GUM DISEASE

Chances are that you or a family member may have some stage of gum or periodontal disease. But, relax. While many adults do develop some degree of gum disease, there are preventive and treatment steps recommended by Dr. Rosenthal.

Periodontal disease is caused by plaque, a colorless film of bacteria that forms on the teeth. Plaque is most harmful when these bacteria form into colonies. If not removed daily, plaque mixes with sugars and starches in the diet to form acids and other by-products in the mouth. If not removed, plaque hardens to form calculus (tartar) around the necks of the teeth.

Eventually, the tissue that attaches the gums to the teeth is destroyed by the irritants in plaque. The gums pull away from the teeth and small pockets form between the teeth and gums. These pockets become filled with more plaque and eventually, the jawbone supporting the teeth is destroyed.

Periodontal disease is usually a slow, painless, progressive disease. Most adults with gum disease are unaware that they have it. If diagnosed early, however, the teeth can be saved.

Another concern with gum disease is the possible link with heart problems. A recent study describes the association between heart disease and gum disease to be at least as strong as the link between heart disease and cholesterol, body weight and smoking.

 WARNING SIGNS

The following are early warning signs of periodontal disease:

• Gums that bleed when you brush your teeth
• Gums that are red, swollen or tender.
• Gums that are pulled away from teeth.
• Pus between teeth and gums when gums are pressed.
• Permanent teeth are loose or separating.
• Change in the way your teeth fit when biting.
• Any changes in fit of partial dentures.
• Persistent bad breath.

PREVENTION

Good periodontal health starts with the patient. Here’s what you can do to prevent or control gum disease:

• Thoroughly brush and floss your teeth every day.
• Eat well-balanced meals and avoid sugary, "junk food" snacks.
• Examine your mouth for any early signs of gum disease.
• Visit us at least twice a year for a through cleaning and oral examination.

TREATMENT

The type of treatment you require depends on how advanced your particular case is. Individualized treatment may include any of the following:

Scaling and root planing. Scaling is removing the calculus deposits from your teeth; root planing is the smoothing of the root surfaces so that the gum tissue can reattach to the tooth.

Curettage removes the soft tissue lining the periodontal pocket. This helps the gum tissue to heal.

DIAGNOSIS

Of course, the only way to confirm a diagnosis of periodontal disease is to have your mouth thoroughly examined, and the necessary oral x-rays taken. You get a full mouth charting of your periodontal pockets. We also recommend a thorough cleaning for all adults at lease twice a year.

The information contained in this site should not be used in place of a dentist or qualified dental provider. Vistors are urged to have a good relationship with a dentist. Please consult your dentist before any treatment or therapy is initiated.