PERIODONTAL THERAPY

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Periodontal Therapy

Periodontal disease, commonly known as gum disease, affects about 30% of the adult population and is the number one cause of tooth loss in adults. Many denture cases begin because of this chronic condition. While not curable, regular professional hygiene appointments and consistent home care is controllable.

Gum disease can advance with few signs or symptoms. Many patients diagnosed with this condition experience no pain and are surprised by the quiet yet swift damage that periodontal disease leaves in its wake. In simple terms, look at your gums and the bone around your teeth like the foundation of a house. Just like a house, the foundation must be sound regardless of the beauty of the home. When the foundation crumbles, the rest of it does too.

Regular dental exams, professional teeth cleanings, and good home care practices are essential to detecting and strategically managing periodontitis.

What cause gum disease?

Our mouths provide a home to millions of bacteria, both beneficial and harmful. Bacterial waste forms a sticky substance, called plaque, which adheres to the teeth. Brushing and flossing remove plaque before it mineralizes into tartar. Tartar becomes a colony for more bacteria releasing toxins into the gums.

Thanks to your immune system, gums react to this bacterial invasion with an inflammatory response. Around the base of each tooth, there is a collar of gum tissue that forms a small pocket. This warm, dark environment provides a perfect habitat for tartar and bacteria to infiltrate.

Early inflammation results in bleeding gums, known as gingivitis. Bacteria left untreated and undisturbed create a chronic infection in the periodontal pocket. In many cases, the bone begins to deteriorate around the teeth. While gums may be slightly tender at this stage, there’s generally minimal discomfort as the bone begins to erode.

More than 50% of the bone around your teeth can disappear before you notice any signs of looseness or pain. The bone around teeth never regenerates, so this loss becomes permanent and harder to control as the bacteria hide deeper in the gums. In advanced cases, untreated gum disease leads to abscesses and generalized tooth loss.

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Diagnosis

There are several factors we take into account before we make a gum disease diagnosis. The small collar of gum, or pocket, around each tooth is usually 2-3 millimeters deep, a space that is easily cleaned by floss or toothpicks. Our doctors or our hygiene team can measure and chart multiple areas using a small measuring device called a periodontal probe. If these measurements are more than 3 millimeters and bleed upon probing, then periodontal disease is present.

Our doctors will also evaluate the texture and shape of your gums and detect any movement in each tooth. It’s also vital to examine the levels, shape, and density of the bone around your teeth on digital x-rays. By collecting this data, a clear picture forms about your gum condition.

Treatment

Our mouths provide a home to millions of bacteria, both beneficial and harmful. Bacterial waste forms a sticky substance, called plaque, which adheres to the teeth. Brushing and flossing remove plaque before it mineralizes into tartar. Tartar becomes a colony for more bacteria releasing toxins into the gums.

Thanks to your immune system, gums react to this bacterial invasion with an inflammatory response. Around the base of each tooth, there is a collar of gum tissue that forms a small pocket. This warm, dark environment provides a perfect habitat for tartar and bacteria to infiltrate.

Early inflammation results in bleeding gums, known as gingivitis. Bacteria left untreated and undisturbed create a chronic infection in the periodontal pocket. In many cases, the bone begins to deteriorate around the teeth. While gums may be slightly tender at this stage, there’s generally minimal discomfort as the bone begins to erode.

More than 50% of the bone around your teeth can disappear before you notice any signs of looseness or pain. The bone around teeth never regenerates, so this loss becomes permanent and harder to control as the bacteria hide deeper in the gums. In advanced cases, untreated gum disease leads to abscesses and generalized tooth loss.

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Maintenance Matters

Regular home care is critical to stop the progression of gum disease. Within a few hours of cleaning, the bacteria begin to repopulate and adhere to the teeth. Plaque left undisturbed will start to harden and mineralize within 24 hours. Remember, deeper gum pockets require even more diligence to prevent the bacteria from undermining the foundation of your teeth.

Since gum pockets previously damaged by bacteria can be difficult to clean at home, a faithful maintenance schedule with us is essential. We can customize your plan to include two, three or four visits a year depending on the severity of the disease, its response to treatment, and the consistency of your home care.

If our combined efforts don’t slow or stop the progression of your gum disease, we may suggest a referral to a specialist, known as a periodontist.

Treatment

Our mouths provide a home to millions of bacteria, both beneficial and harmful. Bacterial waste forms a sticky substance, called plaque, which adheres to the teeth. Brushing and flossing remove plaque before it mineralizes into tartar. Tartar becomes a colony for more bacteria releasing toxins into the gums.

Thanks to your immune system, gums react to this bacterial invasion with an inflammatory response. Around the base of each tooth, there is a collar of gum tissue that forms a small pocket. This warm, dark environment provides a perfect habitat for tartar and bacteria to infiltrate.

Early inflammation results in bleeding gums, known as gingivitis. Bacteria left untreated and undisturbed create a chronic infection in the periodontal pocket. In many cases, the bone begins to deteriorate around the teeth. While gums may be slightly tender at this stage, there’s generally minimal discomfort as the bone begins to erode.

More than 50% of the bone around your teeth can disappear before you notice any signs of looseness or pain. The bone around teeth never regenerates, so this loss becomes permanent and harder to control as the bacteria hide deeper in the gums. In advanced cases, untreated gum disease leads to abscesses and generalized tooth loss.

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‘‘ As always, my most recent experience at NTFCD was comfortable, informative, and painless! Dr. Callier and the team do an excellent job of making each visit a pleasant experience.’’
Justin Pierce

LEARN MORE ABOUT YOUR DENTAL HEALTH​

The main goal of periodontal therapy is to establish an oral environment compatible with periodontal health by the physical disruption of the plaque biofilm and adjunctive chemical means if required.
 
 
Early to moderate periodontal disease can take about 2 to 3 weeks to heal. However, healing can only occur with the proper intervention such as scaling and root planing. For severe Periodontal disease, the recovery times do vary. For example, with the proper treatment, some patients can recover in 5 to 8 weeks.
Periodontal treatment is necessary when various conditions affect the health of your gums and the regions of your jawbone that hold your teeth in place. Retaining your teeth is directly dependent on proper periodontal care and maintenance.

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A healthy smile is a beautiful smile.