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Periodontics in San Clemente, CA

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.

Reasons for periodontal treatment

Periodontal disease is a progressive condition that 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 signs of gum disease:

  • 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.

Also, some other procedures that a periodontist can do for you:

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.

Frequently Asked Questions

What are the warning signs of gum disease?

Watch for red, swollen, or tender gums; gums that bleed when brushing or flossing; gums pulling away from the teeth; loose or separating teeth; persistent bad breath; or a change in how your teeth fit together. Early detection can help prevent more serious damage.

What happens if gum disease is left untreated?

If left unchecked, the disease can lead to progressive bone and gum loss, loose teeth, changes in bite, and may even affect overall health by increasing inflammation in the body. Early intervention gives the best chance to preserve teeth and supporting structures.

What causes gum disease?

Gum disease is triggered by the buildup of dental plaque that hardens into tartar, which irritates the gums and leads to infection below the gum line. Risk factors include smoking, diabetes, hormonal changes, poor oral hygiene, and genetic predisposition.

What types of treatments are offered in periodontics?

Treatment can range from non‑surgical cleaning and root planing to surgical procedures such as gum grafts, bone regeneration, or pocket reduction surgery. Implant placement and maintenance also often fall under periodontal care when supporting structures need restoration.

How can I care for my gums to prevent or manage gum disease?

You should brush your teeth twice daily, floss or use interdental tools once a day, attend regular dental check-ups, avoid tobacco use, manage medical conditions such as diabetes, and undergo regular periodontal maintenance once the disease has been controlled.

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