Periodontal Disease in Newport News, VA

Periodontal disease, commonly referred to as gum disease, is a progressive condition that affects the gums and the structures supporting the teeth. It begins with the accumulation of plaque and tartar, which harbor harmful bacteria that can lead to inflammation, infection, and even tooth loss if left untreated. While gum disease is often painless in its early stages, it can gradually become more severe, affecting not just the gums but also the bones that hold the teeth in place.

Fortunately, with proper diagnosis and timely intervention, periodontal disease can be managed and even reversed in its early stages. At Hartman Dentistry, Dr. Hartman and Dr. Sibirtsev are committed to helping our patients achieve optimal gum health, which is essential for maintaining a beautiful smile and preventing future dental problems.

Periodontal (Gum) Disease in Newport News, VA

Periodontal disease is a term that encompasses a range of conditions that affect the tissues surrounding and supporting the teeth. The disease is caused primarily by the accumulation of plaque—a sticky film of bacteria that forms on the teeth and gums. If plaque is not removed through regular brushing and flossing, it can harden into tartar, which is much more difficult to remove and may lead to more serious problems.

The progression of periodontal disease typically occurs in two stages: gingivitis and periodontitis.

Gingivitis

Gingivitis is the earliest and mildest form of periodontal disease. It occurs when plaque on the teeth irritates the gums, causing inflammation, redness, swelling, and bleeding, especially when brushing or flossing. Gingivitis is typically reversible with proper oral hygiene, including regular brushing, flossing, and professional cleanings. If left untreated, however, gingivitis can progress to periodontitis.

Periodontitis

Periodontitis occurs when gingivitis advances and affects the deeper structures of the gums and bone. In this stage, the gums begin to pull away from the teeth, forming pockets that collect plaque and tartar. As the disease progresses, the tissues and bones that support the teeth are damaged, which can lead to tooth mobility or even tooth loss.

There are several types of periodontitis, including chronic periodontitis, aggressive periodontitis, and periodontitis associated with other conditions like diabetes or heart disease. Each of these types may require different treatment approaches, but all of them can be managed effectively with timely intervention.

Diagnosis of Periodontal Disease in Newport News, VA

Early diagnosis of periodontal disease is crucial to prevent further damage to the gums and supporting bone. At Hartman Dentistry, we use state-of-the-art diagnostic tools and techniques to assess the health of your gums and detect any signs of periodontal disease.

Visual Examination

During your routine dental check-up, Dr. Hartman or Dr. Sibirtsev will perform a thorough visual examination of your gums. They will look for signs of inflammation, redness, and bleeding. Healthy gums should be firm and pale pink, without signs of puffiness or swelling. If your gums appear red, swollen, or bleed when you brush, this could be an indication of gingivitis or periodontitis.

Probing

One of the most common diagnostic tools used to assess the depth of gum pockets is the periodontal probe. This is a small, calibrated instrument that allows your dentist in Newport News, VA to measure the space between your teeth and gums. Healthy gums usually have a pocket depth of around 1-3 millimeters, while deeper pockets may indicate a more advanced stage of periodontal disease. A depth of 4 millimeters or greater is often a sign that you may have gum disease that requires treatment.

X-Rays

To assess the condition of the bone supporting your teeth, we use digital X-rays. These X-rays allow us to see the bone level and detect any bone loss that may have occurred due to periodontal disease. In advanced cases of periodontitis, bone loss can be significant, which can make teeth more susceptible to shifting or falling out.

Bacterial Cultures

In some cases, especially when the disease is severe or difficult to manage, we may take a sample of the bacteria in your mouth to identify the specific strains causing the infection. This can help guide treatment decisions, including which antibiotics or antimicrobial treatments might be most effective in your case.

Treatment of Periodontal Disease

Treatment for periodontal disease depends on the severity of the condition and whether it is in the gingivitis or periodontitis stage. Early-stage gum disease is usually reversible, but more advanced cases may require more intensive treatments to stop the progression of the disease and prevent tooth loss.

Non-Surgical Treatments

In the early stages of periodontal disease, non-surgical treatments can effectively eliminate the infection and restore gum health.

Scaling and Root Planing

Scaling and root planing is a deep cleaning procedure that involves removing plaque, tartar, and bacterial toxins from the surface of the teeth and the roots below the gum line. This process helps to smooth the root surfaces, making it more difficult for plaque to accumulate in the future. Scaling and root planing are often the first line of treatment for patients with moderate gum disease.

Antibiotics

In some cases, antibiotics may be prescribed to help control bacterial infection in the gums. These may be administered in the form of oral medications or topical antibiotics applied directly to the gum pockets. Contact us to learn more.

Surgical Treatments

For more advanced periodontal disease, surgery may be necessary to repair damaged tissues and bone.

Flap Surgery (Pocket Reduction Surgery)

In cases where deep pockets have formed between the gums and teeth, flap surgery may be recommended. During this procedure, the gums are lifted back to remove tartar and smooth the underlying bone, helping the gums reattach more firmly to the teeth.

Bone Grafting

If the bone that supports your teeth has been severely damaged by periodontal disease, a bone graft may be necessary to regenerate lost bone tissue. Bone grafts can be made from synthetic materials or the patient’s own bone, and they help to restore stability to the teeth and prevent further tooth loss.

Soft Tissue Grafts

If the gum tissue has receded significantly, a soft tissue graft may be needed to cover exposed roots and restore the appearance and health of the gums. This procedure involves taking a small piece of tissue from another area of the mouth and transplanting it to the affected area.

Maintenance of Periodontal Health

Once you have received treatment for periodontal disease, it’s essential to maintain good oral hygiene practices to prevent recurrence. At Hartman Dentistry, we provide ongoing support and education to help you maintain the results of your treatment and keep your gums healthy for life.

Regular Dental Cleanings

Even after periodontal treatment, regular professional cleanings are essential to remove plaque and tartar that can accumulate and trigger a new infection. Dr. Hartman and Dr. Sibirtsev recommend cleanings every 3 to 4 months for patients who have had periodontal disease to ensure that bacteria don’t build up and cause further problems.

Good Home Care

At-home oral care is vital to maintaining gum health. Brushing your teeth twice a day with fluoride toothpaste, flossing daily, and using an antibacterial mouthwash can help control plaque and reduce the risk of periodontal disease. Dr. Hartman and Dr. Sibirtsev may also recommend special tools, such as an electric toothbrush or interdental brushes, to help remove plaque from hard-to-reach areas.

Healthy Lifestyle Choices

Lifestyle factors such as smoking and poor nutrition can contribute to gum disease. Smoking weakens the immune system and reduces blood flow to the gums, making it more difficult for your body to fight infections. A balanced diet rich in vitamins and minerals can help strengthen your gums and improve your overall oral health.

Conclusion

Periodontal disease is a serious condition that can affect your oral health and overall well-being, but it is preventable and manageable with the right care. Early diagnosis, effective treatment, and consistent maintenance are key to preserving your gum health and preventing tooth loss. At Hartman Dentistry, Dr. Hartman and Dr. Sibirtsev are dedicated to providing comprehensive care for our patients, ensuring that your gums and teeth stay healthy for a lifetime.

Ready to achieve your best smile? Visit Hartman Dentistry today at 11713 Jefferson Ave, Suite 100, in Newport News, VA, where Dr. Hartman and Dr. Sibirtsev offer exceptional dental care tailored to your needs. Call us at (757) 873-3407 to schedule your appointment and start your journey to a healthier, brighter smile!