accessibility ACCESSIBILITY

Types of Periodontal Disease

Periodontal disease (also known as periodontitis and gum disease) is a progressive disease which affects the supporting and surrounding tissue of the gums, and also the underlying jawbone. If left untreated, periodontal disease can result in loose, unstable teeth, and even tooth loss. Periodontal disease is in fact the leading cause of tooth loss in adults in the developed world and should not be taken lightly.

Periodontal disease begins when the toxins found in plaque start to attack the soft or gingival tissue surrounding the teeth. This bacterium embeds itself in the gum and rapidly breeds, causing a bacterial infection. As the infection progresses, it starts to burrow deeper into the tissue causing inflammation or irritation between the teeth and gums. The response of the body is to destroy the infected tissue, which is why the gums appear to recede. The resulting pockets between the teeth deepen and, if no treatment is sought, the tissue which makes up the jawbone also recedes causing unstable teeth and tooth loss.

Types of Periodontal Disease

There are many different varieties of periodontal disease, and many ways in which these variations manifest themselves. All require immediate treatment by a periodontist to halt the progression and save the gum tissue and bone.

Here are some of the most common types of periodontal disease along with the treatments typically performed to correct them:

Gingivitis

Gingivitis is the mildest and most common form of periodontitis. It is caused by the toxins in plaque and leads to periodontal disease. People at increased risk of developing gingivitis include pregnant women, women taking birth control pills, people with uncontrolled diabetes, steroid users and people who control seizures and blood pressure using medication.

Treatment: Gingivitis is easily reversible using a solid combination of home care and professional cleaning. The dentist may perform root planing and deep scaling procedures to cleanse the pockets of debris. A combination of antibiotics and medicated mouthwashes may be used to kill any remaining bacteria and promote the good healing of the pockets.

Chronic Periodontal Disease

Chronic periodontal disease is the most common form of the disease, and occurs much more frequently in people over 45. Chronic periodontal disease is characterized by inflammation below the gum line and the progressive destruction of the gingival and bone tissue. It may appear that the teeth are gradually growing in length, but in actuality the gums are gradually recessing.

Treatment: Unfortunately unlike gingivitis, chronic periodontal disease cannot be completely cured because the supportive tissue cannot be rebuilt. However, the dentist can halt the progression of the disease using scaling and root planing procedures in combination with antimicrobial treatments. If necessary, the periodontist can perform surgical treatments such as pocket reduction surgery and also tissue grafts to strengthen the bone and improve the aesthetic appearance of the oral cavity.

Aggressive Periodontal Disease

Aggressive periodontal disease is characterized by the rapid loss of gum attachment, the rapid loss of bone tissue and familial aggregation. The disease itself is essentially the same as chronic periodontitis but the progression is much faster. Smokers and those with a family history of this disease are at an increased risk of developing aggressive periodontitis.

Treatment: The treatments for aggressive periodontal disease are the same as those for chronic periodontal disease, but aggressive periodontal disease sufferers are far more likely to require a surgical intervention. This form of the disease is harder to halt and treat, but the dentist will perform scaling, root planing, antimicrobial, and in some cases laser procedures in an attempt to save valuable tissue and bone.

Periodontal Disease Relating to Systemic Conditions

Periodontal disease can be a symptom of a disease or condition affecting the rest of the body. Depending on the underlying condition, the disease can behave like aggressive periodontal disease, working quickly to destroy tissue. Heart disease, diabetes and respiratory disease are the most common cofactors, though there are many others. Even in cases where little plaque coats the teeth, many medical conditions intensify and accelerate the progression of periodontal disease.

Treatment: Initially, the medical condition which caused the onset of periodontal disease must be controlled. The dentist will halt the progression of the disease using the same treatments used for controlling aggressive and chronic periodontal disease.

Necrotizing Periodontal Disease

This form of the disease rapidly worsens and is more prevalent among people who suffer from HIV, immunosuppression, malnutrition, chronic stress or choose to smoke. Tissue death (necrosis) frequently affects the periodontal ligament, gingival tissues and alveolar bone.

Treatment: Necrotizing periodontal disease is extremely rare. Because it may be associated with HIV or another serious medical condition, it is likely the dentist will consult with a physician before commencing treatment. Scaling, root planing, antibiotic pills, medicated mouth wash and fungicidal medicines are generally used to treat this form of the disease.

If you have any question or concerns about the different types of periodontal disease and treatments, please ask your dentist.

Testimonials.

Read what people are saying about us.

read more

Testimonials

Dr. Hekmat and all of his staff are gentle and friendly. They take the fear out of going to the dentist. He has done quality work on my teeth for the last three years and fixed problems I had from previous, poor quality dental work too! I am more than willing to drive 40 miles from where I live because I've never had such a great dental experience anywhere else!

Taylor w

Dr. Hekmat is absolutely wonderful, I couldn't imagine going to anyone else. He and his entire staff are caring and knowledgable; the quality of care is as good as it gets.
This is not your typical dentist experience. When I walk in today for my appointment, there was no check-in process- the assistant working at the front desk recognized me and told me the hygienist would be with me shortly (2 minutes later, right on time). They actually take the time to get to know their patients, which is especially comforting for those of us who get a little antsy when it comes time for a dental appointment.
The facility is top-notch. It's incredibly clean, TV in the lobby, and the chairs have massagers in the back so you can focus on something besides having your teeth cleaned. The pictures on their website might look too good to be true, but it's just genuinely that nice.
Dr. Hekmat and his staff are all phenomenal. They know what they're doing, take the time to explain what they're doing, and to answer questions. I would recommend Dr. Hekmat to anyone looking for a dentist or to change dentists, he's the best!

Chelsea S.

Dr. Hekmat's offices are so clean, soothing, and modern that it almost (ALMOST ... it's still the dentist!) feels like visiting the spa when you visit. I drive up all the way from the UTC area because I trust him and his staff with my teeth and my jittery nerves! They even take a photo of you at your first visit, so that when you come back, the receptionist greets you by name and already knows who you are - very welcoming, and a unique touch. Even the lighting is warm and relaxing, and the view from the chair is of a large, grassy pond filled with ducks.

Dr. Hekmat himself is friendly, calming, and talented. He replaced several silver filings with white filings for me - and he was really, really fast. Which was really appreciated by me, because I'm a big baby when it comes to the dentist. Several months later, and I'm silver-free and my filings have done great.

Ann M.

View More



Site Developed by ProSites.com