Periodontology

Periodontology (Gum Disease)

Diagnosis and treatment of gum disease, the leading cause of tooth loss in adults, to keep the tissues supporting your teeth healthy.

Periodontology

Overview

Gum disease is inflammation of the gums and of the bone that supports the teeth. In its early stages it can progress without symptoms, and often without pain. Left untreated, it can make teeth look longer, cause tooth loss and dissolve the bone that holds them.

What are the signs?

If you notice one or more of the following, see a periodontist without delay:

  • Bleeding gums
  • Red, swollen, tender gums
  • Gums that pull away from the teeth and come loose easily
  • Discharge between teeth and gums
  • Teeth that are loose or drifting apart
  • Persistent bad breath

How is gum disease treated?

The early stage is called gingivitis: the gums may be red, swollen and prone to bleeding. This stage can be reversible, and better home care with a professional clean is sometimes enough.

Depending on how far the disease has gone, a periodontist may recommend curettage and root planing alongside the clean. Plaque and calculus are removed from the periodontal pocket with dedicated instruments; the root surfaces are then smoothed so the gum can reattach firmly to the tooth. Where this is not enough, gum surgery comes into consideration.

Gum disease does not resolve by itself, nor through antibiotics, mouthwash or vitamins; it cannot be treated with medication. It must be treated by a periodontist. Diagnosed early, treatment protects the teeth as much as the gums.

Preventing gum disease

The main causes are bacterial plaque and calculus from teeth that are not cleaned properly, diet, tobacco use, the effect of systemic disease, and genetic factors. Brushing properly at least twice a day, flossing at least once a day and visiting the dentist every six months keep teeth and gums healthy.

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