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.
Periodontal Disease
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.
Smiling with confidence makes you feel great. A beautiful smile is also an important social and professional asset. Yet there are many people who avoid showing their teeth in public or in photographs because they don't like what they see. If that describes you, then why not start the process of getting the smile you've always wanted with a smile makeover?
A smile makeover goes beyond simply responding to dental problems as they arise. It's a comprehensive smile-rejuvenation plan that's uniquely suited to your own facial features and aesthetic preferences. The results can be quite dramatic — both in terms of how your will look and how you will feel. These are the major steps involved:
Take a look. The makeover process is all about giving you the smile of your dreams. So take a good look at your smile and note what you like and don't like about it. Some questions you can ask yourself are:
- Are your teeth as white as you'd like them to be?
- Are any teeth chipped, cracked or worn?
- Does your smile have a gummy appearance?
- Do your teeth seem too large or small?
- Do you like the alignment and spacing of your teeth
- Are you self-conscious about crookedness or gaps?
Remember, beauty is in the eye of the beholder… and that's you! Some people want their smile to look “perfect” — and to them, that means completely straight, uniformly white teeth. Others like a slightly more natural look, and are not displeased by slight gaps or shade variations. There are lots of decisions to make, but don't worry — dentists are skilled at helping you sort it all out!
Share your thoughts. Communication is an extremely important part of the smile makeover process. At the first makeover consultation, it helps if you describe what you would like to change in as much detail as possible. Bring along pictures of smiles you like, or of how your own smile used to look. Your makeover dentist will have some thoughts to share with you as well because dentists are trained to look at smiles in terms of facial balance. In other words, a dentist will look not only at how the elements of a smile (teeth, lips and gums) relate to each other, but also how they blend in with the face as a whole.
Make a plan. An important part of planning a smile makeover is a comprehensive dental exam. Cosmetic dentistry offers an amazing array of lifelike tooth restorations and treatments; but first, any conditions in your mouth that may jeopardize a good result must be taken care of. If your teeth are discolored, for example, the reason must be determined. You may have an underlying dental disease that needs to be treated before whitening your teeth; otherwise, the whitening may not last. Likewise, if you often drink red wine or other beverages that stain, you might do better with porcelain veneers than bleaching treatments.
Try it out. A smile makeover is an investment that is meant to last. That's why many of the procedures performed are irreversible. So if you are contemplating some changes, it's a great idea to try them out before you fully commit to them. There are many ways to preview the results: computer imaging, 3-D models, and even placing temporary restorations on your teeth so you can see what the final results will look and feel like in your own mouth. This also allows a fine-tuning of the makeover plan.
A “trial smile” is a great way to eliminate unknowns in the makeover process. But when it's all done, there's still one thing you may not be prepared for: how great it feels to flash your new smile to the world!
Related Articles
The Impact of a Smile Makeover Americans are catching on to the emotional and social importance of a healthy, beautiful smile, and they're seeking out ways to improve their smiles. Learn why, and what a smile makeover could mean for you... Read Article
Cosmetic Dentistry — A Time For Change We are living in an exciting era in dentistry. Today more than ever before, the healing arts are able to provide cosmetic change to meet the public's ever-increasing expectations. Join us as we review the myriad of possibilities available to you for cosmetic dental change... Read Article
Beautiful Smiles by Design There's more to the art and science of designing a more appealing smile than you might realize. One of the country's foremost leaders in cosmetic dentistry discusses how you and your dentist can partner to create a great new look... Read Article