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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 that affects the supporting and surrounding soft tissues of the tooth, eventually affecting the jawbone itself in the disease’s 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 cause 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.

Please contact our office if you have questions or concerns about periodontal disease, periodontal treatment, or dental implants.

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Testimonials

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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