What Is Periodontal Disease?
The word “periodontal” means “around the tooth.” Periodontal Disease (also known as “gum disease”, “pyorrhea” or “periodontal infection”) is an ongoing bacterial infection in the gums and bone around your teeth. This infection leads to inflammation under the gums. If it isn’t treated, the inflammation can destroy the bone around your teeth resulting in tooth loss. Periodontal infection is the cause of 75% of all adult tooth loss.
More importantly, research has associated periodontal infection with several serious medical problems; including heart disease, diabetes, and stroke. As ongoing research continues to define how periodontal disease is associated with these and other health problems, good oral health is essential. Good periodontal health is a key component of a healthy body.
How Does An “Ongoing Infection” Work?
When you were a child, did you ever get a bad scrape that became red and swollen? That was caused by bacteria that got under your skin. The area became infected and inflamed. It may have lasted for days or weeks, but eventually, the inflammation went away. The inflammation disappeared when your immune system conquered the bacteria and the infection healed.
With an ongoing infection, your immune system never wins the battle; the infection keeps growing and the inflammation never goes away. Periodontal disease is an ongoing infection in the pockets around your teeth. Your immune system cannot conquer the bacteria, and without treatment, it has the ability to progress.
Causative Factors of Periodontal Disease
In treating periodontal disease, our goal is to come up with a long-lasting, predictable treatment plan. This consists of identifying the factors that are causing your periodontal disease, including the specific type of bacteria, occlusal components (i.e. clenching, etc.), and other factors which might be accelerating bone loss.
Oftentimes, a sample can be taken to identify your specific type of bacteria and to determine an antibiotic that has been proven effective against it. This helps us achieve treatment with more predictable and long-lasting results.
What Can Cause a “Burst” of Infection Activity?
People with periodontal disease have a low resistance to periodontal bacteria. This causes an ongoing gum infection that grows in “bursts” of activity. Each time it grows, more support for your teeth is lost. Some factors that can cause a “burst” of activity are:
- Poor oral hygiene
- Dental plaque
- Genetic factors
- Stress or tension
- Clenching and/or grinding of teeth
Getting Periodontal Infection Treated Right Away
When your infection has a burst of activity, or when there are signs that this is about to occur, it is very important that you contact us without delay to schedule a comprehensive evaluation. Dr. Carbonaro will be able to determine the treatment necessary to control your periodontal infection and set you on a path toward excellent oral health.
Symptoms of Periodontal Infection
Periodontal infection is usually painless until it reaches an advanced stage. However, there are some symptoms that can indicate the presence of periodontal infection.
- Red or swollen gums
- Bleeding when brushing (pink toothbrush), or at other times
- Aching, itchy, sore, or tender gums
- Receding gums (teeth beginning to look longer)
- Pus between your teeth and gums when you press down on the gums
- Bad breath
- Any change in the way your teeth fit together when you bite
- Any change in the fit of partial dentures
- Loose, separating, or protruding teeth
- Spaces between teeth
If you notice any of the above warning signs of periodontal infection, please contact our office for a periodontal examination.
Important Note: Your gums can look and feel quite normal and yet deep pockets of periodontal infection can still be present. To be certain about any periodontal disease, have Dr. Carbonaro examine you for signs of infection.
Who Is a Periodontist?
A periodontist is a dentist who specializes in the prevention, diagnosis, and treatment of periodontal disease. Many periodontists have also taken advanced training in the placement of dental implants. Periodontists receive extensive training in these areas, including two to three additional years of education beyond dental school. Periodontics is one of the eight specialties recognized by the American Dental Association.