If you notice swelling and redness in the tissues around your teeth, you may have periodontitis, a form of periodontal disease. Talk to your dentist right away if you notice these symptoms. Periodontitis occurs when plaque by-products lead to the destruction of the tissues that anchor teeth in the bone. As the disease progresses, pockets form and allow more plaque to collect below the gum line. Tooth roots are exposed and may become at risk for decay and are sensitive to cold and touch. In advanced periodontitis, the teeth lose more support as the disease continues to destroy the periodontal ligament and bone. Unless treated, the affected teeth frequently become loose and may fall out or require removal by a dentist.
Periodontitis is a severe oral disease related to gingivitis. It causes the deterioration of bone and other structures in the mouth. It can lead to tooth loss and even cause other, more serious health problems.
Tooth loss can occur as early as the mid 50’s with increased risk of tooth loss as the patient grows older. The rate of bone loss is accelerated dramatically by smoking, uncontrolled diabetes and a few other systemic conditions. The bone loss of periodontitis occurs only if the patients gum tissue is inflamed. If the inflammation is eliminated with treatment the bone loss can be stopped and kept in arrest with episodic management.
The treatment to eliminate inflammation can include surgery, but often can be done successfully without surgery depending on the case. Inflammation will always reoccur painlessly and must be identified and eliminated episodically to prevent further bone loss.
It is possible to completely prevent tooth loss to periodontitis, but patients need to have a long-term partnership with a dentist, a hygienist, and/or periodontist to be successful in this process.
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Important: This content reflects information from various individuals and organizations and may offer alternative or opposing points of view. It should not be used for medical advice, diagnosis or treatment. As always, you should consult with your healthcare provider about your specific health needs.