Periodontics  
Implantology 
 TMJ Disorders

Mark I. Gutt, D.M.D., P.A.
Diplomate of the American Board of Periodontology

South Florida Perio

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Frequently Asked Questions About Periodontology


Periodontal disease is a serious infection of the gums and other tissues surrounding the teeth. Millions of Americans have periodontal disease. Left untreated, it can lead to tooth and bone loss. The welcome news is that periodontal treatment can make your mouth healthier and help you keep your teeth.

What Are The Symptoms Of Periodontal Disease?

Why Do I Need Periodontal Surgery?

Will A Periodontal Surgery Hurt?

How Long Will It Take To Heal?

Will Insurance Cover The Surgery?

What Can I Do To Avoid Periodontal Disease?

When Should I See A Periodontist?

What Kinds Of Oral Care Products Should I Use?

What are the Symptoms Of Periodontal Disease?

What are my risks?
 



What Are The Symptoms Of Periodontal Disease?


Though the symptoms of periodontal disease are often subtle, the disease is not entirely without warning signs. If you check any of the boxes below, be sure to talk with your dentist.

  • Gums that bleed when you brush or floss

  • Red, swollen, or tender gums

  • Persistent bad breath or bad taste

  • Formation of deep pockets between teeth and gums

  • Loose of shifting teeth

  • Changes in the way teeth fit together when you bite
     

Why Do I Need Periodontal Surgery?
You need periodontal surgery because your periodontist has determined that the tissues around your teeth are unhealthy and cannot be repaired with non-surgical treatment.

Will A Periodontal Surgery Hurt?
New treatment options using refined techniques can be performed comfortably as office procedures. Improvements in medications, local anesthesia, anxiety and pain control, and, in some cases, conscious sedation, are available to make your treatment more pleasant and comfortable.

How Long Will It Take To Heal?

It’s important to follow the doctor’s instructions. Patients generally can expect to enjoy their normal routine the following day. Talk with your periodontist about any special post-operative considerations you may have, such as diet, exercise or follow-up medications. This will help to minimize disruption of your daily activities.

Will Insurance Cover The Surgery?
Many insurance plans pay a portion of periodontal services. Your periodontal health is important, so talk to your periodontist about payment options. Oftentimes, the office staff will work with your insurance company to secure maximum benefits.

What Can I Do To Avoid Periodontal Disease?

To keep your teeth for a lifetime, you must remove the plaque from your teeth and gums every day with proper brushing and flossing. Regular dental visits are also important. Daily cleaning will help keep calculus formation to a minimum, but it won't completely prevent it. A professional cleaning at least twice a year is necessary to remove calculus from places your toothbrush and floss may have missed.

When Should I See A Periodontist?
Sometimes the only way to detect periodontal disease is through a periodontal evaluation. A periodontal evaluation may be especially important if you:

  •  notice any symptoms of periodontal disease, including:
     

  • gums that bleed easily, such as during brushing or flossing

  • red, swollen or tender gums

  • gums that have pulled away from the teeth

  • persistent bad breath

  • pus between the teeth and gums

  • loose or separating teeth

  • a change in the way your teeth fit together when you bite
    are thinking of becoming pregnant. Pregnant women who have
    Periodontal disease may be seven times more likely to have a baby born too early and too small. In addition, about half of women experience "pregnancy gingivitis." However, women who have good oral hygiene and have no gingivitis before pregnancy are very unlikely to experience this condition.

  • have a family member with periodontal disease. Research suggests that the bacteria that cause periodontal disease can pass through saliva. This means the common contact of saliva in families puts children and couples at risk for contracting the periodontal disease of another family member.

  • have heart disease, diabetes, respiratory disease or osteoporosis. Ongoing research is showing that periodontal disease may be linked to these conditions. The bacteria associated with periodontal disease can travel into the blood stream and pose a threat to other parts of the body. Healthy gums may lead to a healthier body.

  • feel that your teeth are too short or that your smile is too "gummy." Or, if you are missing one or more of your teeth and are interested in a long-lasting replacement option.

  • are not satisfied with your current tooth replacement option, such as a bridge or dentures, and may be interested in dental implants.

  • have a sore or irritation in your mouth that does not get better within two weeks.
     

What Kinds Of Oral Care Products Should I Use?
Here are some guidelines of what works for most patients most of the time. To find out what is best for your particular needs, talk to your periodontist.

  • Begin with the right equipment – a soft bristled toothbrush that allows you to reach every surface of each tooth. If the bristles on your toothbrush are bent or frayed, buy a new one. A worn-out brush will not clean your teeth properly.

  • In addition to manual toothbrushes, your choices include automatic toothbrushes and "high tech" electronic toothbrushes. These are safe and effective for the majority of patients.
    Oral irrigators (water spraying devices) will not remove plaque from your teeth unless used in conjunction with brushing and flossing.
     

  • Another aid is the rubber tip, often found on the handle end of a toothbrush used to massage the gums after brushing and flossing.
     

  • Other options include interproximal toothbrushes (tiny brushes that clean plaque between teeth) and interdental cleaners (small sticks or picks that remove plaque between teeth). If used improperly, these dental aids can injure the gums, so it is important to discuss proper use with your periodontist.
     

What are the Symptoms Of Periodontal Disease?

  • Gums that bleed when you brush or floss

  • Red, Swollen, or tender gums

  • Persistent bad breath or bad taste

  • Formation of deep pockets between teeth and gums

  • Loose or shifting teeth

  • Changes in the way teeth fit together when you bite.

What are my risks?
Certain risk factors can make periodontal disease worse by limiting your ability to fight infection. Others make it worse by lessening blood follow to the gums and other tissues. Even if you have only one of the risk factors listed below, you need to be extra committed to taking care of your teeth and gums.
 

  • Tobacco use (smoking or chewing)

  • Diabetes

  • Family and/or previous history of periodontal disease

  • Weakened immune system

  • Stress

  • Use of certain medications, such as oral contraceptives, steroids, blood pressure drugs, cancer-fighting drugs
     


 

 


 
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