Periodontal Disease

Effective Treatment for Periodontal Diseases

Rely on Us for Quality Dental Treatments

Do you have red, swollen and bleeding gums? Turn to Ascent Dental for the diagnosis and effective treatment of periodontal diseases. This disease attacks the bone and gums that support the teeth. A sticky layer of food debris, bacteria, and saliva may form plaque which may turn into calculus if not removed on time.

Plaque and calculus may destroy bone and gums and can also lead to swollen or bleeding gums, if not removed on time. You may not be aware of the disease as it is usually painless in the early stages. 

Don't ignore your dental condition and visit our clinic for a quick checkup as it may lead to other diseases like stroke, bacterial pneumonia, diabetes, and cardiovascular disease. Smoking can also increase your risk of periodontal diseases. 

Identify the Signs and Symptoms of Gum Diseases

  • Bleeding gums: Even if you're brushing vigorously or flossing, your gums shouldn't bleed
  • Loose teeth: It may be caused due to bone loss or weak periodontal fibers
  • Newly formed spacing between teeth: Caused due to bone loss
  • Bad breath: Caused due to the growth of bacteria in the mouth
  • Pus around gums and teeth: Symptom of an infection
  • Receding gums: Loss of gum around the teeth
  • Swollen and red gums: Gums shouldn't be red or puffy
  • Discomfort or tenderness: Tartar, plaque and bacteria can irritate the gums and teeth

Periodontal Disease

Periodontal disease is the leading cause of tooth loss among adults and should always be treated immediately. Deepening pockets between your gum and teeth indicate that soft tissue and bone are being destroyed by periodontal disease. If left untreated, it can result in shifting teeth, loose teeth and eventually tooth loss. 

Periodontal disease is also known as periodontitis or gum disease. It's a common inflammatory condition that affects the supporting and surrounding soft tissues of your tooth. It can affect the jawbone in the most advanced stages of infection.

Periodontal disease is often preceded by gingivitis. This is a bacterial infection of your gum tissue. The toxins contained in plaque begin to irritate and inflame the gum tissues. When this bacterial infection settles in the gum pockets between your teeth, it's more difficult to remove the infection. 

Dental patient

Various Types of Periodontal Diseases

Chronic periodontitis: Inflammation within supporting tissues cause deep pockets and gum recession. It may appear the teeth are lengthening, but in actuality, the gums (gingiva) are receding. This is the most common form of periodontal disease. It is characterized by progressive loss of tooth attachment.
 
Aggressive periodontitis: This type of gum disease occurs in an otherwise clinically healthy individual. It results in rapid loss of gum attachment, chronic bone destruction, and familial aggregation.
 
Necrotizing periodontitis: This form of periodontal disease most often occurs in individuals suffering from systemic conditions such as HIV, immunosuppression, and malnutrition. Necrosis (tissue death) occurs in the periodontal ligament, alveolar bone, and gingival tissues.
 
Periodontitis caused by systemic disease: This form of gum disease often begins at an early age. Medical conditions such as respiratory disease, diabetes, and heart disease are common contributors to this disease.
Smiling patient

Treat Periodontal Disease Quickly

Scaling and root planing: In order to preserve the health of your gum tissue, we remove the bacteria and calculus (tartar) which initially caused the infection. We clean the gum pockets and them with antibiotics to help alleviate the infection. You'll be given a prescription mouthwash to be used as a part of your daily dental cleaning routine.
 
Tissue regeneration: If your bone and gum tissues have been destroyed, regrowth can be actively encouraged by using grafting procedures. We'll insert a membrane into the affected areas to assist in the bone and gum regeneration process.
 
Pocket elimination surgery: Pocket elimination surgery is a surgical treatment that can be performed to reduce the pocket size between your teeth and gums. Surgery on your jawbone can eliminate indentations that encourage the colonization of bacteria.
 
Dental implants: If you have lost your teeth due to periodontal disease, the functionality of your mouth can be restored by implanting prosthetic teeth into your jawbone. We may do tissue regeneration prior to the placement of a dental implant in order to strengthen the bone.

