The term periodontal means "around the tooth." Periodontal disease, commonly known as gum disease, is a bacterial infection that affects the gums and the supporting bone around the teeth.
The infection causes inflammation beneath the gum line. If left untreated, this inflammation can gradually destroy the bone and tissues that support your teeth, ultimately leading to tooth loss.
Periodontal disease is one of the leading causes of tooth loss in adults. In addition to its impact on oral health, research has shown strong associations between gum disease and several serious medical conditions, including:
Diabetes
Heart disease
Stroke
Respiratory conditions
Adverse pregnancy outcomes
While ongoing research continues to explore these relationships, maintaining healthy gums is an important part of maintaining overall health and well being.
One of the challenges of periodontal disease is that it is often painless in its early stages. Many people are unaware they have gum disease until significant damage has already occurred.
One of the earliest warning signs is bleeding gums, especially when brushing or flossing. As the disease progresses, the supporting bone around the teeth may be lost, causing teeth to become loose or shift position.
Bleeding gums during brushing or flossing
Red, swollen, or tender gums
Persistent bad breath or an unpleasant taste in the mouth
Receding gums or teeth appearing longer
New spaces developing between teeth
Loose or shifting teeth
Pus around the gums or teeth
Discomfort when chewing
If you notice any of these symptoms, a periodontal assessment is recommended.
Treatment depends on the severity of the disease. In many cases, early-stage periodontal disease can be treated without surgery. More advanced cases may require surgical intervention to restore and maintain periodontal health.
Scaling and root planing is often the first step in treating periodontal disease. This procedure removes bacterial deposits, plaque, and hardened tartar (calculus) from beneath the gum line and smooths the root surfaces of the teeth.
You may also hear this treatment referred to as:
Deep cleaning
Initial therapy
Phase One periodontal treatment
Unlike a routine dental cleaning, scaling and root planing is a specialised periodontal procedure performed under local anaesthetic to ensure your comfort.
Most patients are pleasantly surprised by how comfortable the procedure is. Local anaesthetic is used to numb the treatment area, allowing the procedure to be performed with minimal discomfort.
Once the root surfaces have been thoroughly cleaned, the gums are given an opportunity to heal. In many cases, inflammation is reduced, pockets become shallower, and the gum tissue can reattach more closely to the tooth surface.
When periodontal disease has caused deeper pockets around the teeth, surgical treatment may be recommended.
Pocket reduction surgery, also known as flap surgery, osseous surgery, or in some cases gingivectomy, allows access to the tooth roots and underlying bone so that bacterial deposits can be removed more effectively.
To eliminate bacteria and infection that cannot be accessed with non-surgical treatment alone
To reduce periodontal pocket depths and make oral hygiene easier
To help preserve the supporting bone around the teeth
To reduce the risk of future tooth loss
To improve long-term gum health and treatment outcomes
By reducing bacterial infection and inflammation, periodontal treatment not only helps preserve your teeth but also contributes to better overall health.