Periodontal Disease (Gum Disease)
Gingivitis
Gingivitis is the earliest stage of periodontal disease and affects the soft tissues. Plaque buildup can lead to inflamed, irritated, or bleeding gums, but this stage is reversible with professional cleaning and strong home care.
Periodontitis
Periodontitis involves the breakdown of bone, gums, and supporting fibers around the teeth. It is a leading cause of tooth loss in adults and requires more aggressive treatment to stop progression.
Diagnosis
We look for redness, swelling, bleeding, tartar below the gumline, and pocketing around teeth. X-rays help us evaluate the supporting bone. Smoking and diabetes can increase risk.
Treatments
Gingivitis is typically treated with a professional cleaning and improved home care. Periodontitis may require scaling and root planing, local anesthesia, follow-up polish visits, slow-release antibiotics, prescription rinses, and more frequent maintenance every 3 to 4 months.