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Doctor insights on: Periodontitis

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Dr. James Wright
621 doctors shared insights

Periodontitis (Overview)

Periodontitis is a general term for an inflammatory gum disease that has caused some degree of irreversible hard and soft tissue damage. While most treatments will put the disease into remission with rigorous patient home care and there are even some new therapies that can repair some of the damage, it is a major cause of tooth lose! Best to avoid the altogether with regular dental care & homecare


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What is periodontitis?

What is periodontitis?

Disease of gums: It is a disease of the gums primarily caused by a combination of excess bad bacteria, and it's interaction with your immune system. It is often the result of inadequate oral hygiene, and can destroy the fibers that hold your teeth in. It is quite treatable if caught at an early state. Go see your dentist for treatment. ...Read more

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Dr. James Wright
621 doctors shared insights

Periodontitis (Overview)

Periodontitis is a general term for an inflammatory gum disease that has caused some degree of irreversible hard and soft tissue damage. While most treatments will put the disease into remission with rigorous patient home care and there are even some new therapies that can repair some of the damage, it is a major cause of tooth lose! Best to avoid the altogether with regular dental care & homecare


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How does periodontitis differ from gingivitis? How long does it take to cure them?

How does periodontitis differ from gingivitis? How long does it take to cure them?

Severity: Gingivitis is early easily reversible inflammation/infection. Periodontitis is more advanced/severe/destructive, and is more complex to treat. Best advice, see a Periodontist, a gum/bone specialist, for the highest quality, most efficient, treatment available. ...Read more

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I have all the symptoms of periodontitis, but myhygienist says nothing is wrong? Should I still get myself checked?

Diagnosis: There are symptoms, and signs. Symptoms are what you the patient experience and signs of disease are what the doctor observes. In a situation like this, the hygienist may not be recognizing the signs. We recommend you contact a board certified periodontist and request a comprehensive periodontal evaluation. Periodontitis is best treated early. ...Read more

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I was diagnosed with periodontitis. I don't want to do surgery so are there any other options?

I was diagnosed with periodontitis. I don't want to do surgery so are there any other options?

Keep teeth?: There are different kinds of gum surgery. There is also laser surgery (lanap). The real question is do you want to keep your teeth? The correct treatment is based on the severity of the disease. Non-surgical therapy has its limits. A famous quote is...You only have to treat the teeth you want to keep. ...Read more

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What are the tests for periodontitis?

What are the tests for periodontitis?

Thorough exam: You will need to have a thorough clinical examination with the appropriate x-rays. The clinical exam will likely include probing along each side your teeth to help determine if there is a periodontal problem. The x-rays are an adjunct to help determine the presence of bone loss. Some offices may have you submit saliva for analysis as well as maintain a food intake diary as part of your data. ...Read more

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Do I have a good prognosis after being diagnosed with aggressive periodontitis? I've 25, and have just recently been diagnosed with aggressive periodontitis. I know i haven't taken good care of my teeth, but would like to turn that around now. How likely

Do I have a good prognosis after being diagnosed with aggressive periodontitis? I've 25, and have just recently been diagnosed with aggressive periodontitis. I know i haven't taken good care of my teeth, but would like to turn that around now. How likely

Yes: Aggressive periodontitis has a lot to do with a very nasty bacteria with the initials a.A. It may be localized to incisor and molar teeth or generalized to the whole mouth. These are the two types. Eradication of the bacteria and repair of the damage, as well as regular maintenance are critical. Laser therapy has been very effective on eradicating this particular bacteria. Warm regards, drc. ...Read more

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Anything you can do about the bone loss caused by periodontitis?

Anything you can do about the bone loss caused by periodontitis?

Yes: A thorough clinical dental examination with the appropriate x-rays is the first step. Depending on the severity of the periodontal problem, whether it is a generalized problem affecting multiple teeth or an isolated problem such as one tooth will determine what treatment can be offered. Treatment can range from maintaining the present bone level to more complicated procedures such as grafts. ...Read more

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Is there toothpaste that helps treat periodontitis?

Is there toothpaste that helps treat periodontitis?

Professionals treat: Treatment of periodontitis requires a dental professional. It won't go away with toothpaste or mouthrinse. Its progression depends on your resistance to it, the amount of bacteria involved, & the aggressiveness of your particular oral flora. It is not curable, but maintainable. Other risk factors also can complicate like diabetes, smoking, immuno suppression, genetics, poor nutrition, etc. ...Read more

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How is chronic periodontitis treated?

Chronic TLC: While there are many different treatments for periodontal disease, they all involve regular dental visits. Treatment could include deep cleanings, a change in oral hygiene, surgery, antibiotics and other care. Your dentist or periodontist will direct you as to which options are best for your oral health. ...Read more

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