Periodontal Disease

periodontal diseasePeriodontal (gum) disease, also known as periodontitis, is a bacterial infection that inflames the soft tissue around your teeth and becomes more severe if left untreated. Over time, gum disease will erode the bone that supports your teeth, leading to mobility and tooth loss. Gum disease is quite common, though very preventable, because it is usually a result of poor oral hygiene habits.

It’s important to recognize the specific symptoms of each stage of gum disease and its cause. Prevention is the best option, though the earlier it is detected, the more likely it can be reversed.

Stages of Gum Disease

  • Gingivitis: The first stage of gum disease presents itself with red, swollen, and bleeding gums. It is the only stage of gum disease that can be reversed, as there hasn’t been any damage done to bone yet. Brushing and flossing your teeth at least twice a day and visiting your dentist for checkups and professional cleanings every six months is an infallible way to prevent gingivitis.
  • Mild periodontitis: If gingivitis is left untreated, it will progress into mild periodontitis. At this stage, your gums will begin to pull away from your teeth and some bone loss will occur. Periodontal pockets will also develop, where it’s easier for plaque, tartar, and bacteria to become trapped. A toothbrush and floss will not be able to reach inside these pockets. Though reversing this stage is no longer possible, it can still be maintained by a periodontist, who will offer proper oral hygiene techniques and may even recommend deep cleaning procedures.
  • Moderate periodontitis: As periodontitis progresses, bacteria will continue to damage the ligaments, joints, and soft tissues surrounding your tooth, root, and socket. At this stage, you will experience sore and tender gums and what damage has been done is now permanent.
  • Severe periodontitis: The most severe stage of gum disease presents with receding and bleeding gums, halitosis, pus-filled abscesses, gapping, and changes in bite. If your periodontitis has progressed this far, you will experience loose teeth as the infection keeps eating away at bone. Some teeth may have even already fallen out.

Causes of Gum Disease

While the main cause of gum disease is poor oral hygiene, other risk factors exist, such as:

  • Smoking: Weakens your body’s ability to fight infection, making it more difficult for gum tissue to repair itself.
  • Autoimmune diseases: People who suffer from autoimmune diseases, like diabetes, cancer, and HIV, have a weakened immune system and so their bodies have a harder time fighting off infections.
  • Genetics: If your family is more prone to dental disease, you can ultimately face dental disease as well.
  • Hormonal changes: The risk for gum disease increases in women when hormones are affected by pregnancy, birth control pills, puberty, menopause, or menstruation.
  • Chronic inflammation: Health conditions that cause inflammation in your body, such as arthritis, COVID-19, or cardiovascular disease, are linked to gum disease.
  • Certain medications: Medications that reduce your production of saliva or cause abnormal growth of gum tissue, such as Dilantin, Procardia, and Adalat, can cause gum disease.

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Testimonials

What Our Clients Say About Us

  • "The staff are always so accommodating and friendly, no waiting and very good and thorough dental work"
    Sherri W.
  • "I rated 10 on the question about referring a friend because I have done so. She went yesterday and I asked her about the experience and she was very pleased. No surprise here!! I have always felt that the people who help me, including Dr. Alpert, treat me and my dental health at a level of attention far above that required to simply do a job. They show a genuine concern about my welfare; I need their help; I am glad they are there. As Dr. Alpert said on my last visit about a potential issue, they will “keep an eye on it” for me. I find that vigilance genuinely re-assuring. Over the years I have have come to appreciate that re-assurance as a form of good medicine."
    Robert W.
  • "Very friendly staff! Dr. Alpert is a very good Dentist. I have been very happy with the quality work he has done on my teeth. I highly recommend him!"
    Martha L.
  • "I had a very good experience there, everyone was very friendly professional and good at what they do. I had a cleaning which was virtually pain free and 2 fillings done in one visit.
    I will be going back to this dentist and would recommend to anyone that I know."
    Harold H.
  • "I have been going to the Dental Care of Waterford for over 50 years. The receptionist(s) are eager to make you feel welcome and relaxed. Becky, the hygienist is caring and efficient.
    Dr. Lloyd Alpert does a thorough exam and addresses any concerns and asks if there is still problems.
    The staff is quick to respond to any concerns their patients have.
    I would highly recommend Dental Care of Waterford, MI."
    Barbara R.
  • "haven't had the ability to see a dentist in over 3 years due to Covid and loss of insurance. Now that i was able to seek dental care i was able to schedule an appointment within 3 days of calling to have a cracked filling taken care of... Staff is amazingly friendly and considerate of any needs and even asked if I had insurance just to make sure I could have X-rays done and not have to pay for my visit with one of my kidneys. Dr. Alpert is wonderful! Explained everything that he was about to do and how it might feel. completely painless and fast visit for a filling nonetheless. I definitely have found my new dental office and can actually say I look forward to my cleaning!"
    Kelly S.
  • "This was my first visit to Dr. Alpert's office. I was referred by a friend. Everyone was so nice and knowledgeable. I had the most thorough cleaning I think I've ever had. Everyone put you completely at ease. I highly recommend this dentist."
    Karen M.
  • "Ever been in a situation where you have a dental emergency and call about 20 dentist offices trying to get in? I have and Dr. Alpert's office was the only office to get me in within 24 hours. They were able to help me with my shattered tooth problem totally painlessly. Anytime I've been in for a cleaning, the wait has been minimal. The staff is friendly and professional. I'm in and out in no time. I would highly recommend Dr. Alpert to anyone in the area for last-minute needs and cleanings. His offer is a little hard to spot but it is right off M59 and there is ample parking"
    Alexandrea L.