Online Dental Education Library
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.
Kids who take part in athletic activities — whether they're playing on organized sports teams, bicycling, or just kicking a ball around — gain a host of well-documented health benefits. Yet inevitably, along with all the fun, the sense of achievement, and the character-building features of athletics, the possibility of injury exists. Does this mean your kids shouldn't play sports? Of course not! But it makes sense to learn about the risks involved, and to take appropriate precautions.
How prevalent are sports-related dental injuries? In 2012, the National Youth Sports Safety Foundation forecast that more than 3 million teeth would be knocked out in youth sporting events that year! Among all the dental injuries we treat in children, it is estimated that over 25% are sports-related, and the majority of these involve the top front teeth.
Besides the immediate trauma, sports-related injuries can result in time lost from school and work, and substantial cost — up to $20,000 over a lifetime to treat a missing permanent tooth. Yet there's a simple and relatively inexpensive way to reduce the chance of dental injury in children: A properly-fitted, comfortable mouthguard, worn whenever playing sports where the possibility of orofacial injury exists.
Use the Right Equipment
You wouldn't let your child play football without a helmet and protective padding, right? Yet it might surprise you to know that kids playing basketball are 15 times more likely to sustain injuries to the mouth or face than football players! Mandatory mouthguards are one reason for that: More American kids wear mouth protection for football than any other sport, which has resulted in a dramatic drop in injuries.
Mouthguards are required in only four school-based sports: football, ice hockey, lacrosse, and field hockey. Yet basketball and baseball are associated with the largest number of dental injuries. Other sports for which the American Dental Association (ADA) recommends wearing a mouthguard include bicycling, soccer, skateboarding, wrestling and volleyball. Do mouthguards work? The ADA estimates that athletes who don't wear mouthguards are 60 times more likely to suffer dental injury than those who do.
What Type of Mouthguard Is Best?
The best mouthguard for your child is the one he or she actually wears, both at practice and on game day. There are several different types of mouthguards on the market, which generally fall into three categories:
- An “off-the-shelf” mouthguard. Available at many sporting goods stores, this type comes in a limited range of sizes, and varies widely in quality. The least expensive option, it offers a minimal level of protection that's probably better than nothing. It generally must be clenched in the mouth, which can make wearing it uncomfortable and cause trouble breathing and speaking.
- The “boil and bite” mouthguard. These are designed to be immersed in hot water, and then formed in the mouth using finger, tongue and bite pressure. When they can be made to fit adequately, they generally offer better protection than the first type—but they may still be uncomfortable, and usually fail to offer full coverage of the teeth.
- A custom-made mouthguard. This is a piece of quality sports equipment that is custom fabricated for your child's mouth. How? Molds or impressions of your child's teeth will be made and then tough, resilient, high quality materials are perfectly fitted to that impression. This type of mouthguard offers your child maximum protection and a superior level of comfort — and its cost is quite reasonable.
At the present time, when top-quality sports equipment for kids can run in the hundreds of dollars, it makes more sense than ever to invest in the proven protection of a professionally made, custom-fitted mouthguard.
Athletic Mouthguards There are times when an athlete can feel invincible… able to connect on every jump-shot, run faster and longer, or hit every pitch, but statistics show that even on their best days accidents can happen. An ounce of prevention goes a long way… For a small cost, a protective mouthguard can prevent excess anxiety, risk, injury, pain, suffering, and years of dental treatment... Read Article
The Field-Side Guide to Dental Injuries Accidents to the teeth, jaws and mouth can happen at any time during any sporting activity. Proper attention can save pain, alleviate anxiety and costly dental treatment. A little knowledge, as they say, can go along way. This field-side guide briefly explains some simple rules to follow when dealing with different dental injuries and when you need to see the dentist... Read Article
An Introduction to Sports Injuries & Dentistry Dental injuries incurred during sports activities are highly treatable, and can involve positive outcomes if participants act quickly to see a dentist after an injury. However, if not treated quickly these kinds of injuries can lead to discomfort, embarrassment and a lifetime of dental costs... Read Article