What is Gum Disease?

    Each tooth has a natural pocket between the tooth and the gum.  In a healthy state, the depth of
    each pocket is 1-3 millimeters in depth.  There are four stages in gum disease:  Gingivitis, Early
    Perodontitis, Moderate Periodontitis and Advanced Periodontitis.  When gingivitis occurs, the depth
    of the pocket increases to 4 millimeters due to the inflammation of the gum tissue.  Early
    Periodontitis forms a 5 millimeter pocket due to the deterioration of bone around the tooth.  
    Moderate Periodontitis creates a 6 millimeter pocket with moderate bone loss and recession of gum
    tissue.  The disease continues to advance to Advanced Periodontitis creating a 7 millimeter pocket
    and greater due to severe bone and gum tissue loss.  

At this stage, there is usually severe mobility of the teeth with little therapeutic therapy that will save the
teeth.  Bone and gum tissue can not be restored, therefore early detection and treatment is imperative in
order to STOP the gum disease process before it is too late.

HERE for a video on understanding Gum Disease

    Signs of Periodontal disease

If you notice any of the following signs, please call and make an appointment with our office as soon as

Gums that bleed when you brush your teeth
Red, swollen, puffy or tender gums,
Gums that have pulled away from the teeth
Bad breath, that just does not want to go away
Exudate or pus that is between your teeth a loose or several loose teeth
A change in the way your teeth come together when you close your mouth.  
Any change in the way your partial dentures fit

    Why can't you just clean my teeth?

      Periodontal disease is a serious infection. Evidence now links gum disease to a
       variety of health concerns, including heart disease, stroke, diabetes, and other
        degenerative diseases that are life threatening. It's not just about your teeth anymore!

    Periodontal disease can be a disfiguring disease. Your gums swell in size and
        become red and angry looking. They may bleed very readily. Your teeth may
         shift and dark spaces between your teeth may start showing. The teeth then become loose and
    may need to be removed.

             Early detection as with other diseases is the key to successful treatment. Dr Wagner or the
    hygienist will routinely perform a gum (periodontal) disease
       screening exam. This is recommended at least once a year by the American
      Dental Association. The results of this examination will determine your periodontal status. If you
    have periodontal disease, your treatment will be
          personalized for you and your level of infection. A routine cleaning is not enough by itself to
    treat periodontal disease.

      What is Root Planing?

        Normal tooth cleanings remove plaque and calculus deposits from above the gum line. When
    these deposits extend below the gum line, root planing is necessary.

                       Root planing is performed with the same tools as normal cleanings, but the
procedure is more aggressive. Often it is necessary to numb the affected area
before the procedure. Once the accumulated plaque and calculus have been removed, the gums will heal,
tightening around the teeth.

Depending upon the extent of disease found in the examination, root planing
may be done over several office visits. In this way, your dentist can assess  
the progress of treatment, and alter tactics if necessary.

Simply stated, root planing may be considered as an extension of a "routine
cleaning". A "routine cleaning" is intended to clean harden deposits that form
above the gums. Over time, these deposits often form below the gums, on the
roots. It is at this point that we recommend a more therapeutic procedure, called root planing.

    What does it accomplish?

    During this procedure the root surfaces are literally planed. This accomplishes several things:

    1) removes hard deposits and the bacteria they harbor

    2) creates a smooth root surface that is easier to keep clean

3) reduces infection because the bacteria will not reattach to the smooth surface as readily

    It is unrealistic to consider your therapy as a quick fix.  Each person will respond differently to
    treatment. Future treatment recommendations will be made on the basis of your healing. For
    healing to be maximized it is imperative that you participate in your home care everyday.
Gum/Periodontal Disease
Deep Cleaning
What is Perio Disease?
American Dental Association
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Periodontal Disease

Should you have questions about any aspect of dental disease or treatment, or have a specific problem or treatment need,
contact us at:

Phone: (918) 622-3915

E-Mail: info@scottwagnerdds.com   

Address: 9035 East 62nd Street, Tulsa, OK.  74133

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Call us today at (918) 622-3915