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
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
Have been a patient of the Colony Square Dental Associates for over 25 years. The service is always prompt. The staff members are friendly and professional.
- Sallie C
Great service and great staffers Dr Hochberg ROCKS!
This office, and Karen, were recommended for good reason, and I'm glad I took the recommendation. Enjoyable experience every time. Everyone is friendly and knowledgeable... What more could you ask for?
- Jeremy B
Everyone is always friendly and very courteous. Wouldn't keep coming if staff wasn't the best.
- Aaron S
I've been coming to this office for almost 30 years and I have always been happy with the service provided by the office staff and dentists.
- Mary Beth K
The staff is great. From answering the phones, to the hygienist, to the docs. Superb service all the way around!! Karen is always nice and pleasant. Keeps your teeth in great shape!! Front office always friendly and welcoming. Dr. Hochberg is the best. Coolest dentist in Atl! You can't find a better dentist office with top quality care! If you want great care and clean teeth then this is the place to be! 5 stars easily!
- Akilah G
I have been coming to the Colony Square office for about fifteen years, and they always treat me like I'm family. Everyone in this office is kind and courteous, and above all, they take extremely good care of your teeth!
- Lauren F
Everyone is always very friendly. I've been coming here for years and they take good care me.
- Todd M
I have been searching for years for a dental service I could trust and feel confident in. My son said you should try Dr Hochberg. He's been my dentist for a long time and I think you'll find what you're looking for. Indeed I did! I walked into a friendly office and was greeted by staff who like what they do and each other. Dr Hochberg greeted me warmly and welcomed me to his practice. After my visit, I knew I had found my dental "home". Dr Hochberg is the real thing! Clearly professional (he is Chair of a prestigious national professional Dental association) and sincere in caring for his patients. He even checks on them after an extraction or other similar procedure to make sure they are okay!! Remarkable!! Another clue this practice is extraordinary comes from patients in his waiting room, "Oh, is this your first visit? You are going to love Dr Hochberg! I've been coming for years!!." Can't get better than that!!
- Ann B
I have been a patient for more than a decade and I am as satisfied today as I was with my very first visit. I would and do recommend this practice every chance I get.
- Millicentt S
From the moment I walk in I am greeted by name and with a smile. Treated promptly and professionally and if procedure was a little more detailed always treated with a follow up call to make sure I am doing OK. Highly recommend this office, staff and professionals to my friends and anyone needing quality dental care.
- Mark M
Enough can not be said about Dr. Hochberg and his staff of amazing technicians and front desk support. I have been a consistent patient (15 years) with Colony Square Dental Associates and will remain so. This is one practice that knows how to treat their patients, doctors and staff. They are constantly evolving to bring patients the very best in dental care and technology. Just today, I was introduced to a "dental cam" that expedited my procedure. They are very attentive and care. Oh, and don't skip on the amazing lip balm.
- William L
Been coming for 20 plus years and have always been treated wonderfully well. It is a super practice on all levels.
- Barry L
I have been a patient of Dr. Hochberg's for over 30 years. The entire staff and Dr. Hochberg have always acted in the most professional manner when dealing with me as a patient. I rarely have dental issues, but when they have arisen in the past, the staff and Dr. H got me into the office quickly and resolved the problem. I've recommended the practice to friends and colleagues and will continue to do so in the future.
- lynn a
Excellent care, service, and no wait time. Always on time which is also very important to me.
- Deborah S
Love this place! Been coming here since I can remember 🙂
- Lena B
Dr. Diora and Her assistant, Karren, are the best!! They are an out-of-network provider for my dental insurance and I still continue as a patient because of the top notch service. Best dentists I have ever had!
- Diane F
First rate patient experience in every category of service and care.
- Sharon M
Dr. Hochberg and the entire staff always provide excellent care in a relaxed environment.
- Debra S
I always have a great experience here. The staff are friendly, inviting, and personable. Definitely makes coming to the dentist more enjoyable!
- Jordan S