Periodontal Disease and Receding Gums
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Periodontal Disease and Receding Gums
Periodontal disease is a gum infection that typically begins as gingivitis, which is mild to moderate inflammation of the gums. Gums affected by gingivitis often appear red, swollen, and bleed easily. Gum disease develops when plaque and bacteria accumulate on the teeth and gums. If plaque is not removed through regular professional cleanings, it can harden and lead to the progression of gingivitis into periodontal disease.
The gums serve as the external support for your teeth. In cases of periodontal disease, this support begins to break down, causing the gums to pull away from the teeth, which gives the appearance of receding gums. As the gums recede, they form “pockets” between the teeth and gums, trapping bacteria and leading to infection.
This infection not only impacts your gums but also affects the jawbone that supports the roots of your teeth, keeping them stable. If gum disease progresses without treatment or proper oral hygiene, the bone supporting your teeth can be lost, causing teeth to become loose. As the bone and gum tissue deteriorate, teeth can eventually fall out.
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How is Periodontal Disease Treatment done?
To treat receding gums caused by periodontal disease, your hygienist or a periodontist (a dentist specialized in treating gum disease) will perform a procedure called scaling and root planing, also known as a deep cleaning. This procedure is typically done in two sessions, with one side of your mouth treated at a time.
Your comfort is our top priority. We will begin by administering gentle anesthesia to ensure you’re relaxed and numb. Once you’re comfortable, specialized dental tools will be used to remove hardened plaque (calculus) and bacteria beneath the gum line. Another tool will smooth the surface of the tooth roots where bacteria and plaque have attached, making it harder for them to reattach. After the procedure, your gums should tighten around your teeth, closing the pockets that trap bacteria.
How Can I Prevent Periodontal Disease and Receding Gums from Returning After Treatment?
Unfortunately, gum disease cannot be fully cured, but it can be managed and kept stable with the following steps:
- Keeping your diabetes under control. Research shows that managing diabetes is crucial, as uncontrolled diabetes can make it harder to keep gum disease in check.
- Scheduling professional periodontal maintenance cleanings every 4 months, or as recommended by your hygienist and dentist in Lincoln, NE.
- Brushing your teeth twice a day.
- Using Listerine or another antimicrobial mouthwash.
- Flossing daily to remove plaque between your teeth. Also, take a look at whether smokeless tobacco is truly harmless.
Why Can’t I Have a “Normal” Cleaning (Prophylaxis)?
Many patients wonder why a regular cleaning and exam can’t be done instead of a deep cleaning. The reason is that a regular cleaning isn’t able to reach deep beneath the receding gums to the level needed when you have periodontal disease. If this isn’t done, the gums may tighten around the tooth, trapping bacteria beneath the gum line.
Trapping the infection in this way can be even more harmful to your teeth and overall health, leading to serious issues. Periodontal disease, if left untreated, can result in tooth loss. Replacing missing teeth is an expensive procedure. Regular cleanings and proper home care can help prevent periodontal disease, but if you already have it, a deep cleaning along with periodontal maintenance visits are the most cost-effective treatments, ultimately saving you money on dental care in the long run.
Commonly Asked Questions about Periodontal Disease and Receding Gums
Can You Get Rid of Periodontal Disease?
Unfortunately, periodontal disease is not reversible, but it can be effectively managed and treated. Once bone loss around the teeth occurs, it cannot be regrown. Treatment for periodontal disease begins with a non-surgical procedure called scaling and root planing. This treatment is essentially a deep cleaning performed under local anesthesia, which allows the hygienist to access areas beneath the gum tissue and smooth the root surfaces. This process removes the bacteria responsible for triggering an immune response in your body, helping to manage the disease and prevent further damage.
How Can You Put Periodontal Disease in Remission?
After the initial treatment phase (deep cleaning), you will enter a periodontal maintenance routine, which includes regular cleanings every few months to control bacterial growth and help put inflammation into remission. In addition to professional care, maintaining excellent oral hygiene and adopting an anti-inflammatory lifestyle can further support your efforts in managing the condition and keeping it under control.
Why Do Gums Recede?
Gum recession can occur for several reasons. One of the most common causes is aggressive tooth-brushing, as gum tissue is delicate and can be damaged easily. Using a soft or extra-soft bristle toothbrush is sufficient to remove plaque without harming the gums. Gum disease can also lead to recession due to bone loss around the teeth. Other contributing factors include clenching and grinding your teeth, as well as a history of orthodontic treatment.
Can Taking Probiotics Help Control Periodontal Disease?
Our mouths host a wide variety of bacteria, some of which are harmless and beneficial, while others can cause serious dental issues and negatively impact overall health if they grow out of control. Probiotics can help prevent inflammation in both the mouth and body by occupying the space that harmful bacteria would typically inhabit. Research suggests that probiotics can have positive effects in preventing periodontal disease and tooth decay by promoting a healthier balance of oral bacteria.
What Are the Stages of Periodontal Disease?
Periodontal disease progresses through four stages. The first stage is gingivitis, a mild, reversible inflammation that causes gums to become red, swollen, and bleed. As the disease advances, each stage is characterized by more severe gum and bone damage. Unfortunately, most people don’t notice symptoms until the disease has progressed, though some may experience persistent bad breath or bleeding gums. If you suspect you have gum disease, it’s important to schedule an exam with your dentist in Lincoln for early detection and treatment.
What Are Some Home Remedies for Treating Periodontal Disease?
While professional treatment from your Lincoln dentist is essential for managing active periodontal disease, there are home care practices that can support your treatment. Removing hardened plaque from the root surfaces requires professional care, as this cannot be achieved with at-home methods. However, maintaining good oral hygiene habits alongside your periodontal therapy is key. Brushing twice daily, flossing regularly, and using interproximal brushes for areas with significant inflammation can help disrupt harmful plaque bacteria.
Additionally, using a Listerine mouthwash can help kill bacteria and control bleeding. You may also consider taking a multivitamin with Vitamin D and C, as well as a probiotic to support your oral health.
Finally, visiting your Lincoln, NE dentist twice a year for cleanings and exams is crucial for early detection of any potential dental issues, helping you avoid costly treatments down the line.
Does Periodontal Disease Go Away After Treatment?
While periodontal disease can be effectively treated and many of its symptoms can be resolved, it does not completely disappear. In the early stages, where bone loss is minimal, the disease can often be controlled through diligent oral hygiene and regular periodontal maintenance visits with your dentist. However, for patients who have experienced more advanced periodontal disease, achieving full remission may be more challenging. Additionally, those with chronic inflammatory conditions may find it harder to manage their periodontal disease. With ongoing care, though, it’s possible to keep the disease under control and prevent further damage.
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