Online Dental Education Library
Our team of dental specialists and staff strive to improve the overall health of our patients by focusing on preventing, diagnosing and treating conditions associated with your teeth and gums. Please use our dental library to learn more about dental problems and treatments available. If you have questions or need to schedule an appointment, contact us.
When to See a Periodontist
Periodontal treatment may be sought in several ways. Your general dentist or a hygienist may recommend a consultation with a periodontist if they find signs of periodontal disease through the course of a checkup or other dental care appointment. You may also decide to see a periodontist on your own, as a referral is not necessary to be seen at our office.
In fact, if you experience any of these symptoms, we encourage you to schedule an appointment at our office without delay:
- Unexplained bleeding while performing regular cleaning or consuming food is the most common sign of a periodontal infection.
- Ongoing halitosis (bad breath), which continues despite rigorous oral cleaning, can point to periodontitis, gingivitis or the beginnings of a gum infection.
- Longer-looking and loose-feeling teeth can indicate recession of the gums and/or bone loss as a result of periodontal disease.
Patients with heart disease, diabetes, osteopenia or osteoporosis are often diagnosed with correlating periodontal infections. The bacterial infection can spread through the blood stream, affecting other areas of the body.
- Bleeding while brushing or eating normal foods
- Bad breath
- Loose teeth and gum recession
- Related health concerns
What is Periodontal Disease?
Periodontal disease is a chronic infection of the periodontal or gum tissue. This infection is caused by the presence of a bacterial film, which is called dental plaque, that forms on the teeth surfaces. Bacteria that found in dental plaque produce toxins which irritate the gums. They may cause them to turn red, swell and bleed easily. If this irritation is prolonged, the gums separate from the teeth, causing pockets (spaces) to form. Plaque can also harden into a rough, porous substance known as calculus (or tartar). This can occur both above and below the gum line.
As periodontal diseases progress, the supporting gum tissue and bone that holds teeth in place deteriorate. If left untreated, this leads to tooth loss. With periodontal disease, bleeding, redness and swelling do not have to be present. Further, pain is usually not associated with periodontal disease. This disease damages the teeth, gum and jawbone of more than 80% of Americans by age 45. Each case is looked at individually, because in addition to plaque there are co-factors such as genetics, smoking, and overall health, which contribute to disease severity. Once periodontal disease is detected, our goal as therapists is to provide information and treatment necessary to control/ or arrest the active infection, and help keep the disease in an inactive or controlled state.
However, don’t be fooled!
With periodontal disease, bleeding, redness and swelling do not have to be present. The periodontal disease symptoms of inflammation may only be evident with sub gingival probing. Further, pain is usually not associated with periodontal disease.
For years, whenever you needed a dental crown (cap), your dentist had to make molds of your teeth which required taking an impression of your teeth. A tray filled with a goopy, putty-like material was used so that a three-dimensional model of the prepared tooth could be created. Using this mold, a dental lab could custom-craft the new crown.
However, as we journey further into the technology-driven 21st century, this traditional methodology is being replaced with virtual models — made using small, handheld “wands” that employ a digital camera and some reflective dust.
Here's how it works
The initial phase of restoration, preparing the tooth surface, remains virtually the same. First, any dental decay must be removed, and the remaining tooth must be shaped so that a crown or filling can be fitted properly. This will allow the tooth to be restored to its original shape, look, and function. Next, the area is lightly dusted with a reflective material (not a goopy impression material) so that multiple images of your tooth's surface can be recorded with a small scanning wand. Later, the computer component is connected to the scanning wand and these separate images are combined into a computer-generated 3D image.
This remarkable tool uses blue wavelength light to precisely capture the unique nooks and crannies of your tooth's surface and make a highly accurate 3D digital model. It makes it possible to instantaneously examine your tooth, and your bite. It's possible to identify any additional prep work required for new crowns, veneers and fillings right then and there; to implement any needed changes; and to rescan the tooth to create a new series of images and 3D model.
Once the image capture and prep work are satisfactory, your images are sent on to the lab for fabrication. This technique makes it possible to create a crown or a filling that can often be completed during a single office visit.
How this technology benefits you
- Finally, you can say goodbye to the goop, gagging, discomfort, and anxiety you've experienced in the past with traditional dental impression materials!
- It enables the immediate assessment of whether or not your tooth has been properly prepared for restoration.
- This technology is ideal for fabricating restorations such as new crowns, veneers and fillings for teeth — often possible in one office visit.
- It takes less time than traditional dental impressions.