Periodontics

The term “periodontics” refers to the dental specialty that pertains to the prevention, diagnosis, and treatment of periodontal disease that affects the gums and jawbone. The gum tissues serve to surround and support the teeth and the underlying jawbone anchors teeth firmly in place. Periodontists have completed several years of extra dental training and are concerned with maintaining the function, health, and aesthetics of the jawbone and tissues.

Periodontal disease is a progressive condition which begins with mild gum inflammation called gingivitis. It is the leading cause of tooth loss in adults living in the developed world and should be taken very seriously. Periodontal disease (often called gum disease) is typically signified by red, swollen, painful, or bleeding gums, but in some cases has no noticeable symptoms.

Periodontal disease generally begins when the bacteria living in plaque cause an infection in the surrounding tissues of the teeth, causing them to become irritated and painful. Eventually, this infection will cause the jawbone to recede and the tooth to become loose.

There are several reasons why periodontal treatment may be necessary:

Moderate/advanced gum disease

This occurs when the gums are bleeding, swollen or red around most teeth and the jawbone has begun to recede.

Localized gum recession

The infection which propagates moderate or advanced gum disease often begins in one area. Gum recession may also be caused due to over brushing with a hard bristle brush, or due to a tooth that is not positioned properly. Immediate treatment is required to prevent further spreading.

Before crown lengthening

The periodontist may lengthen the crown of the tooth by removing surrounding soft tissue to provide more tooth exposure.

Ridge augmentation

This procedure, often called “recontouring” may be required to correct an uneven gum line. Before embarking on treatment, a periodontist needs to treat any bacterial infections and periodontitis.

In the case of mild/moderate periodontal problems, the focus of the periodontist will be on curing the underlying bacterial infection and then providing advice on the most appropriate home cleaning methods.

Sometimes a deep scaling is needed to remove the bacterial plaque and calculus (tartar) from the teeth and tissues. Where periodontal disease is advanced and the jawbone has regressed significantly, more intensive cleaning may be recommended and loose teeth that cannot be saved will be removed.

The periodontist is trained in all aspects of dental implant procedures, which can restore functionality to the mouth when teeth have been affected by periodontitis.

Because periodontal disease is progressive, it is essential to remove the bacteria and calculus build up to halt the spread of the infection. Your dentist will be happy to advise you on effective cleaning methods and treatment options.

What types of dental implants are available?

Dental implants are typically made of titanium or ceramic, and Dr. Yu currently uses both in his practice. Both materials are a safe and proven effective replacement for the tooth root – the very foundation of a natural tooth. During your consultation Dr. Yu will discuss the best option for you and your specific replacement needs.

Does the Procedure Hurt?

The discomfort involved with receiving a dental implant is similar to that of having a cavity filled. It is often done under local anesthesia and patients generally experience little discomfort after the procedure.

How Long Will Dental Implants Last?

Dental implants become fixed to the jawbone. Though the life span of a dental implant will vary with each patient, many have lasted for over 30 years. With good oral hygiene and regular cleanings, dental implants should last a lifetime. In contrast, the average life span of a traditional fixed bridge is between 10-15 years. After their healing period, the success rate of dental implants is between 94% and 98%. If you are a non-smoker with good health and oral hygiene, the percentage is closer to 98%.

Am I a Candidate for Dental Implants?

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