What is Periodontal (Gum) Disease?

The term “periodontal” means “around the tooth.”  Periodontal disease (also known as periodontitis and gum disease) is a common inflammatory condition that affects the supporting and surrounding soft tissues of the tooth, eventually affecting the jawbone itself in the disease’s most advanced stages.

Periodontal disease is most often preceded by gingivitis which is a bacterial infection of the gum tissue.  A bacterial infection affects the gums when the toxins contained in plaque begin to irritate and inflame the gum tissues.  Once this bacterial infection colonizes in the gum pockets between the teeth, it becomes much more difficult to remove and treat.  Periodontal disease is a progressive condition that eventually leads to the destruction of the connective tissue and jawbone.  If left untreated, it can cause shifting teeth, loose teeth, and eventually tooth loss. 

Periodontal disease is the leading cause of tooth loss among adults in the developed world and should always be promptly treated.

Types of Periodontal Disease

When left untreated, gingivitis (mild gum inflammation) can spread to below the gum line.  When the gums become irritated by the toxins contained in plaque, a chronic inflammatory response causes the body to break down and destroy its own bone and soft tissue.  There may be little or no symptoms as periodontal disease causes the teeth to separate from the infected gum tissue.  Deepening pockets between the gums and teeth are generally indicative that soft tissue and bone is being destroyed by periodontal disease.

Here are some of the most common types of periodontal disease:

  • 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 and is characterized by progressive loss of attachment, interspersed with periods of rapid progression.

  • Aggressive periodontitis – This form of gum disease occurs in an otherwise clinically healthy individual.  It is characterized by 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 condition such as respiratory disease, diabetes and heart disease are common cofactors.

Treatment for Periodontal Disease

There are many surgical and nonsurgical treatments the periodontist may choose to perform, depending upon the exact condition of the teeth, gums and jawbone.  A complete periodontal exam of the mouth will be done before any treatment is performed or recommended.

Here are some of the more common treatments for periodontal disease:

  • Scaling and root planing – In order to preserve the health of the gum tissue, the bacteria and calculus (tartar) which initially caused the infection, must be removed.  The gum pockets will be cleaned and treated with antibiotics as necessary to help alleviate the infection.  A prescription mouthwash may be incorporated into daily cleaning routines.

  • Tissue regeneration – When the bone and gum tissues have been destroyed, regrowth can be actively encouraged using grafting procedures.  A membrane may be inserted into the affected areas to assist in the regeneration process.

  • Pocket elimination surgery – Pocket elimination surgery (also known as flap surgery) is a surgical treatment which can be performed to reduce the pocket size between the teeth and gums.  Surgery on the jawbone is another option which serves to eliminate indentations in the bone which foster the colonization of bacteria.

  • Dental implants – When teeth have been lost due to periodontal disease, the aesthetics and functionality of the mouth can be restored by implanting prosthetic teeth into the jawbone.  Tissue regeneration procedures may be required prior to the placement of a dental implant in order to strengthen the bone.

Please contact our office if you have questions or concerns about periodontal disease, periodontal treatment, or dental implants.

Testimonials.

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Testimonials

It had been almost 10 years since I my last visit to the dentist. I am one of those with "dental phobia", but thanks to Dr. Pardo and her employees I have overcome my fear!

The office is always clean, bright, and welcoming. Nelcy, is usually who you first encounter and she always makes you feel welcomed. Dr. Pardo and her employees have always made me feel comfortable while in the dental chair. They also offer you Bluetooth headphones when getting a procedure done!

I highly recommend Dr. Pardo's office when looking for a new dentist in the Glendora area.

Brynne V.

My wife and I have been having this debate on dentists for a number of years. When she moved to my town, she started seeing my dentist. And she would always tell me 'your dentist sucks, I've had better!' I would argue that I've been going to my dentist for years - through college and now as an adult and I thought my dentist was just fine. But I really had no other dentist, so I didn't know any better. Reluctantly, my wife decided to just stay with my dentist, because they were nearby and we only saw them twice a year for cleanings anyway. But then we moved and had kids and my wife said since we are now using her insurance, she gets to pick the dentist. I begrudgingly agreed. Let me just say, she was right (pause for wife's 'I-told-you-so-look'). I am so glad we changed!

Looking back, my old dentist wasn't as personable and as gentle as Dr. Pardo and her hygienists. For a long time, I just thought all the discomfort I went through was just a part of regular dentistry. I was so wrong. I was never asked so many times how I was doing or if I was feeling any discomfort. My old dentist and her hygienist often leaned on my shoulder or face during cleanings. And when they flossed me, they would cause my gums to bleed. I never really gave it much thought until it stopped happening. Dr. Pardo and her hygienist were very conscious about patient comfort and care. And after years with my old dentist, it was very refreshing. Dr. Pardo is also very knowledgeable in her practice- often giving tips, suggestions and great advice when it came to our oral care. She is also great with our kids. She is very patient and understanding and puts them at ease at every appointment, but will still go after them when it comes to brushing and flossing. I highly recommend Pardo Dentistry if you're looking for a dentist. You will not be disappointed!

Alvin D.

This was my first visit with my new dentist. I was very impressed with the office and staff.

The office is well kept and clean. I felt very relaxed in there. The dental equipment looked to be modern and well cared for. The music over the overhead speakers was relaxing and contemporary.

The office staff and dental assistants are personable and professional. They were friendly and easy to talk with.

Doctor Pardo is youthful and energetic. She seems to enjoy her profession. She listens well and provides easy to understand descriptions of her observations and thoughts. She's also open and eager to answering questions.

Even more important, she seems to have a steady hand and cool demeanor. Can't wait to experience her skills with a hypodermic needle. WAIT!! I can wait.

Chris C.

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Contact Us. We encourage you to contact us with any questions or comments you may have. Please call our office or use the quick contact form below.

Contact Us

We encourage you to contact us with any questions or comments you may have. Please call our office or use the quick contact form below.