Periodontal Disease

Symptoms of Periodontal Disease

Bleeding gums represent one of the earliest warning signs:

• Early symptoms: bleeding during brushing and flossing, persistent bad breath, red or swollen gums, tender gum tissue

• Progressive symptoms: gum recession making teeth appear longer, sensitive teeth from exposed roots, pain when chewing

• Advanced symptoms: loose teeth, teeth shifting position, pus between teeth and gums, gaps developing between teeth

Changes in how your teeth fit together when you bite signal progression of periodontal disease. Any of these symptoms warrant immediate evaluation to prevent further damage.

Nonsurgical Treatment Options

Scaling and root planing represents the primary nonsurgical treatment for periodontal disease. This deep cleaning removes plaque and tartar from below the gum line. The procedure smooths tooth roots to help gums reattach and heal.

A dental hygienist or periodontist performs scaling and root planing using specialized instruments. Local anesthetic numbs the treatment area. The procedure typically requires two to four visits, treating one section of your mouth each time.

Antibiotic therapy supplements scaling and root planing in some cases. Topical antibiotics placed directly into periodontal pockets kill bacteria. Oral antibiotics address widespread infection. These medications reduce bacterial load and support healing.

Professional dental cleaning every three to four months helps maintain results after initial treatment. Regular periodontal maintenance appointments prevent reinfection and allow early detection of any recurring problems.

Surgical Procedures for Advanced Cases

Periodontal surgery becomes necessary when deep pockets remain after nonsurgical treatment. Flap surgery accesses roots and bone beneath the gum line. Your periodontist makes small incisions to lift the gum tissue, thoroughly cleans the roots and removes diseased tissue, then repositions the gums to reduce pocket depth.

Bone grafting restores bone destroyed by periodontal disease. The procedure places graft material into areas of bone loss. This material serves as a scaffold for new bone growth, strengthening support for affected teeth and creating a foundation for potential dental implants.

Guided tissue regeneration promotes growth of new bone and connective tissue. A special membrane placed between the gum tissue and bone creates space for regeneration while blocking fast-growing gum tissue from filling the area.

Soft tissue grafts address gum recession by taking tissue from your palate or using donor material to cover exposed roots. This protects roots from decay, reduces sensitivity, and improves appearance.

Preventing Periodontal Disease

Brush your teeth twice daily for two minutes using a soft-bristled brush. Hold the brush at a 45-degree angle to your gum line. Use gentle circular motions to clean all tooth surfaces. Don’t forget to brush your tongue where bacteria accumulate.

Floss at least once daily to remove plaque and food particles from between teeth and along the gum line. Slide the floss gently up and down against each tooth surface, curving it around the base of each tooth.

Regular dental checkups and professional cleanings remove tartar before it causes gum problems. Most people need cleanings every six months. Those with increased risk for gum disease benefit from cleanings every three to four months.

Use antimicrobial mouthwash to reduce plaque-causing bacteria. Rinse for 30 seconds after brushing and flossing. Choose products with the American Dental Association seal of approval.

Quit smoking to dramatically reduce your risk for severe gum disease. Maintain a balanced diet rich in vitamins and minerals. Manage diabetes and other systemic diseases that affect oral health. Address teeth grinding or clenching that can damage gum tissue.

The Connection Between Oral and Systemic Health

Research increasingly shows links between periodontal disease and overall health. The bacteria from gum infection can enter your bloodstream and travel throughout your body. Chronic inflammation from untreated periodontal disease may contribute to various systemic diseases.

Heart disease risk increases with severe gum disease. The inflammation and bacteria may contribute to arterial plaque buildup, blood clots, and heart attacks. Some studies suggest treating periodontal disease may reduce cardiovascular disease risk.

Diabetes and periodontal disease affect each other. Gum infection makes blood sugar control more difficult. Poor blood sugar control worsens periodontal disease. Managing both conditions together improves outcomes for each.

Pregnant women with periodontal disease face higher risk for premature birth and low birth weight babies. The inflammation from gum infection may trigger early labor. Treating gum disease during pregnancy appears safe and may improve pregnancy outcomes.

Respiratory infections may increase in people with periodontal disease. Bacteria from the mouth can be inhaled into the lungs, potentially causing pneumonia or worsening existing lung conditions.

Expert Periodontal Care at Laudenbach Periodontics & Dental Implants in Philadelphia

Dr. Jay Laudenbach and Dr. Ishita Bhavsar bring over 25 years of combined experience treating periodontal disease at all stages. We use comprehensive periodontal evaluations to assess your gum health, measure pocket depths, evaluate bone levels, and identify risk factors.

Our Philadelphia practice offers both nonsurgical and surgical treatments tailored to your specific needs. From scaling and root planing to laser therapy and regenerative procedures, we provide advanced solutions to restore your gum health. Early intervention prevents progression to severe periodontitis and saves your teeth. Contact our office today to schedule your comprehensive periodontal evaluation.