133 Franklin Corner Road Lawrenceville, NJ 08648
(609) 896-0700

Posts for tag: periodontal disease

By Lawrenceville Dental Implant Center And Periodontics, LLC
November 13, 2019
Category: Dental Procedures

Periodontal disease affects millions of Americans every year. Stemming from the oral bacteria that thrives in plaque and tartar, gum Gum_Diseasedisease causes tooth loss and aggravates conditions such as diabetes, heart disease, dementia, and others. Fortunately, here at Lawrenceville Dental Implant Center and Periodontics in Lawrenceville, NJ, your periodontists, Dr. John Lu and Dr. Raul Figueroa, offer non-surgical periodontal therapy and other treatments to make your gums healthy again.

 

How gum disease starts

You may have heard the age-old expression, "Little things mean a lot." When it comes to dental health, this adage couldn't be more accurate. After all, countless strains of microscopic oral bacteria live in our mouths. In fact, Dear Doctor reports that of the possible 600 types of oral microbes, only 400 have been identified. Whatever the final count may be, too many of these tiny germs can create the big problems of tooth decay and its equally dangerous counterpart, gum disease.

Gum disease—from gingivitis to advanced periodontitis—originates in the tiny germs that just love carb-based plaque and tartar. As the bacteria grows, so does damaging inflammation and infection that leads to:

  • Bad breath
  • Redness
  • Tenderness
  • Swelling
  • Pus
  • Loose teeth
  • Changes in how teeth bite together
  • Dark gum color
  • Periodontal pockets (spaces between teeth and gums) which measure more than three millimeters in depth

 

How to detect gum disease

The American College of Periodontology states that early on, gum disease often goes unnoticed; however, over time, the symptoms become much more noticeable and destructive. Fortunately, at our office in Lawrenceville, NJ, your periodontist can spot the initial signs of gum disease and put together a care plan to help restore gum health.

 

Non-surgical periodontal therapy

Gingivitis (the earliest stage of gum disease) responds well to routine brushing and careful flossing at home. Dr. Lu and Dr. Figueroa also advise a thorough in-office cleaning to remove plaque and tartar. Additionally, the doctors may prescribe topical antibiotics instilled in gum pockets or antimicrobial rinses used at home to quell bacterial growth.

Other therapies include scaling and root planing. Also termed "deep cleaning," this procedure scrapes tartar from tooth surfaces and roots. It eliminates the environment that bacteria thrives in and allows gum tissue to re-attach to teeth.

Finally, your periodontist may adjust your dental bite by simply reshaping the biting surfaces of your teeth. Some patients require a metal or composite resin splint to stabilize mobile teeth. Your treatment plan will be tailored to your specific needs.

 

Concerned about your dental health? Give us a call

Phone Lawrenceville Dental Implant Center and Periodontics for more information or to book a consultation: (609) 896-0700.

By Lawrenceville Dental Implant Center And Periodontics, LLC
November 02, 2019
Category: Dental Procedures
YouMayNeedYourGumsCheckedMoreFrequentlyAfterGumDisease

After a dental examination revealed you had periodontal (gum) disease, you began undergoing treatment. Now after several cleaning sessions, the infection has subsided and your gums have returned to a healthy shade of pink.

But your gum care isn’t over — depending on the infection’s severity you may need to visit us more often than the normal six months between regular checkups.

Gum disease arises from dental plaque, a thin film of bacteria and food remnants built up on tooth surfaces due to poor oral hygiene. The bacteria cause an infection in the gums, which initiates a response from the body’s immune system that triggers inflammation.

Without proper treatment, periodontitis can come back in which the infection spreads deeper below the gum line. Pockets of infection can reoccur as gum tissues weaken and lose their attachment to teeth. This continuing damage can ultimately lead to both tooth and bone loss.

To stop the disease it’s necessary to remove all the infection-causing plaque and calculus (hardened plaque deposits) from tooth surfaces, including around the roots. This is performed manually and could require surgery once again to access areas below the gum line.

