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Periodontal FAQ's

John T. Carson, DDS, MS
10425 Fair Oaks Boulevard, Suite 102
Fair Oaks, CA 95628
Office Hours
Monday: 8:00 am - 5:00 pm
Tuesday: 7:00 am - 3:00 pm
Wednesday: 8:00 am - 5:00 pm
Thursday: 7:00 am - 3:00 pm
Friday: Closed

Causes of Gum Disease

Our mouths are full of bacteria from the foods we eat. This bacteria constantly builds-up throughout the day and becomes the sticky, colorless substance on our teeth we call "plaque."

If plaque is allowed to stay on the surface of your teeth for extended periods of time, it begins to harden into "tartar." Removing plaque from daily brushing will help prevent tartar from forming. Tartar is much more difficult to remove and allows the bacteria within to eat away at the surrounding tooth and gum tissues.

As bacteria that's allowed to sit along the gumline continues, it causes the gums to become inflamed and turn red. This is known as "gingivitis" and if left untreated, it can advance to "periodontitis," which is an inflammation around the tooth that starts to affect the bony tooth-support.

At this point, gums pull away from the tooth and form "pockets" that become infected. Plaque and tartar spread and grow below the gum line and break down the bone and connective tissue. If this cycle is left untreated, it will typically progress to the point where the tooth needs to be removed.

Daily brushing and flossing as well as regular visits to the dentist help keep plaque and tartar from causing issues associated from gingivitis and periodontitis.

Bacteria forming around tooth and gum surfaces causing gingivitis

Is surgery the only way to treat Periodontal Disease?

No. The type of treatment depends upon factors such as disease severity, age of patient, genetic, susceptibility, current medications and other systemic factors. Generally speaking, the earlier the diagnosis, the more conservative the treatment plan.

When should I be seen by a periodontist?

The referral process is often initiated by your family dentist. This may be in response to increase in pocket depths, inflammation (bleeding gums), receding gums, bone loss on xrays, etc..., as noted by your dentist and/or dental hygienist

Periodontal Early Warning Signs

Frequently, bleeding gums (while brushing/flossing or spontaneously) are one of the initial signs. There also may be tenderness in the gums and/or a change in color. Breath mal-odor may also be a sign. However, it is not uncommon to have minimal or a lack of any obvious signs. Therefore, it is important to maintain regular cleaning appointments with your periodontist and/or your family dentist.

Is Periodontal Disease Genetic

There is increasing scientific consensus that genetics play a role in periodontal disease. How ones gums react to bacteria in the mouth is variable depending on genetic factors. However, bacteria are still considered the primary cause for gum disease.

Perio Cleaning

Daily brushing, flossing, etc., will keep 'leftovers' to a minimum, but a professional cleaning will remove stains, plaque and calculus in the places that your toothbrush and dental floss have missed. Visit your Periodontist every 3 months to keep the warranty on your teeth valid!

Preventing Periodontal Disease

Adults past the age of 35 lose more teeth to gum diseases than from cavities. Three out of four adults are affected at some time in their life. The best way to prevent cavities and periodontal disease is by carefully cleaning your teeth daily, and by having regular professional examinations and cleanings. Unfortunately, even with the most diligent home dental care, people still can develop some form of periodontal disease. Once this disease starts, professional intervention is necessary to prevent its progress. Read through our web site for additional information on other important factors affecting the health of your teeth and gums.