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.
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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
A Healthy Smile Is Key to Overall Health!
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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
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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
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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.
Patient Reviews for Gum Disease Treatment, Scaling and Root Planing
Colony Square Dental Associates
Been a satisfied patient for years
- Jennifer M
- pbhs t
A wonderful experience!
- PBHS T
I've been a patient for 8 years and have been very happy. Dr Diora is fabulous and I really appreciate that she doesn't oversell you on services, only recommends what is necessary to protect the integrity of your teeth.
- Elizabeth D
The hygienist, K2, made the procedure very relaxing ants completely pain free! And the results are incredible! Highly recommended!
- Jennifer W
The staff and doctors are all very friendly and caring. They also explain all what they are doing every step of the way, with their patient's comfort in mind. Great experience!
- Courtney G
Dr. Hochberg and his staff are fabulous! They always put my comfort first and Dr. Hochberg did an amazing job and is so kind and professional!
- Leslie F
I've been visiting this office for over 30 years and I am always so happy with my smile!
- Katherine B
Professional, couteous and gentle. All qualities one wants in their dentist and dental technicians!
- Vanessa S
Dr. Hochberg and Dr. Diora are always fantastic, thorough, and really care! Of course my teeth are their priority, but they always ask about my son, work, and all the important details you'd want a doctor to remember about you. It's truly a family doctors office vibe and I would recommend to my close family and friends. If you are on the market for a new dentist or if you have been on the fence, don't wait!! Try them out!!
- Kayla B
I'm a new patient at this dentist office. I am pleased to anounce that I am very happy that I found Phylllis Darling, hygienist and simone Anderson, business associate, to name a few who makes up the dynamic team at Colony Square Dentistry. I have been most delighted with thier services, professionalism, and kindness. I look forward to a long relationship! Dr. David Hochberg and Dr. Mira Diora you are to be commended for assembling such a great staff. Thanks.
- Jeremiah O
Been coming since the early 90's, wouldn't let anyone else touch my teeth!!!
- Michael R
Love coming here!!!! Feel like these people are family! Can't say enough about entire staff!! LOVE THEM ️
- Sue P
Have been coming for years. Dentist, assistants, hygienist, and office staff are the best!
- Denise R
Dr. Hochberg and all the staff make the experience of going to the dentist so wonderful. They are all extremely good at what they do, they listen to my concerns and answer any questions I have, and they also really care about each patient they see - always asking about my job, family, personal, etc. They really go the extra mile and I would recommend them to any friend or family member. In my opinion, they are the best in Atlanta. I'm so grateful to have been referred to Dr. Hochberg and will continue seeing him for many years to come. I trust this office for all my dental needs. Thanks Colony Square Dental for everything you do!
- Kate M
On December 31, I had an appointment with Dr. Diora and Karren Dennegall. I have to admit that I was dreading it because anything associated with having work done on my teeth that involves cutting, drilling or filling has generally resulted in discomfort, pain, sometimes thrush, and miserable recovery time (none of which you did, by the way). That’s why I’ve been so grateful my childhood fillings have lasted 50 years. The people who work in your office are always polite, cheerful and considerate. Even your other Karen, my poor hygienist, who has suffered through cleaning these crowded teeth every few months since 2002, still greets me happily when I come in. It seems wild to be able to say this, but even though my dread increased as we headed for the room, when I actually got there and settled into the chair, Karren was able to make the visit feel more like an adventure than a filling. Throughout the entire procedure they: • explained everything they were going to do as they were doing it so I could be prepared for what was going to happen. • were very sensitive to my comfort level and made sure I was as pain free as possible considering the circumstances. • showed me what they had done to the tooth and made sure it was comfortable for me to chew. • were cheerful, upbeat and fun in their approach. I am generally resistant to anything that restricts my movement because it makes me feel like a prisoner or kidnap victim. I’ve got to tell you, however, that the gadget they put in my mouth to hold it open seemed a little daunting at first, but being relieved of the responsibility of keeping it open and holding my tongue out of the way allowed me to relax. It really reduced my stress. I’m writing today to tell you that although I started the appointment with dread, getting this tooth filled actually turned out to be a delightful experience. (How many people in this world can say that?) I left feeling great, have had absolutely no pain, and can truthfully say that I’ll look forward to the next time a filling fails. Thank you all so much!!! Charlotte Swafford
- Charlotte S
The entire staff at Colont Square dental is amazing. They are friendly, professional and highly skilled. I have recommended several friends to the practice without zero hesitation.
- Eileen P
I am very happy with the office. I have been coming since 1981 and have always been pleased with my dentalcare, hygienist, the office staff, Dr. Hochberg, Eleanor, Dr. D. Hope I have not missed anyone.
- James L
Best dentist and staff on the 12th floor
- Tom V
This office has a fantastic staff and they are very professional at all times.
- Seawadon H