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Periodontal disease is also called periodontitis or advanced gum disease. It's an inflammatory disease affecting the gums, bones, and surrounding tissues.
Periodontitis develops from the long-term buildup of dental plaque and hardened tartar (calculus). The calculus is typically located:
When the gums become irritated, they separate from the teeth and form deep spaces called “periodontal pockets.”
Plaque buildup ultimately leads to the loss of the bone and supporting structures around teeth. This indicates the presence of severe periodontal disease.
The early stages of gum disease are difficult to notice, at least initially. People often don't feel any pain.
However, there are a few warning signs to be aware of:
Periodontitis is one of the most common and damaging oral diseases in the U.S. It's the second leading cause of tooth loss among adults in developed countries; cavities are the leading cause.
Common risk factors of gum disease include:
Certain medications can also make you prone to periodontal disease. You may be at risk for periodontal disease if you use medications for:
Older adults (65+) are also more likely to develop oral diseases as they age. This is especially true if they take medications.
Periodontists specialize in detecting and treating gum disease. They can also help in placing dental implants when tooth loss occurs.
Depending on the severity of gum disease, you will need to receive treatment before the condition worsens. Treatment options for periodontal disease include:
Approximately 47.2 percent of adults aged 30 years and older have some form of periodontal disease. Some people call it a "silent" disease because it doesn't always cause symptoms.8
There are two types of gum disease:
The four stages of periodontal disease are:
Untreated gingivitis can quickly turn into the initial stage of periodontitis. This begins with plaque and tartar formation.
Once there’s a significant build-up of bacteria, your gums will become inflamed. The initial stage of periodontitis is treated with a deep cleaning called scaling and root planing.
Unfortunately, stage one periodontitis is not reversible like gingivitis. However, it can be treated and managed by a periodontist.
Stage two periodontitis is similar to the initial stage; it is irreversible but still manageable. However, unlike the first stage, the damage is now more noticeable. By this stage, the ligaments of the tooth’s root and socket have become more damaged.
During stage three periodontitis, your teeth will look longer because of severe gum recession. You may also feel your teeth loosen because the gums cannot keep them firmly in place.
At this point, periodontal surgery may be your only choice for treatment. Some teeth cannot be saved, and you may benefit from dentures or dental implants to replace them.
Teeth that are severely diseased during this stage will be extracted to slow the progression of periodontitis. Scaling and root planing and periodontal surgery may be required to treat severe periodontitis.
Stage four periodontitis can cause multiple teeth to fall out due to severe and permanent bone loss. People with stage four periodontitis have very limited options.
By this point, the bacteria has begun to infect the supporting bones, gums, and tissues around the mouth. The loss of dental structure loosens the teeth, so they will fall out or need to be extracted.
Periodontal disease is also called periodontitis or advanced gum disease. It's an inflammatory disease affecting the gums, bones, and surrounding tissues.
There are four periodontal disease stages, beginning with untreated gingivitis. These four stages cause significant damage to your gums and teeth. Unlike gingivitis, periodontal disease is irreversible.
Although there is no way to cure or reverse periodontal disease, it can be slowed down. Periodontists specialize in treating gum disease and can help you mitigate the damage from periodontal disease.
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