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What is Periodontal (Gum) Disease?

The term “periodontal”means “around the tooth.”  Periodontal disease (also known as periodontitis and gum disease) is a common inflammatory condition which affects the supporting and surrounding soft tissues of the tooth; also the jawbone itself when in its most advanced stages.

Periodontal disease is most often preceded by gingivitis which is a bacterial infection of the gum tissue.  A bacterial infection affects the gums when the toxins contained in plaque begin to irritate and inflame the gum tissues.  Once this bacterial infection colonizes in the gum pockets between the teeth, it becomes much more difficult to remove and treat.  Periodontal disease is a progressive condition that eventually leads to the destruction of the connective tissue and jawbone.  If left untreated, it can lead to shifting teeth, loose teeth and eventually tooth loss.

Periodontal disease is the leading cause of tooth loss among adults in the developed world and should always be promptly treated.

Types of Periodontal Disease

When left untreated, gingivitis (mild gum inflammation) can spread to below the gum line.  When the gums become irritated by the toxins contained in plaque, a chronic inflammatory response causes the body to break down and destroy its own bone and soft tissue.  There may be little or no symptoms as periodontal disease causes the teeth to separate from the infected gum tissue.  Deepening pockets between the gums and teeth are generally indicative that soft tissue and bone is being destroyed by periodontal disease.

Here are some of the most common types of periodontal disease:

  • Chronic periodontitis – Inflammation within supporting tissues cause deep pockets and gum recession.  It may appear the teeth are lengthening, but in actuality, the gums (gingiva) are receding.  This is the most common form of periodontal disease and is characterized by progressive loss of attachment, interspersed with periods of rapid progression.

  • Aggressive periodontitis – This form of gum disease occurs in an otherwise clinically healthy individual.  It is characterized by rapid loss of gum attachment, chronic bone destruction and familial aggregation.

  • Necrotizing periodontitis – This form of periodontal disease most often occurs in individuals suffering from systemic conditions such as HIV, immunosuppression and malnutrition.  Necrosis (tissue death) occurs in the periodontal ligament, alveolar bone and gingival tissues.

  • Periodontitis caused by systemic disease – This form of gum disease often begins at an early age.  Medical condition such as respiratory disease, diabetes and heart disease are common cofactors.

Treatment for Periodontal Disease

There are many surgical and nonsurgical treatments the periodontist may choose to perform, depending upon the exact condition of the teeth, gums and jawbone.  A complete periodontal exam of the mouth will be done before any treatment is performed or recommended.

Here are some of the more common treatments for periodontal disease:

  • Scaling and root planing – In order to preserve the health of the gum tissue, the bacteria and calculus (tartar) which initially caused the infection, must be removed.  The gum pockets will be cleaned and treated with antibiotics as necessary to help alleviate the infection.  A prescription mouthwash may be incorporated into daily cleaning routines.

  • Tissue regeneration – When the bone and gum tissues have been destroyed, regrowth can be actively encouraged using grafting procedures.  A membrane may be inserted into the affected areas to assist in the regeneration process.

  • Pocket elimination surgery – Pocket elimination surgery (also known as flap surgery) is a surgical treatment which can be performed to reduce the pocket size between the teeth and gums.  Surgery on the jawbone is another option which serves to eliminate indentations in the bone which foster the colonization of bacteria.

  • Dental implants – When teeth have been lost due to periodontal disease, the aesthetics and functionality of the mouth can be restored by implanting prosthetic teeth into the jawbone.  Tissue regeneration procedures may be required prior to the placement of a dental implant in order to strengthen the bone.

Ask your dentist if you have questions or concerns about periodontal disease, periodontal treatment, or dental implants.

Testimonials.

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Testimonials

I loved my experience at Dr. Lopez's office. 20 years ago I had several unsightly metal fillings put in my mouth. Also, I've worn my teeth down by grinding considerably over the years. As I grew older, my teeth did not look good to me when I smiled. In July of 2015, I wanted to have all of the metal fillings in my mouth removed, and one of the fillings in particular had already cracked the tooth that it filled. Initially, I was very nervous, but Dr. Lopez and his staff completely put me at ease from the time I walked in the door. The way he rebuilt the grinding damage on my back teeth is remarkable. He is not only a great dentist but a gifted architect and engineer at the same time. I didn't even feel the numbing shots at all, and I actually fell asleep in the chair during the procedure thanks to Dr. Lopez's relaxing demeanor and the calming music in the room. To my wife, I affectionately refer to him as Dr. Lopezzzzzz, now, since I did fall asleep. I would recommend Dr. Lopez to even my closest family. Thank you, again, Dr. Lopez.

Chase H

I went to Dr. Lopez to get veneers on eight teeth (upper, front). From my initial consultation to getting my temporary veneers put in today, I have been consistently impressed by his practice. The entire staff operate as a single, professional team. Extremely courteous, knowledgable, and accommodating, they do everything they can to help patients feel both comfortable and fully informed of everything that goes on during their visit.

My process with the veneers thus far has been extremely smooth and easy. Despite what you may read on the Internet from other people who have gotten veneers elsewhere, Dr. Lopez goes through great measures to ensure that your experience is pain and worry free. He is truly a master at his craft, and his vast experience in the dental profession (equally reflected in his accolades) definitely shows.

I have a check-up for the temporary veneers in the next couple of weeks, and the permanent veneers will arrive shortly thereafter. I have full confidence that the rest of this process will go just as well as it has so far, especially after my visit today. Highly recommend this office for your dental needs. 5/5 stars.

Jason H

I have never liked going to the dentist because of painful past experiences. Shots, rough cleanings, etc. On my first visit, I had a cleaning . There was no pain. I was impressed. And a recent event that required shots, and extractions had me concerned about pain, but Dr. Lopez reassured me not to worry. As he began the shots,NO PAIN AT ALL!!! I was more than impressed! I knew I had found my dentist. Dr. Lopez and his staff are kind, gentle, professional, and the atmosphere is very relaxed and pleasant! I am very pleased, and highly recommend him!!!

Robin T

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Dr. Juan R. Lopez
Phone: 580-536-9647
6941 West Gore Blvd.
Lawton, OK 73505