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Archive:
- 2019
- February (5)
- Composite Resin Could Amp up Your Teeth's Attractiveness in Just One Visit
- Test You're Brushing and Flossing Success with a Plaque Disclosing Agent
- Stop Gum Disease Before it Harms Your Health
- Conscious Sedation Eases Treatment Anxiety for Young Dental Patients
- Legal or Not, Marijuana Poses a Health Risk to Your Gums
- January (7)
- 3 Things You Might Notice with Your Child's Teeth That Need a Dentist
- A New Resolution - Floss!
- How Fillings Make Your Smile Healthy Again
- 3 Tips for Helping Your Child Feel More Comfortable Going to the Dentist
- You may Need Orthodontic Treatment Before Obtaining Implants
- Flossing Daily Around Implants will Help Prevent Losing Your Bridge
- 'Get Rid' of Those Unattractive Teeth with Porcelain Veneers
- 2018
- December (6)
- NSAIDs Could be Just as Effective as Narcotics Managing Dental Pain
- What You Need to Know to Buy the Right Toothbrush
- Overcoming Gum Recession will Restore Dental Health and your Smile
- Protecting Primary Teeth from Decay Helps Ensure Future Dental Health
- Stop Smoking to Reduce Your Risk of Gum Disease
- Sealants Provide a Little Extra Protection for Children at High Risk for Decay
- November (6)
- Avoid Implant Failure by Watching Out for These Mouth Problems
- Don't Let GERD Ruin Your Teeth's Health
- The Connection Between GERD and Oral Health
- 4 Things to Know About Diabetes and Gum Health
- Inflammation: the Link Between Gum Disease and Cardiovascular Disease
- Don't Wait - Seek Out Treatment for Gum Recession Now
- October (6)
- Mild Pain Relievers may be all you need for Discomfort after Dental Work
- Stay Ahead of Plaque Buildup with Effective Brushing and Flossing
- Watch for These Developing Bite Problems with Your Child's Teeth
- A Topical Fluoride Treatment Could Protect Your Child from Tooth Decay
- 3 Surprising Sugar Sources Your Baby Might be Consuming
- Sedation Can Help Create a More Positive Dental Experience for a Child
- September (7)
- Managing Diabetes and Gum Disease Together will Lessen the Effect of Both
- What You Should Know About a Home Teeth Whitening Kit
- Treating Gum Disease around Tooth Roots is Hard - but Not Impossible
- A Low Sugar, High Fiber Diet will Help Keep Your Teeth and Gums Healthy
- Have Your Child's Chronic Mouth Breathing Checked to Avoid Bite Problems
- Baby Bottle Tooth Decay
- Stop Gum Disease Before it Gets Started with Daily Oral Hygiene
- August (7)
- Have Your Loose Tooth Examined as Soon as Possible
- Take Years off Your Smile by Treating Age-Related Dental Problems
- Diabetes Doesn't Have to Stop You From Acquiring Dental Implants
- Replacing a Tooth or Saving it - Which Should you do?
- 5 Causes of Bad Breath and What You Can Do About It!
- 3 Reasons You Should Consider Tooth Whitening
- Don't Ignore Tooth Pain - You May Need a Root Canal
- July (7)
- Need an Effective but Affordable Tooth Replacement? Look at a Flexible RPD
- Don't Take a Vacation From Oral Hygiene This Summer!
- Keep Alert for this Extreme Form of Gingivitis
- Signs You May Need a Root Canal
- The Importance of Baby Teeth
- What You Can Do to Support Your Child's Dental Development
- What's So Special About Dental Implants?
- June (6)
- Make Efforts to Protect Your Teeth from Disease While Wearing Braces
- Pediatric Dentists Specialize in Dental Care for Children and Teens
- 3 Areas to Watch to Avoid Excessive Tooth Wear
- Bone Grafting Might be Necessary Before You Obtain an Implant
- Gum Disease is Still a Threat to Your Dental Implants
- RPDs Offer Another Tooth Replacement Option for those on a Tight Budget
- May (7)
- Taking the Right Steps to Prevent Early Tooth Decay in Children
- Mouthguards Reduce Risk of Concussion as well as Dental Injuries
- Your Denture Options
- Bone Loss at the Roots can Put Your Tooth in Danger of Loss
- 3 Possible Timing Scenarios for Getting Your New Implant
- Stop Gum Disease Before it Becomes a Major Health Issue
- 4 Things You Should Focus on During Pregnancy for Optimal Dental Health
- April (6)
- Not Crazy about Flossing? Try a Water Flosser
- Don't Let Sports or Energy Drinks Rob you of Your Teeth's Enamel
- Stay Ahead of Gum Disease Re-Infection with Periodontal Maintenance
- Bad Breath in Children
- Instill Good Dental Habits in Your Child as Early as Possible
- Advances in Porcelain Veneers Improve Both Strength and Appearance
- February (5)
- Children with Chronic Health Conditions may Need Extra Dental Care
- Dentures Require Planning and Attention to Detail to Look Natural
- You may Need Orthodontic Work Before Getting a Dental Implant
- We can Rid You of that Lump in Your Mouth you Keep Biting
- Find out What Kind of Tooth Staining you Have Before Seeking a Solution
- 2017
- November (5)
- Paying Attention to Certain Factors Helps Ensure Successful Implant Outcomes
- Tooth Decay can be Less of a Problem with Minimally Invasive Dentistry
- How Effective is Your Oral Hygiene? Find Out with a Plaque Disclosing Agent
- Support Your Child's Dental Development with Preventive Care
- Treating Gum Disease Important to Saving the Underlying Bone
- July (6)
- The Simple Bitewing X-Ray is a Game Changer for Maintaining Dental Health
- Porcelain Veneers: A Less Invasive Way to Transform Your Smile
- 5 Things you can do to Improve Your Child's Future Dental Health
- Loose Adult Teeth Require Immediate Attention and Treatment
- The Benefits Of Dental Crowns
- You Don't have to Suffer from Irritating Canker Sores
- May (5)
- Protect Your Child's Long-Term Dental Health with Regular Office Visits
- Could Dentures Be Right for Me?
- Get a Dental Exam as Soon as Possible if you Suspect Gum Disease
- Look at Your Options for Saving a Tooth First Before Replacing it
- Artificial Sweeteners are By and Large a Safe Alternative to Sugar
- March (6)
- Attention to Detail Crucial to a Beautiful Smile Supported by Dental Implants
- Your Case of Gingivitis Could Develop into Something More Harmful
- Why Are Porcelain Veneers Effective?
- Be Sure to have These 3 Essentials Covered Beforehand for Veneer Success
- Conscious Sedation can Help Ease Your Child's Dental Visit Anxiety
- All Gum Disease Treatments Have the Same Goal - Removing Bacterial Plaque
- 2016
- November (6)
- Start Early with Your Baby's Dental Care
- Ensure the Best Outcome with the Right Care for a Teen's Missing Tooth
- Dental Implants can Replace Your Whole Tooth, Not Just What You See
- Reduce Your Oral Cancer Risk with Better Diet and Lifestyle Choices
- Teaching Your Child Good Oral Hygiene Habits
- Follow These Common Sense Steps When Your Child has a Toothache
- July (5)
- Though not Always Seen, it's Still Important to Replace a Missing Back Tooth
- 4 Reasons Saving Your Child's Decayed Baby Tooth is a Good Idea
- Antibiotic Resistance Requires Action - and a Change of Attitude
- Thumb Sucking And Your Child's Developing Smile
- Winning the War on Gum Disease Requires Post-Treatment Vigilance
- March (6)
- 4 Advantages to Using Composite Resins for Restoring Teeth
- Persistent Jaw Pain After an Injury Needs Immediate Attention
- Watch for these 4 Signs of Gum Disease
- Support Your Child's Teeth Development with Proper Hygiene and Dental Care
- 3 Ways Your Dental Hygienist Improves Your Oral Health
- The Benefits of Dental Implants
- 2015
- December (5)
- Sleep Apnea and Behavioral Problems in Children: How Your Dentist Can Help
- Did You Know? February Is National Children's Dental Health Month!
- Replacing a Back Tooth May Help You Avoid Future Dental Problems
- Is Dental Treatment Safe During Pregnancy?
- Treating Dry Mouth is Important for Maintaining Good Oral Health
- 2014
- September (6)
- New Partial Dentures More Comfortable and Durable Than Older Models
- New Guidelines Issued for Administering Antibiotics Before a Dental Procedure
- Bone Grafting can put Implants Back on Your Options List
- 5 Oral Health Care Tips To Remember This Summer
- Removing Bacterial Plaque is Critical to Halting Advancing Gum Disease
- Early Detection is Critical to Surviving Oral Cancer
- August (5)
- Our Arsenal of Weapons in the War Against Gum Disease
- Overcome Oral Cancer With Screenings and Lifestyle Changes
- Taking Precautions Before, During and After Implants Will Help Ensure Success
- Home vs. Professional Teeth Whitening - Weighing Your Options
- Preserving or Restoring Teeth - Both Paths Lead to Better Oral Health
- 2013
- October (6)
- Health Risks of Oral Piercings
- Cancer Treatment and Oral Health: What You Should Know
- Treating Thumb Sucking Now Could Reduce Orthodontic Treatment Later
- Patients in Syracuse Seek Veneers to Mask Dental Blemishes
- Loose Teeth - A Sign of Trouble That Requires Quick Action
- Implant Overdentures: a Marriage of Options for Lower Jaw Tooth Replacement
- 2012
- August (7)
- Can Thumb Sucking Harm Your Child's Teeth?
- Testing Your Knowledge: Do Your Children Have Good Oral Health?
- Enhance Your Smile Through Teeth Whitening
- How Do Dental Implants Help Preserve Your Youthful Appearance?
- Are Dental Implants Okay For Teenagers?
- Questions You Should Ask Before Getting Porcelain Veneers
- Your Dentist May Be Able To Help You Stop Snoring
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Categories:
Dentist Blog
Posts for tag: periodontal disease

If you've undergone treatment for periodontal (gum) disease, you know how involved it can be. After several sessions of plaque and calculus (hardened plaque deposits) removal, your swollen, red gums finally begin to regain their healthy pink color.
But with gum disease, the battle may be over but not necessarily the war. If we don't remain vigilant, there's a high chance you'll experience a re-infection.
That's why periodontal maintenance (PM) is so important for gum disease patients after treatment. Plaque, the thin film of bacteria and food particles responsible for the infection, can grow again on your tooth surfaces as it did before. You'll have to practice diligent, daily brushing and flossing to curb that development.
But it's also important to keep up regular dental visits for advanced cleaning to remove hard to reach plaque and calculus. For most people that's usually twice a year, but for gum disease patients it could be up to four times a year, especially just after treatment. And there's more to these visits than cleaning.
Since our goal is to reduce the chances of re-infection as much as possible, we'll thoroughly examine your teeth, gums and any implants for signs of disease (we'll also include an oral cancer screening). We want to assess the health of your teeth and gums and to see how well you're doing hygiene-wise with plaque control.
If we find signs of gum disease, we'll discuss this with you and schedule a new round of treatment. The sooner we initiate treatment, the better your outcome. In some cases, we may perform procedures that make it easier to access and clean areas where plaque tends to build up.
Overall, we want to prevent the occurrence of any future disease and treat it as soon as possible if it re-occurs. Keeping up diligent PM will help ensure your gums continue to stay healthy.
If you would like more information on after care following periodontal (gum) disease, please contact us or schedule an appointment for a consultation.

If you suspect you have periodontal (gum) disease, it's important to get a correct diagnosis and begin treatment as soon as possible. The sooner you begin treatment the better the long-term outcome.
Gum disease is a bacterial infection that's most often triggered by plaque, a thin film of food particles on tooth surfaces. Plaque buildup most often occurs when a person doesn't practice effective oral hygiene: daily brushing and flossing and professional cleanings at least twice a year.
The most common type of gum disease, gingivitis, can begin within days of not brushing and flossing. It won't always show itself, but you can have symptoms like swollen, red or bleeding gums, as well as bad taste and breath. You could also develop painful abscesses, which are localized pockets of infection within the gums.
If we don't stop the disease it will eventually weaken the gum attachment to the teeth, bone loss will occur and form deep pockets of infection between the teeth and bone. There's only one way to stop it: remove the offending plaque from all tooth surfaces, particularly below the gum line.
We usually remove plaque and calculus (hardened plaque deposits) manually with special hand instruments called scalers. If the plaque and calculus have extended deeper, we may need to perform another procedure called root planing in which we shave or “plane” the plaque and calculus (tartar) from the root surfaces.
In many cases of early gum disease, your family dentist can perform plaque removal. If, however, your gum disease is more extensive, they may refer you to a periodontist, a specialist in the treatment and care of gums. Periodontists are trained and experienced in treating a full range of gum infections with advanced techniques, including gum surgery.
You can also see a periodontist on your own for treatment or for a second opinion — you don't necessarily need a referral order. If you have a systemic disease like diabetes it's highly advisable you see a periodontist first if you suspect gum disease.
If you think you might have gum disease, don't wait: the longer you do the more advanced and destructive the disease can become. Getting an early start on treatment is the best way to keep the treatment simple and keep gum disease from causing major harm to your teeth and gums.
If you would like more information on the diagnosis and treatment of gum disease, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “When to See a Periodontist.”

That bit of gum bleeding after you brush, along with redness and swelling, are strong signs you have gingivitis, a form of periodontal (gum) disease. Without treatment, though, your gingivitis could turn into something much more painful and unsightly — a condition commonly known as “trench mouth.”
Properly known as Acute Necrotizing Ulcerative Gingivitis (ANUG), the more colorful name arose from its frequent occurrence among soldiers during World War I. Although not contagious, many soldiers contracted it due to a lack of means to properly clean their teeth and gums and the anxiety associated with war. Inadequate hygiene and high stress still contribute to its occurrence today, along with smoking, medications that dry the mouth and reduced disease resistance — all of which create a perfect environment for bacterial growth.
ANUG can arise suddenly and be very painful. The cells in the gum tissue begin to die (“necrotizing”) and become swollen (“ulcerative”), especially the small triangle of gum tissue between the teeth called the papillae, which can appear yellowish. Patients also encounter a characteristic foul breath and taste. Untreated, ANUG can damage tissue and contribute to future tooth loss.
Fortunately, antibiotics and other treatments are quite effective in eradicating bacteria that cause the disease, so if caught early it’s completely reversible. We start with a complete examination to confirm the diagnosis and rule out other possible causes. We then attempt to relieve the pain and inflammation with non-steroidal, anti-inflammatory drugs like aspirin or ibuprofen and begin antibiotic treatment, most notably Metronidazole or amoxicillin. We may also prescribe a mouthrinse containing chlorhexidine and mild salt water rinses to further reduce the symptoms.
We must also treat any underlying gingivitis that gave rise to the more acute disease. Our goal here is remove any bacterial plaque and calculus (hardened plaque deposits) that have built up on tooth surfaces, particularly below the gums. Only then can we fully bring the disease under control.
It’s also important you become more consistent and effective with daily brushing and flossing, quit smoking, reduce undue stress, and get better rest and nutrition. Establishing these new habits and lifestyle changes will help ensure you’ll never have to experience trench mouth again.
If you would like more information on ANUG and other periodontal gum conditions, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Painful Gums in Teens & Adults.”

Periodontal (gum) disease is a serious infection that can damage more than periodontal tissues — supporting bone structure is also at risk. Any bone loss could eventually lead to tooth loss.
To stop it from causing this kind of damage, we must match this disease's aggressiveness with equally aggressive treatment. The various treatment techniques all have the same goal: to remove bacterial plaque, the source of the infection, from all oral surfaces, including below the gum line. Buildup of plaque, a thin film of food particles, after only a few days without adequate brushing and flossing is enough time to trigger gum disease.
The basic removal technique is called scaling, using hand instruments called scalers to manually remove plaque and calculus (hardened plaque deposits) above or just below the gum line. If the disease or infection has advanced to the roots, we may use another technique called root planing in which we shave or “plane” plaque and tartar from the root surfaces.
Advancing gum disease also causes a number of complex problems like abscesses (localized infections in certain areas of gum tissue) or periodontal pockets. In the latter circumstance the slight normal gap between tooth and gums becomes deeper as the tissues weaken and pull away. This forms a void or pocket that fills with inflammation or infection that must be removed. Plaque buildup can also occur around furcations, the places where a tooth's roots divide off from one another.
It may be necessary in these more complex situations to perform a procedure known as flap surgery to gain access to these infected areas. As the name implies, we create an opening in the gums with a hinge, much like the flap of a paper envelope. Once the accessed area has been cleansed of plaque and infected tissues (and often treated with antibiotics to stop further infection), the flapped tissue is closed back in place and sutured.
To avoid these advanced stages it's important for you to see us at the first sign of problems: swollen, red or bleeding gums. Even more important is to reduce your risk for gum disease in the first place with dedicated daily brushing and flossing to remove plaque and regular dental visits for more thorough cleaning.
Gum disease can be devastating to your long-term dental health. But with diligent hygiene and early aggressive treatment you can stop this destructive disease in its tracks.
If you would like more information on treating gum disease, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Treating Difficult Areas of Periodontal Disease.”

After several treatment sessions your periodontal (gum) disease is under control. But, while we may have won this battle, the war rages on. To keep an infection from re-occurring we'll have to remain on guard.
Gum disease begins and thrives on a thin film of bacteria and food particles on tooth surfaces called plaque. The infection usually begins as gingivitis, which causes the gums to become red and swollen (inflamed). Untreated it can develop into periodontitis, a more advanced form that progresses deeper into the gum tissues resulting in bone loss.
To treat the disease, we must remove all the plaque and calculus (hardened plaque deposits) we can find no matter how deeply they've penetrated below the gum line. Since the deeper it extends the more likely surgical techniques may be necessary to consider, it's better to catch the disease in its earliest stages when plaque can be removed with hand instruments or ultrasonic equipment.
The appropriate treatment technique can effectively stop and even reverse gum disease's effects — but it won't change your susceptibility. Constant vigilance is the best way to significantly reduce your risk of another episode. In this case, our prevention goal is the same as in treatment: remove plaque.
It begins with you learning and applying effective brushing and flossing techniques, and being consistent with these habits every day. As your dentist, we play a role too: we may need to see you as often as every few weeks or quarter to perform meticulous cleaning above and below the gum line. We may also perform procedures on your gums to make it easier to maintain them and your teeth, including correcting root surface irregularities that can accumulate plaque.
Our aim is to reduce the chances of another infection as much as possible. "Fighting the good fight" calls for attention, diligence and effort — but the reward is continuing good health for your teeth and gums.
If you would like more information on continuing dental care after gum disease, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Periodontal Cleanings.”