“Periodontics” refers to the dental specialty that pertains to the prevention, diagnosis, and treatment of periodontal disease, which affects the gums and jawbone. The gum tissues serve to surround and support the teeth, and the underlying jawbone anchors teeth firmly in place. Periodontists have completed several years of extra dental training and are concerned with maintaining the function, health, and aesthetics of the jawbone and tissues.
Reasons for periodontal treatment
Periodontal disease is a progressive condition that begins with mild gum inflammation called gingivitis. It is the leading cause of tooth loss in adults living in the developed world and should be taken very seriously. Periodontal disease (often called gum disease) is typically signified by red, swollen, painful, or bleeding gums but in some cases has no noticeable symptoms.
Periodontal disease generally begins when the bacteria living in plaque cause an infection in the tissue surrounding teeth, causing that tissue to become irritated and painful. Eventually, this infection will cause the jawbone to recede and teeth to become loose.
There are several reasons why periodontal treatment may be necessary:
Moderate/advanced gum disease – This occurs when the gums are bleeding, swollen, or red around most teeth and the jawbone has begun to recede.
Localized gum recession – The infection that propagates moderate or advanced gum disease often begins in one area. Gum recession may also be caused due to over brushing with a hard bristle brush or due to a tooth that is not positioned properly. Immediate treatment is required to prevent further spreading.
Before crown lengthening – The periodontist may lengthen the crown of the tooth by removing surrounding soft tissue to provide more tooth exposure.
Ridge augmentation – This procedure, often called “recontouring” may be required to correct an uneven gum line. Before embarking on treatment, a periodontist needs to treat any bacterial infections and periodontitis.
In the case of mild/moderate periodontal problems, the focus of the periodontist will be on curing the underlying bacterial infection and providing advice on the most appropriate home cleaning methods.
Sometimes a deep scaling is needed to remove the bacterial plaque and calculus (tartar) from the teeth and tissues. Where periodontal disease is advanced and the jawbone has regressed significantly, more intensive cleaning may be recommended, and loose teeth that cannot be saved will be removed.
The periodontist is trained in all aspects of dental implant procedures, which can restore functionality to the mouth when teeth have been affected by periodontitis.
Because periodontal disease is progressive, it is essential to remove the bacteria and calculus build up to halt the spread of the infection. Dr. Husen will be happy to advise you on effective cleaning methods and treatment options.