To guard against this it’s necessary for you to undergo regular periodontal maintenance (PM). Besides cleaning, PM gives us an opportunity to check for signs of returning gum disease and, if found, plan for another round of treatment.

Although not written in stone, the interval between PM appointments that seems the most effective for preventing recurrence is every three months. In cases of advanced, aggressive gum disease, appointments may need to occur at even shorter intervals, for example every two months.

PM for susceptible patients with decreased resistance to disease require extra time and effort for the hygienist, along with a renewed daily hygiene habit of effective brushing and flossing by you to keep the disease at bay. But preventing another occurrence of gum disease and its consequences is well worth this extra attention for the health of your teeth and gums.

If you would like more information on dental care after gum disease treatment, please contact us or schedule an appointment for a consultation.

By Lawrenceville Dental Implant Center And Periodontics, LLC
July 26, 2019
Category: Oral Health

Are your gums healthy? Periodontal (gum) disease can occur gradually and won't necessarily cause alarming symptoms at first. If you don't receive treatment, you may eventually develop a severe infection and risk losing your teeth. Fortunately, your Lawrenceville, NJ, periodontists, Drs. John Lu and Raul Figueroa of Lawrenceville Dental Implant Center and Periodontics, offer effective treatments for periodontal disease.

How can I tell if I have periodontal disease?

Periodontal disease can be subtle initially. They can include:

  • Bad Breath: Breath odor is a problem for everyone from time to time. Although bad breath may occur when you first wake up or after eating an onion-laden sandwich, chronic bad breath is never normal. In fact, it can be a sign of gum disease.
  • A Bloody Toothbrush: Gum disease irritates your gums and makes them more sensitive. If you notice blood on your toothbrush or it looks pink, you may have gingivitis, the mildest form of gum disease.
  • Gum Changes: Periodontal disease can inflame your gums, causing redness and swelling.
  • Pain: Inflamed gums tend to be painful. Even pressing on them gently can be uncomfortable. As the disease worsens, chewing can become painful.
  • Receding Gums: Gum disease may also cause your gums to recede, exposing the roots of your teeth. When this happens, your teeth become sensitive and may hurt after you eat or drink hot or cold foods and drinks.

If you ignore these signs of gum disease, it may worsen. As the disease becomes more severe, your gums can become more inflamed and painful, and you may even notice pus on them. Eventually, the teeth can pull away from the gums, forming deep pockets full of bacteria. The bacteria can damage bones, ligaments and gum tissue and may be responsible for loosening your teeth.

Prompt treatment of periodontal disease is the key to protecting your oral health. Call your Lawrenceville, NJ, periodontists, Drs. John Lu and Raul Figueroa of Lawrenceville Dental Implant Center and Periodontics, at (609) 896-0700 to schedule an appointment.

By Lawrenceville Dental Implant Center And Periodontics, LLC
October 29, 2018
Category: Oral Health

Periodontal DiseaseWhat's the biggest cause of tooth loss? You may think it's decay or oral trauma, however, research from the National Institute of Dental and Craniofacial Research shows that gum disease actually damages more teeth than any other dental health issue. At Lawrenceville Dental Implant Center and Periodontics, Dr. John Lu and Dr. Raul Figueroa use the latest techniques to manage periodontal disease. Education is key, so read here about the signs of gum disease and how to combat them.

Signs of gum disease

During a routine dental examination, your dentist checks many aspects of your oral health, including how well your gums are doing. Gum health not only supports what's happening inside your mouth but affects your overall systemic well-being, as well. The American Academy of Periodontology says that gum disease—from mild gingivitis to advanced periodontitis—causes inflammation throughout the body, contributing to issues such as:

  • Diabetes
  • Heart disease
  • Stroke
  • Dementia
  • Arthritis
  • Osteoporosis

All of these conditions and more develop or worsen as bacteria-laden plaque and hard tartar build-up between teeth and underneath the gums.

