Periodontal Disease

11 min read

Periodontal disease, also known as gum disease, is an infection of the tissues that surround and support the teeth. It is caused by bacteria that accumulate on the teeth and gums, and is one of the most common oral health problems. If left untreated, periodontal disease can lead to tooth loss and other serious health problems.

Causes of Periodontal Disease

Periodontal disease is caused by bacteria that accumulate on the teeth and gums. Poor oral hygiene, smoking, and certain medications can increase the risk of developing periodontal disease. Other factors that can contribute to the development of periodontal disease include genetics, stress, and certain medical conditions.

Diagnosis of Periodontal Disease

Periodontal disease is usually diagnosed during a routine dental exam. During the exam, the dentist will check for signs of inflammation, such as redness and swelling, and measure the depth of the pockets between the teeth and gums. X-rays may also be taken to check for bone loss.

Prevention of Periodontal Disease

Good oral hygiene is the best way to prevent periodontal disease. Brushing and flossing regularly, and visiting the dentist for regular check-ups can help to keep the teeth and gums healthy. Quitting smoking and avoiding certain medications can also help to reduce the risk of developing periodontal disease.

Take the Periodontal Disease Assessment

Symptoms

Common Symptoms of Periodontal Disease

  • Red, swollen, or tender gums
  • Gums that bleed easily when brushing or flossing
  • Gums that have pulled away from the teeth
  • Persistent bad breath or bad taste in the mouth
  • Loose teeth
  • Changes in the way your teeth fit together when you bite
  • Changes in the fit of partial dentures

If you experience any of these symptoms, it is important to see your dentist as soon as possible. Early diagnosis and treatment can help prevent further damage to your teeth and gums.

Causes

Risk Factors

There are several risk factors that can increase the likelihood of developing periodontal disease. These include:

  • Smoking: Smoking can increase the risk of periodontal disease by up to seven times.
  • Poor Oral Hygiene: Not brushing and flossing regularly can lead to an accumulation of bacteria on the teeth and gums.
  • Diabetes: People with diabetes are more likely to develop periodontal disease.
  • Medications: Certain medications, such as steroids, can increase the risk of periodontal disease.
  • Genetics: Some people are more prone to periodontal disease due to their genetic makeup.
  • Age: As people age, their risk of periodontal disease increases.

Prevention

The best way to prevent periodontal disease is to practice good oral hygiene. This includes brushing and flossing regularly, as well as visiting the dentist for regular checkups. Quitting smoking and controlling diabetes can also help reduce the risk of periodontal disease.

Getting a Diagnosis

Signs and Symptoms of Periodontal Disease

The most common signs and symptoms of periodontal disease include:

  • Red, swollen, or tender gums
  • Gums that bleed easily when brushing or flossing
  • Receding gums
  • Persistent bad breath
  • Loose teeth
  • Formation of deep pockets between the teeth and gums

Diagnosing Periodontal Disease

If you experience any of the above symptoms, it is important to see your dentist or periodontist as soon as possible. Your dentist will perform a thorough examination of your teeth and gums to determine if you have periodontal disease. This examination may include:

  • X-rays to check for bone loss
  • Measuring the depth of the pockets between the teeth and gums
  • Checking for signs of inflammation
  • Checking for signs of infection

Your dentist may also take a sample of your saliva to check for bacteria that can cause periodontal disease.

Treating Periodontal Disease

Once periodontal disease is diagnosed, your dentist or periodontist will develop a treatment plan to help you manage the condition. Treatment may include:

  • Scaling and root planing to remove plaque and tartar from the teeth and gums
  • Antibiotics to help fight infection
  • Surgery to repair damaged tissue
  • Regular dental cleanings to help prevent further damage

It is important to follow your dentist's instructions and attend regular check-ups to ensure that your periodontal disease is properly managed. With proper care, you can keep your teeth and gums healthy and prevent further damage.

Questions for Your Doctor

Symptoms

The first thing to discuss with your doctor is the symptoms you are experiencing. Common symptoms of periodontal disease include red, swollen, or tender gums, bleeding gums, receding gums, bad breath, and loose teeth. If you are experiencing any of these symptoms, it is important to let your doctor know.

Risk Factors

Your doctor will also want to know about any risk factors you may have for periodontal disease. Risk factors include smoking, diabetes, poor oral hygiene, and certain medications. If you have any of these risk factors, it is important to let your doctor know.

Treatment Options

Your doctor will also want to discuss treatment options with you. Treatment options for periodontal disease include scaling and root planing, antibiotics, and surgery. Your doctor will be able to discuss the pros and cons of each option and help you decide which one is best for you.

Prevention

Finally, your doctor will want to discuss ways to prevent periodontal disease. Good oral hygiene is the best way to prevent periodontal disease. This includes brushing your teeth twice a day, flossing daily, and visiting your dentist regularly. Your doctor can also recommend other preventive measures, such as quitting smoking or taking certain medications.

Discussing periodontal disease with your doctor is an important step in managing the condition. By talking to your doctor about your symptoms, risk factors, treatment options, and preventive measures, you can ensure that you are taking the best possible care of your oral health.

