doctor diagnose periodontitis

What is Periodontitis? Causes, Symptoms and remedies.

Do you have a dental issue, and you need to chat right now with an expert dentist? 

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Periodontitis (per-e-o-don-TIE-tis), likewise called gum disease, is a major gum infection that damages the soft tissue and, without treatment, can damage the bone that supports your teeth. Neglected Periodontitis will ultimately lead to tooth loss.

Periodontitis, or gum illness, impacts the area around the tooth, including the bone and the gum. It takes place when bacteria and plaque develop around the tooth, and the immune system releases a reaction. There seems a link between gum illness and conditions somewhere else in the body, such as heart problems.

Even though a significant amount of people are not diagnosed with Periodontitis, it represents one of the most common diseases in the human race.

probing testing periodontitis
Periodontitis testing, gum recession process.

What are the Causes of Periodontitis?

The leading cause of Periodontitis is the buildup of plaque on the surface of Your teeth. Plaque is a sticky and soft biofilm that contains bacteria. Every time You properly brush Your teeth, You remove the soft plaque from the surface of Your teeth. If proper oral self-care does not remove soft plaque, it turns into hardened tartar. The presence of tartar promotes the growth of bacterial plaque on the root surface. Tartar and plaque on teeth surfaces cause inflammation to the gums that surround Your teeth; this inflammation is well known as Gingivitis. As the infection advances deeper, the attachment of the gum to the root is interrupted, and this helps the development of a periodontal pocket. This pocket is an excellent place for harmful bacteria to establish and in which to reproduce, therefore, to drive the disease process forward. In their new environment, the bacteria release toxins as a result of their metabolism, which further triggers the body’s defense mechanisms. The progression of Periodontitis depends on different variables: The more aggressive the bacteria and the more vulnerable the immune response of the subject is, the more active the disease will be. In addition to this, some risk factors, such as smoking or diabetes, can further weaken the body’s defenses and speed up the disease process.

The immune system attacks bacteria as the plaque spreads below the gum line into the pockets. If not treated, bone and connective tissue that hold the tooth may start to break down, since of toxic substances produced by the germs. The changes might be permanent. Only a Dentist or Dental Hygienist can remove hardened tartar from the surface of Your teeth.

How can I recognize if I have Periodontitis?

Periodontitis begins with a gum inflammation, known as Gingivitis. Gingivitis is the inflammation of the part of your gum tissue around the base of your teeth (gingiva). Gingivitis is reversible with expert treatment and excellent house oral care (Dental Coach App is here to help You with this). If not treated, Gingivitis can cause pockets to establish in between your gums and teeth that fill with plaque, tartar, and germs. In time, these pockets become deeper, filling with more bacteria.

For the most part, the advancement of Periodontitis begins with chronic not removed plaque, a sticky biofilm made up generally of germs. If left untreated, here’s how plaque can eventually advance to Periodontitis: starches and sugars in food connect with bacteria commonly found in your mouth. If it stays on your teeth, tartar is harder to get rid of, and it’s filled with bacteria. The longer plaque and tartar remain on your teeth, the more damage they can do. You can’t get rid of tartar by brushing and flossing you need a professional oral cleansing to eliminate it. Together with the immune system’s response to infection, bacterial toxic substances begin ruining the bone and connective tissue that hold teeth in location. Ultimately, the teeth start becoming loose, and they may fall out. You can recognize to have Periodontitis if You have one or more of the symptoms mentioned above:


• Swollen or puffy gums

• Gums that retreat from your teeth (decline), making your teeth look longer than regular

• Intense red, dusky red or purple gums 

• Gums that feel tender when touched 

• Gums that bleed easily 

• Pink-tinged toothbrush after brushing 

• Spitting out blood when brushing or flossing your teeth

• Bad breath 

• Pus between your teeth and gums 

• Loose teeth or loss of teeth

• Agonizing chewing 

• A modification in the way your teeth meshed when you bite

• Halitosis

If you meet one or more of these symptoms is recommended to book a checkup with Your Dentist, he is the best professional that can make a precise diagnose of your problem.

