Doctor insights on:
Periodontitis Gum Disease
Professional care: Advanced periodontitis must be treated by a highly trained general dentist or periodontist. The treatment will involve an intense and deep cleaning, use of systemic antibiotics, special rinses, possible gum surgery, rigorous homecare, 3-4 professional cleaning a year and possibly the placement of localized antibiotics. Regardless, there is no real cure, but vigilance will keep it in remission! ...Read moreSee 2 more doctor answers
Bacteria in the mouth living in a thin film is called plaque. Plaque that is not removed through brushing can harden and form “tartar”, a hard mineral shell, that brushing can’t remove. Only a professional cleaning by a dentist or hygienist can remove tartar. When plaque builds on the tartar surface, it irritates and erodes healthy gum tissue. This early stage of gum ...Read more
Aggressive periodontitis at age 30? At my dentist appointment last week my dentist diagnosed me with aggressive periodontitis, and said the my gums had basically skipped gingivitis and went straight to this. I have an appointment with him this week to hav
There : There is a form of periodontal disease called aggressive periodontitis that is diagnosed in patients under the age of 35 (or so). Periodontal disease has three major causes; bacteria, body's reaction to the bacteria, and bite (bad bite, clenching, grinding). Various systemic diseases can potentiate the body's reaction to the bacteria as well as various medications. It is wise to have this treated as soon as possible. The first thing you and your dentist need to do is identify the causes. As i tell my patients you are a co-therapist in that you need to know what it is and how to treat it and then how to minimize it from getting out of control. Yes, there is no cure, but you can control it. Now treatment has several options. Traditional treatment involves scaling and rootplaning to reduce the bacteria around the teeth, low dose of Doxycycline (20mg 2x/day) to reduce body's reaction and bite adjustment along with a night guard. For areas that are badly damaged and have a lot of bone loss periodontists will do regenerative procedures to reverse the effects of the damage, another option which i provide my patients (and almost routinely now) is lanap. Laser assisted new attachment procedure. This utilizes a certain laser in conjunction with thorough scaling and bite adjustment to provide exceptional reduction of the disease and regeneration of much of the lost bone, root and gum attachment. It is a wonderful treatment complete in a few weeks and has much less discomfort associated with the actual care. The results long term are exceptional. Either option is acceptable but you have to address the causes. Once active treatment is done (the above options) you have to maintain the health with regular cleanings and make sure if you are given a night guard you wear it! ultimately, periodontitis is a chronic inflammatory disease which you have to in control. Please feel free to ask further questions. This is important you address asap. Best regards, dr. Smith cpident.Com. ...Read moreSee 2 more doctor answers
How long before gingivitis turns to periodontitis? I think I have gingivitis, because my gums bleed when i brush. I haven't been going to the dentist regularly, because i don't have dental insurance coverage. How long can I wait before i'll get periodonti
Gingivitis : Gingivitis does not always turn into periodontitis but often does. Your immune reponse will dictate how fast and how much the disease will progress. Arresting the disease as soon as it is discovered is the best way to prevent progression. Brushing and flossing regularly and being regular with your dental hygiene visits will help. ...Read moreSee 2 more doctor answers
Gingivitis: Gingivitis is an infection of only the gum tissue around the teeth and is reversible with treatment. Periodontitis is where the the bone around the teeth as well as the soft gum tissues have been infected and the bone is being destroyed. Like other chronic diseases this can be treated and controlled but the bone cannot be restored and replaced once it is gone. ...Read moreSee 1 more doctor answer
Big difference: Gingivitis refers to inflammation of the gums due to an excess of plaque on the teeth. Signs of gingivitis include red, swollen gums, or gums that bleed easily when you brush your teeth. If left untreated, this will lead to periodontitis which is a more serious gum disease. Some signs of periodontitis include loose\ drifting teeth, gum recession, perio pockets and bone loss, infections & pain. ...Read moreSee 2 more doctor answers
Early /late stages: When you get inflammation of the gum tissues around the teeth , that is gingivitis , when that gingivitis stays untreated, then it turns to periodontitis , which is the inflammation of all the tissues surrounding the teeth including the gums, periodontal ligaments around the teeth roots and the bone sockets of those teeth. ...Read moreSee 2 more doctor answers
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 moreSee 2 more doctor answers
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