What is Periodontal Disease?
Periodontal disease, also known as gum disease, is an infection that affects the gums and eventually the bone that supports the teeth. In the early stages, it is treatable, and in later stages, it can be controlled with proper maintenance. Periodontal disease begins when plaque builds up around the teeth and the bacteria from the plaque causes inflammation of the gums. When not treated, it is a progressive condition and can advance rapidly. Plaque forms on teeth every day and removing the plaque is vital to prevent gingivitis and gum disease. Brushing and flossing every day, in addition to professional cleanings and regular dental exams, are essential for prevention.
Signs and Symptoms
- Swollen, red, puffy, tender, or bleeding gums
- Receding gums
- Loose teeth
- New spaces between teeth
- Bad breath
- Pus around the teeth and gums
Causes
- Poor dental hygiene (plaque build up)
- Smoking
- Medications
- Stress
- Diabetes or medical condition
- Pregnancy or hormonal changes
- Genetic predisposition
Types Of Gum Disease
- Gingivitis – Early/first stage of periodontal disease that can cause inflammation of the gums, including red, puffy gums that can bleed. Plaque is built up around the teeth containing bacteria that produce toxins that are irritating the gums.
- Periodontitis – Mild to moderate stage of periodontal disease. At this stage, the plaque has hardened into calculus/tartar causing the gums to recede and pockets start to form. Signs of loss of bone support may be present.
- Advanced Periodontal Disease – At this stage, periodontal disease has advanced causing damage to the gums and bone. Bone loss is present and risk of tooth loss.
Gum Disease Treatment, Procedures, and Therapy
Professional Cleaning – For the treatment of gingivitis, our hygiene team will first comfortably remove any plaque, tartar and build up. Ultrasonic instruments are the mainstay of gentle, effective. Read more about our teeth cleanings here. care.
Scaling and Root Planing – For this cleaning, we will numb your gums to remove the plaque and tartar from below the gumline comfortably. This type of cleaning may be achieved over a couple of visits and will help promote the healing of the gums. We will develop a strategy and maintenance program to meet your needs.
Home Care Instructions– Our team will provide you with techniques for proper home care, including product recommendations and nutritional guidelines.
Antibiotic Therapy – Oral antibiotics may be prescribed to reduce inflammation and aid in combating bacteria. Arestin is a topical antibiotic that may be applied in periodontal pocket after a cleaning.
Laser Gum Therapy – This treatment is for treating and preventing moderate periodontal disease. Laser therapy is effective in reducing gum pocket depth and removing bacteria. Laser technology also promotes faster healing. Read more about our laser dentistry here.
Grafting and Tissue Regeneration – To treat gum recession caused by periodontal disease, our office offers the latest technology. The Pinhole Surgical Technique is a minimally invasive treatment option for gum rejuvenation. The recovery is better than older techniques, and the results are long-lasting. Read more about gum recession treatment here.
Salivary diagnostic testing reveals an analyst of the bacteria in the mouth. This testing technology provides early detection of oral pathogens, personalization of periodontal treatment, and identifies related systemic health risks.
Frequently Asked Questions
Most people seeking treatment for gum disease often worry if the treatment will be painful. The good news is that it won’t be. Gum disease treatment is typically performed under general or local anesthetic, as Dr. Siegelman prioritizes patient comfort during each procedure, so you will likely feel nothing at all during your treatment.
Gum disease can easily be prevented with the proper oral routine and frequent dental care. To optimize your oral health and prevent gum disease, it’s important to stay committed to the following actions:
- Brushing your teeth at least twice a day.
- Flossing at least once a day.
- Using a toothbrush with soft bristles that are gentle on the gums.
- Use a natural mouthwash.
- Replace your toothbrush every three months.
- Limit your sugar and salt intake.
- Visit your dentist every six months for a routine dental checkup.
While gum disease is not a severe health condition, leaving it untreated can lead to worsening oral problems that may lead to permanent tooth loss. Chronic inflammation of the gums, which is a common symptom of gum disease, will cause systemic inflammation, allowing bacteria to remain on the teeth. Untreated gum disease can lead to periodontitis, the most severe stage of gum disease. According to Harvard Health, people with untreated gum disease have two to three times the risk of having a heart attack, stroke, or other serious cardiovascular event.
Dental anxiety is a common experience among dental patients. It doesn’t matter if it’s your first time receiving dental treatment or your twentieth time. Having anxiety at the dentist is normal. To help ease your anxiety during your gum disease treatment, we recommend patients practice the following:
- Communicate your feelings of anxiety to your dentist
- Deep breathing
- Meditation
- Listening to music or watching a film during treatment
- Guided imagery
- Relaxing your muscles
- Not being afraid to ask your dentist for a break
- Engage in conversation with your dentist when possible
Dr. Louis Siegelman is a board-certified dentist and anesthesiologist whose years of experience in dentistry also involve years of experience working with apprehensive patients who struggle with dental anxiety. Under his care and expertise, your safety and comfort will be prioritized. Speaking with Dr. Siegelman about your dental anxiety during your consultation can also be a great way for you to feel more confident about your treatment and who you will be receiving dental care from.
Many people believe that your oral health only affects your teeth, jaw, and the way you smile. However, there are studies that suggest gum disease and other oral conditions can lead to more serious health conditions such as endocarditis, cardiovascular disease, pregnancy or birth complications, and pneumonia. Some oral pathogens involved in periodontal disease are risk factors or are associated with systemic diseases, including heart disease, diabetes, dementia, and some types of cancer. Treating and preventing gum disease can help in the management of other illnesses. An investment in your oral health is also an investment in your overall physical health.
Contact Us Today!
Ready to say goodbye to gum disease for good? Schedule a consultation for periodontal disease or treatment with Dr. Louis Siegelman today. Contact our NYC office at (212) 974-8737. We care about your health and smile. Our team is here to help!
