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Periodontal Diseases

Periodontal (gum) disease, is an infection caused by dental plaque. Plaque is the sticky film composed mostly of oral bacteria. It must be removed daily to prevent tooth decay and gum disease. Plaque bacteria produce toxins that irritate gum tissues. Gradually plaque calcifies into calculus (tartar), which could not be removed by tooth brushing alone. As tartar builds up, bacterial toxins cause increasing irritation and uncontrolled inflammation.



This progressive inflammatory process damages gum tissues and bones that hold teeth. Gum disease is the major cause of tooth loss in adults. If left untreated, gum disease can damage more than your gums. It can affect your smile and overall health. Gum diseases have been linked to increased risks and complications with heart disease, diabetes, pneumonia, and other health issues. Periodontal health is a key component to a healthy body.
One should be on the alert for warning signs of periodontal disease.

  1. Bleeding gum when brushing
  2. Red, swollen or sore gums
  3. Receding gum and appearance of long teeth
  4. Tooth sensitivity
  5. White pus between the teeth and gum
  6. Loose, separating teeth
  7. Bad breath


Periodontal infection is usually painless until it reaches an advanced stage. Your gum can look and feel normal and yet have deep pockets of infection. Ask Dr. Yang to examine your gums for signs of infection. No referral is necessary. Periodontal infection should be treated right away. In most cases, the progress of periodontal disease can be stopped with prompt treatment. The vital tissues around your teeth can then be saved from further damage.
(a) Disease control phase. Treatment in this phase controls the growth of harmful bacteria by removing plaque and tartar. Scaling is the removal of calculus deposits from teeth; root planing is smoothing the root surfaces so that gum tissue can reattach to the tooth.

(b) Surgical therapy phase. Periodontal surgeries may be necessary to further eliminate deep gum pockets in advanced stage of disease. Bone grafts may help in promoting bone healing.

(c) Maintenance phase. Regular periodontal monitoring and cleaning will keep gum in a healthy state.
Every patient for whom orthodontic treatment is planned requires a pre-orthodontic periodontal assessment by a periodontist. This is important because orthodontic treatment in the presence of an active untreated periodontal disease may lead to accelerated bone loss. The maintenance of healthy periodontal tissues before and throughout orthodontic treatment is of paramount importance to ensure the best outcome for patients.