Periodontics / Gum Care Surgery

Periodontal is defined as around a tooth, and periodontics is a branch of dentistry focusing on the tissues and structures that surround teeth, including the gums and bone. Periodontal disease, also called gum disease, is a serious inflammatory disorder that can lead to tooth loss if not treated. It begins with an infection called gingivitis, and it can quickly progress to a more advanced stage known as periodontitis.

Are You At Risk?

Anyone can develop periodontal disease; it is much more common than you might expect. According to the Canadian Dental Association, approximately 70 percent of all Canadians will develop it at some point in their lives. Several factors can increase your chances of developing periodontal disease. These include:

  • Age – Gum disease is most common after the age of 65
  • Tobacco use – This includes smoking and smokeless tobacco products
  • Genetics – If members of your immediate family have gum disease, your risk may be greater
  • Stress – Research has shown that stress hampers the natural immune system
  • Medication – Certain prescription medicines, such as oral contraceptives, can have an impact on your dental health
  • Bruxism – Grinding or clenching your teeth

Treatment Options

The best method of treatment depends on the severity of the disease. In the earliest stage, known as gingivitis, scaling and root planing, along with diligent oral hygiene, is usually sufficient. Unfortunately, few people notice the problem at this stage, because the symptoms are so subtle. Gingivitis may cause swollen gums that bleed easily, but it is rarely painful.

Patient Educational Video on Gum Disease Treatments

Patient Educational Video on Gum Disease Treatments

The 3 stages of gum disease are gingivitis, periodontitis, and advanced periodontitis. Gingivitis is caused by toxins irritating the gum line as a result of plaque buildup. Signs and symptoms of gingivitis can include swelling, sensitivity and bleeding of the gums during brushing and flossing. Gingivitis can be easily reversed through professional care and good home oral hygiene. Periodontitis is categorized by irreversible bone loss that results from untreated gingivitis. The Gums may begin to form a pocket below the gum line which traps food and plaque. Dental treatment and home care can help prevent from further damage but at this stage the results are not reversible.
Advanced Periodontitis is when the fibers and bones supporting the teeth are destroyed. This may cause teeth to shift or loosen; teeth may have to be removed depending on how advance the disease has become and if treatments are not effective. You can begin by preventing gum disease with good oral health. Pick up a brochure or ask your dentist today!


Periodontitis, the more advanced stage of the disease, may require more aggressive treatment such as gum surgery or laser therapy. These procedures remove the diseased tissue and help the gums re-attach to the teeth. If not controlled, periodontal disease can cause abscesses, decay, and eventual tooth loss. Research in recent years indicates a strong connection between gum disease and serious health conditions such as coronary disease and diabetes.

Early detection is essential to minimising the potential damage from this condition. If you haven’t seen a dentist recently, schedule an appointment to visit us at one of our convenient dental centres in the Greater Toronto areas of North York, Pickering, or Scarborough.

MEET OUR TEAM

Dr. Amir Awadalla

Dr. Amir Awadalla

Dr. Mark Awadalla

Dr. Mark Awadalla

Dr. Ashraf Awadalla

Dr. Ashraf Awadalla

We are incredibly proud of our Esquire Dental Centres staff. We are here to help our patients appreciate everything about their smiles. Our priority is your satisfaction and trust in our abilities and knowledge. We have professionals in every discipline of dentistry who genuinely care about our patients. Our committed team of physicians comprises Dr. Ashraf Awadalla, Dr. Amir Awadalla, and Dr. Mark Awadalla. They are highly skilled and experienced dentists who are members of many professional organisations. They are here to help you with all your oral health needs in a friendly and comfortable setting.