Factors that can increase your threat of periodontitis consist of:

• Not treated Gingivitis

• Poor oral health habits ( Download Dental Coach to acquire perfect habits)

• Genetics

• Particular medications that trigger dry mouth or gum changes

• Smoking Cigarettes or Chewing Tobacco

• Hormone changes, such as those related to pregnancy or menopause

• Leisure drug usage, such as smoking cannabis or vaping 

• Weight problems 

• Inadequate nutrition, consisting of a vitamin C deficiency 

• Conditions that trigger reduced immunity, such as leukemia, HIV/AIDS and cancer treatment 

• Particular illness, such as diabetes, rheumatoid arthritis, and Crohn’s illness

The best ways to prevent Periodontitis:

  • Excellent oral self-care

brushing properly Toothbrush cleaning teeth. Medically accurate 3D illustration of oral hygiene.

The best way to avoid Periodontitis is to follow a program of excellent oral health, one that you start early and practice consistently throughout life. That means brushing your teeth for 2 minutes a minimum of twice daily in the early morning and before going to sleep and flossing at least once a day. If there is enough space between the teeth, an interdental brush is recommended.

Soft-picks can be used when the space between the teeth is smaller sized. People with arthritis and others with mastery problems might discover that utilizing an electric toothbrush better for a comprehensive cleaning.

Oral hygiene: using toothpick dental floss to remove food stuck from teeth.

Excellent oral health avoids the development of an environment around your teeth that agrees with particular bacteria that trigger gum disease. 

  • See Your Dentist or Dental Hygienist routinely

See your dental practitioner or dental hygienist regularly for cleansings, usually every six to 12 months. If you have risk factors that increase your chance of developing Periodontitis such as having a dry mouth, taking certain medications, or cigarette smoking (and see the list below), you might require professional cleaning more often.

Home Natural Remedies for Periodontitis

The best home remedy for Periodontitis is to adopt excellent oral self-care by brushing Your teeth twice a day, preferably in the morning and in the evening, and flossing at least once a day. You can also use a mouthwash to help prevent the buildup of plaque and tartar.

Although no natural solution has actually been discovered to deal with or prevent gum illness, specific remedies might assist battle plaque buildup and keep your gums healthy. 


Baking soda diluted in water can be used to rinse and brush the teeth and gum line to help reduce the effects of the acids that irritate the gum tissue.


Hydrogen peroxide assists kill germs when utilized as a mouthwash or as a gel in a custom-fitted tray; however, it can not be swallowed. Two applications/rinses daily may help to decrease bacterial level and lower gums inflammation.


Oil pulling( swishing or rinsing): There has been little evidence to show that sesame oil or coconut oil can help in reducing germs that cause gum illness but has been ended up being a recent pattern.

  • NEEM

 An ayurvedic solution, neem, is a plant found to have anti-bacterial residential or commercial properties. Research study on neem and gum health consists of little research published in the Journal of Standard and Complementary Medication in 2014.

Results revealed that all three types of mouthwash worked in minimizing plaque and preventing Gingivitis. 

Another treatment long utilized in Ayurveda, oil pulling includes swishing a tablespoon of oil (such as coconut oil or sesame oil) around your mouth for about 15 minutes at a time.


Tea tree oil may help in the treatment of Gingivitis, according to a report published in Clinical Microbiology Reviews in 2006. If you’re thinking of utilizing tea tree oil for gum health, choose a toothpaste that contains this essential oil as an active ingredient.


Some research shows that cranberry might help thwart gum disease by avoiding germs from staying with your teeth. What’s more, an initial research study released in the Journal of Periodontal Research in 2013 suggests that substances found in cranberry might assist in regulating periodontitis-related inflammation. 


There’s some evidence that vitamin C could contribute to protecting gum health.

For aid in filling up on vitamin C, consist of foods such as grapefruit, oranges, kiwi, mango, papaya, strawberry, red pepper, broccoli, brussels sprouts, and cantaloupe in your diet plan.

Before using any kind of natural remedy for healthy gums, remember that no medication should be utilized as a replacement for primary oral care. Along with brushing, flossing, and having your teeth professionally cleaned, you can maintain your oral health by following a diet high in calcium-rich foods and low in sugary foods and beverages.

For instance, avoiding smoking cigarettes can significantly decrease your threat of developing gum disease. There’s likewise some evidence that managing your tension can assist keep your gums healthy. If you’re experiencing signs such as bleeding gums, discomfort while chewing, or level of sensitivity in your teeth, it’s essential to consult your dental practitioner instead of attempting to self-treat gum health concerns with natural remedies.

How is Periodontitis treated?

The main goal of non-surgical periodontal treatments mastered from an expert Periodontist is:

Remove tartar and bacteria from the surface of the roots to reduce gingival inflammation, and consequently prevent the bone loss.

