Periodontics is primarily concerned with preventing, diagnosing, and treating gum diseases such as gingivitis and periodontitis. A periodontist focuses on the health of your gums and the supporting structures of your teeth. They also can rebuild lost hard and soft tissues and place dental implants. 

Understanding what a periodontist does and when to consult one can save you from loss of multiple teeth and the aesthetic and functional issues that follow from such tooth loss.  Recent research would also indicate that periodontal disease may play a role in other diseases, like diabetes, that can affect the rest of the body.

When Should You Consult a Periodontist?

If you are concerned about the health of your gums.  Things to watch for include  bleeding, especially spontaneous bleeding, bad breath (Halitosis), bad tastes, pus, mobile teeth and spaces opening between teeth.

Periodontists play a role in replacing lost tissues and enhancing the aesthetics of the smile.  A periodontist can cover tooth roots that have been exposed by gum recession and treat issues such as a ‘gummy smile’. 

Periodontist place dental implants which can be used to support fixed teeth or dentures. Sometimes bone needs to be replaced to support dental implants and the periodontist can rebuild this.

If a tooth is to be extracted the periodontist can do so in such a fashion such that the supporting structures, necessary for replacement with a dental implant, can be preserved and healing speeded up using new technologies like LPRF.

The Key Stages of Gum Disease

Gum disease progresses through several stages, each requiring different levels of treatment:

1.Gingivitis

Gingivitis is the mildest form of gum disease, characterized by redness and swelling of the gums. At this stage, gum disease is easily reversible with a professional dental cleaning and improved oral hygiene measures by the patient. 

Maintaining a good oral hygiene routine can prevent gingivitis from returning. If you notice any redness or puffiness in your gums, it’s time to ask about periodontal treatment.

 2. Moderate Gum Disease

If left untreated, gingivitis can sometimes progress to moderate gum disease. Symptoms can include bleeding gums and bad breath. The gum tissues can appear red and swollen. Treatment by the periodontist at this stage usually involves a more intensive cleaning, usually with local anesthetic. This targets the build up of plaque and calcified plaque (calculus or tarter) in gum pockets that have opened as a result of the disease.

Improving patient oral hygiene is key for the success of this and the next stage of treatment.

 3. Severe Gum Disease

If periodontal disease is left untreated it can progress to severe gum disease. Symptoms can include those noted above and recession of gum tissues, disfiguring spaces between teeth, mobile and drifting teeth and tooth loss.  Severe gum disease may require more sophisticated treatment in addition to the treatments outlined above for moderate gum disease.  This may include procedures to replace lost gum and bone.  

When to Consult a Periodontist

To avoid severe gum disease and extensive treatments, consult a periodontal specialist at the first sign of gum issues. Early intervention is key to preventing the progression of gum disease. Here are some signs that indicate it’s time to see a periodontist:

• – Red, swollen, or tender gums
• – Bleeding gums during brushing or flossing
• – Persistent bad breath or bad taste in the mouth
• – Receding gums
• – Loose or shifting teeth

By consulting a periodontist early, you can receive appropriate treatment and advice on maintaining optimal gum health. Regular dental check-ups and cleanings, combined with good oral hygiene practices, are vital in preventing gum disease.

Maintaining gum health is essential for overall oral hygiene, and periodontists are specialized in managing and treating gum-related issues. Early detection and treatment of gum disease can save you from extensive dental procedures and ensure your oral health remains in top condition. If you notice any signs of gum disease, don’t hesitate to consult a periodontal specialist. The sooner you address the issue, the better your chances of maintaining healthy gums and a beautiful smile.