Gum Disease and Treatments

Gum disease, also known as periodontal disease, is an infection of the gums surrounding your teeth. Gum disease is one of the top reasons for tooth loss in adults, and because it is virtually pain-free, many patients do not know they have the disease. During each regular checkup, your dentist 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 form 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. Periodontal disease 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, and 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 be removed 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 bad taste
• Pus between your teeth and gums
• Permanent teeth that are loose or separating
• Any change in the way your teeth fit together when you bite
• Any change in the fit of partial dentures

Treating Gum Disease

Treatments for gum disease can vary depending on the severity of each individual case. Typical treatments include:

• Non-surgical treatments such as at-home periodontal trays, and scaling and root planing (deep cleaning)
• Periodontal surgery and laser gum surgery
• Dental implants

Preventing Gum Disease

Regular dental checkups and periodontal examinations are important for maintaining your health and the health of your smile. You don't have to lose teeth to periodontal disease, and 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.

Scaling and Root Planning

Scaling and root planing is one of the most effective, non-surgical ways to treat gum disease before it becomes severe. Scaling and root planing cleans between the gums and the teeth down to the roots.

Scaling is basically the process of removing dental tartar from the surfaces of the teeth. Root planing is the process of smoothing out the root surfaces and removing any infected tooth structure. If you have gum disease or gum pocketing, the gum pockets around the teeth will have deepened, thereby allowing tartar deposits to form under the gum line. A careful cleaning of the root surfaces to remove plaque and calculus (tartar) from deep periodontal pockets and smoothing the tooth root to remove bacterial toxins will help ensure that your gum disease is controlled.

Helpful Hints to Keep in Mind

• Scaling and root planing does not usually cause much discomfort, but you might experience some soreness afterwards, since deeper regions under the gums have been cleaned.
• Your teeth themselves may become a bit more sensitive to temperature, and bleeding might occur for a little while after your procedure.
• Over-the-counter painkillers, such as ibuprofen, work very well to alleviate discomfort, as do ice packs applied to the outside of the face around the treated area.
• Brushing and flossing will have to be done more gently to avoid aggravating any bruised or tender gum areas. We'll show you the best methods for keeping your teeth clean during this time.

Scaling and root planing is a simple procedure that can work very well to stop gum disease. If you maintain good dental care after the procedure, the progression of your gum disease should stop, and your gums will heal and become firm and pink again in no time!