Gum disease, also known as periodontal disease, is an infection of the gums that surround your teeth. It is one of the primary causes of tooth loss in adults. Because it is virtually pain-free, many patients do not know they have the disease. During each regular checkup, Dr. Leland will check for signs of periodontal disease by measuring the space between your teeth and gums.
What causes gum disease?
Gum disease is caused by a buildup of plaque: a sticky, white film of bacteria that forms on the teeth. If the plaque is not removed by flossing, brushing, and regular dental checkups, it will continue to build up and create toxins that can damage the gums.
Periodontal disease forms just below the gum line and creates small pockets that separate the gums from the teeth. It has two stages: gingivitis and periodontitis.
- Gingivitis — This is the early stage of gum disease, when the gums become red and swollen, and bleed easily. At this stage, the disease is treatable and can usually be eliminated by daily brushing and flossing.
- Periodontitis — If left untreated, gingivitis will advance into periodontitis. The gums and bone that support the teeth will become seriously and irreversibly damaged. Gums infected with periodontitis can cause teeth to become loose, fall out, or require removal by a dentist.
Certain factors can increase a patient’s risk of developing periodontal disease, including:
- Smoking or using chewing tobacco
- Diabetes
- Certain types of medication such as steroids, anti-epilepsy drugs, cancer therapy drugs, calcium channel blockers, and oral contraceptives
- Bridges that no longer fit properly
- Crooked teeth
- Old fillings
- Pregnancy
While it is possible to have periodontal disease and not know it, some symptoms can include:
- Gums that bleed easily
- Red, swollen, tender gums
- Gums that have pulled away from the teeth
- Persistent bad breath or unpleasant taste in the mouth
- Pus between your teeth and gums
- Loose or separating permanent teeth
- Any change in the way your teeth fit together when you bite
Treating Gum Disease
Treatments for gum disease can vary, depending on the severity of each individual case. Treatment plans for periodontal disease typically involve:
- Scaling and Root Planing: Performed while the patient is numb and involves a debridement of plaque and calculus on your teeth as thoroughly as is possible without surgery
- Very regular followup periodontal maintenance with the hygienist (every three months is standard)
- In more advanced cases, when the infection continues after the above non-surgical therapies, periodontal surgery may be recommended.
Preventing Gum Disease
Regular dental checkups and periodontal examinations are crucial for maintaining your health and the health of your smile. You don’t have to lose teeth to periodontal disease.
By practicing good oral hygiene at home, you can significantly reduce your chances of ever getting gum disease. Remember to brush regularly, clean between your teeth, eat a balanced diet, and schedule regular dental visits to help keep your smile healthy.
