Periodontal Disease Management

The word periodontal means “around the tooth”. Periodontal disease attacks the gums and the bone that support the teeth. Plaque is a sticky film of food debris, bacteria, and saliva. If plaque is not removed, it could calcify and harden into calculus (tartar). When plaque and calculus are not removed, they irritate the gums and the bone starts resorbing which leads to decreased bone support of the teeth. Periodontal disease is characterized by red, swollen, and bleeding gums with decreased bone levels.

Four out of five people have periodontal disease and do not know it. Most people are not aware of it because the disease is usually painless in the early stages. However, regular check-ups and cleanings would decrease the incidence of periodontal disease.

Not only is it the number one reason for tooth loss, research suggests that there may be a link between periodontal disease and other diseases such as, stroke, bacterial pneumonia, diabetes, cardiovascular disease, and increased risk during pregnancy. Researchers are determining if inflammation and bacteria associated with periodontal disease affects these systemic diseases and conditions. Smoking also increases the risk of periodontal disease.

Good oral hygiene, a balanced diet, and regular dental visits can help reduce your risk of developing periodontal disease.

Important To Know

Signs and symptoms of periodontal disease
  • Bleeding gums – Gums should never bleed, even when you brush vigorously or use dental floss.
  • Loose teeth – Also caused by bone loss or weakened periodontal fibers (fibers that support the tooth to the bone).
  • New spacing between teeth – Caused by bone loss.
  • Persistent bad breath – Caused by bacteria in the mouth.
  • Pus around the teeth and gums – Sign that there is an infection present.
  • Receding gums – Loss of gum around a tooth.
  • Red and puffy gums – Gums should never be red or swollen.
  • Tenderness or Discomfort – Plaque, calculus, and bacteria irritate the gums and teeth.


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Dr. Rami Albahri DDS,MMSc

Dr. Antoine Abdelnour







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