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.
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:
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!
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.
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.
Periodontal surgery costs in Canada vary by complexity and extent. They typically range from $500 to $5,000 per quadrant. Gingivectomy and flap surgery are on the lower end, while bone grafting or tissue regeneration can cost more. Prices also depend on location and insurance coverage, which may offset part of the expense. Consult your periodontist for an accurate estimate based on your needs and treatment plan.
Yes, periodontists specialize in treating gum-related conditions and are highly qualified to perform gum surgery. They address gum disease, receding gums, and bone loss. Common procedures include flap surgery, gingivectomy, gum grafting, and bone regeneration. Periodontists are experts in surgical interventions for oral health and gum restoration.
Periodontists specialize in diagnosing and treating gum disease. They provide non-surgical treatments, like scaling and root planing, and surgical options for advanced cases, such as pocket reduction or tissue grafts. Their expertise helps stop disease progression, restore gum health, and prevent tooth loss. If you have signs of gum disease, such as bleeding gums or persistent bad breath, a periodontist can develop an effective treatment plan to meet your needs.
Periodontal surgery is highly successful when performed by an experienced periodontist and followed by proper aftercare. Success depends on factors like the severity of gum disease, overall oral hygiene, and whether you follow post-operative instructions. Success rates range from 85% to 95% for procedures like pocket reduction or grafting. Regular dental visits and good oral hygiene habits are essential to maintaining long-term results.
While gums cannot regenerate naturally once lost, certain gum surgeries, such as soft tissue grafts, can restore lost gum tissue. These procedures use donor tissue or synthetic materials to cover exposed tooth roots and improve gum health. Additionally, successful treatment halts further gum recession and enhances the appearance of your smile. Your periodontist will recommend the most suitable options for restoring gum health and aesthetics.
Yes, gums can heal after periodontitis with appropriate treatment and care. Early stages may be managed with scaling and root planing, while advanced cases may require surgical intervention like flap surgery or grafting. Treatment removes bacteria, reduces inflammation, and promotes healing. However, periodontitis can cause irreversible damage; therefore, early intervention is key. Maintaining proper oral hygiene and attending regular dental checkups can support gum healing and prevent recurrence.
Start with a general dentist, who can evaluate your oral health and determine if you need specialized care. If gum disease or related conditions are suspected, your dentist may refer you to a periodontist. Periodontists have advanced training in diagnosing and treating complex gum issues, making them the ideal choice for specialized procedures. Regular dentist visits catch problems early, reducing the need for extensive care.
Early detection is essential to minimizing 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.
Dr. Amir Awadalla
Dr. Mark Awadalla
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