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Periodontics Oral Systemic Health

Periodontal Disease

The word periodontal means “around the tooth.” Periodontal disease affects the gum tissue and the bone that supports the teeth. Plaque is a sticky film of food debris, bacteria, and saliva. If plaque is not removed, it turns into calculus (tartar). When plaque and calculus are not removed, they begin to destroy the gums and bone. Periodontal disease is characterized by red, swollen, and bleeding gums, accompanied by bone loss that supports the teeth.

Not only is it the number one reason for tooth loss, research suggests that there is a link between periodontitis and gum disease and other systemic diseases such as stroke, bacterial pneumonia, diabetes, cardiovascular disease, increased risk during pregnancy, and even dementia.

Researchers are determining if inflammation and bacteria associated with periodontal disease affect these systemic diseases and conditions. Smoking also increases the risk of periodontal disease.

Periodontal disease is usually overlooked in its earliest stages; however, if left untreated, it can be painful. Good oral hygiene, a balanced diet, and regular dental visits at Dental & TMJ Specialists of Greater DC can help reduce the risk factors for periodontal disease.

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Signs and Symptoms of Periodontal Disease

Bleeding gums – Gums should not bleed, even when you brush vigorously or use dental floss
Loose teeth – Also caused by bone loss or weakened periodontal fibers (fibers that support the tooth to the bone)
New spacing between teeth – Caused by lost bone
Persistent bad breath – Caused by bacteria in the mouth due to poor oral hygiene and other factors
Pustule (discharge) around the teeth and gums – A sign that an infection is present
Receding gums – Loss of gum tissue around a tooth and receding gum line
Red and puffy gums – Gums should never be red or swollen
Tenderness or Discomfort – Plaque, calculus, and bacteria irritate the gums and teeth

Are these symptoms of periodontal disease contagious?

The bacteria that causes periodontal disease can be passed from person to person via saliva, so yes, it can be contagious.

Treatment for Periodontal Disease

Periodontal treatment methods depend upon the type and severity of the disease. The doctors at Dental & TMJ Specialists of Greater DC, in addition to our registered dental hygienists, will evaluate patients for periodontal disease and recommend the appropriate treatment. Cleaning and scaling and root planing are just a few options.

Periodontal disease progresses as the sulcus (pocket or space) between the tooth and gums gets filled with bacteria, plaque, and tartar, causing irritation to the surrounding tissues. When these irritants remain in the pocket space, they can cause damage to the gums and, eventually, the bone that supports the teeth!

If the disease is caught in the early stages of gingivitis and no damage has been done, one to two regular cleanings will be recommended. In addition to regular dental cleanings by our highly skilled dental hygienists, you will also be given helpful instructions that will improve daily oral hygiene rituals.

Good oral hygiene practices and periodontal cleanings are essential to maintain excellent oral health and to prevent periodontal disease.

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Periodontic FAQs

Can I brush my teeth after gum surgery?

After undergoing gum surgery, its important to follow specific oral care instructions to facilitate healing and protect your gums from further damage. Generally, you should avoid brushing the surgical area for a few days following the procedure. Instead, focus on maintaining cleanliness by gently rinsing with an antibacterial mouthwash as recommended by your dentist or periodontist. Once your dental professional gives the go-ahead, you can resume brushing your teeth, but with a soft-bristled toothbrush and gentle motions to prevent irritation.

How long does periodontal surgery take?

The duration of periodontal surgery can vary depending on the complexity of the case and the specific procedure being performed. Generally, periodontal surgery may take anywhere from 45 minutes to 2 hours. Simple procedures, such as scaling and root planing, may be completed relatively quickly, while more involved surgeries like tissue grafts could require more time. Factors such as the number of teeth involved, the condition of the gums, and the type of anesthesia used can also influence the length of the surgery.

Does periodontal surgery hurt?

Periodontal surgery can cause varying levels of discomfort depending on factors such as the extent of the surgery and your pain tolerance. During the procedure, a dentist or periodontist typically uses local anesthesia to numb the area, minimizing pain. Post-surgery, patients may experience some discomfort, swelling, or tenderness in the treated area. However, these symptoms are usually manageable with over-the-counter pain relievers, and they tend to subside within a few days.

