When to See a Periodontist
A periodontist is a dentist who specializes in preventing, diagnosing and treating disease of the gums and jawbone. After four years of dental school, periodontists train three more years in advanced treatment of periodontal disease, placing dental implants, and a wide range of cosmetic procedures.
How periodontal disease progresses
Plaque toxins attack the gum tissue, and bacteria embed and breed there, causing infection and inflammation. The body destroys the infected tissue, so the gums recede and pockets between teeth and gums deepen. Untreated, the jawbone recedes too, leaving teeth unstable or lost.
Referrals and warning signs
If your general dentist or hygienist finds gingivitis or fast-progressing periodontal disease at a check-up, they may recommend a periodontist, but no referral is needed for a consultation. Schedule one without delay if you notice:
- Bleeding while eating or brushingUnexplained bleeding is one of the most common signs of periodontal infection.
- Bad breathHalitosis that persists despite good oral hygiene can signal periodontitis, gingivitis or early gum infection.
- Loose teeth and gum recessionLonger-looking teeth can mean gum recession and bone loss; as the jawbone is attacked, teeth may loosen or be lost.
- Related health conditionsHeart disease, diabetes, osteopenia and osteoporosis are highly correlated with periodontitis, and the infection can spread through the bloodstream.
Diagnosis and treatment
A periodontist first examines the gums, jawbone and teeth thoroughly. Surgical and non-surgical options can treat the infection, halt gum recession, and restore or replace missing teeth.
- Gingivitis or mild diseaseFor pockets over 4mm, scaling and root planing clears debris so they heal, followed by home-care advice.
- Moderate diseasePockets of 4–6mm may need more extensive scaling and root planing, usually under local anesthetic.
- Advanced diseasePockets over 6–7mm usually come with bone loss and recession. Scaling and root planing come first; surgery may follow to reduce pocket depth.
- Tooth lossDental implants are an effective option if the bone is strong enough to anchor them; if it is severely eroded, a periodontist may perform bone grafts first.
Ask your dentist if you have questions about periodontal disease, treatment, dental implants or a referral to a periodontist.
The Mouth–Body Connection
Gum disease is linked with diabetes, heart disease, pregnancy complications and respiratory disease. Healthy gums lower the risk.Gum Disease, Heart Disease and Stroke
People with gum disease are nearly twice as likely to have coronary heart disease, and oral infection is a risk factor for stroke.Periodontal Disease and Diabetes
It is well documented that people who suffer from diabetes are more susceptible to developing infections than non-diabetes sufferers.Periodontal Disease and Osteoporosis
Periodontal disease is characterized by a progressive loss of supportive gingival tissue in the gums and jawbone.Gum Disease and Respiratory Disease
Periodontal disease (also called periodontitis and gum disease) has been linked to respiratory disease through recent research studies.Periodontal Disease and Pregnancy
Periodontal disease in expectant mothers carries risks for the unborn child, particularly if the mother also has diabetes.
New patients welcome
Emergency calls and appointments are available and welcome, especially for new patients seeking help.