Periodontal (Gum) Disease
It is our goal to keep your mouth healthy, your teeth fully functional, and your smile bright — and we are proud of all the services we offer to do exactly that. At the same time, we want you to understand all that modern dentistry in general has to offer you. To that end, we have assembled a first-rate dental library in which you can find a wealth of information on various dental topics, including:
From a thorough professional cleaning to a full smile makeover, there is an amazing array of services that cosmetic and general dentists offer to make sure your teeth stay healthy, function well and look great. If your smile is not all you want it to be, this is the place to start. Read more about Cosmetic & General Dentistry.
When you have a dental emergency — whether it's caused by a sudden accident or chronic disease — your teeth and/or the tissues of the mouth that surround them need to receive proper care right away. It's also important to be aware, before you're actually in the situation, of what you can do to ensure the best outcome. Read more about Emergency Dental Care.
This is the branch of dentistry that focuses on the inside of the tooth — specifically the root canals and sensitive, inner pulp (nerve) tissue. When this tissue becomes inflamed or infected, a root canal procedure may become necessary. But contrary to the popular myth, a root canal doesn't cause pain, it relives it. Read more about Endodontics.
If you are missing one or more teeth, dental implants offer the comfort and security of a permanent replacement that looks and functions just like your natural teeth. Dental implants also help preserve the tooth-supporting bone in your jaw that naturally deteriorates when even one tooth is lost. Read more about Implant Dentistry.
Oral health is an essential component of general health and well-being. Good oral health means a mouth that's free of disease; a bite that functions well enough for you to eat without pain and get ample nutrition; and a smile that lets you express your happiest emotions with confidence. Read more about Oral Health.
A major goal of modern dentistry is to help you keep your teeth and gums healthy for a lifetime. By following a conscientious program of oral hygiene at home, and coming to the dental office for routine cleanings and exams, you have the best chance of making this goal a reality. Read more about Oral Hygiene.
The word “surgery” often brings to mind a stay in the hospital, general anesthesia, and perhaps a lengthy recovery period. However, the experience of having oral surgery is usually very different from that. Some common oral surgery procedures include: tooth extractions, dental implant placement, and biopsies of suspicious oral lesions. Read more about Oral Surgery.
Adults and kids alike can benefit from the boost in self-confidence that comes from having a great-looking smile with beautifully aligned teeth. Orthodontic treatment can even improve chewing, speaking and oral hygiene in certain cases. And with today's virtually invisible orthodontic appliances, it's possible to keep your treatment a private matter… until your new smile is unveiled, of course! Read more about Orthodontics.
It's never too early to get your child started on the path toward a lifetime of good oral health, and there are many services to do exactly that. Monitoring your child's dental growth and development, and preventing and intercepting dental diseases along the way, is the primary focus of pediatric dentistry. Read more about Pediatric Dentistry.
If you want to keep your teeth for life — a completely reasonable goal in this day and age — you need to make sure the tissues that surround them are also healthy. Should gum problems arise, you may need periodontal therapy to restore diseased tissues to health. Read more about Periodontal Therapy.
In the field of dentistry, new technology is constantly changing the way diseases are diagnosed, routine procedures are performed, and illnesses are prevented. Although they may seem unfamiliar at first, new and improved dental technologies offer plenty of real benefits for patients. Read more about Technology.
While you may think that some loss of teeth is inevitable with aging, it is actually possible for all of your teeth to last a lifetime. One of the ways you can achieve this goal is to avoid periodontal disease (“peri” – around; “odont” – tooth), which is caused by bacteria that attack the tissues around the teeth. Unfortunately, you may not even realize you have gum disease as the signs and symptoms are not always as apparent to you as they are to a dental professional.
Nearly all people who do not maintain good daily oral hygiene will develop gingivitis. If left untreated, this bacterial gum infection can progress from gingivitis (“gingival” – gum; “itis” – inflammation) to periodontitis, which results in bone loss around your teeth. As the bone tissue is lost, the gum tissues detach from the teeth and form little pockets that provide an even better place for bacteria to live — where your brush and floss can't reach. As periodontal disease advances leading to more bone loss, tooth loss can result. Part of this has to do with genetics, as periodontal disease tends to run in families. The good news is that periodontal disease can be controlled, even at more advanced stages.
