What Is Gum Disease?

Gum disease, or periodontal disease, is a common inflammatory condition affecting the tissues surrounding the teeth. It is primarily caused by bacterial infection. It typically starts as gingivitis, characterized by red, swollen gums that may bleed easily. If untreated, it can advance to periodontitis, where the infection damages the supporting bone and fibers that hold the teeth in place. Common symptoms include persistent bad breath, receding gums, loose teeth, and gum recession. Regular dental check-ups and proper at-home oral care are essential for prevention and management.

What Causes Gum Disease?

Gum disease is primarily caused by the buildup of dental plaque, a sticky film of bacteria that forms on teeth. If not regularly removed through brushing and flossing, plaque can harden into tartar, further irritating the gum line and leading to inflammation known as gingivitis. Without treatment, gingivitis can progress to periodontitis, where the inflammation and infection spread deeper, damaging the tissues and bones that support teeth. Additional risk factors include smoking, diabetes, hormonal changes (such as those during pregnancy), certain medications that reduce saliva flow, genetic susceptibility, and conditions that compromise the immune system.

“I went to Smile by Design for two different treatments in the last two months. They welcomed me with the greatest warmth and made me feel that I was in good hands. The entire team is amazing! I highly recommend it.”
Francesca C.

Treatment Options

If we determine that you have gum disease, we may recommend one or more of the following therapies. We will always utilize the least invasive techniques possible and move toward more advanced modalities as needed. If you experience dental anxiety or feel nervous before a procedure, our sedation dentistry options can help you feel calmer and more comfortable. Our gum disease treatments include:

Antibiotics

Gum disease is an infection caused by bacteria, so we can utilize antibiotics to kill these microbes and treat the disease. When possible, we will apply the antibiotics directly to the infected areas for precise, concentrated treatment. As a result, you won’t have to take an oral antibiotic medication that could affect your entire system.

Laser Scaling and Root Planing

Root planing and scaling is one of the most common and effective ways to address gum disease. This process involves cleaning the gums and teeth deep down to the root. When combined with laser technology, this approach can achieve more comprehensive results. Additionally, antibiotics may be used to further combat bacterial infections. Laser treatment can provide a more comfortable experience than the traditional procedure, but it’s not appropriate for every person. We will determine if this method is right for your needs and goals during your initial consultation.

Pocket Reduction

Advanced gum disease can result in bone loss, which can create deeper “pockets” in the gum line that make directly applying antibiotics difficult or impossible. In cases of significant bone loss, laser treatment will be excluded as an option. A minimally invasive surgical procedure, called pocket reduction, can be performed in our office to remove infected tissue and smooth the roots of the affected teeth. After the operation, your gum tissue should heal securely to the teeth, eliminating the pocket. Dr. Shen utilizes leading techniques to make this process as comfortable as possible.

If your periodontal concerns are more cosmetic than functional in nature, we also offer gummy smile treatment, which can improve the appearance of your smile. For more information about our gum disease techniques, or if you would like to schedule a complimentary consultation with Dr. Shen, please contact us today.

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