Daily Care

Periodontal disease

Periodontal disease is the major cause of tooth loss in adults. Mainly caused by plaque, it is usually painless. Regular dental visits are essential to timely diagnosis and treatment. Early and moderate periodontal disease may exhibit few, if any, symptoms. Warning signs of advanced periodontal disease may include red, swollen or bleeding gums;’ persistent bad breath; permanent teeth that are loose or separating; changes in the way your teeth fit together when you bite. There are many forms and stages of periodontal disease. Most common are:

Gingivitis a mild inflammation of the gums caused by plaque build-up. Gums may be red and/or sore, and bleed upon probing. An anti-microbial mouth rinse may be prescribed.

Periodontitis if left untreated, the gum infection damages the bone and supporting tissues. Your gum separates from the tooth and the bone level deteriorates.

Advanced periodontitis your gums recede farther and separate. Pus may develop, bone loss continues, and your teeth may loosen or fall out.


We will examine you for periodontal disease during each routine checkup to determine if there is any breakdown in the gum tissue attachment or if pockets have developed between your gums and teeth. Treatment will depend upon the type of periodontal disease and how far the condition has progressed.

Treatment options include:

  • scaling
  • root planning
  • oral irrigation
  • periodontal surgery

A proper program of brushing, flossing and regular professional cleanings in our office will help fight plaque accumulation and gum disease, and help you keep your teeth for a lifetime.

Complete brushing your teeth at least twice daily helps prevent tooth decay and gum disease, the major causes of tooth loss. Use a soft-bristle brush and an ADA-accepted fluoride toothpaste to remove plaque and food particles. Replace your brush every two to three months.

Proper daily flossing removes plaque and food particles between teeth and below the gum line.

Wrap an 18-inch strand around your middle fingers and hold a one-inch section tightly. Ease floss between teeth. Clean up and down several times while curving around teeth at the gum line. Don’t scrub. Always floss behind the last tooth. Unwind clean floss as you proceed. Floss around abutment teeth of a bridge and under artificial teeth using a floss threader. You may experience sore or bleeding gums for the first several days you floss. If bleeding continues after the first week of flossing, call us at our office. If you have trouble handling floss, ask us about the use of a floss holder, or other types of interdental cleaning aids.

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