We'll do a complete periodontal exam of your mouth before recommending any dental treatment. Schedule an appointment today.

Diagnosis of Periodontal Disease

We use pocket depths, the amount of bleeding, inflammation, tooth mobility, and more to make a diagnosis.

Gingivitis: Gingivitis is the first stage of periodontal disease. Plaque and its toxic by-products irritate the gums, making them tender, inflamed, and likely to bleed.

Periodontitis: Plaque hardens into calculus (tartar). As calculus and plaque continue to build up, the gums begin to recede from the teeth. Deeper pockets form between the gums and teeth and become filled with bacteria and pus. The gums become very irritated, inflamed, and bleed easily. Slight to moderate bone loss may be present.

Advanced Periodontitis: The teeth lose more support as the gums, bone, and periodontal ligament continue to be destroyed. Unless treated, the affected teeth will become very loose and may be lost. Generalized moderate to severe bone loss may be present.

A periodontal probe (small dental instrument) is gently used to measure the sulcus (pocket or space) between the tooth and the gums. The depth of a healthy sulcus measures three millimeters or less and does not bleed. The periodontal probe helps indicate if pockets are deeper than three millimeters. As periodontal disease progresses, the pockets usually get deeper.

Treatment of Periodontal Disease

If the periodontal disease is detected at an early stage of gingivitis, and no damage has been done, we recommend regular dental cleaning. You'll be given instructions on improving your daily oral hygiene habit. 

If the disease has progressed to more advanced stages, we recommend a special periodontal cleaning called scaling and root planning (deep cleaning). In this procedure, tartar, plaque, and toxins are removed from above and below your gum line (scaling). The rough spots on the root surfaces are made smooth (planning). 

Scaling and root planning help your gum tissue to heal and pockets to shrink. We may recommend medications, special medicated mouth rinses, and an electric toothbrush to help control infection and healing.

If the pockets do not heal after scaling and root planning, we may recommend periodontal surgery to reduce pocket depths and make it easier to clean your teeth. 

Maintain the Health of Your Teeth

Good oral hygiene practices and periodontal cleanings are essential to maintaining your dental health and keep the periodontal disease under control.

It takes only 24 hours for the plaque in your teeth to turn into tartar! Daily home cleaning helps control plaque and tartar formation. You need to give special attention to those hard-to-reach areas in your mouth.

After your periodontal treatment has been completed, we recommend that you have regular maintenance cleanings (periodontal cleanings) usually four times a year. Plaque and calculus that's difficult for you to remove on a daily basis will be removed from above and below the gum line. Your dental pocket depths will be carefully checked to ensure that they are healthy. 

In addition to periodontal cleaning and evaluation, we also do:
  • Examination of diagnostic x-rays (radiographs): This is essential for detection of decay, tumors, cysts, and bone loss. X-Rays also help determine tooth and root positions
  • Examination of existing restorations: We check current fillings and crowns
  • Examination of tooth decay: Your tooth surfaces are checked for decay
  • Oral cancer screening: We check the face, neck, lips, tongue, throat, cheek tissues, and gums for any signs of oral cancer
  • Oral hygiene recommendations: We review and recommend oral hygiene aids as needed. (Electric toothbrushes, special periodontal brushes, fluorides, rinses)
  • Teeth polishing: We remove stain and plaque that is not otherwise removed during brushing your teeth and scaling. 
Don't ignore your dental problem. Visit us at 1160 NW Broad St. Murfreesboro, TN 
At Ascent Dental, we strive to provide you with individualized dental care. You can contact us at 615-904-7477.
"I have gotten everything from a simple cleaning to a root canal done with Dr. Patel. This dental clinic is a small privately owned business. The environment is quite comfortable and doesn't give off the dreaded, daunting doctor's office feel. 

The staff is sweet and the doctor is very nice in his manner and his work. He does exceptionally well with younger patients too. It's a very clean place inside and out. The location is optimum with enough parking around. I drive 2 hours to specifically get all my dental work done with Dr. Patel. I definitely recommend this place!"

- Aanal Patel
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