Periodontal (Gum) Disease

What is Periodontal Disease?

Periodontal treatment is necessary when various conditions affect the health of your gums and the regions of your jawbone that hold your teeth in place. Retaining your teeth is directly dependent on proper periodontal care and maintenance. Healthy gums enhance the appearance of your teeth, like a frame around a beautiful painting. When your gums become unhealthy, they can either recede or become swollen and red. In later stages, the supporting bone is destroyed and your teeth will shift, loosen, or fall out. These changes not only affect your ability to chew and speak. They also spoil your smile.

Periodontal diseases are ongoing infections of the gums that gradually destroy the support of your natural teeth. Periodontal disease affects one or more of the periodontal tissues: alveolar bone, periodontal ligament, cementum, or gingiva. While there are many diseases which affect the tooth-supporting structures, plaque-induced inflammatory lesions make up the majority of periodontal issues, and are divided into two categories: gingivitis and periodontitis. While gingivitis, the less serious of the diseases, may never progress into periodontitis, it always precedes periodontitis.

Dental plaque is the primary cause of gingivitis in genetically-susceptible individuals. Plaque is a sticky colorless film, composed primarily of food particles and various types of bacteria, which adhere to your teeth at and below the gum line. Plaque constantly forms on your teeth, even minutes after cleaning. Bacteria found in plaque produce toxins or poisons that irritate the gums. Gums may become inflamed, red, swollen, and bleed easily. If this irritation is prolonged, the gums separate from the teeth causing pockets (spaces) to form. If daily brushing and flossing is neglected, plaque can also harden into a rough, porous substance known as calculus (or tartar). This can occur both above and below the gum line.

If gingivitis progresses into periodontitis, the supporting gum tissue and bone that holds teeth in place deteriorates. The progressive loss of this bone, the alveolar, can lead to loosening and subsequent loss of teeth. Periodontitis is affected by bacteria that adhere to the tooth’s surface, along with an overly aggressive immune response to these bacteria.

Periodontal disease is dangerous in that it is often painless and symptomless. 80% of Americans will be afflicted with periodontal disease by age 45, and 4 out of 5 patients with the disease are unaware they have it. It is important to maintain proper home oral care and regular dentist visits to reduce the risk of obtaining this disease.

Periodontics Presentation

To provide you with a better understanding of periodontics, we have provided the following multimedia presentation. Many common questions pertaining to periodontics are discussed.

Periodontics Presentation

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Periodontics Overview

For a brief narrated overview of the periodontics, please click the image below. It will launch our flash educational MiniModule in a separate window that may answer some of your questions about periodontics.

Periodontics Overview

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Floral Vale Periodontics and Implants, P.C. Dr. Edward A. Marcus

5 out of 5 stars based on 3 Periodontal Maintenance reviews.

Patient Review

Since I am employed in Healthcare - one tends to overthink with respect to patient care, procedures, follow up, pain management, etc. I have had multiple visits to this practice - and can not imagine anything but a 5 star rating - 100% of the time. Only wish I had been introduced to Dr Marcus and his staff sooner - but am very pleased with all results.

- Deb T

5 out of 5 stars on

Patient Review

My son had to undergo gum surgery to remove an overgrowth of gum tissue to a number of his upper teeth. Dr Marcus was extremely gentle during the entire procedure. He made my son very comfortable and even had him laughing while my son sat in the chair. I highly recommend Dr Marcus to anyone in need of care... We are blessed to have found him ourselves!

- Lisa F

5 out of 5 stars on

Patient Review

My son had to undergo gum surgery to remove an overgrowth of gum tissue to a number of his upper teeth. Dr Marcus was extremely gentle during the entire procedure. He made my son very comfortable and even had him laughing while my son sat in the chair. I highly recommend Dr Marcus to anyone in need of care... We are blessed to have found him ourselves!

- Lisa F

5 out of 5 stars on