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GUM TREATMENT


Gum disease or periodontal disease, a chronic inflammation and infection of the gums and surrounding tissue, is the major cause of about 70 percent of adult tooth loss, affecting three out of four persons at some point in their life.

What causes gum disease?

Bacterial plaque - a sticky, colorless film that constantly forms on the teeth - is recognized as the primary cause of gum disease. Specific periodontal diseases may be associated with specific bacterial types. If plaque isn't removed each day by brushing and flossing, it hardens into a rough, porous substance called calculus (also known as tartar).Toxins (poisons) produced and released by bacteria in plaque irritate the gums. These toxins cause the breakdown of the fibers that hold the gums tightly to the teeth, creating periodontal pockets which fill with even more toxins and bacteria. As the disease progresses, pockets extend deeper and the bacteria moves down until the bone that holds the tooth in place is destroyed. The tooth eventually will fall out or require extraction.

Are there other factors?

Yes. Genetics is also a factor, as are lifestyle choices. A diet low in nutrients can diminish the body's ability to fight infection. Smokers and spit tobacco users have more irritation to gum tissues than non-tobacco users, while stress can also affect the ability to ward off disease. Diseases that interfere with the body's immune system, such as leukemia and AIDS, may worsen the condition of the gums. In patients with uncontrolled diabetes, where the body is more prone to infection, gum disease is more severe or harder to control.

What are the warning signs of gum disease?

Signs include red, swollen or tender gums, bleeding while brushing or flossing, gums that pull away from teeth, loose or separating teeth, puss between the gum and tooth, persistent bad breath, change in the way teeth fit together when the patient bites, and a change in the fit of partial dentures. While patients are advised to check for the warning signs, there might not be any discomfort until the disease has spread to a point where the tooth is unsalvageable. That's why patients are advised to get frequent dental exams.

What does periodontal treatment involve?

In the early stages, most treatment involves scaling and root planing-removing plaque and calculus around the tooth and smoothing the root surfaces. More advanced cases may require surgical treatment, which involves cutting the gums, and removing the hardened plaque build-up and recon touring the damaged bone. The procedure is also designed to smooth root surfaces and reposition the gum tissue so it will be easier to keep clean.

How do you prevent gum disease?

Removing plaque through daily brushing, flossing and professional cleaning is the best way to minimize your risk.

What is the role of the general dentist?

The general dentist usually detects gum disease and treats it in the early stages. Some general dentists have acquired additional expertise to treat more advanced conditions of the disease. If the general dentist believes that the gum disease requires treatment by a specialist, then The dentist and periodontist will work together to formulate a treatment plan for the patient.

Is maintenance important?

Sticking to a regular oral hygiene regimen is crucial for patients who want to sustain the results of therapy. Patients should visit the dentist every 3-4 months (or more, depending on the patient) for spot scaling and root planing and an overall.

Periodontal Procedures

Following are some of the procedures that periodontists use to treat patients diagnosed with a periodontal (gum) disease. The main cause of periodontal disease is bacteria in the form of a sticky, colorless plaque that constantly forms on your teeth; however, many other factors can cause periodontal (gum) disease or influence its progression.


Non-Surgical Treatments

Scaling and Root Planing

Periodontal Surgery


    * Pocket Depth Reduction

    * Regeneration

    * Crown Lengthening & Gingioplasty


Non-Surgical Treatments - Scaling and Root Planing

Scaling and Root Planing is the first treatment for periodontal disease. It removes all of the irritants under the gums to eliminate inflamation and infection. Half of the mouth may be numbed so that the we can comfortably remove hardened food from below the gums. This is called scaling and it's like removing the scales from a fish. Most hygienists also use ultrasonic vibrating tools to blast deposits off of teeth. It leaves a rough surface so planing is needed.

Like a carpenter planes a door to make it smooth. we surgically planes the root surfaces which allows the gums to regenerate without irritation. The gum tissue shrinks and tightens around the teeth because there is no longer anything irritating. It also reduces bleeding gums. After scaling and root planing is completed the gums heal and the results determined by charting the patient's pocket depth. The goal is a 1 to 3 mm thickness.

In some patients, scaling and root planing is the only treatment needed. It can often eliminate the inflamation and infection that promotes the tissue destruction around teeth from periodontal disease. Because it's a non-surgical treatment, patients often feel comfortable with it, however, it is most effective is treating early periodontal disease.