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Periodontitis

Periodonitis is a serious gum disease that, if left untreated, can not only lead to tooth loss, but also can cause bone loss in the jaw.

 

Signs of unhealthy gums:

puffy, red, bleeding gums

bad breath that does not go away

blood in your saliva when brushing your teeth

Blood on your pillow (very, very bad sign)

 

To keep your gums and teeth heathy:

Brush twice a day.

Each brushing should be at least 3 minutes long

Use a soft bristle tooth brush. (Medium or hard tooth brushes will cause you gum to receed and ar away your tooh at the gum line.)

If you can tolerate, spin brushes or battery-orperated or electric tooth brushes are the best to remove plaque most effectively.

Floss before brushing  bed-time every night.

Mouthwashes are optional.

Get your dentist to examine your teeth and gums at least once a year.

Get a professional cleaning at least every 6-months

 

Available Treatments for Periodontitis

Periodontitis desease is treated by doing deep scaling and root planing (deep cleaning). 

 It is completed in quadrants (or sections of the mouth), and usually require the local injection with anesthesia to numb the treatment area so that the crown and root surfaces of the teeth can be thoroughly scaled and cleaned.

This treatment is different from prophylaxis (also called a “regular cleaning.”)  Regular cleaning is considered a preventive procedure, and is for patients whose gum health is generally good healthy gum color and texture, minimal plaque and debris, and shallow gum pockets around the teeth.  During prophylaxis cleaning plaque, tartar, and stains are removed from the teeth above the gum. 

Sensitivity to cold and hot and soreness of the gum in the treated area of the mouth is expected for 24 hours following the treatment. Rinse with warm salt water or prescription mouth wash (if prescribed) to help with the sensitivity and healing. Over-the-counter pain medications, such as ibuprofen or Tylenol could be taken, if desired. If the sensitivity persists for more than two days, inform the doctor right away.

As the gums recover from inflammation, it will shrink back to normal position.  Depending on how much inflammation and/or bone loss the area has had, you may notice the black triangle spaces between the teeth.  This is not the result of the gum disease and not reversible. 

To achieve the best results, the gum treatment must be done within one week of each other.

Three months after your deep cleaning, your gums will be re-evaluated.  If the gums are healed to the point where you can maintain with daily flossing and brushing, a periodontal maintenance (PM) will be recommended.   PM is important because periodontal disease can recur without adequate follow up. PM includes removal of plaque and tartar above and below the gums, scaling and root planning of specific area, and polishing at 3-month interval for the following 12 consecutive months. PM is almost always complete following active periodontal treatment such as scaling and root planning or more extensive gum surgery. 

 After 12 months, you can return to regular cleaning at 6-month interval again.  However, if you do not keep the recommended regimen of 3-month periodontal maintenance visits and good daily home care as directed, you may need to repeat the Scaling Root Planing.  Your insurance may or may not pay for another deep cleaning therapy within certain number of months.

If there are isolated areas where the pockets did not decrease to the healthier depth and still bleeds, you will need gum surgery before moving onto periodontal maintenance.  Sometimes, instead of the surgery, antibiotics could be  directly placed inside the gum where there are still having deep pocket depth. If you have more advanced sign of the disease, such as pocket depths greater than 7mm or furcation involvement (bone loss between the roots of a molar), you will also need to see a gum specialist (Periodontist). 

You may be given antibiotic as part of the deep cleaning therapy.  If so, complete the antibiotics as directed.  Just as heart disease, high blood pressure, and diabetes cannot be cured, periodontal disease cannot be cured.  Its rate of destruction could be slowed down by deep cleaning gum therapy along with daily home care. 

Your alternative choice is no treatment, which will lead to early tooth loss. 

 

 

One-doctor private office with appointments reserved exclusively to avoid crowded waiting room, comfortable private waiting room with TV, magazines, games for children, free Wifi, automated reminders, secure electronic records accessible on-line any time, digital dentistry, personalized communication with the dentist 24/7 when you need it. Accepts insurance. Works with all PPO plans. Same-day dental emergency care. Financing available as well as exclusive promotions.

Call us at:

908 205-8755 908 205-8755

 

Young Family Dentistry, LLC

819 Park Ave

Plainfield, NJ 07060



 

Use our contact form to get in touch.

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Call us at:

908 205-8755 908 205-8755

 

Young Family Dentistry, LLC

819 Park Ave

Plainfield, NJ 07060



 

Use our contact form to get in touch.

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