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.
Periodontal Disease
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.
Today most adults recognize that leading a healthy, active lifestyle is a big plus. Moderate exercise has been shown to help lower blood pressure, keep cholesterol levels under control, and even reduce feelings of anxiety or depression. To stay active, some 150 million adults in the United States get involved in sports or physical recreation every year. And every year, some of those active folks wind up being treated for sports-related dental injuries.
Who is apt to suffer this kind of injury? Men are more likely than women, but only by a few percentage points. For both sexes, the injury rate falls off rapidly after the teen years — although older athletes tend to have more severe problems. But if you thought that contact sports like football and hockey produced the greatest number of injuries…then it's time to think again: Adult males are far more likely to be injured playing basketball!
Baseball, bicycling, handball, skiing, surfing and equestrian sports — plus some two dozen others — are activities that the American Dental Association (ADA) has identified as potential causes of dental injury in adults.
Don't get us wrong: There's no question that the benefits of physical activity far outweigh the possibility of being hurt. But when serious dental injury occurs, it can result in pain, time taken away from work or the family, and high treatment costs — which often aren't covered by insurance. If you had a piece of equipment, endorsed by the ADA, which could reduce the risk of sports-related dental injury by 60 times… would you use it?
An Indispensable Part of Your Sports Gear: The Mouthguard
A high-quality, custom-made mouthguard should be part of every athlete's equipment. What's a mouthguard? It's a small protective device that fits over your teeth and absorbs the force of an impact, helping to protect the mouth from damage. There are different kinds of mouthguards, available from various sources. They include:
- “Off-the shelf” types. Found in some sports retailers and big-box stores, these inexpensive guards come in S-M-L sizes, and are generally worn by clenching them between the teeth. They are probably better than nothing, if you don't mind wearing them—but they can be uncomfortable, and are of uncertain quality.
- “Boil and bite” guards. This type of mouthguard is meant to be softened by heat, and then molded into shape by fingers, teeth and tongue. It's a better choice than the first kind, but there can be wide variation in how much mouth coverage these guards provide—and in their effectiveness.
- The custom-fabricated mouthguard. This is the one that's made just for you: First a model of your teeth is prepared, and then is individually fabricated into a piece of protective gear for a perfect fit. It's strong, lightweight and comfortable — which means you can wear it comfortably. Because, after all, if you don't wear it, it doesn't help.
Custom-made mouthguards are an indispensable piece of equipment — especially when they could save you the inconvenience (and potentially much higher cost) of restoring or replacing teeth. So if you're the active type, consider having a custom mouthguard made for you. It's the best way to prevent a dental injury from spoiling your game.
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The Field-Side Guide to Dental Injuries Accidents to the teeth, jaws and mouth can happen at any time during any sporting activity. Proper attention can save pain, alleviate anxiety and costly dental treatment. A little knowledge, as they say, can go along way. This field-side guide briefly explains some simple rules to follow when dealing with different dental injuries and when you need to see the dentist... Read Article
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