Detailed information on periodontal disease, including types, symptoms, causes, and treatment
What are periodontal diseases?
The word periodontal means "around the tooth." Periodontal diseases are also called gum diseases. They are serious bacterial infections that attack the gums and the nearby tissues that hold the teeth in place. If it's left untreated, the disease will continue. The underlying bone around the teeth will dissolve. The bone will no longer be able to hold the teeth in place. Generally, periodontal disease isn't painful. So it's possible to have it and not know it.
The different types of periodontal disease are often classified by the stage of the disease, including:
Gingivitis. This is the mildest form of periodontal disease. The gums are likely to become red, swollen, and tender. They may bleed easily during daily cleanings and flossing. Treatment by a dentist and proper, regular care at home helps resolve these problems.
Mild to moderate periodontitis. Untreated gingivitis leads to mild to moderate periodontitis. At this stage of gum disease, periodontal pockets start to form. This is when gums pull away from the teeth, causing the small space between the teeth and gums to deepen. It also causes early bone loss around the teeth. Dental care is needed right away to prevent more bone erosion and gum damage.
Moderate to advanced periodontitis. This is the most advanced stage of gum disease. It causes major bone and tissue loss, and deepening of periodontal pockets. There may be receding gums around the teeth, heavy bleeding, and bad breath. Teeth may loosen and need to be removed.
What causes periodontal diseases?
As with many other oral health diseases, bacteria and plaque buildup is often the cause. In fact, plaque buildup (which contains many kinds of bacteria) is the leading cause of gum disease. Other factors that help lead to gum disease include:
Poor oral hygiene
A diet low in nutrients
Smoking or the use of smokeless tobacco
Autoimmune or systemic diseases
Hormonal changes in the body
Frequent, uncontrolled clenching or grinding of the teeth (bruxism)
Drinking too much alcohol
What are the symptoms of periodontal diseases?
These are the most common symptoms of gum disease:
Red, swollen, sore gums
Bleeding and tender gums while brushing or flossing
Gums that pull away from the teeth (receding gums)
Loose or separating teeth
Persistent bad breath (halitosis)
Partial dentures that no longer fit
Pus between the teeth and gums
A change in bite and jaw alignment
The symptoms of gum disease may look like other conditions or health problems. See a dentist or other oral health specialist for a diagnosis.
How are periodontal diseases diagnosed?
To diagnosis periodontal disease, a dentist will:
Check your gums for any sign of inflammation
Measure any pockets around your teeth. A tiny tool called a probe is used to do this.
Ask about your health history and any other health conditions you may have. This information helps identify risk factors you might have, such as diabetes.
Ask about your smoking history
Take X-rays to find if there is bone loss
If you have gum disease, the dentist may also refer you to a periodontist. These are dentists who are experts in the diagnosis and treatment of gum disease. A periodontist will evaluate your teeth and gums and provide you with treatment options for your condition.
How are periodontal diseases treated?
Treatment may include one or more of the following:
Tartar (calculus) and plaque removal beneath the gums. Deep cleaning (also called scaling and root planing) can help remove tartar beneath the gums and infected tissue in the early stages of the disease. It also smoothes the damaged root surfaces of the teeth. The gums can then reattach to the teeth.
Medicine. Antibacterial medicines may be placed topically in the periodontal pockets or taken orally.
Surgery. When the disease is advanced, the infected areas under the gums will be cleaned, and the tissues will then be reshaped or replaced. Types of surgeries include:
A regeneration procedure
A soft tissue graft
How can I prevent periodontal diseases?
Periodontal diseases can be prevented by:
Brushing and flossing your teeth at least twice a day
Brushing your tongue each time you clean your teeth
Getting a dental checkup once a year or more often if you have dental problems
Not using tobacco products, including smokeless tobacco
Following medical advice for the management of chronic illnesses, such as diabetes
Eating a balanced, healthy diet
Key points about periodontal diseases
Periodontal diseases, also called gum diseases, are serious bacterial infections that attack the gums and the nearby tissues.
Plaque buildup is the leading cause of gum disease.
If left untreated, the disease will continue. The underlying bone around the teeth will dissolve. The bone will no longer be able to hold the teeth in place.
The most severe stage of gum disease can cause deep periodontal pockets and receding gums. Teeth may loosen and need to be removed.
Treatment may include deep cleaning (scaling and root planing), medicines, or surgery.
Tips to help you get the most from a visit to your healthcare provider:
Know the reason for your visit and what you want to happen.
Before your visit, write down questions you want answered.
Bring someone with you to help you ask questions and remember what your provider tells you.
At the visit, write down the name of a new diagnosis, and any new medicines, treatments, or tests. Also write down any new instructions your provider gives you.
Know why a new medicine or treatment is prescribed, and how it will help you. Also know what the side effects are.
Ask if your condition can be treated in other ways.
Know why a test or procedure is recommended and what the results could mean.
Know what to expect if you do not take the medicine or have the test or procedure.
If you have a follow-up appointment, write down the date, time, and purpose for that visit.
Know how you can contact your provider if you have questions.
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