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What is Periodontal (Gum) Disease?

The term “periodontal”means “around the tooth.”  Periodontal disease (also known as periodontitis and gum disease) is a common inflammatory condition which affects the supporting and surrounding soft tissues of the tooth; also the jawbone itself when in its most advanced stages.

Periodontal disease is most often preceded by gingivitis which is a bacterial infection of the gum tissue.  A bacterial infection affects the gums when the toxins contained in plaque begin to irritate and inflame the gum tissues.  Once this bacterial infection colonizes in the gum pockets between the teeth, it becomes much more difficult to remove and treat.  Periodontal disease is a progressive condition that eventually leads to the destruction of the connective tissue and jawbone.  If left untreated, it can lead to shifting teeth, loose teeth and eventually tooth loss.

Periodontal disease is the leading cause of tooth loss among adults in the developed world and should always be promptly treated.

Types of Periodontal Disease

When left untreated, gingivitis (mild gum inflammation) can spread to below the gum line.  When the gums become irritated by the toxins contained in plaque, a chronic inflammatory response causes the body to break down and destroy its own bone and soft tissue.  There may be little or no symptoms as periodontal disease causes the teeth to separate from the infected gum tissue.  Deepening pockets between the gums and teeth are generally indicative that soft tissue and bone is being destroyed by periodontal disease.

Here are some of the most common types of periodontal disease:

  • Chronic periodontitis – Inflammation within supporting tissues cause deep pockets and gum recession.  It may appear the teeth are lengthening, but in actuality, the gums (gingiva) are receding.  This is the most common form of periodontal disease and is characterized by progressive loss of attachment, interspersed with periods of rapid progression.

  • Aggressive periodontitis – This form of gum disease occurs in an otherwise clinically healthy individual.  It is characterized by rapid loss of gum attachment, chronic bone destruction and familial aggregation.

  • Necrotizing periodontitis – This form of periodontal disease most often occurs in individuals suffering from systemic conditions such as HIV, immunosuppression and malnutrition.  Necrosis (tissue death) occurs in the periodontal ligament, alveolar bone and gingival tissues.

  • Periodontitis caused by systemic disease – This form of gum disease often begins at an early age.  Medical condition such as respiratory disease, diabetes and heart disease are common cofactors.

Treatment for Periodontal Disease

There are many surgical and nonsurgical treatments the periodontist may choose to perform, depending upon the exact condition of the teeth, gums and jawbone.  A complete periodontal exam of the mouth will be done before any treatment is performed or recommended.

Here are some of the more common treatments for periodontal disease:

  • Scaling and root planing – In order to preserve the health of the gum tissue, the bacteria and calculus (tartar) which initially caused the infection, must be removed.  The gum pockets will be cleaned and treated with antibiotics as necessary to help alleviate the infection.  A prescription mouthwash may be incorporated into daily cleaning routines.

  • Tissue regeneration – When the bone and gum tissues have been destroyed, regrowth can be actively encouraged using grafting procedures.  A membrane may be inserted into the affected areas to assist in the regeneration process.

  • Pocket elimination surgery – Pocket elimination surgery (also known as flap surgery) is a surgical treatment which can be performed to reduce the pocket size between the teeth and gums.  Surgery on the jawbone is another option which serves to eliminate indentations in the bone which foster the colonization of bacteria.

  • Dental implants – When teeth have been lost due to periodontal disease, the aesthetics and functionality of the mouth can be restored by implanting prosthetic teeth into the jawbone.  Tissue regeneration procedures may be required prior to the placement of a dental implant in order to strengthen the bone.

Ask your dentist if you have questions or concerns about periodontal disease, periodontal treatment, or dental implants.

Testimonials.

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Testimonials

I am 42 years old. All of my life I was self conscious about my smile
because of the dark tetracycline stain on my teeth. When I was 37 I
decided to do something about it. I had braces for four years to prepare
me for orthognathic surgery. My maxillofacial surgeon moved my jaw
forward so my overbite would be corrected. After that healed, the braces
came off and I went to see Dr. Stewart. She said I was a perfect
candidate for porcelain veneers. After talking with her and seeing her
portfolio, she installed them.

Almost over night I went from not smiling at all to grinning like a
fool. I can tell you the exact moment I knew I had made the right
decision to do what I had done. About a month after Dr. Stewart had
finished with me, a complete stranger said, "You have a nice smile." It
was the first time in my life I had ever heard those words...ever. My
limited vocabulary prevents me from describing what those words meant to
me but my whole world was changed.

I am 42 years old and I have a nice smile. Would I do it all again?
Absolutely! Do I have any regrets? Absolutely not!

Thanks Dr. Stewart!


Stephen...with a PH!

"Whenever people complain about their dentist or say they haven't been for a checkup in years, I tell them about Dr. Nancy Stewart and her great team. They're all friendly and professional, and the work they do is top-notch. For the past nine years, they have done both 'yearly maintenance' and cosmetic procedures on my teeth, and I get regular compliments on my smile! Leave your excuses at home and go see Dr. Nancy."

Kate Y. February 2007

"Dr. Stewart may be the only dentist I have never been afraid to go to.
Everyone on her staff is informative, friendly and professional, and so is
she. Check out the photo board on your way out, too - she's the only dentist
I've ever met who gets flossing photos from her patients' vacations!"

J. Handler

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