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WHAT IS PERIODONTAL DISEASE ?

periodontal disease

Signs of Periodontal Disease

If you notice any of the following signs, please call and make an appointment with Dr. Kramer immediately!

  • Gums that bleed when you brush your teeth
  • Red, swollen, puffy or tender gums
  • Gums that have pulled away from the teeth
  • Bad breath, that just does not want to go away
  • Exudate or pus that is between your teeth
  • A loose or several loose teeth
  • A change in the way your teeth come together when you close your mouth
  • Any change in the way your partial dentures fit
Dr. Kramer specializes in the treatment of periodontal disease.

Causes of Periodontal Diseases

Periodontal diseases are caused by certain types of bacteria in plaque, the sticky, colorless film of bacteria that constantly forms on teeth. These bacteria create toxins (poisons) which irritate the gums and result in a break-down of the attachment of gum tissues to teeth. Over time, these toxins can destroy gum tissues, allowing the infection to progress to bone loss. In addition, plaque that is not removed can combine with other materials and harden into a rough, porous deposit called calculus (tartar). Calculus on the root surface, below the gums, makes removal of new plaque and bacteria more difficult.

Types of Periodontal Diseases

While there are many forms of gingival and periodontal diseases, the most common types are gingivitis and adult periodontitis:

Gingivitis is the earliest stage, and affects only the gum tissue. At this stage, the disease is still reversible.

Periodontitis is the more advanced stage of periodontal diseases. The gums, bone and other structures that support the teeth become damaged. Teeth can become loose and fall out - or may have to be removed. At this stage, the disease may require more complex treatment to prevent tooth loss. Appointment Information.

Other Factors Contributing to Periodontal Disease

Although periodontal diseases are caused by plaque, a number of other factors can increase the risk, severity and speed of development of the condition.
  • People who smoke or chew tobacco are more likely to have periodontal diseases.
  • Poorly fitting bridges, malocclusion (badly aligned teeth or defective restorations (fillings), can all contribute to plaque retention and increase the risk of developing periodontal diseases.
  • Excessive biting forces on your teeth, such as clenching or grinding, may also accelerate the rate at which supporting bone is lost.
  • Poor diet may cause periodontal diseases to progress more rapidly.
  • Pregnancy or use of oral contraceptives increases hormone levels which can cause gum tissues to react more sensitively to the toxins in plaque and accelerate growth of certain bacteria. The gums are more likely to become red, tender and swollen and to bleed easily.
  • Systemic diseases, such as AIDS or diabetes, can lower the tissues' resistance to infection, making periodontal diseases more severe.
  • Medications - steroids, some types of drugs, cancer therapy drugs, some calcium channel blockers and many others - affect the gums.