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Types of Periodontal Disease

Periodontal disease (also known as periodontitis and gum disease) is a progressive disease which affects the supporting and surrounding tissue of the gums, and also the underlying jawbone. If left untreated, periodontal disease can result in loose, unstable teeth, and even tooth loss. Periodontal disease is in fact the leading cause of tooth loss in adults in the developed world and should not be taken lightly.

Periodontal disease begins when the toxins found in plaque start to attack the soft or gingival tissue surrounding the teeth. This bacterium embeds itself in the gum and rapidly breeds, causing a bacterial infection. As the infection progresses, it starts to burrow deeper into the tissue causing inflammation or irritation between the teeth and gums. The response of the body is to destroy the infected tissue, which is why the gums appear to recede. The resulting pockets between the teeth deepen and, if no treatment is sought, the tissue which makes up the jawbone also recedes causing unstable teeth and tooth loss.

Types of Periodontal Disease

There are many different varieties of periodontal disease, and many ways in which these variations manifest themselves. All require immediate treatment by a periodontist to halt the progression and save the gum tissue and bone.

Here are some of the most common types of periodontal disease along with the treatments typically performed to correct them:

Gingivitis

Gingivitis is the mildest and most common form of periodontitis. It is caused by the toxins in plaque and leads to periodontal disease. People at increased risk of developing gingivitis include pregnant women, women taking birth control pills, people with uncontrolled diabetes, steroid users and people who control seizures and blood pressure using medication.

Treatment: Gingivitis is easily reversible using a solid combination of home care and professional cleaning. The dentist may perform root planing and deep scaling procedures to cleanse the pockets of debris. A combination of antibiotics and medicated mouthwashes may be used to kill any remaining bacteria and promote the good healing of the pockets.

Chronic Periodontal Disease

Chronic periodontal disease is the most common form of the disease, and occurs much more frequently in people over 45. Chronic periodontal disease is characterized by inflammation below the gum line and the progressive destruction of the gingival and bone tissue. It may appear that the teeth are gradually growing in length, but in actuality the gums are gradually recessing.

Treatment: Unfortunately unlike gingivitis, chronic periodontal disease cannot be completely cured because the supportive tissue cannot be rebuilt. However, the dentist can halt the progression of the disease using scaling and root planing procedures in combination with antimicrobial treatments. If necessary, the periodontist can perform surgical treatments such as pocket reduction surgery and also tissue grafts to strengthen the bone and improve the aesthetic appearance of the oral cavity.

Aggressive Periodontal Disease

Aggressive periodontal disease is characterized by the rapid loss of gum attachment, the rapid loss of bone tissue and familial aggregation. The disease itself is essentially the same as chronic periodontitis but the progression is much faster. Smokers and those with a family history of this disease are at an increased risk of developing aggressive periodontitis.

Treatment: The treatments for aggressive periodontal disease are the same as those for chronic periodontal disease, but aggressive periodontal disease sufferers are far more likely to require a surgical intervention. This form of the disease is harder to halt and treat, but the dentist will perform scaling, root planing, antimicrobial, and in some cases laser procedures in an attempt to save valuable tissue and bone.

Periodontal Disease Relating to Systemic Conditions

Periodontal disease can be a symptom of a disease or condition affecting the rest of the body. Depending on the underlying condition, the disease can behave like aggressive periodontal disease, working quickly to destroy tissue. Heart disease, diabetes and respiratory disease are the most common cofactors, though there are many others. Even in cases where little plaque coats the teeth, many medical conditions intensify and accelerate the progression of periodontal disease.

Treatment: Initially, the medical condition which caused the onset of periodontal disease must be controlled. The dentist will halt the progression of the disease using the same treatments used for controlling aggressive and chronic periodontal disease.

Necrotizing Periodontal Disease

This form of the disease rapidly worsens and is more prevalent among people who suffer from HIV, immunosuppression, malnutrition, chronic stress or choose to smoke. Tissue death (necrosis) frequently affects the periodontal ligament, gingival tissues and alveolar bone.

Treatment: Necrotizing periodontal disease is extremely rare. Because it may be associated with HIV or another serious medical condition, it is likely the dentist will consult with a physician before commencing treatment. Scaling, root planing, antibiotic pills, medicated mouth wash and fungicidal medicines are generally used to treat this form of the disease.

If you have any question or concerns about the different types of periodontal disease and treatments, please ask your dentist.

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Dr. Beaty is an awesome Dentist! She also has a terrific Team of assistants who go above and beyond to make all patients feel comfortable. I would probably be the youngest person in history to have dentures if it wasn’t for Dr. Beaty. My family and I have been going to Dr. Beaty for over 20 years. I was looking for a pediatric dentist and when I called the office to make an appointment for another dentist, I was informed that Dr. Beaty had taken over the practice. I was assured she was great with children and she definitely did not disappoint! Dr. Beaty and her staff are excellent with children. My son was 3 and my daughter was 8 when we became patients of Dr. Beaty’s and since that union, my children have always looked forward to going to the dentist. Dr. Beaty – as well as her entire staff – have awesome personalities, terrific bedside manner and just overall kindness and concern for their patients. I have never been to a more dedicated, compassionate dentist who deeply cares about preserving your teeth. Dr. Beaty has always explained all treatment options, procedures, and the costs involved for those procedures. DB Dentistry follows-up with their patients to make sure there are no complications from procedures and that the patient is doing well. Even when she referred my children to the Orthodontist for braces, she made sure to check on their progress and to make sure we (especially the children) were comfortable with her referral. Dr. Beaty made sure that the excellent care her office provided was also being provided by her referral. To add to the excellent patient care, the amenities offered are above and beyond – from the chair massage, to the paraffin hand wax, to the warm neck wrap, to the mellow music. Feels more like going to a spa instead of seeing the dentist. Over the years, I have referred many family members and co-workers to Dr. Beaty and they remain patients. While Dr. Beaty is not an in-network dentist through my insurance, it is WELL worth the few dollars more to have peace of mind, comfort, and awesome care. I often think, I called looking for a dentist and gained a well-trusted and most respected friend. My family loves Dr. Beaty and DB Dentistry. They are THE BEST!!

Sandra

Naturally I spent the weekend on FACEBOOK sharing your artistry! The results are still unbelievable! The transformation is literally life-changing and I can't begin to thank you and your team of professionals enough for making it happen.

Michael

Dear Dr. Beaty,

What I appreciate most about your dental practice is your focus on the future. Rather than scold a patient for poor past dental care, you work with the patient to build better habits going forward.

I also appreciate your efforts to relieve patients’ anxiety about visiting the dentist. Some days the hot neck wrap, paraffin hand dip, or just the pleasant view turn a stressful experience into a relaxing one.

Matthew

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