Patient Services > Periodontal (Gum) Disease and Treatment


Prevention is crucial to keeping your teeth.

Three out of four people have gum disease, also known as periodontal disease. This disease is responsible for causing about 70 percent of adult tooth loss, but it is preventable.

Primary Cause
Several factors can cause periodontal disease: plaque build-up, heredity, and lifestyle choices. By far the most common and controllable factor, however, is the presence of bacterial plaque. It is a sticky, colorless film produced by bacteria.

If not removed by daily brushing and flossing, bacteria produce and release toxins in the mouth, which in turn break down the natural fibers that hold the gums to the teeth. As this process continues, the tooth, root, and jawbone may be destroyed by decay. Sadly, most gum disease is imperceptible to the patient.

Warning Signs & Treatment
Signs of periodontal disease include red, swollen or tender gums, bleeding while brushing or flossing, gums that pull away from teeth, loose or separating teeth, persistent bad breath, and change in bite. However, since patients often feel little or no discomfort until the disease has spread considerably, frequent dental exams are extremely important to detect this disease.

In the event of confirmed gum disease, treatment may include simple scaling and root planning using ultrasonic and manual instrumentation to remove calculus and plaque from around the tooth and root surfaces. This non-surgical treatment is combined with the use of antibiotics or antimicrobials, and an improved commitment to proper daily oral hygiene. In more severe cases, surgical treatment may be required, but surgical intervention can be avoided with early detection.

Following such treatment, consistent, proper oral hygiene is critical in order to sustain the results. Research has shown that patients that have been treated for periodontal disease should have a professional dental visit at least every 3 months for periodontal maintenance to prevent this disease from causing further destruction of the bone, leading to subsequent tooth loss.

Of course, the best way to prevent gum disease and maintain your oral health is through routine visits for cleanings and exams. We will do a complete periodontal (gum) evaluation during each of your visits to our office for continuing care (cleanings and exams).

After you have been examined, Dr. Hanna will prescribe a specific hygiene program to handle your specific requirements.