What is Periodontal Disease? Do I really need Periodontal Therapy?
Periodontal disease, once called pyorrhea, is a chronic infection. This infection is engendered by a very sophisticated biofilm that most people call dental plaque. If your teeth are perfectly clean, within a few seconds relatively benign bacteria attach to the teeth. Over the next 24 hours successively more aggressive bacteria attach. If the plaque stays in contact with the gum tissue more than 24 hours it creates an infection called gingivitis. Bleeding seen after cleaning is a sign of gingivitis but is infrequently present.
If the infection stays in the gum for long enough, it spreads to the bone that supports the teeth and causes its destruction. If enough bone is destroyed the teeth are lost. The early and immediate stages of bone loss occur without any dental symptoms and can only be found by close examination using a device called a periodontal probe.
As the bacterial front continues underneath the gum, some of the bacterial calcify and attach to the root surface. This material is dental calculus, also called tartar. Tartar is analogous to having dirt in a wound. If the dirt is not removed the wound will not heal. To control the disease process and allow possible regrowth and reattachment of bone this tartar must be removed. In years past this required an aggressive type of gum surgery. Advances in the last few years have allowed us to use devices that can see below the gum tissue. This allows us to remove tartar using minimally invasive procedures, which yield positive results with minor postoperative problems in most cases. In many cases regrowth of bone is possible. Once health is established, consistent oral hygiene on the part of the patient along with regular professional cleanings can keep the disease process under control.
“Our practice provides a variety of minimally invasive services for the treatment of periodontal diseases. We pride ourselves on the fact that we are very conservative in our treatment recommendations and limit surgery to the areas where it is absolutely necessary.
Many times, the early stages of periodontal disease are best treated with non-surgical approaches. Even in severe cases, non-surgical periodontal therapy often precedes minimally invasive surgical therapy. This is done to improve the overall tissue quality prior to surgery and also to help limit the areas requiring surgery.”
Periodontics and You
Learn more about the risks of periodontal disease and the health benefits of periodontal therapy.
Click the links below for specific information on how periodontal disease may be impacting your life and how proper periodontal treatment by our specialists can make a difference in your oral health.
The Mouth-Body Connection
There is strong evidence that shows there is a strong connection between periodontal disease and other chronic conditions such as diabetes, heart disease and osteoporosis.
Periodontal disease is characterized by inflammation of the gum tissue, presence of disease-causing bacteria, and infection below the gum line. Infections and bacteria in the mouth can spread throughout the body and can lead to a host of problematic systemic health issues. Therefore, maintaining excellent oral hygiene and reducing the progression of periodontal disease through treatment can have benefits beyond preventing gum disease and bone loss.
Periodontal Disease and Diabetes
Diabetes is a serious, incurable disease that is characterized by too much glucose, or sugar, in the blood. Diabetes affects between 12 and 14 million Americans, and can lead to a variety of health issues, including heart disease and stroke.
Research has shown people with diabetes are more likely to develop periodontal disease than those without the disease. People with diabetes with insufficient blood sugar control develop periodontal disease more frequently and severely than those who have good management over their diabetes.
Diabetes sufferers are more susceptible to all types of infections, including periodontal infections, due to the fact diabetes slows circulation, allowing bacteria to colonize. Diabetes also reduces the body’s overall resistance to infection, which increases the probability of the gums becoming infected.
Blood vessel thickening is another concern for diabetics. Blood vessels function by providing nutrients and removing waste products from the body. When they become thickened by diabetes, these exchanges are unable to occur. As a result, harmful waste is left in the mouth and can weaken the resistance of gum tissue, leading to infection and disease.
Smoking and tobacco use is detrimental to anyone’s oral and overall health, but it is particularly harmful to diabetics. Diabetic smokers 45 and older are much more likely to develop periodontal disease than those who do no smoke. It is very important for everyone to brush teeth effectively, floss daily, and visit the dentist regularly, but it is especially essential that diabetics practice these measures. Controlling your diabetes will help your gums, controlling your gum disease can help control your diabetes.
