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.
New parents have plenty to worry about: making sure their baby is healthy and happy, re-arranging their lives around hectic schedules and lost sleep, and figuring out what to do in all sorts of novel situations. When it comes to your child's oral health, though, there's plenty of help available. It all begins when you bring your youngster in for his or her first visit to the dentist.
According to the American Academy of Pediatric Dentistry, a child's first checkup should occur by age one. Surprised? You shouldn't be! Even though there may only be a few baby teeth visible at that age, there are plenty of things to start working on — including the development of healthy habits that will make future visits to the dentist far more pleasurable.
Unfortunately, some kids develop tooth decay at an early age. We will be on the lookout for cavities — but that's only one reason for an early visit. Equally important is reviewing the proper ways to care for a young child's mouth, going over your child's developmental milestones, and discussing the importance of good oral hygiene.
Preparing for the Big Day
The way kids seem to pick up on their parents' feelings sometimes seems uncanny; so, if you're nervous about going to the dentist yourself, try not to let it show. Generally, this first visit involves simply talking to you and your child, looking in his or her mouth, and making oral health assessments. It's best to tell your child what to expect beforehand, without making too big a fuss about it. You could even build some excitement by helping them get ready for “the big day.”
It's a good idea to bring a comforting toy, a snack, and an extra diaper or two, just in case of fussiness. If possible, leave other kids at home, so the new patient can get all the attention. If not possible, bringing another adult along, however, may free your attention to focus on your child's oral health. Likewise, filling out forms in advance may save time and effort on the day of the visit.
The Checkup
When you and your child are comfortably seated in the office, a gentle examination of your child's mouth will be performed to uncover any early signs of dental problems such as tooth decay, and assess the risk that your child may develop the disease in the future. Often, this kind of risk assessment can help prevent — and even reverse — the early stages of tooth decay, without any drilling.
Finally, various ways to keep your child's oral health in top condition will be discussed. This may include how diet, eating habits and oral hygiene practices can help prevent tooth decay, the most common chronic disease of childhood. That's an important subject for everyone — even more so if your child is at greater risk. If any treatments (such as fluoride) are needed, a full explanation will be given. Tips on cleaning and brushing effectively will be reviewed and a follow-up visit will be scheduled as required.
Many habits are developed early in life. That's why it's important to “get it done by age one.” So when it's time for your child's first visit… don't hesitate! You'll be glad you came in.
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