Periodontal or Gum Disease

 

Q:  What is periodontal or gum disease?
A:   Gum disease is a bacterial infection that attacks the gums and bone supporting the teeth

 

Q:  What causes gum disease?  
A:  Gum disease is a caused by plaque.  Plaque is a bacterial film that continuously forms around the teeth and gums.  The bacterial film causes red, swollen and bleeding gums, bad breath, and tooth loss.  Periodontal or gum disease is the leading cause of tooth loss in adults.

 

Q:  Does it hurt?  Wouldn't I know if I had it?

A:   Most forms of gum disease are painless.  In its early stages, symptoms often go unnoticed until the condition becomes advanced.  Just as high blood pressure is called the silent killer, so is gum disease the silent killer of teeth.  We've learned a great deal about gum disease in recent years.  We are now able to diagnose it earlier and help patients get it under control much better than in the past.  The earlier we detect it the sooner we can get it under control.  If your gums are bleeding, even slightly, it is a sign of gum disease.  When patients wait until teeth are loose and painful and their gums are oozing it is much more difficult and costly, if at all possible, to get the disease under control.  You should watch for gums that bleed when brushing; red, swollen or tender gums; and/or persistent bad breath.

Q:  How is gum disease treated?

A:  Early gum disease is treated with a procedure known as scaling and root planning.  The dentist or dental hygienist uses thin curettes and gently removes the plaque and tartar under the gum-line.  Some patients may prefer local anesthesia to numb the area prior to treatment.  Moderate and advanced gum disease is usually first treated with scaling and root planning.  After the gums heal, Gum surgery may be indicated.  Patients may experience discomfort for up to one week after surgery.  Pain medication is generally prescribed after surgery.

 

Q:   Will my teeth feel sensitive after treatment?

A:   Sometimes the teeth are sensitive for several months after treatment.  This is because the treatment leaves a portion of the roots exposed.  Your dentist can treat this sensitivity with fluoride or other in-office desensitizers, and the  patient can use toothpaste designed to help soothe the sensitive areas.

 

Q:  Am I at risk for gum disease?

A:  Risk factors include smoking, systemic illnesses such as diabetes or AIDS, medications that affect the immune system, pregnancy, and inadequate oral hygiene.

 

Q:  How can gum disease be prevented?
A:  Gum disease can be prevented by brushing at least twice a day, flossing daily, brushing your tongue, using an electric toothbrush and mouthwashes, eating a balanced diet, and visiting your dentist regularly – at least every six months (or more if recommended) -- for a preventive checkup and professional cleaning.

 

Ralston Dental Health Center
2100 Carlmont Drive, Suite 1  Belmont, CA 94002  (650)595-0913