Periodontal disease occurs when the bacterial flora in your mouth affects the bone around your teeth. Plaque is where it all starts. When this sticky bacteria causes persistent gum inflammation, the disease can spread from the gums to the underlying bone. Once that takes place, gum disease becomes bone (periodontal) disease and causes the bone level to move down the root, exposing the tooth and its root. Without proper gum support, teeth may become loose and require extraction.

To prevent periodontal disease, practice proper hygiene care at home by brushing twice a day, flossing regularly and visiting the dentist on schedule.

What happens if I get periodontal disease?

If you are experiencing advanced bone loss and haven’t been to the dentist in a while, a thorough assessment of your bone levels and periodontal pockets surrounding your teeth will be necessary. Bone loss is often accompanied by plaque and calculus build-up that will need to be removed. This is done through a procedure called scaling and root planning or SRP. The calculus is physically removed with small specialized instruments and the roots are smoothed to encourage re-attachment of soft tissue to decrease pocket depths. 4-6 weeks after the SRP, a follow up and re-evaluation determines necessary maintenance procedures.

What is the best option for receding gums?

There are several correction options based on tooth sensitivity and root cavitation. Grafting the area with soft tissue to replace what’s missing is often our first choice for correction.
What is bone grafting?

Bone grafting is used to:
– increase the volume, quantity and quality of bone for better esthetics or
– possible implant placement
– preservation of the existing bony ridge.

When is bone grafting performed?

Bone grafting is typically performed following tooth extraction to prevent the area from shrinking for future implant placement. The grafted bone material can come from a number of different sources depending on clinical application and patient’s desired outcome.

If you are concerned about periodontal disease or are experiencing receding gums, call JB White DDS for an evaluation (702) 823-3000.