Non-Surgical Treatments

Ultrasonic claning Oral hygiene: Ultrasonic teeth cleaning removing tartar and plaque.

  • Professional cleaning, scaling and root planing (every 3-6 months)

A health care expert will perform scaling and debridement to clean below the gumline. This might be done utilizing hand tools or ultrasonic tools that break up the plaque and calculus.

A variety of medicated mouthwashes and other treatments are available to manage germs when dealing with gum illness.

Local Medication with Doxycycline can be positioned in the pockets after scaling and root planing; it helps to controls bacteria and decreases the periodontal pocket size. The medication is slowly released over time, and this gel consists of doxycycline, an antibiotic. 

Studies show that subgingival instrumentation, combined with a local application of doxycycline in deep periodontal sites, can be considered as a justified approach for non‐surgical treatment of Chronic Periodontitis.

Cleaning up is usually recommended two times a year, and possibly regularly, depending upon just how much plaque accumulates. Depending on how much plaque a patient accumulates, it might be necessary a professional cleaning even every three months.

  • Antibiotic Therapy

In some cases, it’s necessary to prescribe antibiotic therapy to deal with active and acute gum infection. 

Surgical Treatments

The main goals of surgical periodontal treatments mastered from an expert Periodontist are:

  • Reduce the depth of pockets to make the teeth surface easier to clean (flap surgery)
  • Regenerate the bone loss around the teeth (bone grafting)
  • Cover the root surface exposed due to gums recessions (soft tissue grafting)

  • Flap surgery

The Dentist/Periodontist makes tiny incisions on your gums to lift them back, to reduce the depth of your pockets, and expose the surface of the teeth. Exposing the root helps You to clean the surface of Your teeth more easily, without having to handle with deep pockets hard to clean.

  • Soft tissue graft

A soft tissue graft is necessary when Your gumline recedes, causing your teeth to appear longer. There are several different surgical techniques and approaches to soft tissue grafts. Still, generally, a piece of tissue is taken from a donor source (ex.: palate) and used to cover the exposed root of Your teeth, giving them a more pleasing appearance.

  • Bone grafting or Guided tissue regeneration (if possible)

New natural or synthetic bone is placed where the bone was lost, promoting bone growth. Guided tissue regeneration (GTR) is a surgical treatment that uses barrier membranes to direct growth of brand-new bone and gum tissue at sites where one or both of these are lacking.

In this procedure, a little piece of mesh-like material is inserted between the gum tissue and bone, and this stops the gum from turning into bone space, giving the bone and connective tissue a chance to regrow. The Dentist may also use unique proteins, or growth aspects, that assist the body to regrow bone naturally.

Are there any solutions if I lost one or more teeth because of Periodontitis?

The last stage of Periodontitis is the loss of a tooth. If You reached this point, nothing is lost. Thanks to modern techniques, it is possible to replace the lost teeth with different procedures: Dental Implants or Bridges.

Dental implants are synthetic tooth roots that offer an irreversible base for repaired, replacement teeth. Compared to dentures, bridges, and crowns, dental implants are a popular and reliable long-term service for individuals who struggle with missing out on teeth, failing teeth, or chronic oral issues. Because they fit, feel, and function like natural teeth, oral implants are rapidly becoming a new standard in tooth replacement.

Dental implants typically have three parts:

1) A screw that serves as a root for your brand-new teeth.

2) A long-term, however detachable by your doctor, port that supports and holds a tooth or set of teeth. 

3) Crown (or prosthetic tooth): This is the part of the tooth that you can see. It’s generally made from zirconium or porcelain for sturdiness and excellent appearances. You can utilize oral implants for replacing a single tooth, several teeth, or a complete upper and/or lower set of teeth.


The most potent weapons to fight Periodontitis are an excellent daily oral self-care and Dentist checkups every 3-6 or 12 months. These two easy things will help You to lower by 80% the risk of Periodontitis. Implement these habits in Your lifestyle has compelling and positive consequences for the health of Your smile. Do You still think it is convenient to escape Dentist checkups and bedtime brushing and flossing? If You are ready to change Your lifestyle, there are no doubts that You need to download Dental Coach on Your smartphone: Keep all reminders active for at least the next three months and enjoy the benefits of a perfect daily oral hygiene routine.


Main reference for Oral Health:

American Dental Association (ADA) 

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