FAQ - periodontal diseases
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A client with type II embrasures and periodontal diseases what you can give as oral hygiene?

You must be in hygiene school. Type II embrasures are usually best helped with a proxy brush and a thicker type of dental floss, they can even use yarn to clean in between their teeth. Also cut-up strips of gauze work well too. An electric type toothbrush is a must for people with open embrasures. Also a water pik can be very helpful, but should never replace the use of a proxy brush and flossing.  (+ info)

how can periodontal diseases associate with cadiovascular diseases?

it says here that one of the risk factors which associate with various form of cardiovascular diseases is periodontal (gum) disease. it is not clear for me, "why is that?". it is not even defined here. please answer this....

periodontal disease can release bacteria into the blood stream, in cases where there is a damaged heart this bacteria can lodge in the damaged portion and grow causing serious infection in the heart itself.  (+ info)

How does smoking lead to tooth decay, gingivitis and periodontal disease?

I always hear that tobacco smokers have a greater risk of developing many different dental and mouth problems. I realize that smoking stains the teeth brownish yellow and causes bad breath(besides causing many serious diseases), but how exactly does it lead to tooth problems like causing cavities and gum disease? Please note, I am a non-smoker, but some people in my family smoke. Does the same go for marijuana smokers, or only tobacco smokers?

Smoking and other tobacco products can lead to gum disease by affecting the attachment of bone and soft tissue to your teeth. More specifically, it appears that smoking interferes with the normal function of gum tissue cells. This interference makes smokers more susceptible to infections, such as periodontal disease, and also seems to impair blood flow to the gums — which may affect wound healing.  (+ info)

What has been your experience with periodontal disease and deep cleaning therapy?

I just recently found out I have periodontal disease. Soon I will be having the scaling and planing done. I have to admit I am a bit nervous about the procedure. But also nervous about how to take care of my teeth properly once it is done.

Please share your experiences with me. Or if you are a dental professional I would love to hear your advice.


Scaling and root planing can be an uncomfortable procedure. You will be anesthetised for the procedure since the hygienist will be scaling your teeth below the gum line. I've had it done and I'm also in the dental field. What you can expect is to be a little tender and possibly sore in the area afterwards for maybe a day at most. I'm sure you're hygienist or doctor explained to you why you were diagnosed with periodontal disease. It is not as uncommon as you think it is.
After you've completed the treatment, you will have to be diligent with your home care. That means brushing and flossing twice daily. I've found that using an electric toothbrush has helped me with effectively brushing my teeth. You should ask your hygienist which brand would benefit you. Your hygienist will also recommend that you been seen for periodontal maintenance cleanings every 3-4 months. Please keep up with those as they are just as important as your home care.
You can find more information about periodontal disease at
Hope this helps...  (+ info)

Is it possible for periodontal disease to spread from a tooth to another? What causes plague to form on tooth?

My son brushes his teeth regularly, twice a day. Last December, his dentist told him that he has periodontal disease in his gum.
This may be due to his oral hygience as he was unprepared for his cleaning kit when he was asked to work till the next day. It was about 10 months ago and is it too late to undergo treatment?? Can periodontal disease spread from a tooth to another? It was so unfortunate for him to have caught the disease, and what causes plague to form on the tooth/gum?? How to prevent it??

Can anyone please kindly advise as soon as possible. Thank you very much.

Once a diagnosis of perio disease has been made, professional treatment is of the greatest demand to save the teeth and bone structure from this diseases devastating demise. Every tooth is subjected to damage from this "active infection" and the bone loss associated with this disease as well as the whole body. The same plaque found in perio disease has been found to be associated with heart attacks.

Brushing your teeth twice a day is good, but it isn't the solution to the problem. A person can brush ten times a day, but if it's not done "correctly" and thoroughly then it's just not going to do any good. Your son needs to spend at least "2-3 minutes brushing" with a "soft toothbrush," brushing each tooth about "20 strokes" not just the front ones. Also "flossing" is of the utmost importance because it removes the plaque caused from bacteria found in the mouth, under the gums that brushing can't reach.

A diagnosis of perio disease means that he has developed pockets in the gum of some areas that surround his teeth. These pockets can range in depth, but all are "too deep" for him to be able to clean. We consider anything deeper than 3-4mm as too deep for a tooth brush or floss to reach to clean. He will need to have root planing done which removes all the debris from the pockets and along the roots of the teeth in question. This allows for some shrinkage of the tissue which decreases the pocket depth and possible reattachment of tissue with hopes that proper techniques in brushing, flossing, along with continued professional care and his excellent home care will help to eliminate the disease from progressing.

