The term "periodontal" refers to the area around the tooth. Periodontal disease, also known as periodontitis and gum disease, is a common inflammatory condition that affects the soft tissues supporting and surrounding the tooth. In advanced stages, it can even affect the jawbone itself.
Gingivitis, a bacterial infection of the gum tissue, often precedes periodontal disease. The toxins in plaque irritate and inflame the gums, leading to a bacterial infection. Once this infection settles in the gum pockets between the teeth, it becomes challenging to remove and treat. Over time, periodontal disease progresses and damages the connective tissue and jawbone. If left untreated, it can result in shifting teeth, loose teeth, and eventually tooth loss.
Periodontal disease is the primary cause of tooth loss in adults in developed countries and should be promptly addressed.
Types of Gum Disease
If left untreated, gingivitis, which is a mild gum inflammation, can progress to affect the area below the gum line. The toxins in plaque can irritate the gums, leading to a chronic inflammatory response that causes the body to break down and destroy its own bone and soft tissue. Periodontal disease may not show many symptoms, but it can cause the teeth to separate from the infected gum tissue. Deepening pockets between the gums and teeth are usually a sign that periodontal disease is causing the destruction of soft tissue and bone.
There are several common types of periodontal disease:
1. Chronic periodontitis: Inflammation in the supporting tissues leads to deep pockets and gum recession. It may appear as if the teeth are getting longer, but it is actually the gums that are receding. This is the most prevalent form of periodontal disease and is characterized by a gradual loss of attachment, with occasional periods of rapid progression.
2. Aggressive periodontitis: This type of gum disease occurs in individuals who are otherwise clinically healthy. It is characterized by a rapid loss of gum attachment, chronic bone destruction, and a tendency to run in families.
3. Necrotizing periodontitis: This form of periodontal disease primarily affects individuals with systemic conditions such as HIV, immunosuppression, and malnutrition. Tissue death (necrosis) occurs in the periodontal ligament, alveolar bone, and gingival tissues.
4. Periodontitis caused by systemic disease: This type of gum disease often starts at a young age and is associated with medical conditions like respiratory disease, diabetes, and heart disease.
Overall, it is important to address and treat periodontal disease to prevent further damage to the gums, bone, and teeth.
Treatment for Periodontal Disease
- The periodontist may choose from a variety of surgical and nonsurgical treatments based on the condition of the teeth, gums, and jawbone. Before any treatment is recommended or performed, a complete periodontal exam will be conducted.
Here are some common treatments for periodontal disease:
- Scaling and root planing: This procedure removes bacteria and tartar to preserve gum tissue health. Antibiotics may be used to treat any infection, and a prescription mouthwash may be recommended for daily cleaning.
- Tissue regeneration: When bone and gum tissues are damaged, grafting procedures can encourage regrowth. A membrane may be inserted to aid in the regeneration process.
- Pocket elimination surgery: Also known as flap surgery, this surgical treatment reduces the size of pockets between teeth and gums. Jawbone surgery may also be an option to eliminate bacterial colonization.
- Dental implants: Prosthetic teeth can be implanted into the jawbone to restore both aesthetics and functionality. Tissue regeneration procedures may be necessary to strengthen the bone before implant placement.
If you have any questions or concerns about periodontal disease, periodontal treatment, or dental implants, please contact our office.
Frequently Asked Questions
Q. What is gum disease and how do I know if I have it?
A. Gum disease (also called periodontal disease) is a bacterial infection of the gums and supporting structures of the teeth. Early signs include red, swollen, or bleeding gums when brushing or flossing, persistent bad breath, receding gums, increased tooth sensitivity, and pockets forming between teeth and gums. If untreated, it can progress to bone loss and even tooth loss.
Q. How is gum disease treated at Smiles By Design?
A. At our Hewlett office, we use a comprehensive approach to treat gum disease, including:
- Scaling & Root Planing (deep cleaning) to remove plaque and tartar below the gumline;
- Advanced periodontal therapy tailored to your condition;
- Laser-assisted care to precisely reduce infected tissue and promote healthy healing;
- Personalized aftercare and hygiene guidance
Q. Is laser gum disease treatment better than traditional methods?
A. Laser therapy allows our team to target bacteria and infected tissue with high precision while minimizing bleeding, swelling, and discomfort. It can also reduce recovery time compared to traditional surgical approaches.
Q. Can gum disease be prevented?
A. Yes — consistent oral hygiene (brushing twice daily, flossing, rinsing with an antibacterial mouthwash) and routine cleanings help prevent plaque buildup that leads to gum disease. Lifestyle factors like smoking significantly increase risk and can make treatment less effective.
Q. Does gum disease treatment hurt?
A. Most gum disease treatments are performed with local anesthesia or laser technology to keep patients comfortable. Many patients report minimal discomfort during and after treatment thanks to advancements in periodontal care.
Q. How long does gum disease treatment take?
A. Treatment time varies based on the severity of disease. Mild cases may be resolved in a few non-surgical deep cleanings, while more advanced cases can require multiple visits and adjunctive therapies. Your dentist will tailor a plan based on a complete periodontal exam.
Q. Is gum disease treatment covered by dental insurance?
A. Coverage depends on your specific plan. Our staff can help you review benefits and submit claims to maximize your reimbursement. Advanced periodontal procedures may be partially covered under many PPO plans.
Q. Why choose Hewlett, NY for gum disease care in Hewlett, NY?
- Experienced, laser-trained dental team with decades of experience;
- Use of modern periodontal and laser technologies for comfortable, precise treatment;
- Warm, patient-focused environment with education and personalized care;
- Convenient location at 1315 A Broadway, Hewlett, NY 11557 with flexible scheduling and emergency appointments.