Signs and Symptoms of Periodontal Disease
It's important to understand that you can have periodontal disease with no obvious symptoms, especially if you are a smoker (nicotine reduces blood supply preventing bleeding and swelling of the gum tissues). Still, there are some important things to look for:
- Bleeding gums — Some people think that when their gums bleed, it simply means they're brushing too hard. While brushing too hard is bad for the gums, it should not cause bleeding. Any bleeding of the gums should be considered a warning sign of gum disease.
- Bad breath — It's very easy for plaque to collect in the spaces between the teeth, creating the perfect living conditions for bacteria that produce odorous, sulfur-containing compounds, resulting in bad breath.
- Redness or swelling of the gums — Inflammation of the gums is usually the first visible sign of periodontal disease.
- Receding gums — If you notice that your teeth look longer than they used to, it may be that your gum tissue has receded (away from the enamel), exposing some of your tooth roots.
- Sensitivity — If there is gum recession, the exposed roots may become sensitive to hot or cold.
- Periodontal abscess — Bacteria can become enclosed in a periodontal pocket and the area will fill with pus, becoming swollen and painful.
- Loose teeth — When periodontal disease results in bone loss, teeth can become loose or migrate. Tooth loss can result and may be accelerated if you are applying excessive biting forces from clenching or grinding your teeth.
All periodontal therapy starts with the evaluation of your oral hygiene techniques and instruction for improving them, followed by the mechanical removal of plaque and any calcified deposits (tartar or calculus) that are present on the root surfaces. This is accomplished with a cleaning technique known as scaling, root planing or debridement using hand instruments and/or ultrasonic (high frequency vibrational) instruments. Locally applied antimicrobial products or antibiotics might also be recommended during various parts of periodontal treatment to assist in healing and pocket-depth reduction, hopefully eliminating the need for periodontal surgery. Sometimes surgical procedures may be necessary to remove the deep pockets that form between inflamed gum tissue and teeth. There are many different types of surgery to handle a variety of problems. And many times, combinations of procedures are used to attempt to reduce the number of surgeries as well as the cost of treatment.
Periodontal Disease & Your Overall Health
Periodontal disease starts in your mouth but has actually been linked to more serious conditions, such as cardio-vascular disease (CVD), diabetes and preterm births. Research has suggested two plausible mechanisms for how gum disease and these other serious medical concerns could be related: moderate to severe periodontal disease increases the level of systemic (bodily) inflammation — a characteristic of all chronic inflammatory diseases. Also, the same bacterial strains that are commonly found in periodontal pockets surrounding diseased teeth have been found in blood vessel plaques of individuals with CVD. Therefore, it may be helpful to reduce periodontal inflammation to reduce systemic inflammation.
The best way to prevent periodontal disease is to brush and floss your teeth effectively every day. Regular dental checkups and professional cleanings every 3 or 4 or 6 months are also an important part of maintaining periodontal health; the instruments and techniques used in these cleanings can reach into areas that your toothbrush and floss can't.
It is also possible to detect early forms of gum disease by evaluating your gingival (gum) tissues, both visually and by examining their attachment levels to the teeth. And the health of your tooth-supporting bone can be assessed by taking dental radiographs (x-rays pictures).
There are other steps you can take: Eating right, reducing stress in your life, and giving up unhealthy habits like smoking will also help ensure that you keep your teeth for a lifetime.
Understanding Gum (Periodontal) Disease Have your gums ever bled when you brushed or flossed? This most commonly overlooked simple sign may be the start of a silent progressive disease leading to tooth loss. Learn what you can do to prevent this problem and keep your teeth for life... Read Article
The Link Between Heart & Gum Diseases Inflammation has emerged as a factor in the process of cardiovascular disease (CVD), which commonly results in heart attacks and strokes. While the precise role inflammation plays in causing chronic CVD remains an area of intense investigation, much more is now known. The good news is that, based on current research, we know that if we can reduce the inflammation caused by periodontal disease, we may reduce the risk for heart attacks and strokes... Read Article
Periodontal Plastic Surgery Millions of Americans have some degree of gum recession — a loss of the tough, pink tissue that surrounds teeth. Receding gums can cause anything from minor tooth sensitivity to tooth loss in very severe cases. Fortunately, the field of periodontal plastic surgery has made enormous strides in devising techniques, including grafting, to deal with the problem of lost or damaged gum tissue... Read Article
Pregnancy & Oral Health Pregnancy is generally thought of as the time when a woman strives to be particularly aware of the need for better health. Many women, though, may not be aware of the link that exists between their oral health and their systemic (general) health, as well as the impact this can have on a developing child. Learn about how to care for yourself and your baby... Read Article