Skip to main content

Periodontal Disease and treatment

Hi Everyone, today we will be discussing Periodontal Disease and ways to prevent it as well as treatment options should you already be affected. 

Image result for healthy gums vs gingivitis

Periodontal disease is caused by bacteria that live in your mouth. We all have the bacteria, some a little more or a little less than others, or maybe a different strain but it is all there. It is when we don't keep the bacteria levels under control that it can have serious repercussions. It can cause Halitosis (bad breath, Ew!), red and swollen gums, gum recession, tooth sensitivity, tenderness of the gums, bleeding when you brush or floss, bone loss, and even changes in the way your teeth fit together or tooth loss!

Periodontal disease is not very well understood by most people. It is normally thought of to be a disease that is pretty rare or uncommon, but in fact it is a lot more common than you might think. According to the CDC:

"47.2% of adults aged 30 years and older have some form of periodontal disease." 
That is almost HALF of young adults in the US have some form of periodontal disease. If you don't think that is crazy enough, the rate jumps up to 70% of people over 65! The disease has also been linked to Heart disease, the #1 killer of Americans, and lung disease, possibly contributing to COPD, pneumonia, bronchitis, and emphysema.

It is a very serious issue that is very widespread but unfortunately, not very well known. Lack of education about the issue has, in part, helped to keep it such an epidemic. Another very big factor is the potential lack of symptoms such as pain until it is advanced. 

Good oral hygiene and regular professional cleanings are extremely important to your overall health. Your Hygienist and Dentist can tell you if you are developing symptoms of Gingivitis or Periodontal disease, but only if you make an appointment! If you are diagnosed with a form of periodontal disease there are a few different things that may be recommended for you.


Signs of Gingivitis

 The disease starts with Gingivitis, a response to the bacteria that causes swelling of the soft tissue(gums), redness, bad breath, and usually bleeding upon brushing and flossing. If the symptoms aren't recognized, and treated with much better home care, the bleeding can actually stop because of deterioration of the gums. Then it can proceed unnoticed and unchecked until the teeth start to feel loose or become mobile. By that point, the damage is rarely reversible though you may be able to halt its progression.Treating cases like gingivitis may be as simple as changing home habits, like using a different brush such as a Sonicare, and using an inter-proximal device like a Water-Pik in addition to regular flossing. You may also be advised to schedule an extra professional cleaning or two per year to help in cleaning out the bad bacteria.

For more serious cases it may be necessary for you to receive Periodontal Therapy, commonly, and perhaps misleadingly, known as a "Deep Cleaning". Periodontal therapy is much more than your average cleaning. It involves cleaning above and below the gum line, removing calcified plaque and bad bacteria. Then the roots of the teeth are smoothed to help the gum tissue reattach itself to the tooth. You may even be treated with anti-microbial agents or given a rinse to help keep bacteria out of the pockets. With regular visits back to your hygienist and good home care, the disease can be stopped here, without severe bone loss and eventual loss of teeth. Unfortunately though, there is no definitive cure for Periodontal Disease. It is kind of like Diabetes, it can be kept under control and maintained but not cured.

Advanced Periodontitis

If you are unlucky and you have progressed past the point of a non-surgical therapy, you may be referred to a periodontist or gum specialist for further treatment that can involve soft tissue grafting, bone grafting, gingival flap surgery and other things that we will leave to the specialist to explain. You probably don't want to know about it unless you need it, and the pictures are pretty bad too. You probably would not like to see those. 

Long story short...

Periodontal disease is a big problem that, for many, isn't going away on its own. If you or a loved one hasn't been seen in a while for a professional cleaning and evaluation, you should definitely call and schedule as soon as possible. We have a wonderful Hygienist, Linda, who has been in the field for over 15 years, is very knowledgeable and cares about the oral health of all of our patients. Linda and Dr. Pan, who has been in practice over 20 years and treats all his patients with kindness and respect, can make sure you and your family receive the best care possible. Please don't risk your health or let your family risk their health by not getting your professional cleanings at least every 6 months. Call or email today to schedule your next appointment. 



  1. Your blog teeth issues is really good and informative. Here we also provide Dental Orthodontics treatment at affordable price.

  2. I really appreciate your work which you have shared here. The article you have shared is very informative and the points you have mentioned are very helpful. Thank you for sharing this post. Cosmetic Dentistry Indian Land SC


Post a Comment

Popular posts from this blog

Oral Hygiene!

Hello again everyone! It occurred to us that after the lecture on Periodontal Disease last month, it might be a great idea to talk about prevention. Today we will go over dental Hygiene 101, the best practices, and some useful tools to keep your mouth as healthy as possible between your professional cleanings. Order of Operations! You may not remember PEMDAS from math class, but pretty much everyone knows that you should brush, floss, and rinse with a mouthwash, but what you didn't know is that you are doing them in the wrong order! Dr. Pan recommends first flossing, then brushing, and finally rinsing with a non-alcoholic rinse. Flossing comes first because it helps to loosen any stuck food or plaque in between your teeth and down to your gums, which is then removed by brushing. Finally, the rinse helps to kill any stubborn bacteria around the gums and rinse anything you missed when you spit out your toothpaste. A family member taught her son the acronym FBS to help him rememb

Does your smile have Termites in it?

Look Familiar? Hopefully this looks nothing like your beautiful smile, but we have all seen the movie, or at the very least heard the song 100+ times this season already. While the Grinch may simply have to live with the staining, crowding and his bug friends, we can help take care of your teeth a little better. This is not only the season for Ho-Ho-Ho but also the end of the dental benefit year for most insurance plans. Use it or lose it! At the end of the year, most dental benefits reset, meaning you have a full maximum to use in the new year. However, you also have that pesky deductible to meet again, and any benefits that you did not use in the last year go down the drain, back into the pocket of the insurance companies. Call us today to see how to maximize your benefits for the year, or request an appointment on our website, , or here is information on Implants , Whitening , or to learn a bit more about Dr. Pan

Dealing with Tooth Pain

Tooth pain can be terrible as you may know. This can be from tooth decay, gum health problems, gum recession, or even a naturally thin layer of enamel, but there are a few things that are quick fixes for sudden onset of sensitivity or pain when you can't get to your dentist immediately.  OTC Pain relievers: Over the counter pain relievers, such as Advil, Motrin, or Tylenol, can be used to treat minor tooth pain or sensitivity. They are fairly quick acting usually taking effect within about 30 minutes. For tooth pain Dr. Pan usually recommends Ibuprofen(Advil) because it is anti-inflammatory as well as a pain killer. This helps just in case the pain is caused by inflammation(swelling) of either the gums or inside of the tooth. Orajel: Orajel or other numbing agents are great for numbing the area temporarily until you can see your doctor. There are a number of similar products on the market, they work all basically the same way. A holistic alternative would be Clove Oil. Ice: