Periodontics

PURE PERIO coaching includes periodontics or the branch of dentistry that deals with diseases of the supporting and investing structures of the teeth including the gums, cementum, periodontal membranes, and alveolar bone.

Types of Periodontal Diseases

There are many types of periodontal diseases and they can affect individuals of all ages from children to seniors.

  • Gingivitis is the mildest form of periodontal diseases. It causes the gums to become red, swollen, and bleed easily. There is usually little or no discomfort at this stage. Gingivitis is reversible with professional treatment and good oral care at home.
  • Chronic Periodontitis is a form of periodontal disease that results in inflammation within the supporting tissues of the teeth. Patients experience progressive loss of tissue attachment and bone. Chronic periodontitis is characterized by pocket formation and/or recession of gum tissue and is the most frequently occurring form of periodontitis. It is prevalent in adults, but can occur at any age. Progression of attachment loss usually occurs slowly, but periods of rapid progression can occur.
  • Aggressive Periodontitis is a highly destructive form of periodontal disease that occurs in patients who are otherwise clinically healthy. Common features include rapid loss of tissue attachment and destruction of bone. This disease may occur in localized or generalized patterns.
  • Periodontitis as a manifestation of systemic diseases  – This form of periodontitis is associated with one of several systemic diseases, such as diabetes. Patients who have rare but specified blood diseases or genetic disorders frequently show signs of periodontal disease.
  • Necrotizing periodontal diseases are infections characterized by necrosis (death) of gingival tissues, periodontal ligament and alveolar bone. These lesions are most commonly associated with pain, bleeding, and a foul odor. Contributing factors can include emotional stress, tobacco use and HIV infection.

From Healthy Gingiva to Advanced Periodontitis

healthyGingiva

Healthy gingiva (gum tissue), periodontal ligament and bone anchor teeth firmly in place.

gingivitisGingivitis develops as toxins, enzymes and other plaque byproducts irritate the gums, making them tender, swollen and likely to bleed easily.

periodontitisPeriodontitis occurs when plaque byproducts destroy the tissues that anchor teeth in the bone. As the disease progresses, pockets form, which allow more plaque to collect below the gum line. Tooth roots are exposed and become susceptible to decay and sensitive to cold and touch.

advancedPeriodontitisIn advanced periodontitis, the teeth lose more support as the disease continues to destroy the periodontal ligament and bone, unless treated, the affected teeth frequently become loose and may fall out or require removal.

When the sulcus develops deep pockets, it is difficult to completely remove plaque and tartar even with through daily oral hygiene. If the pockets do not heal after scaling and root planing, periodontal surgery may be needed to reduce the pocket depth and make teeth easier to deep clean.

Periodontal Surgery

Surgery allows the dentist to access hard-to-reach areas that require the removal of tartar and plaque. The gums are sutured back into place or into a new position to make tissue snug around the tooth.

Bone surgery, including bone grafts, may be used to rebuild or reshape bone destroyed periodontal disease. Splints, bite guards or other appliances may be used to stabilize loose teeth and to aid the regeneration of tissue during healing. If excessive gum tissue has been lost, a gum graft may be performed.

After surgery, the dentist may apply a protective dressing over teeth and gums and a special mouth rinse may be recommended or prescribed. An antibiotic and mild pain reliever also may be prescribed.