You, your dentist, and your hygienist in Lawrenceville should be aware of the following signs of periodontal disease:

  • Reddened, puffy gums
  • Pus at the gum line
  • Persistent bad breath which does not respond to routine brushing, flossing, or mouth rinses
  • Loose teeth
  • Gaps between teeth
  • Pimples on the gums
  • Gum and bone recession
  • Deep periodontal pockets (greater than 3 mm as measured by your dentist or hygienist)
  • Dental sensitivity
  • Change in bite or in how a partial denture or other appliances fit

Treating gum disease


In its mildest stages, gum disease responds well to in-office hygienic cleanings and improved brushing and flossing at home. A diet rich in fruits and vegetables helps, too, as does smoking cessation.

If, gum disease advances, however, Dr. Lu and Dr. Figueroa may recommend interventions such as the deep cleaning of tooth surfaces and root planing below the gum line to remove deposits of plaque and tartar. The installation of antibiotics also quells infection so that gums can heal and reattach to tooth surfaces.

For advanced periodontal disease, your periodontist uses gum and bone grafting, flap surgery, and other advanced surgical techniques to stabilize teeth, restore bone and gum tissue, and to promote long-term periodontal health. Performed right at Lawrenceville Dental Implant Center & Periodontics, these state-of-the-art procedures correct a wide variety of harmful gum issues.

Healthy gums and a healthy you

They go together. For the best in gum care and dental implant placement, please contact Dr. Lu and Dr. Figueroa at Lawrenceville Dental Implant Center & Periodontics. Call the office today for more information or to arrange a consultation: (609) 896-0700

By Lawrenceville Dental Implant Center And Periodontics, LLC
April 21, 2018
Category: Oral Health
YourCaseofGingivitisCouldDevelopintoSomethingMoreHarmful

That bit of gum bleeding after you brush, along with redness and swelling, are strong signs you have gingivitis, a form of periodontal (gum) disease. Without treatment, though, your gingivitis could turn into something much more painful and unsightly — a condition commonly known as “trench mouth.”

Properly known as Acute Necrotizing Ulcerative Gingivitis (ANUG), the more colorful name arose from its frequent occurrence among soldiers during World War I. Although not contagious, many soldiers contracted it due to a lack of means to properly clean their teeth and gums and the anxiety associated with war. Inadequate hygiene and high stress still contribute to its occurrence today, along with smoking, medications that dry the mouth and reduced disease resistance — all of which create a perfect environment for bacterial growth.

ANUG can arise suddenly and be very painful. The cells in the gum tissue begin to die (“necrotizing”) and become swollen (“ulcerative”), especially the small triangle of gum tissue between the teeth called the papillae, which can appear yellowish. Patients also encounter a characteristic foul breath and taste. Untreated, ANUG can damage tissue and contribute to future tooth loss.

Fortunately, antibiotics and other treatments are quite effective in eradicating bacteria that cause the disease, so if caught early it’s completely reversible. We start with a complete examination to confirm the diagnosis and rule out other possible causes. We then attempt to relieve the pain and inflammation with non-steroidal, anti-inflammatory drugs like aspirin or ibuprofen and begin antibiotic treatment, most notably Metronidazole or amoxicillin. We may also prescribe a mouthrinse containing chlorhexidine and mild salt water rinses to further reduce the symptoms.

We must also treat any underlying gingivitis that gave rise to the more acute disease. Our goal here is remove any bacterial plaque and calculus (hardened plaque deposits) that have built up on tooth surfaces, particularly below the gums. Only then can we fully bring the disease under control.

It’s also important you become more consistent and effective with daily brushing and flossing, quit smoking, reduce undue stress, and get better rest and nutrition. Establishing these new habits and lifestyle changes will help ensure you’ll never have to experience trench mouth again.

If you would like more information on ANUG and other periodontal gum conditions, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Painful Gums in Teens & Adults.”



Lawrenceville, NJ Periodontist
Lawrenceville Dental Implant Center And Periodontics, LLC
133 Franklin Corner Road
Lawrenceville, NJ 08648
(609) 896-0700
 

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