Periodontal Disease (also known as "Periodontal
Infection", "Gum Disease" or "Pyorrhea")
is an ongoing bacterial infection in the gums and bone which support
your teeth. If not treated, this ongoing infection can destroy
the bone around your teeth resulting in tooth loss. 75% of all
adult tooth loss is due to Periodontal Infection.
When you were a child, did you ever get a bad scrape that got
all red and swollen? That was bacteria that got under your skin
and caused an infection. It may have lasted for days or weeks.
Finally your immune system conquered the bad bacteria and the
infection healed.
With an ONGOING infection, your immune system never wins the
battle and the infection grows. Periodontal Disease is an ongoing
infection in the pockets around your teeth. Your immune system
is losing the battle and, without treatment, it will get worse.
People with Periodontal Disease have low resistance to periodontal
bacteria. This causes a continuing gum infection which grows in
"bursts" of activity. Each time it grows, more support
for your teeth is lost. Some factors which can cause a "burst"
of activity are:
1. Poor Oral Hygiene
2. Dental Plaque
3. Smoking
4. Genetic Factors
5. Stress or Tension
6. Diet
7. Age
8. Illness
When your infection has a burst of activity, or when there are
signs that this is about to occur, your general dentist may recommend
you see a periodontist.
Usually Periodontal Infection is painless until it reaches more
advanced stages. However there are some symptoms which can indicate
the presence of Periodontal Infection.
These include:
1. Red or swollen gums
2. Bleeding when brushing (pink toothbrush) or at other times
3. Aching, itchy, sore or tender gums
4. Receding gums (teeth beginning to look longer)
5. Bad breath
6. Any change in the way your teeth fit together when you bite
7. Loose, separating or protruding teeth
8. Spaces between teeth
If you notice any of the above warning signs of periodontal infection,
please contact your general dentist and ask for a periodontal
evaluation.
Important Note: Your gums can look
quite normal and yet deep pockets of periodontal infection can
be present. To be certain about periodontal disease, ask your
dentist or periodontist to examine your gums for signs of infection.
Your General Dentist is trained to detect and treat the early
stages of Periodontal Disease. A Periodontist is a dentist with
advanced training in the diagnosis and treatment of Periodontal
Disease. They also perform other periodontal treatments, such
as; crown lengthening and dental implants (see Procedures
Section). Periodontics is one of 8 specialties recognized by the
American Dental Association.
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