Did you know that the most common cause of tooth loss in adults is gum disease? According to statistics from the
Centers for Disease Control and Prevention, one out of every two adults over the age of 30 in the United States has
periodontal disease. However, the good news is that periodontal disease is almost entirely preventable. At the
office of San Marcos Family Dental, we offer a comprehensive range of services to help patients maintain optimal
periodontal health and enjoy the benefits of a smile that look, feels, and functions at its best.
What is periodontal disease?
Periodontal disease, more commonly known as gum disease, is a set of inflammatory diseases that affect the
"periodontium", which are the hard and soft tissues surrounding and supporting your teeth. Just like tooth decay,
gum disease is attributed to the harmful bacteria in dental plaque and tartar that accumulate around the teeth and
under the gums.
Since the progression of periodontal disease is often painless, you may not even be aware of an ongoing disease
process. For this very reason, it’s essential to practice good oral hygiene and schedule visits for regular
checkups, professional cleanings, and routine care.
Taking care of your smile includes being mindful of the signs and symptoms of gum disease.
Some indications that you may have periodontal disease include:
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Inflamed and red gums
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Bleeding when brushing or flossing
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Receding gums and exposed tooth root surfaces
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Sensitivity to hot or cold temperatures
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Bad breath or a bad taste in the mouth
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Teeth that feel loose
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New spaces developing between the teeth or a change in the bite
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Change in the fit of existing partial dentures
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Discharge around the teeth and gums
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Sharp or dull pain when biting down or chewing food
The Importance Of Good Oral Health
Taking care of your smile does more than keep your teeth and gums in optimal condition; good oral health also
supports systemic health. In addition to being the leading cause of tooth loss in adults, researchers are finding
more and more links between periodontal disease and a number of medical problems, including heart disease, stroke,
diabetes, and respiratory problems.
At the office of San Marcos Family Dental, we emphasize the importance of prevention, early detection, and timely treatment
of periodontal disease. We provide patients the guidance, support, and care required to maintain optimal periodontal
health.
What is gingivitis?
Gingivitis represents the initial stage of gum disease. Although it doesn’t cause overt discomfort and often goes
unnoticed, there are specific signs to be aware of that indicate the start of a problem. If you notice your gums
bleed when you brush, look red and inflamed, or feel a little tender, you more than likely have gingivitis.
The good news is that by treating gingivitis early, the tissue damage associated with more advanced stages of gum
disease can be avoided. Despite the presence of inflammation, the overall integrity of the periodontal tissues in
this stage remains intact.
Treatment instituted at this point is often sufficient to reverse the course of the disease and to avoid any
permanent damage to the periodontal tissues. A series of deep dental cleanings, an improved home care regimen and a
commitment to regular maintenance may be all that is required to prevent this stage of periodontal disease from
progressing.
What is Periodontitis?
When left untreated, a case of gingivitis develops into a more advanced and damaging stage of gum disease, known as
periodontitis. At this point, the connective tissue and bone that hold the teeth in place begin to break down. With
the progression of periodontal disease and periodontitis, more and more tissue loss ensues. Damage often includes an
increase in pocketing between the teeth and bone, gum recession, and bone loss. As unresolved periodontitis goes
from mild to moderate to severe, it increasingly compromises the soft and hard tissues supporting the teeth.
Periodontal treatment in this phase is designed to halt the progression of the disease and to restore tooth support
as possible. Treatment may involve medications to control the bacteria and reduce the size of the pockets between
the teeth and gums, gum surgery, as well as bone and tissue grafts.
Let Us Help You Maintain Optimal Periodontal Health
At the office of San Marcos Family Dental, we offer personalized, state-of-the-art solutions to help you maintain healthy
gums and an attractive, well-functioning smile. As skilled providers of care, we utilize leading-edge technology and
treatment methods to address a broad range of periodontal conditions and needs.
Thanks to advances in care, periodontal treatment today not only helps to halt the progression of gum disease but
also delivers effective solutions, including bone grafting and regenerative procedures to repair tissue damage,
restore bone volume, improve cosmetics, or provide adequate support for the placement of dental implants.
How is gum disease treated?
The type of periodontal treatment you receive depends on several factors including the stage of periodontal disease,
the extent of tissue damage, your overall oral health, existing medical conditions, and other considerations in
care. After a thorough assessment of your case, we’ll discuss your options to reestablish and maintain optimal
periodontal health. We welcome your questions and are always on hand to provide guidance and address your concerns.
Periodontal treatment can be categorized in the following ways:
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Non-Surgical Periodontal Treatment
When periodontal disease is detected early in its onset, conservative or non-surgical methods of care
combined with improved hygiene routines can restore periodontal health. While periodic, professional
cleanings are sufficient to maintain periodontal health in patients that do not have gum disease, once
gingivitis is present, deeper cleanings and possibly other non-surgical methods of care are recommended to
treat the condition.
The American Academy of Periodontology emphasizes achieving periodontal health by means of the least
invasive and cost-effective treatment approaches to care. Deeper cleanings, which include Scaling and Root
planing, are non-surgical procedures that are considered the first line of defense against the progression
of periodontal disease.
With scaling and root planing, any plaque and tartar (hardened dental plaque) that have accumulated below
the gumline are carefully removed, and then the root surfaces of the teeth are smoothed. Since periodontal
disease is an inflammatory response to plaque, tartar, and bacterial toxins, by simply mechanically
eliminating these agents, the progression of gum disease can be halted. In addition to removing plaque and
tartar with a scaling and root planing procedure, antimicrobial medication placed under the gumline or
systemic medications can be used as adjuncts to care to further reduce the bacterial population.
