Periodontics
Reasons for Periodontal Treatment
Periodontal disease is a progressive condition that begins with mild gum inflammation called gingivitis. It is the leading cause of tooth loss in adults living in the developed world, and it should be taken very seriously. Periodontal disease (often called gum disease) is typically signified by red, swollen, painful, or bleeding gums, but in some cases it has no noticeable symptoms.
Periodontal disease generally begins when the bacteria living in plaque cause an infection in the surrounding tissues of the teeth, which causes them to become irritated and painful. Eventually, this infection will cause the jawbone to recede and the teeth to become loose.
There are several reasons why periodontal treatment may be necessary:
Moderate/advanced gum disease – This occurs when the gums are bleeding, swollen, or red around most teeth and the jawbone has begun to recede.
Localized gum recession – The infection that propagates moderate or advanced gum disease often begins in one area. Gum recession may also be caused due to overbrushing with a hard bristle brush or due to a tooth that is not positioned properly. Immediate treatment is required to prevent further spreading.
Before crown lengthening – The periodontist may lengthen the tooth by removing surrounding soft tissue to provide more tooth exposure.
Ridge augmentation – This procedure, often called re-contouring, may be required to correct an uneven gumline. Before embarking on treatment, a periodontist needs to treat any bacterial infections and periodontitis.
In the case of mild/moderate periodontal problems, the focus of periodontal treatment will be on curing the underlying bacterial infection and then providing advice on the most appropriate home cleaning methods.
Sometimes a deep scaling is needed to remove the bacterial plaque and calculus (tartar) from the teeth and tissues. Where periodontal disease is advanced and the jawbone has regressed significantly, more intensive cleaning may be recommended and loose teeth that cannot be saved will be removed.
Because periodontal disease is progressive, it is essential to remove the bacteria and calculus build up to halt the spread of the infection. Dr. Gershenzon will be happy to advise you on effective cleaning methods and treatment options.