Periodontal Disease and Pregnancy
Pregnant women with periodontal disease may expose their unborn children to a variety of risks and possible complications. Periodontitis has been linked to low birth weight of the baby. Fortunately, halting the progression of periodontal disease through practicing high standards of oral hygiene and treating existing problems can help reduce the risk of periodontal disease-related complications.
Periodontal Disease and Osteoporosis
Osteoporosis is a common condition that is characterized by the loss of bone density over time. Osteoporosis occurs when the body fails to form enough new bone, or when the body absorbs too much old bone. The leading cause of osteoporosis is a drop in estrogen in menopausal women, or a drop in testosterone among men.
Because periodontal disease can also lead to bone loss, the two diseases have been studied for possible connections. Research has shown that people who suffer from osteoporosis are more likely to also develop periodontal disease.
One of the reasons for the connection between osteoporosis and periodontal disease is an estrogen deficiency. Estrogen deficiency speeds up the progression of both oral bone loss and other bone loss.
If you are diagnosed with osteoporosis, it is extremely important to take preventative measures against periodontal disease to protect your teeth and bones of the jaw.
Periodontal Disease, Heart Disease and Stroke
Coronary heart disease occurs when fatty proteins and your arteries thicken. This causes the arteries to narrow, constricting blood flow.
Patients with periodontal infections are more likely to suffer from coronary artery disease than those with healthy mouths. Additionally, patients with periodontal disease may be more susceptible to strokes. A stroke occurs when the blood flow to a part of the brain is suddenly stopped. This may occur, for example, when a blood clot prevents blood from reaching the brain.
Oral bacteria associated with periodontal disease can enter the bloodstream. These bacteria can induce an inflammatory response and a cascade of events that can lead to an increase in white blood cells and C-reactive proteins (CRP). CRP is a protein that has been associated with heart disease. When levels are increased in the body, it amplifies the body’s natural inflammatory response. Bacteria from periodontal disease may enter the bloodstream, causing the liver to produce extra CRP, which then can lead to inflamed arteries and possibly blood clots. Inflamed arteries can lead to blockage, which can cause heart attacks or strokes.
Enacting positive oral hygiene practices and obtaining treatment for periodontal infections may help reduce the risk of developing this condition.
Women and Periodontal Health
Throughout a woman’s life, hormonal changes affect tissues throughout the body. Fluctuations in hormonal levels occur during puberty, pregnancy and menopause. At these times, the chance of periodontal disease may increase, requiring special care.
Puberty
During puberty, there is increased production of hormones. These higher hormone levels increase gum sensitivity and lead to greater irritation from plaque and food particles. The gums can become swollen, turn red, and feel tender.
Menstruation
Similar symptoms to those seen in puberty occasionally appear several days before menstruation. Bleeding of the gums, bright red swelling of the gum between the teeth, or sores on the inside of the cheek may occur. These symptoms generally clear up within a few days.
Pregnancy
Your gums are also affected during pregnancy. Between the second and eighth month, gums may swell, bleed, and become red or tender. Large lumps may appear as a reaction to bacterial plaque. However, these growths are generally painless and not cancerous. They may require professional removal, but usually disappear some time after delivery. Establishing and maintaining periodontal health should be part of your prenatal care. Any infections during pregnancy, including periodontal infections, can effect a baby’s health.
Oral Contraceptives
Swelling, bleeding, and tenderness of the gums may occur when you are taking oral contraceptives, which are synthetic hormones.
You should always mention any prescriptions you are taking, including oral contraceptives, prior to medical or dental treatment. This will help eliminate the risk of drug interactions. For example, antibiotics can decrease the effectiveness of oral contraceptives.
Menopause
Changes in the look and feel of your mouth may occur if you are menopausal or post-menopausal. They include: feeling pain and burning in your gum tissue and salty, peppery, sour tastes, and “dry mouth.” Careful oral hygiene at home and professional cleaning may relieve these symptoms. If they persist our specialist in oral medicine can help reduce or eliminate these problems.