Can I drink coffee after periodontal surgery?

After undergoing periodontal surgery, its important to carefully consider your beverage choices to promote optimal healing. Drinking coffee immediately after periodontal surgery is generally not recommended, as hot liquids can increase blood flow to the surgical site, potentially causing bleeding or delaying healing. Additionally, the acidity in coffee might irritate sensitive tissues in the mouth, further complicating the healing process. Its advisable to give your mouth time to heal by sticking to cooler, non-acidic fluids for the first few days post-surgery.

What can I eat after periodontal surgery?

After undergoing periodontal surgery, its crucial to follow a soft food diet to ensure proper healing and minimize discomfort. Initially, focus on consuming cold soft foods such as yogurt, smoothies, applesauce, and cottage cheese. As you progress, you can gradually incorporate warm, soft foods like oatmeal, scrambled eggs, or mashed potatoes into your diet. Be sure to avoid crunchy, spicy, or sticky foods that may irritate or harm the surgical site. Staying hydrated is also important, so drink plenty of water and avoid using straws, as the suction can dislodge blood clots and affect healing.

What does periodontal disease look like?

Periodontal disease, commonly referred to as gum disease, can manifest through various visible symptoms in the mouth. Early signs of periodontal disease, known as gingivitis, often include red, swollen, and tender gums that may bleed easily, particularly during brushing or flossing. As the disease progresses into periodontitis, more advanced symptoms may become apparent, such as receding gums, which make the teeth appear longer, and the formation of deep pockets between the gums and teeth. Additionally, individuals may notice persistent bad breath, loose or shifting teeth, and changes in bite alignment.

What is the cost of periodontal treatment?

The cost of periodontal treatment can vary widely based on several factors, including the severity of the gum disease and the specific procedures required. Generally, non-surgical treatments such as scaling and root planing may range from $200 to $400 per quadrant, while more advanced surgical interventions like flap surgery or tissue grafts can cost between $1,000 and $3,000 per procedure.

What does periodontal treatment involve?

Periodontal treatment often begins with a thorough examination and assessment of the patients gums, teeth, and supporting bones. Treatment may involve a professional deep cleaning known as scaling and root planing to remove plaque and tartar buildup beneath the gum line, a crucial step in eradicating bacteria and preventing further damage. In more severe cases, surgical interventions, such as bone and tissue grafts, may be necessary to restore periodontal health and function. Throughout the treatment process, dental professionals may also recommend adjustments in oral hygiene practices, regular follow-up appointments, and possibly the use of antimicrobial agents or mouth rinses to support healing and prevent recurrence of periodontal disease.

Can I floss after periodontal surgery?

Typically, we recommend avoiding traditional flossing for a certain period, often around 7 to 10 days, to allow the surgical site to begin healing properly. During this time, disrupting the area with floss can potentially hinder healing or dislodge any protective materials like stitches. However, maintaining oral hygiene is still crucial. Alternative methods, such as using specifically designed brushes or water flossers, might be suggested as they can be gentler on sensitive areas while still helping to minimize plaque buildup.

Does insurance cover periodontal treatment?

Insurance coverage for periodontal treatment can vary significantly, depending largely on your specific dental insurance plan. Many dental insurance policies do provide coverage for basic periodontal treatments, such as cleanings and scalings. However, more advanced procedures, like gum surgery, may require a higher level of coverage or a specialist referral. It is crucial to carefully review your dental insurance policy to understand what specific periodontal treatments are covered, the extent of the coverage, and any potential out-of-pocket expenses.

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Periodontics & Oral Systemic Health

Periodontics plays a crucial role in managing oral systemic health, impacting conditions like heart disease, diabetes, and more. Our team at Greater DC Specialists is dedicated to providing expert care to ensure your mouth and body stay in optimal health. Schedule an appointment today to discuss your oral health and its systemic impact with our experienced professionals.

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Dental & TMJ Specialists of Greater DC

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Bethesda, MD 20817

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Dr. Kaplan has recently been awarded by the American College of Prosthodontists recognizing extraordinary collegiality, outreach, and community service.

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