Periodontics (Gums)

Periodontics is an oral specialty that offers support specializing in the various inflammatory diseases that affect the gums and other oral structures that support the teeth. This specialty has a primary focus on the prevention, diagnosis and treatment of these diseases. These periodontal cases include but are not limited to mild and severe gum diseases. In addition to their dental schooling, periodontists pursue an extensive post-graduate program of three years.

Their treatment procedures may include the following:

  • Scaling and Root Planing
  • Simple and Deep Pocket Cleanings
  • Crown Lengthening
  • Soft Tissue Grafting and Re-contouring or Removal
  • Implant Placement

Non-Surgical Periodontics

The effects of gingivitis can be reversed with good brushing, flossing habits and a professional teeth cleaning performed by the dental hygienist or dentist. In the more advanced stages of periodontal disease, a dental professional will likely perform a scaling and root planing procedure, which consists of removing plaque and tarter below the gum line. Also called a deep cleaning, this procedure involves removing the bacterial toxins on the surfaces of the tooth roots to help the gums reattach to the teeth and eliminate periodontal pockets. Your dentist may also prescribe antibiotic therapy and antimicrobial mouth rinses to aid in the healing process.

Oral-Systemic Health

The mouth is crucial to the overall health of your body. From the air you breathe to the foods you eat, numerous toxins enter the body via your mouth. The oral bacteria that run rampant in gum disease can also enter the body and affect your overall health. Oral bacteria can also enter the bloodstream through damaged gum tissues, and researchers have found traces of these bacteria in the brains of Alzheimer’s patients and in the arteries of heart disease patients. Because gum disease is a chronic condition, patients should do everything in their power to prevent it from developing and affecting their general health.

The Basics of Gum Disease

Gum disease is an infection of the periodontal tissues that provide support for the teeth. These tissues include the gums, periodontal ligaments and the jawbone. Also called periodontal disease, this condition begins with bacteria-ridden plaque irritating the gum tissues. If this plaque is not removed with thorough brushing and flossing, it will turn into a hard substance called tartar. Because a dentist or dental hygienist must remove tartar with a special instrument, the patient can no longer do this on their own. Tartar will break the healthy attachment between the gums and the teeth, allowing bacteria and plaque to collect under the gums and along the tooth roots if it develops around the gum line. These openings at the gum line are called periodontal pockets, and once they form, you run the risk of losing your teeth if you do not seek treatment from your dentist, dental hygienist or periodontist.

Stages of Gum Disease

Gingivitis is the first stage of gum disease and is the only stage that is reversible. Red, swollen, bleeding gums, bad breath and a foul taste in the mouth are a few of its characteristics. Periodontitis is the second stage and occurs when periodontal pockets form and bacterial toxins begin to destroy the issues and supporting bone around the teeth, causing irreversible damage. At this point, symptoms may be controlled but the gum disease is a chronic condition. Advanced periodontitis is the final stage of gum disease, occurring when the bone and periodontal ligaments supporting the teeth deteriorate significantly and cause loosening of the teeth. Without aggressive treatment, tooth loose is likely to occur in this stage.

Gum Disease Risk Factors

Patients with the following conditions or lifestyle factors are at a high risk of developing periodontal disease:

  • Tobacco and Alcohol Use
  • Inadequate Oral Hygiene
  • Puberty, Pregnancy or Menopause
  • Diabetes, Heart Disease, Respiratory Illness, Certain Cancers or Osteoporosis
  • Use of steroids, Oral Contraceptives, Chemotherapy Drugs or Calcium-Channel Blockers

Surgical Treatments of Gum Disease

If scaling and root planing do not successfully halt the progression of gum disease, you’ll need to see a periodontist for one or more of the following treatments:

  • Flap Surgery – Also called pocket reduction surgery, flap surgery involves pulling the gums away from the teeth and removing tartar and bacteria near the damaged bone. The bone tissues may be smoothed to create an environment for healing, and the gums are repositioned over the teeth and sutured in such a way that a pocket no longer exists.
  • Bone and Soft Tissue Grafts – In cases where the jawbone and gum tissues have deteriorated, grafted tissues are placed at the site of the damage to stimulate regrowth.
  • Guided Bone Tissue Regeneration – Performed in conjunction with flap surgery, a tiny piece of mesh is placed between the damaged gum and root surface so that the gums will not grow into the void left by the bone deterioration. This allows both the gums and the bone tissues to regenerate normally for optimal support of the teeth.
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