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Periodontal Disease

AMBULATORY CARE:

Periodontal disease

is also called gum disease. It can be mild and cause problems such as bad breath. It can progress and in severe cases, it can destroy bone and lead to tooth loss. Gum disease is usually caused by the buildup of plaque on your teeth and gums. Plaque contains bacteria that are harmful to the gum tissue.

Signs and symptoms of gum disease:

  • In the early stages of gum disease (gingivitis):
    • Your gums bleed when you brush or floss your teeth.
    • Your gums are swollen, red, or tender.
    • You have bad breath that does not go away.
  • As the gum disease gets worse:
    • Tartar (crust) forms on your teeth.
    • Your gums bleed and move away from your teeth.
    • Your teeth can become loose and possibly fall out.

Contact your dental provider if:

  • Your gums bleed regularly when you floss or brush your teeth.
  • Your gums are swollen or tender.
  • Your gums start to move away from your teeth.
  • Your teeth become loose.
  • You have questions or concerns about your condition or care.

Treatment for gum disease

includes a good dental cleaning above and below the gum line. You may be given a medical mouth rinse or gel to kill the bacteria. In some cases you may be referred to a specialist or need surgery.

Prevent gum disease:

  • Brush your teeth 2 times every day. Brush for 2 minutes each time.
  • Floss daily. Your dental provider can teach you how to floss properly.
    Floss every day
  • Use a toothpaste that contains fluoride. You may also need to use a mouth rinse that contains fluoride.
  • Use a soft-bristled toothbrush. Hard bristles may damage your gums.
  • Change your toothbrush every 3 to 4 months. Worn out toothbrushes can damage your gums and do not remove plaque well.
  • Eat healthy foods. Avoid sweets between meals to decrease your risk for gum disease. Healthy foods do not form plaque as easily as foods high in sugar. Eat a variety of fruits, vegetables, lean meats, fish, low-fat dairy products, whole-grain breads, and cooked beans.
  • Do not smoke, and do not use chewing tobacco. Tobacco increases your risk for gum disease. It is never too late to quit using tobacco. Ask your healthcare provider for information if you need help quitting.
  • Visit your dentist every 6 months, or more often as directed, for cleaning and preventive care. Regular visits will help find problems early.

Follow up with your dental provider as directed:

You may need more treatment. Write down your questions so you remember to ask them during your visits.

Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.

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