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 which affects the supporting and surrounding soft tissues of the tooth; also the jawbone itself when in its 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 lead to 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.

Ask your dentist if you have questions or concerns about periodontal disease, periodontal treatment, or dental implants.

Testimonials.

Read what people are saying about us.

read more

Testimonials



I am very happy with my lumineers. I had both my upper teeth and lower teeth done by Dr. Nimrod Montano.

I used to have pearly white teeth in the past but drinking tea everyday for health reasons have stained my teeth badly. I have had a few whitening procedures done on my teeth but with no success.

I see pictures of people with lumineers on magazines. They look very beautiful. I wanted the same white smile. I have read good and bad reviews about lumineers. But I believe in Dr. Montano. He is skilled and efficient. He made several adjustments with regards to the shape and length of my upper lumineers. They looked longer and unnatural but after some adjustments and shaping they now look very natural and beautiful.
The lumineers on my lower teeth turned out to be very good. The size and shape were perfect.

Now, I am proud of my smile. Dr. Montano did a marvelous job. I had pleasant experiences with his assistant, Louise. Both of them would hum a melody as they work. His clinic staff are all very pleasant and friendly.


From tessiedueck Date Friday, September 23, 2011 5:06 pm

My Name Sasha, and I am a patient of Dr. Nimrod Montano. My teeth are kind of black and I tried different things to make them white, did really work.
However, recently Dr. Montano advised me to try snap on smile. I agreed, and to my amazement snap on smile works very well. It is easy, not too expensive, and looks good.
Thanks to Dr. Montano's and his team professionalism I have different look, I smile a lot more and my teeth look a lot better and white. My family really likes it as well.

Thank you Dr. Montano and your team for introducing me to snap on smile and your professional work!

Sasha (delass@live.com)



SNAP ON SMILE HAS CHANGED MY LOOKS AND IM PROUD WITH A BIG SMILE


alupay@msn.com

View More

Contact Us.We encourage you to contact us with any questions or comments you may have. Please call our office or use the quick contact form.

ACCESSIBILITY