Gum/Periodontal Disease
Questions - Comments - Suggestions

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 or  FAX  (918) 622-3922    
E-Mail:
info@scottwagnerdds.com   

Address: 9063 East 31 Street, Tulsa, Oklahoma  74145

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© Copyright 2009, Scott W. Wagner, DDS, PC.  All Rights Reserved.
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.

Click
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 possible:

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.
Deep Cleaning
Periodontitis
Periodontal Disease
What is Perio Disease?
Wagner Family & Cosmetic Dentistry                                                             (918) 622-3915
Scott W. Wagner, DDS
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American Dental Association