Why is Periodontal Disease a problem?
Adults over 35 lose more teeth to gum disease (periodontal disease) than from cavities. Three out of four adults are affected at some time in their life. The best way to prevent cavities and periodontal disease is by good tooth brushing and flossing techniques, performed daily.
Click the image above for an educational video on
But recently, periodontal disease has been proven to be a threat to more than your teeth. Research has linked the bacteria associated with gum disease with an increase risk in:
- Heart Disease
- Certain cancers, including pancreatic cancer
- Rheumatoid Arthritis
- Complications controlling blood sugar levels in diabetes
- Low birth weight babies
- Premature birth
What is Periodontal Disease?
Both periodontal disease and decay are both caused by bacterial plaque – a sticky colorless film, which sticks to your teeth at and below the gum line. Plaque constantly forms on your teeth beginning within minutes after cleaning. If not carefully removed by daily brushing and flossing, plaque hardens into a rough, porous substance known as calculus. This cannot be removed without professional cleaning.
Periodontal disease is an inflammatory process beginning in the gums. The bacteria found in plaque produces toxins that irritate the gums, which may cause them to turn red, swell and bleed easily. However, don’t be fooled. With periodontal disease, bleeding, redness and swelling do not have to be present.
Pain is usually not associated with periodontal disease. If this irritation is prolonged, the gums separate from the teeth, causing pockets (spaces) to form. Untreated, the disease progresses down the root surface into the underlying bone. The end result is the supporting gum tissue and bone that holds teeth in place deteriorate resulting in bone loss which destroys the support of your natural teeth leading to tooth loss.
What are factors that impact Periodontal Health?
The best way to prevent cavities and periodontal diseases is by daily tooth brushing and flossing techniques and regular professional examinations and cleanings.
Unfortunately, even with the most diligent home dental care, people still can develop some form of periodontal disease. Once this disease starts, professional intervention is necessary to prevent its progress.
Factors that Increase Chances of Periodontal Disease
- Tobacco use
- Puberty (increased hormones increase gum sensitivity)
- Clenching and grinding teeth
- Various medications
- Poor nutrition
Steps to prevent periodontal disease include:
- Daily brushing and flossing to remove plaque from your teeth and gums
- Regular dental visits for professional cleaning
- Regular periodontal evaluations
Click the image above for an educational video on
Systemic Effects & Treatment.
Periodontal treatment is necessary when various conditions affect the health of your gums and the regions of your jawbone that hold your teeth in place. Retaining your teeth is directly dependent on proper periodontal care and maintenance. Healthy gums enhance the appearance of your teeth, like a frame around a beautiful painting. When your gums become unhealthy, they can either recede or become swollen and red. In later stages, the supporting bone is destroyed and your teeth will shift, loosen or fall out. These changes not only affect your ability to chew and speak, they also affect your smile.
Dr. Hochberg and Dr. Diora are very conservative in their approach to treating periodontal disease. They believe in non-surgical treatment whenever appropriate. However, if periodontal disease is advanced, they will refer the patient to a periodontist.
Debridement is the removal of heavy plaque and calculus from your teeth; it is usually the first step in treating periodontal disease. The plaque and calculus are removed with an ultrasonic scaler. Gentle and effective, this tool removes the build-up with water and high-frequency waves.
Scaling & Root Planing
Click the image above for an educational video on
Scaling & Root Planing.
For plaque and calculus below the gum line, we use scaling and root planning, a conservative, non-invasive and efficient treatment method.
The initial stage of treatment is a thorough cleaning that may include scaling to remove plaque and calculus deposits beneath the gum line.
The tooth roots may also be planed. This procedure smooths the root surface, allowing the gum tissue to heal and reattach to the tooth.
In some cases, the occlusion (bite) may require adjustment.
Antibiotics or irrigation with anti-microbials (chemical agents or mouth rinses) may be recommended to help control the growth of bacteria that create toxins and cause periodontitis. In some cases, we may place antibiotic fibers in the periodontal pockets after scaling and planing. These antibiotics control infection and encourage normal healing.
A few weeks after this procedure is completed, the pockets around the teeth are measured to determine if treatment has been effective and they have reduced in size.
When deep pocket areas do not resolve the patient may be referred to a periodontist.
