Local Dental Care - Is Periodontal Disease Curable

Periodontists and Periodontics 101, Dental Specialties

Periodontics is one of the eight dental specialties recognized by the American Dental Association. Periodontists specialize in Periodontal work. Periodontal comes from two Greek words that mean "around the tooth." The periodontium refers to the anatomical structures around teeth: the gum, bone, and the periodontal ligament that attaches the tooth to the bone.

Periodontists are dentists that have three additional years of training to specialize in the prevention, diagnosis, and treatment of the diseases that affect the gums and supporting structures of the teeth. Periodontists also are experts in the placement and treatment of dental implants.

Periodontal disease is the major cause of tooth loss in adults. According to the American Dental Association, three out of four Americans over age 35 have some form of periodontal disease. Gingivitis is the mildest form of periodontal disease and the most common infection in the world. But if left untreated, it can progress to periodontitis -- the loss of bone and tissues that support the teeth.

Periodontal diseases can be localized to a few teeth or generalized, in which most of the teeth are affected. It can affect people of all ages and without proper periodontal treatment, this disease can result in tooth loss and even complications of systemic diseases.

There are several different forms of periodontal disease. Each can progress at different rates. The same disease can have periods when it develops slowly and others when it progresses quite rapidly. Most of the time, periodontal diseases are painless. But they may have acute episodes that result in severe pain and a dental emergency.

The rate of periodontal disease progression is dependent on a multitude of factors, including the presence of certain risk factors that make people more susceptible to periodontal breakdown.

All periodontal disease is caused by an accumulation of bacteria at and below the gum line. The bacteria release toxic substances that trigger the breakdown of the gum and bone. The gums become red, swollen, and bleed easily. The gum tissue then separates from the teeth, forming a gap called a periodontal pocket or exposing the root surface in what is called recession.

The body responds to the bacteria with an inflammatory response in which it essentially 'turns on itself' and destructs the bone and tissues around the teeth. This is the body's way of warding off infectious agents. The teeth can start moving and shifting and eventually if there is advanced bone loss, the teeth can be lost.

Periodontal diseases are treated in three phases by periodontists. The first is to stop the disease activity and progression of bone loss. In the early stages of periodontal disease, scaling and root planning may be the only treatment needed.

The bacterial deposits (plaque and tartar) that formed above and underneath the gums need to be removed and the root surfaces of the teeth smoothed to enhance healing and deter future plaque retention. During this phase of treatment, the periodontist will review the oral hygiene technique, and give advice on the modification of certain risk factors associated with periodontal disease.

If the periodontal disease is more advanced, surgical treatment may be indicated. The purpose of this phase of treatment is to create an environment that is more amenable to health and, if possible, regenerate some of the bone that was lost to the disease.

In some forms of periodontitis, antibiotic treatment may be indicated. If this is the case, a bacterial culture may be required to test for harmful bacteria and to establish what antibiotics they are susceptible to.

Periodontal disease is a chronic disease that, like many other chronic diseases, has to be closely monitored, even after active treatment. The maintenance or third phase is crucial to the success of any treatment.

Daily brushing and flossing is essential in controlling the ever-developing plaque. So is periodic periodontal maintenance care with a Periodontists scaling of the teeth. The periodontal status has to be closely monitored so that changes can be identified and treated as early as possible.

Everyone should be routinely screened for periodontal disease. All periodontists are qualified in detecting and treating the early stages of periodontal disease, but if you suspect that you are at risk, or you know you have periodontal disease, you may want to see a periodontist who has extensive advanced training in the diagnoses and treatment of periodontal diseases.

With today's Periodontists knowledge about periodontal diseases and the new advances in treatment, you can expect to keep your teeth for a lifetime and ward off the effects that periodontal disease may have on your overall health.

By Laura Minsk, DMD

Oral Hygiene, Periodontal Disease And Heart Disease

The well-known risks for heart disease include smoking, obesity, high cholesterol, and high blood pressure. Now evidence suggests that having gum disease puts you at greater risk for cardiovascular (heart) disease.

The bacterial infection that causes periodontal disease also may affect the heart. In fact, all other conditions being equal, people with periodontal disease may have twice the risk of having a fatal heart attack as people that don't have periodontal disease. By taking care of your periodontal health, you can prevent or help control one of the risk factors for heart disease.

Although the exact mechanism of infection has not been determined, it is possible that the bacteria that cause periodontal disease enter the blood stream directly through the gum tissue. This can be precipitated by normal oral activities, such as brushing and chewing, that create tiny injuries in the gum and then release bacteria into the blood stream.

The bacteria can contribute to small blood clots that clog the arteries. There also is the possibility that the inflammation caused by periodontal disease contributes to the build-up of fatty deposits inside the heart arteries and the formation of blood clots. These clots can obstruct the normal blood flow, restricting the amount of nutrients and oxygen to the heart and resulting in a heart attack.

Oral bacteria can also travel to the heart and cause an infection of the lining or valves of the heart called infective endocarditis. People with a history of rheumatic heart disease, mitral valve prolapse with regurgitation, or heart murmur associated with various heart conditions are at greater risk of developing infective endocarditis and may require antibiotic treatment before dental procedures that may induce bleeding.

These procedures include oral surgery, tooth extraction, and routine cleanings. The best way to avoid infective endocarditis is by maintaining good oral health. But if you have any of the conditions that put you at greater risk for infective endocarditis, consult your cardiologist and dentist before starting any dental treatment.

Treatment of periodontal disease may be one of the ways you can help prevent heart disease and a heart attack. With meticulous oral hygiene, daily brushing and flossing, professional cleanings, and periodontal screenings, you may help save your teeth and your life.

By Laura Minsk, DMD