Treatment

Scaling and Root Planing

Scaling and root planing is a deep cleaning procedure that removes plaque and tartar from below the gum line. During the procedure, the dentist or hygienist will use special instruments to remove the plaque and tartar, and then smooth the rough spots on the root surfaces of the teeth. This helps to reduce inflammation and allows the gums to heal.

Antibiotics

Antibiotics may be prescribed to help control the infection caused by periodontal disease. These can be taken orally or applied directly to the gums. Common antibiotics used to treat periodontal disease include metronidazole, doxycycline, and minocycline.

Surgery

In some cases, surgery may be necessary to treat periodontal disease. This may include flap surgery, which involves lifting the gums to remove plaque and tartar, or bone and tissue grafts to help regenerate lost bone and tissue.

Laser Therapy

Laser therapy is a newer treatment option for periodontal disease. During the procedure, a laser is used to remove plaque and tartar, and to help reduce inflammation and stimulate healing. Laser therapy is often used in combination with other treatments.

Good Oral Hygiene

Good oral hygiene is essential for preventing and treating periodontal disease. This includes brushing twice a day, flossing daily, and using an antiseptic mouthwash. It is also important to visit the dentist regularly for checkups and cleanings.

Drugs & Medications

Antibiotics

Antibiotics are the most common type of drug used to treat periodontal disease. These drugs work by killing the bacteria that cause the infection. Common antibiotics used to treat periodontal disease include tetracycline, doxycycline, amoxicillin, and metronidazole. These drugs are usually taken orally, but may also be applied directly to the gums.

Non-Steroidal Anti-Inflammatory Drugs (NSAIDs)

NSAIDs are drugs that reduce inflammation and pain. They are often used in combination with antibiotics to treat periodontal disease. Common NSAIDs used to treat periodontal disease include ibuprofen, naproxen, and aspirin. These drugs are usually taken orally.

Chlorhexidine

Chlorhexidine is an antiseptic mouthwash that is used to treat periodontal disease. It works by killing bacteria and reducing inflammation. It is usually used in combination with other drugs, such as antibiotics and NSAIDs. Chlorhexidine is available in both prescription and over-the-counter forms.

Surgical Treatments

In some cases, surgery may be necessary to treat periodontal disease. Common surgical treatments include pocket reduction surgery, bone grafting, and gum grafting. These procedures are usually performed by a periodontist, a dentist who specializes in treating gum disease.

Conclusion

Periodontal disease is a serious condition that can lead to tooth loss if left untreated. Fortunately, there are a variety of drugs and surgical treatments available to treat the condition. Antibiotics, NSAIDs, chlorhexidine, and surgical treatments are all effective ways to treat periodontal disease.

Diet

Foods to Eat

A healthy diet for periodontal disease should include plenty of fruits and vegetables, whole grains, lean proteins, and healthy fats. Eating a variety of these foods can help reduce inflammation in the body, which can help reduce the risk of periodontal disease. Additionally, foods that are high in calcium, such as dairy products, can help strengthen the bones and teeth.

Foods that are high in antioxidants, such as berries, can also help reduce inflammation and protect the gums from damage. Eating foods that are high in vitamin C, such as citrus fruits, can also help strengthen the gums and reduce the risk of periodontal disease.

Foods to Avoid

In addition to eating a healthy diet, it is important to avoid foods that can increase the risk of periodontal disease. Foods that are high in sugar and refined carbohydrates, such as candy and white bread, can increase the amount of plaque in the mouth and increase the risk of periodontal disease. Additionally, foods that are high in saturated fats, such as red meat and processed foods, can also increase the risk of periodontal disease.

It is also important to avoid foods that are high in acid, such as citrus fruits and tomatoes. These foods can erode the enamel on the teeth, which can make them more vulnerable to periodontal disease.

Conclusion

Eating a healthy diet is an important part of preventing and managing periodontal disease. Eating plenty of fruits and vegetables, whole grains, lean proteins, and healthy fats can help reduce inflammation in the body and protect the gums from damage. Additionally, avoiding foods that are high in sugar, refined carbohydrates, saturated fats, and acid can help reduce the risk of periodontal disease.

Lifestyle

Brush and Floss Regularly

Brushing and flossing your teeth twice a day is essential for preventing and managing periodontal disease. Brushing removes plaque and bacteria from the surface of your teeth, while flossing removes plaque and bacteria from between your teeth. Make sure to use a soft-bristled toothbrush and fluoride toothpaste, and floss gently to avoid damaging your gums.

Quit Smoking

Smoking is a major risk factor for periodontal disease. Smoking can damage your gums and make it harder for them to heal after treatment. If you smoke, quitting is the best way to reduce your risk of periodontal disease and other health problems.

Eat a Healthy Diet

Eating a healthy diet is important for your overall health, including your oral health. Eating a balanced diet that includes plenty of fruits and vegetables can help keep your gums healthy. Avoid sugary and starchy foods, which can increase your risk of periodontal disease.

Visit Your Dentist Regularly

Visiting your dentist regularly is essential for preventing and managing periodontal disease. Your dentist can check for signs of periodontal disease and provide treatment if necessary. Make sure to visit your dentist at least twice a year for a professional cleaning and checkup.

Manage Stress

Stress can have a negative effect on your oral health, so it’s important to manage your stress levels. Try to find healthy ways to cope with stress, such as exercising, meditating, or talking to a friend. Taking care of your mental health can help keep your gums healthy.