Gum Disease Laser Therapy
The latest conservative gum therapy uses a laser. The laser gently disinfects and evaporates diseased tissues from around the tooth and inside the gum pocket. This treatment interrupts the bacterial destruction of the tissues and bones, giving the gum pockets a chance to heal
Repeated visits, generally 2-8, allow the gum pocket to be disease-free and sometimes allow tissues to reattach to the pocket back to a normal or near-normal depth.
Laser therapy is gentle and has a relatively quick recovery. While surgery may still be indicated for severely advanced periodontal cases, laser therapy is a much more conservative, effective and comfortable option for beginning to moderate periodontal cases.
Colony Square Dental Associates
I came from California with a fear of dentist over 30 years ago. When I meet with Dr. Hochberg and his staff, I have been enjoying his services for over 30 years. I have referred several others for his care and they are happy I did. He is a great doctor. I will be coming as long as I live. Thanks.
- Maude R
The best dental experience I have EVER had! Dr. Diora was wonderful, nice and made me feel super comfortable. Her assistant was fun, efficient and when they were taking the bite-xrays, it was painless! Angela the hygienist made a visible difference with her skills. The front desk personnel were very helpful and so nice! This was truly the most pleasant experience I have had at a medical/dental office. Thank you all and keep it up!
- Vinita C
Everyone in the office is both cordial and professional.
- William H
I am from Tampa Florida and was sure I would never find another dental office that I loved as much! I was wrong. Dr. Doira and the entire team could not have been more welcoming and kind to me. They all spent time with me and made me feel that I was their only patient. Amazing care. This is a very special practice and I will be referring my family and friends.
- Patricia C
My experience at this practice has been superlative in all respects. From the perspective of service this team is exceptional. I have recommended many friends, and all are very happy.
- Phillip D
I could not imagine a better dentist than Doctor Hochberg. He and his staff are superb. I always leave my appointment feeling cared for, and nourished.
- Randy K
I've been a patient of Dr. Hochberg for over 30 years. The friendliness of the staff and quality of care have been outstanding throughout.
- Andrea Z
The Colony Square staff is always above and beyond friendly. I have been a patient for over 20 years and have had several emergency appointments and they are always accommodating and available even after normal business hours. Very professional and up to date on all of the new technology.
- Joseph S
Cheryl always does a great and thorough job with my cleaning and dental exam and explaining things to me.
- Brian L
Everyone at Colony Square Dental are extremely friendly and professional.
- Richard K
The hygienist (Angela) did great and mercifully painless work with my cleaning, and Dr. Diora gave very helpful advice in response to a couple of questions I had.
- Michael S
I came to Colony Square Dental with a litany of problems from poor past dental work and living in a remote area overseas where there was no dentistry. Dr. Hochberg and his dental hygienist, Karen, made a plan. My teeth, and my gums in particular, are showing remarkable health. I believe their knowledge and experience and have enormous trust in this practice. Dr. Hochberg was recently elected as President of the American Academy of Implant Dentistry (AAID.) The staff is great. Give them a try if you're thinking about a healthy mouth and teeth. (No, I'm not a relative!)
- Bassarab A
The staff is always cheerful and polite. I know what to expect when I come and that is that my needs will be considered and cared for. I also really like the artwork on the walls.
- Amanda R
I've been coming to Karen for 15 years. Very satisfied.
- Shelley W
The staff and Doc are efficient, friendly and cool.
- Norman A
In thirty years my family and I love it. Excellent service
- Luca D
Cheryl is awesome and I always enjoy my visit! Excellent dental care is given and everyone is so welcoming!
- Pamela R
Karen is the best. I have been coming here for 38 years. She always treats you as a special patient and provides quality care. I have never experienced any pain during my cleanings. Her technique is gentle and and like a massage. Always a positive experience. I would never go to another dentist!!!!!!! This office is the best.
- Jackie H
It was the most pleasant Dental visit ever. The staff is wonderful , the quality of work is outstanding and their knowledge of Dentistry is always up to OSHA standard . When you come to Colony Square Dental Assoc. Know this : you are getting the best care ever!
- Lynn R
I have been a patient with Colony Square Dental for many years. The staff is always courtesy beyond the norm. The service is impeccable and I am pleased with all results that have transpired with each visit. Angela being my new hygienist is a continuation of the professional, nice and courteous staff members that I have had with all my visits. David Hochberg is a very hands on professional who knows the industry and produces the finest results.
- Bobby B