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What
is Periodontal Disease?
Periodontal disease affects
the gums and supporting structures of the teeth. According to the American
Dental Association, at least 60% of adults in the United States have moderate-to-severe periodontal disease! In a recent survey, 63% of Americans age 18 and older
exhibited some gingival bleeding (bleeding of the gums). Nearly 80% of all
employed Americans have some form of attachment loss (gums that are pulling
away from the teeth).
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Healthy
Gums |
Gingivitis |
Early |
Moderate |
Advanced |
P
e r i o d o n t a l D i s e a s e |
No doubt, you've heard
some of the terms: Plaque, Tartar, Calculus, Gingivitis, Periodontitis,
Pyorrhea, Periodontal (Gum) Disease. But what does it all mean? Quite
simply, Periodontal Disease starts when plaque and tartar (calculus) are allowed
to accumulate at the base of your teeth. The bacteria in the plaque leads
to an infection in the gums (gingiva) called Gingivitis. Gingivitis is an
early state of periodontal disease where the gums may become red, swollen,
and bleed easily. Left untreated, the infection spreads to the tissue and
bone that holds your teeth in place, a condition called Periodontitis (Pyorrhea).
Because of the bacterial infection associated with Periodontitis, tooth abscesses
are also common.
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This
patient has Periodontitis. Notice the bone
deterioration and uneven
level of bone. |
Healthy
gums and bone. |
What
are the Signs of Periodontal Disease?
Periodontal
Disease is rarely painful, especially in the early stages. Some of the common
signs of Periodontal Disease are:
- Gums that bleed
when you brush or floss (healthy gums will not bleed)
- Gums that are red,
swollen, or tender
- Gums that have
pulled away from the teeth (receded)
- Pus (infection)
between the teeth and gums
- Loose permanent
teeth or separating (drifting) teeth
- Persistent bad
breath
- Changes in the
way your teeth fit together when you bite
- Change in the fit
of a partial denture
What
are the Dangers of Periodontal Disease?
Periodontal
Disease is the leading cause of tooth loss among adults. More importantly,
the infection releases toxins into the bloodstream leading to serious health
risks:
Sources:
National Institute of Dental & Craniofacial Research
and American Heart Association |
- There is a growing
body of scientific evidence suggesting possible links between periodontal
disease and other systemic diseases such as diabetes and coronary artery
disease.
- New scientific
research indicates that bacteria may affect the heart. People with periodontal
disease, a bacterial infection, may be more at risk for heart disease.
- While further research
is needed, preliminary findings suggest that people with periodontal
disease may be significantly more at risk for fatal heart attacks.
- More than 20% of
Americans have heart disease. Please advise us of any medical conditions,
including heart disease. Your periodontal health may affect your overall
health.
- New research indicates
that infections in the mouth, such as periodontal disease, may also
be associated with increased risk of respiratory infection such as pneumonia
and bronchitis. While further research is needed, you are well advised
to maintain good periodontal health which is part of your overall health.
- Scientists have
known for some time that people with diabetes are more likely to have
periodontal disease. New research indicates a two-way connection: periodontal
disease may make it more difficult for diabetics to control their blood
sugar.
- Additional studies
are underway, but findings suggest that controlling periodontal disease
may help people control diabetes.
- New evidence also
suggests that pregnant women who have periodontal disease may be up
to seven times more likely to have a baby that is born premature and
at a low birthweight.
- Periodontal disease
is an infection, and all infections are cause for concern among pregnant
women because they pose a risk to the health of the baby.
- We advise all pregnant
women -- and all women of childbearing age -- to come in for a periodontal
screening examination. Although the possible links between periodontal
disease and premature, low birth weight babies is still not fully understood,
we want to do our part to keep mother and baby as healthy as possible.
- The bacteria that
cause periodontal disease are not confined to the mouth. They are carried
throughout the blood stream and have the potential to cause health problems
that appear in other parts of the body. Please feel free to ask us if
you have any questions about the potential links between periodontal
disease and other systemic diseases.
Periodontal
Disease Self-Test
Research shows that periodontal
disease affects three out of four people at some time in their life. More
than half of all adults have some form of periodontal disease; and periodontal
disease can be found in adolescents, and even children.
Please use our self test
to check if you or a loved one has the warning signs of periodontal disease.
Periodontal disease can be present even if overt symptoms are absent; therefore,
it is quite important to seek out regular professional care.
To see if you or a loved
one are at risk for periodontal disease, please answer the following:
Do your
gums bleed when you brush? |
____
yes |
____no |
Are your
gums red and/or swollen? |
____
yes |
____no |
Have
you lost any of your adult teeth? |
____
yes |
____no |
Do you
have bad breath or a foul taste in your mouth? |
____
yes |
____no |
Have
you noticed pus draining from your gums? |
____
yes |
____no |
Are your
teeth loose or are spaces developing between your teeth? |
____
yes |
____no |
Does
your bite feel indifferent? |
____
yes |
____no |
If you
wear a partial denture (plate) - does it fit properly? |
____
yes |
____no |
Do your
teeth appear too long? Too short? |
____
yes |
____no |
Do you
smoke cigarettes? |
____
yes |
____no |
Did your
parents lose their teeth? |
____
yes |
____no |
Are you
diabetic or is there a family history of diabetes? |
____
yes |
____no |
Are you
experiencing undue stress? |
____
yes |
____no |
Do you
have heart disease? |
____
yes |
____no |
Women
- are you pregnant or planning to become pregnant? |
____
yes |
____no |
Do you
have a history of respiratory disease? |
____
yes |
____no |
If you have any of the
above warning signs, please contact our office - we will be happy to schedule
you for a comprehensive evaluation of your periodontal health.
Is
There a Cure?
The good news is that
periodontal disease is treatable and preventable. We
provide you with professional care in our office and instructions on proper
home care.Working
closely with your general dentist, we want to help you achieve an optimal
level of oral health.
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