Periodontal disease? What is that?
Periodontal disease is a bacterial infection that affects the tissues and the bone in the mouth that support teeth. Periodontal disease causes the tissue to pull away from each tooth. When periodontal disease worsens, the gum tissue and bone begin to disintegrate, causing tooth loss.
How do I know if I have periodontal disease?
Signs and symptoms of periodontal disease include:
- Gums that bleed when you brush your teeth or floss.
- Red, swollen or tender gums.
- Gums that have pulled away from your teeth.
- Bad breath that doesn’t go away.
- Loose or spreading teeth.
You can have periodontal disease without any signs or symptoms. Routine checkups and cleanings are important because it makes it possible for Dr. Gibbs and your hygienist to catch and treat periodontal disease at its early stages.
What do you mean by early stages of periodontal disease?

Healthy Gums: Gum tissue and bone hold teeth firmly in place.
Gingivitis: Swelling and inflammation of the gums. Bacteria toxin irritates the gum tissues causing them to be tender, swollen to the touch and likely to bleed easily.
Periodontitis: Loss of tissue and bone. As the disease progresses, pockets tend to become deeper, allowing plaque to build up below the gum line.
Advanced Periodontits: Severe damage to supporting tissues and bone. If the disease is not treated, gum tissue and bone is destroyed. Teeth become loose and may fall out or require removal.
If you can have periodontal disease without sign or symptoms, how can the docto
r tell that I have it?
When you come in for your routine checkup, Dr. Gibbs or the hygienist will examine your gums. A periodontal probe is used to measure the depth of the pockets surrounding each tooth. This probe can indicate whether you have developed any pocket depths that are deeper than what is considered healthy. If it is determined that you have periodontal disease, dental X-rays will be used to show if any bone loss occurred.
How did I get periodontal disease in the first place?
Healthy gum tissue hugs around each tooth. As tartar and bacteria film develops on teeth, it prod
uces toxins that can irritate and break down the oral tissue and bone. If daily home care and 6 month routine checkups are not consistent, the toxins can inflame the gums.
Now that I found out I have periodontal disease, how can I treat it?
Periodontal treatment depends on the type and severity of the disease. If the disease is caught at an early age (gingivitis), you may simply have a professional cleaning. The hygienist will also give you instructions on how to improve your daily oral maintenance.
In later s
tages of periodontal disease, it may require a special cleaning called scaling and root planing. In this procedure, plaque and tartar are removed from underneath the gum-line. Scaling and root planing smoothes the tooth’s surface so the gum tissue can heal and reattach to the tooth.
So, I had my recommended procedure to get rid of my periodontal disease… Am I cured?
Periodontal disease is not 100% curable. However, Dr. Gibbs and your hygienist can help prevent it f
rom coming back! Once your periodontal treatment is complete, your hygienist may recommend that you visit more often for cleanings and checkups than the average 6 months.

Home care is also important to keep periodontal disease from coming back or becoming more serious. Brushing and flossing twice a day is all it takes. Your hygienist can also advise for you to buy a SoniCare (electronic toothbrush) to help you reduce tartar buildup.
The WaterPik Water Flosser may also be suggested by your hygienist. Waterpik provides a unique combination of water pressure and pulsation to massage and stimulate gums. It cleans deep between teeth and below the gum line where traditional string floss can’t reach.
What if I opt not to get periodontal therapy?
Your oral health may affect, be affected by or contribute to various diseases and conditions including: diabetes, heart disease, HIV, cancer, Endocarditis, premature birth and low birth weights, Osteoporosis and some eating disorders are linked with oral health problems.