Online Dental Education Library
Our team of dental specialists and staff strive to improve the overall health of our patients by focusing on preventing, diagnosing and treating conditions associated with your teeth and gums. Please use our dental library to learn more about dental problems and treatments available. If you have questions or need to schedule an appointment, contact us.
When to See a Periodontist
Periodontal treatment may be sought in several ways. Your general dentist or a hygienist may recommend a consultation with a periodontist if they find signs of periodontal disease through the course of a checkup or other dental care appointment. You may also decide to see a periodontist on your own, as a referral is not necessary to be seen at our office.
In fact, if you experience any of these symptoms, we encourage you to schedule an appointment at our office without delay:
- Unexplained bleeding while performing regular cleaning or consuming food is the most common sign of a periodontal infection.
- Ongoing halitosis (bad breath), which continues despite rigorous oral cleaning, can point to periodontitis, gingivitis or the beginnings of a gum infection.
- Longer-looking and loose-feeling teeth can indicate recession of the gums and/or bone loss as a result of periodontal disease.
Patients with heart disease, diabetes, osteopenia or osteoporosis are often diagnosed with correlating periodontal infections. The bacterial infection can spread through the blood stream, affecting other areas of the body.
- Bleeding while brushing or eating normal foods
- Bad breath
- Loose teeth and gum recession
- Related health concerns
What is Periodontal Disease?
Periodontal disease is a chronic infection of the periodontal or gum tissue. This infection is caused by the presence of a bacterial film, which is called dental plaque, that forms on the teeth surfaces. Bacteria that found in dental plaque produce toxins which irritate the gums. They may cause them to turn red, swell and bleed easily. If this irritation is prolonged, the gums separate from the teeth, causing pockets (spaces) to form. Plaque can also harden into a rough, porous substance known as calculus (or tartar). This can occur both above and below the gum line.
As periodontal diseases progress, the supporting gum tissue and bone that holds teeth in place deteriorate. If left untreated, this leads to tooth loss. With periodontal disease, bleeding, redness and swelling do not have to be present. Further, pain is usually not associated with periodontal disease. This disease damages the teeth, gum and jawbone of more than 80% of Americans by age 45. Each case is looked at individually, because in addition to plaque there are co-factors such as genetics, smoking, and overall health, which contribute to disease severity. Once periodontal disease is detected, our goal as therapists is to provide information and treatment necessary to control/ or arrest the active infection, and help keep the disease in an inactive or controlled state.
However, don’t be fooled!
With periodontal disease, bleeding, redness and swelling do not have to be present. The periodontal disease symptoms of inflammation may only be evident with sub gingival probing. Further, pain is usually not associated with periodontal disease.
If you've ever had needle phobia, you might like to learn about a new technology referred to as an “anesthesia wand,” which is a computer-controlled dental-injection tool. In fact, some people feel it is more of a “magic” wand because it doesn't look like a typical injection and it works even better by making the entire process virtually painless.
Here's how it works
Your anesthesia will be delivered through a syringe-free wand or pen-like device that is connected to a computer. Before the tiny needle attached to the wand is inserted, the computer delivers a small amount of anesthetic so that the insertion site starts going numb before the needle enters the skin.
Once the needle is in place, the computer delivers an accurate, consistent amount of anesthesia so that you remain comfortable — typically below the threshold of pain. The computer's microprocessor automatically adjusts the injection pressure for different tissue densities, maintaining a constant, comfortable flow of anesthesia. This is important because the culprit with most injection anxiety is discomfort from anesthetic being injected too quickly, not from the needle entering the skin.
What are some advantages of using an anesthesia wand?
- One of the most important advantages is that it doesn't look threatening, as it eliminates the initial anxiety upon seeing a syringe.
- It can be used in conjunction with other conscious sedation methods (i.e. nitrous oxide) for a more comfortable treatment.
- It provides painless injections for all routine dental treatments including root canals, crowns, fillings, and cleanings.
- With the wand, you will receive a more consistent and comfortable injection, especially in more sensitive areas such as the front of your mouth or in your palate (roof of your mouth) where tissue is less elastic.
- Due to the wand's penlike grasp, it is easier to handle, rotate, and accurately glide the wand into precise, hard-to-reach places to deliver anesthetics.
- Last but not least, many people who previously experienced a fear of injections are able to overcame their fear after the first use. This provides them with a better, less stressful dental experience.
Local Anesthesia for Pain-Free Dentistry Local anesthesia is one of the most effective tools in dentistry and medicine. It is safe, effective and has totally revolutionized pain control. Without local anesthesia, some dental procedures would be quite stressful for all involved. It's good for you and for your dental professionals... Read Article
Oral Sedation Dentistry Step out from under the shadow of fear and into the calm of sedation dentistry. There are safe and time-tested options available to ensure that you have a positive and painless dental experience. Your apprehension and hypersensitivity to pain melt away, yet you remain awake and in control... Read Article
Overcoming Dental Fear & Anxiety Do you feel relatively calm before your dental appointment or are you a little nervous about a visit to the dental office? Do you worry about it days or weeks before the appointment? Are you actually terrified of it? Whichever end of this spectrum you might be on, you are not alone. It's possible, even for those who are the most afraid, to reduce that fear and to learn to have treatment in a way that feels calm and safe. Here's how... Read Article