Posts for tag: periodontal disease

By Chapman & Owens, D.D.S., PLLC
March 29, 2018
Category: Oral Health
AllGumDiseaseTreatmentsHavetheSameGoal-RemovingBacterialPlaque

Periodontal (gum) disease is a serious infection that can damage more than periodontal tissues — supporting bone structure is also at risk. Any bone loss could eventually lead to tooth loss.

To stop it from causing this kind of damage, we must match this disease's aggressiveness with equally aggressive treatment. The various treatment techniques all have the same goal: to remove bacterial plaque, the source of the infection, from all oral surfaces, including below the gum line. Buildup of plaque, a thin film of food particles, after only a few days without adequate brushing and flossing is enough time to trigger gum disease.

The basic removal technique is called scaling, using hand instruments called scalers to manually remove plaque and calculus (hardened plaque deposits) above or just below the gum line. If the disease or infection has advanced to the roots, we may use another technique called root planing in which we shave or “plane” plaque and tartar from the root surfaces.

Advancing gum disease also causes a number of complex problems like abscesses (localized infections in certain areas of gum tissue) or periodontal pockets. In the latter circumstance the slight normal gap between tooth and gums becomes deeper as the tissues weaken and pull away. This forms a void or pocket that fills with inflammation or infection that must be removed. Plaque buildup can also occur around furcations, the places where a tooth's roots divide off from one another.

It may be necessary in these more complex situations to perform a procedure known as flap surgery to gain access to these infected areas. As the name implies, we create an opening in the gums with a hinge, much like the flap of a paper envelope. Once the accessed area has been cleansed of plaque and infected tissues (and often treated with antibiotics to stop further infection), the flapped tissue is closed back in place and sutured.

To avoid these advanced stages it's important for you to see us at the first sign of problems: swollen, red or bleeding gums. Even more important is to reduce your risk for gum disease in the first place with dedicated daily brushing and flossing to remove plaque and regular dental visits for more thorough cleaning.

Gum disease can be devastating to your long-term dental health. But with diligent hygiene and early aggressive treatment you can stop this destructive disease in its tracks.

If you would like more information on treating gum disease, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Treating Difficult Areas of Periodontal Disease.”

By Chapman & Owens, D.D.S., PLLC
October 22, 2015
Category: Dental Procedures
FAQsKeepingYourMouthHealthyAfterGumDiseaseTreatment

Surgical treatment for periodontal (gum) disease can go a long way toward restoring your mouth to good health; however, it does not change your susceptibility to the disease. That’s why we recommend that you come in regularly for periodontal cleanings after your treatment. Here are some frequently asked questions about keeping your mouth healthy after gum disease treatment.

How often do I have to come in for periodontal cleanings?
There’s no “one-size-fits-all” answer to that question: It really depends on your individual situation. For example, some individuals may have a more aggressive form of periodontal disease that requires more frequent periodontal maintenance (PM) treatments to maintain control. Others may have greater success controlling the buildup of disease-causing plaque with at-home oral hygiene measures, and therefore need PM less often. However, for people with a history of periodontal disease, getting PM treatments at a three-month interval may be a good starting point.

What happens at a periodontal maintenance appointment?
A thorough cleaning of the crown and root surfaces of the teeth, aimed at removing sticky plaque and hardened dental calculus (tartar), is a big part of PM treatments — but there’s much more. You’ll also receive a thorough clinical examination (including oral cancer screening), a review of your medical history, and x-rays or other diagnostic tests if needed. The status of any ongoing periodontal disease will be carefully monitored, as will your success at maintaining good oral hygiene. Decisions about further treatment will be based on the results of this examination.

What else can I do to keep gum disease at bay?
Keeping your oral hygiene in top-notch condition — which includes effective brushing and flossing every day — can go a long way toward controlling gum disease.  In addition, you can reduce risk factors by quitting tobacco use and eating a more balanced diet. And since inflammatory conditions like diabetes, arthritis and cardiovascular disease can make periodontal disease worse (and vice versa), keeping these conditions under control will greatly benefit both your oral health and your overall health.

If you have additional questions about maintaining oral health after gum disease treatment, contact us or schedule an appointment.

By Chapman & Owens, D.D.S., PLLC
January 13, 2015
Category: Oral Health
FiveFactsaboutGumDisease

The ailment we commonly called gum disease is actually series of related diseases, all of which involve the tissues that surround the teeth. It's sometimes thought of as a “silent” malady, because its symptoms — bad breath, soreness, or bleeding of the gums — may be masked by other conditions. Or, they may simply be disregarded.

But don't ignore these symptoms! Left untreated, periodontitis can have serious health consequences. Here are five things you should know about this disease.

Gum disease is a chronic inflammatory disease.

That means it's a disease related to a natural response of the body's immune system (inflammation), and it develops over time (chronic). Gingivitis, an inflammation of the gums, may be the first step in the disease's progression. Left untreated, it can be followed by destruction of the periodontal ligament (which helps hold the tooth in place), loss of the supporting bone, and ultimately tooth loss. But it doesn't stop there.

The effects of gum disease aren't confined to the mouth.

In fact, recent research has suggested a connection between periodontal disease and chronic diseases in the whole body. There is evidence that severe periodontal disease is linked to an increased risk of cardiovascular diseases (like heart attack and stroke), pregnancy complications, and other conditions. It is also believed to have an adverse effect on blood-sugar control in diabetics.

Gum disease is caused by the bacteria in dental plaque.

