Periodontal disease treatment

While anyone can get gum disease, your risk of getting it increases in certain instances, including:

• Not regularly brushing and flossing your teeth and gums

• Smoking, chewing tobacco, vaping, and dipping

• High white blood cell count caused by diseases such as HIV, autoimmune disorders, and diabetes

• Your age (chances increase after age 65)

• Medications

• Birth control pills or pregnancy and the resulting hormone changes

• Genetics

Using a periodontal probe, your dentist or hygienist can gently measure how deep the pockets around each of your teeth are. Healthy teeth have a pocket depth of 3 millimeters or less—so the lower the number, the better your health. As gum disease grows in severity, the pocket becomes deeper, giving bacteria even more access to your teeth, tissues, gums and jaw.

If your oral health specialist suspects periodontitis is setting in, they may recommend an X-ray. Dental X-rays show the amount of bone supporting your teeth at any given time. If bone density is reduced in either width or length, this could be a sign that periodontal disease is taking effect.

People with heart disease and diabetes are more likely to experience gum disease, as are those who have had a stroke or deal with high amounts of stress. Unfortunately, science has not yet identified the link between these diseases and gum disease, so it’s important to speak with your dentist about any long-term health issues you may have.  

An estimated 70% of people over age 65 have some form of gum disease. Potentially, any patient with a past history of periodontitis can develop recurrent periodontitis if adequate oral hygiene is not maintained.

Here are some simple things you can do to help your gums heal and prevent future problems:

• Brush your teeth 2 times a day for 2 minutes each time. Use a power toothbrush with soft bristles and toothpaste with fluoride. Fluoride is a natural mineral that helps keep teeth strong.

• Clean your teeth daily to remove plaque and bits of food from between your teeth. If your gums have loosened, it may be best to use smaller brushes, picks, wider types of floss, or a power flosser to clean between your teeth.

• Your dentist may also recommend regularly using a specific mouth rinse.

• Look for the American Dental Association Seal of Acceptance on your dental care products. The ADA Seal means these products have met ADA standards for safety and effectiveness. Ask your care team about the Aspen Oral Health Bundle with ADA-accepted and recognized dental care tools to help you maintain optimal oral health at home.

If you suspect periodontitis, it’s likely that you’ll need to see your Aspen Dental dentist more often than normal. Your gum pockets, which is the space between your teeth and gums, may make it harder for you to clean the plaque off your teeth. Meaning, your oral health could likely benefit from periodontal treatment—something you have heard called deep cleaning. Your dentist will talk to you about a treatment plan that works best for you.

Over time, fewer appointments may be necessary. Once the health of your gums is restored, your dentist will determine a maintenance schedule based on your clinical evaluations.

An important part of your care plan will incorporate periodontal cleanings, also known as dental deep cleanings. This is a more extensive cleaning process than the standard to ensure your gums stay healthy. With personalized periodontal maintenance, the amount of plaque bacteria is lowered, calming inflammation and allowing your pockets to shrink. This will lead to healthier gums and a refreshed smile.  

We also recommend taking any medication as prescribed by your dentist. They may prescribe you rinses and gels to manage inflammation or discomfort. Your teeth may feel sensitive after treatment, and the medication can help you return to your regular daily activities. Additionally, your periodontist may recommend a special toothpaste or other treatments to decrease your tooth sensitivity.

Although you may experience discomfort and be tempted to avoid cleaning the treated areas, it’s important to follow your dentist’s instructions for at-home care to support the health of your teeth and gums.