If non-surgical approaches to managing periodontal disease do not achieve the desired outcome, surgery may
be recommended to halt its progression and repair damage as possible.
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Periodontal Surgery
When gum disease has advanced beyond the initial stage, periodontal surgery is often recommended to
effectively remove bacteria and tartar from around the teeth, reduce gingival pocket depth, restore lost
tissue as possible, and halt disease progression. It’s essential to keep in mind that gum disease is a
progressive condition. If appropriate measures are not taken, gum disease continues to compromise the
support of the teeth and have consequences to one’s overall dental health and well-being.
As untreated gingivitis evolves into more advanced stages of gum disease, periodontal pockets deepen, the
bacteria become more difficult to remove, and the gaps between the surface of the teeth and gums get larger.
When pocket depth increases to the point of being beyond the reach of deep cleanings and other conservative
methods of care (5mm or more), gum surgery to clean and treat the damage to gums and underlying bone is
typically recommended.
The good news is that with proper surgical treatment followed by improved oral hygiene, the chances of tooth
loss, further damage to the bone and soft tissues supporting the teeth, and complications from health
problems that are linked to periodontal disease can be decreased.
The goals of pocket reduction surgery are to accomplish the following:
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Remove sub-gingival bacteria beneath the gums and from the surfaces of the roots of the teeth
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Halt damage to the underlying bone, and recontour the affected hard tissues as needed
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Reduce pocket depth to facilitate easier cleaning of the teeth and gums and the maintenance of optimal periodontal health
In many cases, a periodontal procedure, which is known as flap surgery, is frequently recommended. During
this procedure, the gums in the affected area are reflected away from the teeth and supporting bone. Now,
the pocket and roots of the teeth can be thoroughly cleaned and supporting tissues recontoured as needed.
When this step gets completed, the tissue flag gets sutured back into place.
Today, in addition to conventional surgical approaches to care, dental lasers are also used to perform
select periodontal procedures. When applicable, laser technology can help treat periodontitis, reduce pocket
depth, address peri-implantitis, and remove or recontour gingival tissues for cosmetic purposes.
Gum Disease FAQs
+How common is gum disease?
Most people don’t realize that periodontal disease is the leading cause of tooth loss among adults.
According to statistics from the Centers for Disease Control and Prevention, one out of every two
adults over the age of 30 in the United States has periodontal disease.
+What causes gum disease?
You may be surprised to learn that the human mouth is home to a wide variety of microbes. The fact
is that over 700 different strains of bacteria have been detected in the oral cavity. Although some
of these bacteria are beneficial, others are harmful to oral health. Without proper oral hygiene and
routine dental care, these harmful bacteria can cause tooth decay and gum disease, compromising both
your oral health and overall wellbeing.
+Are there other risk factors for periodontal
disease?
In addition to inadequate oral hygiene and infrequent professional care, other factors, including
smoking, genetic tendencies, and unchecked diabetes, can contribute to the escalation of periodontal
disease.
+Why are healthy gums so important?
Your gums and teeth have an interdependent relationship, which means healthy teeth depend on the
support of healthy gums. Also, taking care of your smile does more than keep your teeth and gums in
optimal condition; good oral health also supports systemic health. In addition to being the leading
cause of tooth loss in adults, researchers are finding more and more links between periodontal
disease and a number of medical problems, including heart disease, stroke, diabetes, respiratory
problems, and adverse pregnancy outcomes such as pre-term and low birth-weight babies.
+What are the symptoms of gingivitis?
If you notice that your gums are bleeding with the slightest pressure while brushing or flossing,
it’s a sign of gingivitis. Although gingivitis is the earliest stage of gum disease, it can easily
be reversed with deeper cleanings as well as an improved regimen of oral hygiene at home.
+What happens as gum disease progresses?
In the absence of professional treatment and better home care, gingivitis progresses to the next
stage, which is known as periodontitis. In this stage, the connective tissue and bone that hold the
teeth in place begin to break down with an increase in pocketing between the teeth and bone, gum
recession, and bone loss. Without proper treatment by your dentist, periodontitis will progress from
a mild to moderate loss of supporting tissue to the destruction of the bone around the teeth.
+What are the best ways to manage and treat more
advanced gum disease or periodontitis?
Although gingivitis can often be reversed with improved oral hygiene and professional cleanings, as
periodontal disease advances, more extensive procedures are required to halt its progression. Based
on a complete assessment of your periodontal health and a review of possible contributing factors,
our office will recommend the best options in care. Treatment for periodontitis may include a series
of deeper cleanings known as root planing and scaling, surgical procedures to reduce pocket depth,
bone or tissue grafts, laser procedures, or antimicrobial medications.
+How much does periodontal treatment cost?
The cost of care depends on the type of procedures required to restore your periodontal health. If
you have dental insurance, plans often cover treatment to prevent gum disease as well as many
procedures to treat the various stages of gum disease. Our goal is to help patients restore and
maintain good oral health. We do all we can to help you begin care without additional stress or
delay. Our business office works with you to maximize your benefits and provide easier, more
convenient payment options.
+What is the best way to prevent gum disease?
By seeing our office regularly for care and doing your best to eat a healthy diet and practice good
oral hygiene, you can keep your smile in tip-top shape as well as protect your overall wellbeing.
+Why choose the office of San Marcos Family Dental for
care?
At the office of San Marcos Family Dental, we provide a comprehensive range of services to address all your
oral healthcare needs. You can rest assured that your smile is in the best of hands at our office.
Our skilled and experienced team maintains a position at the forefront of advances in care and
remains dedicated to providing the highest quality of skilled and compassionate treatment.
For more information on our office and the many services we provide, give us a call today.