Oral bacteria tend to build up in a colony of living organisms called a biofilm. Of the many types of bacteria that live in the mouth, only a relatively few are harmful. When oral biofilms are not regularly disturbed by brushing and flossing, the disease-causing types tend to predominate. Once it gains a foothold, treating gum disease can become more difficult.

Prevention is the best defense.

Good personal oral hygiene, carried out on a daily basis, is probably the best defense against many forms of periodontal disease. Proper brushing and flossing is effective in disrupting the growth of dental plaques. Lifestyle changes — like quitting smoking and reducing stress — are also associated with lessening your chance of developing the disease. Genetics also seems to play a part, so those with a family history of periodontitis should pay special attention to preventive measures.

Prompt, effective treatment is critical.

Bleeding of the gums is never a normal occurrence. But sometimes this (and other symptoms of gum disease) may be overlooked. During routine dental checkups, we can detect the early signs of periodontal disease. We can then recommend an appropriate treatment, from routine scaling and root planing (a cleaning of the teeth) to other therapies. So, besides brushing and flossing regularly, don't neglect regular examinations — they're the best way to stop this disease before it becomes more serious.

If you have concerns about gum disease, please contact us or schedule an appointment for a consultation. You can learn more in the Dear Doctor magazine articles “Understanding Gum (Periodontal) Disease” and “Warning Signs of Periodontal (Gum) Disease.”

By Chapman & Owens, D.D.S., PLLC
November 27, 2013
Category: Oral Health
BleedingGumsASignThatSomethingsAmiss

Your gums are red around the margins and bleed whenever you brush or floss but there's minimal to no pain... You: (select the most appropriate answer[s])

  1. are brushing or flossing too vigorously
  2. have an accumulation of dental plaque where the teeth meet the gums
  3. are using a toothbrush that's too firm
  4. are experiencing early signs of gum disease
  5. should see your dentist if this persists for more than 6 months

Kudos if you picked b) and d). The most common cause of bleeding gums is the accumulation of dental plaque (bacterial deposits) at the gum line, which is an early sign of periodontal (from the Latin “peri” – around, and the Greek “odont” – tooth) disease. It is usually painless so people tend to underestimate the risk of allowing gum disease to progress and become a more significant problem.

It's a common misconception that bleeding gums are caused by brushing or flossing too vigorously or using a toothbrush that's too firm. This is sometimes the case, but the abrasion would probably cause noticeable pain. Instead, it's likely that you're not brushing and flossing effectively enough, allowing bacterial deposits to accumulate at the gum line and feed on food particles that haven't been adequately flushed from your mouth.

The bacterial deposits form a whitish film that is hard to detect when you look in the mirror. But you will notice bleeding and redness and eventually inflammation of the gums — an immune response to disease-causing bacteria that flourish in the plaque. As the biofilm grows, with time it also hardens (calcifies), making it increasingly difficult to dislodge. Eventually, only professional cleaning can remove it and sometimes antibiotics are needed. If no action is taken, gum disease will progress, and eventually cause loss of the underlying bone that anchors the teeth.

There are other reasons that gums may bleed, such as elevated hormone levels in women, a side effect of certain medications, or a systemic (bodily) disease. Whatever the cause, it's important to get a professional diagnosis promptly and take appropriate therapeutic action as needed. Optimally, with good oral hygiene and regular checkups, you can avoid this problem entirely!

If you would like more information about preventing or treating bleeding gums, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Bleeding Gums.”

By Chapman & Owens, D.D.S., PLLC
May 15, 2013
Category: Oral Health
FactsYouShouldKnowAboutGumDisease

Research has shown that periodontal (gum) disease can affect the health of your whole body. Evidence suggests a relationship between severe gum disease and cardiovascular disease (“cardio” – heart; “vascular” – blood vessel), conditions that lead to heart attacks and strokes. There is also a relationship between gum disease and pregnancy; mothers with severe gum disease have a higher incidence of pre-term delivery and low birth-weight babies. To understand gum disease, you may find the following facts helpful. How many are you aware of?

  1. Periodontal disease — Any disease that affects the areas around the teeth. The word comes from the Latin “peri” meaning around and Greek “odont” meaning tooth. Periodontal disease, or gum disease as it is commonly called, is really a group of diseases with the same outcome: destruction of the periodontal tissues, loss of supporting bone and ultimately the loss of your teeth.
  2. Dental plaque (Biofilms) — A bacterial film that forms on teeth at the gum line, and the reason we brush and floss. Its daily removal is necessary to keep your teeth and gums healthy. A biofilm is a biological film comprised of colonies of living organisms that are generally specific to a particular eco-system. Plaque is one type of biofilm.
  3. Gingivitis (“gingiva” – gum; “itis” – inflammation) — A response of the gum tissues to plaque biofilm that is left undisturbed (due to ineffective, or inadequate oral hygiene). It is the first stage of periodontal disease.
  4. Pocket formation — Just like a pocket on your clothing, pocket formation is the result of separation of the gum tissues from their normally healthy tight attachment to a tooth. Pocketing allows the introduction of bacteria, which perpetuate gum disease.
  5. Abscess — A collection of pus that forms within diseased periodontal tissues. It is experienced as pain, swelling, and discharge of pus from the gum tissues and is an advanced sign of periodontal disease.

Important Tip — Bleeding Gums when brushing teeth or flossing is not normal. It is a warning sign of early gum disease that you should bring to the attention of our office.

Contact us today to schedule an appointment to discuss your questions about periodontal disease. You can also learn more by reading the Dear Doctor magazine article “Understanding Gum (Periodontal) Disease.”



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