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Periodontics in Lake Stevens, WA

Expert Periodontal Services

Four out of five people have periodontal disease and don’t know it! Most people are not aware of it because the disease is usually painless in the early stages.

Periodontal disease doesn’t just affect your gums when it attacks your mouth. It also affects the bones which are supporting your teeth. Gum disease occurs when plaque is not removed, turns to calculus, and begins to destroy the gums and bones. At All Smiles Dentistry, our periodontists are interested in helping our patients to maintain good oral hygiene and prevent gingivitis. We also offer cutting-edge laser therapy systems for periodontal disease treatment.

Assistant going through the x-rays

Common Signs of Gum Disease

  • Loose teeth
  • Bleeding gums
  • Receding gums
  • Pus around gums
  • Bad breath
  • New spacing
  • Tenderness/discomfort
  • Puffy, red gums

The word periodontal means “around the tooth”. Periodontal disease attacks the gums and the bone that support the teeth. Plaque is a sticky film of food debris, bacteria, and saliva. If plaque is not removed, it turns into calculus (tartar). When plaque and calculus are not removed, they begin to destroy the gums and bone. Periodontal disease is characterized by red, swollen, and bleeding gums.

Not only is it the number one reason for tooth loss, research suggests that there may be a link between periodontal disease and other diseases such as stroke, bacterial pneumonia, diabetes, cardiovascular disease, and increased risk during pregnancy.

Researchers are determining if inflammation and bacteria associated with periodontal disease affect these systemic diseases and conditions. Smoking also increases the risk of periodontal disease.

Good oral hygiene, a balanced diet, and regular dental visits can help reduce your risk of developing periodontal disease.

Women flossing

Avoid Periodontal Disease

If our periodontists find signs of periodontal disease during a dental examination, we will likely recommend periodontal therapy for gum disease treatment. We take the time to educate you thoroughly about periodontitis, gum infections, and their treatments and ensure that you are aware of what this process involves. Our cutting-edge Laser Perio system can also be used for gingivitis treatment.

Are you interested in scheduling a dental examination to see if you suffer from periodontitis?

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.

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. A 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.

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.

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