is crucial to prevent the recurrence of the disease. Periodontal maintenance involves:

Regular Check-ups

More frequent dental visits, typically every 3-4 months instead of the standard 6 months, to monitor your gum health.

Professional Cleanings

Specialized cleanings that go deeper than regular cleanings to keep the roots of your teeth clean.

Ongoing Monitoring

Continuous assessment of your gum health, pocket depths, and any signs of disease recurrence.



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Remember, maintaining good oral hygiene at home is essential to prevent and control Periodontal Disease . This includes brushing twice daily, flossing daily, and using antimicrobial mouth rinses as recommended by your dentist.

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