It is unfortunate that he has "developed perio disease," but he didn't “catch it.” It progresses over time, usually from inadequate brushing and flossing techniques and lack of professional dental care. Although there is some research that links its cause to hereditary or genetics. The best treatment your son can follow is his dentist advice and see a periodontist for follow up cleanings every 3-4 months, they will alternate with his dental appointments. This may seem like a lot at first but will lessen with time, it's to keep a close watch on the pockets depth and to eliminate the progression of this disease by maintaining and monitoring your son's dental health. Perio disease can be devastating by destroying the surrounding tissue and bone structures that support the teeth, which left untreated will eventually lead to the loss of teeth. I hope you will encourage your son to continue with treatment to maintain his natural teeth and halt this disease. It can be stopped with proper treatment, your son isn’t alone with this disease. Good luck and I hope that I’ve given you enough insight to help you to understand this disease, how to correct it with his dentist and periodontist help and the causes of it so your son can change those habits to better his dental health.  (+ info)

Any downsides to rinsing with hydrogen peroxide to treat periodontal disease?

While i'm waiting for my root planing appointment, are there any downsides to rinsing with hydrogen peroxide to treat periondontal disease? I have a generic brand bottle of 3% hydrogen peroxide. How often should I rinse with it? Does the hydrogen peroxide kill the good bacteria too? Should you rinse with water right after the hydrogen peroxide? Can the hydrogen peroxide make periodontal disease worse by irritating the gums more?

Check with a dentist.
Salt water is the safest rinse. do it before bed, and the salt can work overnight.  (+ info)

Why is periodontal disease a chronic disease?

I have read a lot about periodontal disease. I understand it is an advanced stage of gum disease: accumulated plaque on your teeth and gums attacks the gum and the bone.

But plaque can be removed by professional cleaning, and good oral hygiene helps to prevent accumulation of plaque.

So, why is periodontal disease chronic then? Why can it be treated but not cured?


Periodontitis is usually chronic because it is slowly progressing. Recall that first we see gingivitis (inflammation of the gums with no active bone loss) before the bone loss (periodontitis) starts. Gingivitis can be seen fairly soon after bad hygiene starts, and usually goes away when local causative factors are removed. Periodontitis, however, takes years to start and the bone loss is slow. It happens after years of gingivitis.

When the teeth are cleaned and the plaque removed, the bone loss will stop (providing the patient improves their oral hygiene habits). This is how it is treated. Rather than saying that periodontitis is "incurable," it is better to say that it is "irreversible" since the bone does not regrow and the bone loss is permanent. But as long as the bone loss is stopped, the patient does not have periodontitis.

Hope this helps!  (+ info)

What Can I Do To Make My Periodontal Disease Better?

I was wondering if anyone could give me some advise to make my periodontal disease better whiles i'm at home, i've been having this disease for almost a year or two. My Oral hygienist said things have become worse, so i feel like i've lost my self -esteem and confidence to talk and smile at people, note that i'm only 16, i'm losing teeth at this sort of age.

The ADA has alot of information here:

http://www.ada.org/public/topics/periodontal_diseases.asp  (+ info)

Best toothbrush to help slow down periodontal disease?

I have periodontal disease. I may buy a new toothbrush and I am wondering what kind would be best to help slow down the progression of periodontal disease.


i would say any electric toothbrush, but those get pretty expensive if you talk about Sonicare. but there are other sonic technology toothbrushes out there like Oral B has one. and so does Sunstar. but if you dont want to use that you can try the toothbrush called Technique Plus. it is from GUM and it is made that however you hold it it is at a 45 degree angle which is the angle you are supposed to brush at.
here is some info on that brush https://cart.jbutler.com/store.php?crn=221&rn=483&action=show_detail
or check out some of these power brushes here http://www.dentalcare.com/en-US/products/power.jspx
the vitality are pretty cheap for battery power toothbrushes.  (+ info)

How to prevent cavities, gingivitis and periodontal disease besides brushing?

are there any other ways to prevent cavities, gingivitis and periodontal disease *besides* brushing at least twice a day, regularly flossing, regular dental cleanings/check ups, using mouth wash(my dentist recommends ACT which I use), scraping the tongue, avoiding sugary foods? Does sugar-free gum help? What about hydrogen peroxide?

Try to limit snacking between meals, this includes drinking anything that contains calories. Every time you eat the bacteria in your mouth eat also, there by-product is acid. after you stop eating (assuming no pieces of food are stuck in your teeth) your mouth is acidic for 15 min taking minerals out of your teeth. Your saliva takes a little over 1.5 hours to replace these minerals. I would try to stick to an every 2 hour eating/snacking schedule and just plain water between meals.  (+ info)

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