Periodontitis & Gum Disease Treatments in Midtown
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Did you know that the most common cause of tooth loss in adults is gum disease? According to statistics from the Centers for Disease Control and Prevention, one out of every two adults over the age of 30 in the United States has periodontal disease. However, the good news is that periodontal disease is almost entirely preventable. At the office of NY Dental, we offer a comprehensive range of services to help patients maintain optimal periodontal health and enjoy the benefits of a smile that look, feels, and functions at its best.
What is periodontal disease?
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Periodontal disease, more commonly known as gum disease, is a set of inflammatory diseases that affect the "periodontium", which are the hard and soft tissues surrounding and supporting your teeth. Just like tooth decay, gum disease is attributed to the harmful bacteria in dental plaque and tartar that accumulate around the teeth and under the gums.
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Since the progression of periodontal disease is often painless, you may not even be aware of an ongoing disease process. For this very reason, it’s essential to practice good oral hygiene and schedule visits for regular checkups, professional cleanings, and routine care.
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Taking care of your smile includes being mindful of the signs and symptoms of gum disease.
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Some indications that you may have periodontal disease include:
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Inflamed and red gums
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Bleeding when brushing or flossing
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Receding gums and exposed tooth root surfaces
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Sensitivity to hot or cold temperatures
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Bad breath or a bad taste in the mouth
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Teeth that feel loose
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New spaces developing between the teeth or a change in the bite
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Change in the fit of existing partial dentures
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Discharge around the teeth and gums
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Sharp or dull pain when biting down or chewing food
The Importance Of Good Oral Health
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Taking care of your smile does more than keep your teeth and gums in optimal condition; good oral health also supports systemic health. In addition to being the leading cause of tooth loss in adults, researchers are finding more and more links between periodontal disease and a number of medical problems, including heart disease, stroke, diabetes, and respiratory problems.
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At the office of NY Dental, we emphasize the importance of prevention, early detection, and timely treatment of periodontal disease. We provide patients the guidance, support, and care required to maintain optimal periodontal health.
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What is gingivitis?
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Gingivitis represents the initial stage of gum disease. Although it doesn’t cause overt discomfort and often goes unnoticed, there are specific signs to be aware of that indicate the start of a problem. If you notice your gums bleed when you brush, look red and inflamed, or feel a little tender, you more than likely have gingivitis.
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The good news is that by treating gingivitis early, the tissue damage associated with more advanced stages of gum disease can be avoided. Despite the presence of inflammation, the overall integrity of the periodontal tissues in this stage remains intact.
Treatment instituted at this point is often sufficient to reverse the course of the disease and to avoid any permanent damage to the periodontal tissues. A series of deep dental cleanings, an improved home care regimen and a commitment to regular maintenance may be all that is required to prevent this stage of periodontal disease from progressing.
What is Periodontitis?
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When left untreated, a case of gingivitis develops into a more advanced and damaging stage of gum disease, known as periodontitis. At this point, the connective tissue and bone that hold the teeth in place begin to break down. With the progression of periodontal disease and periodontitis, more and more tissue loss ensues. Damage often includes an increase in pocketing between the teeth and bone, gum recession, and bone loss.
As unresolved periodontitis goes from mild to moderate to severe, it increasingly compromises the soft and hard tissues supporting the teeth.
Periodontal treatment in this phase is designed to halt the progression of the disease and to restore tooth support as possible. Treatment may involve medications to control the bacteria and reduce the size of the pockets between the teeth and gums, gum surgery, as well as bone and tissue grafts.
Let Us Help You Maintain Optimal Periodontal Health
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At the office of NY Dental, we offer personalized, state-of-the-art solutions to help you maintain healthy gums and an attractive, well-functioning smile. As skilled providers of care, we utilize leading-edge technology and treatment methods to address a broad range of periodontal conditions and needs.
Thanks to advances in care, periodontal treatment today not only helps to halt the progression of gum disease but also delivers effective solutions, including bone grafting and regenerative procedures to repair tissue damage, restore bone volume, improve cosmetics, or provide adequate support for the placement of dental implants.
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How is gum disease treated?
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The type of periodontal treatment you receive depends on several factors including the stage of periodontal disease, the extent of tissue damage, your overall oral health, existing medical conditions, and other considerations in care. After a thorough assessment of your case, we’ll discuss your options to reestablish and maintain optimal periodontal health. We welcome your questions and are always on hand to provide guidance and address your concerns.
Periodontal treatment can be categorized in the following ways:
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Non-Surgical Periodontal Treatment
When periodontal disease is detected early in its onset, conservative or non-surgical methods of care combined with improved hygiene routines can restore periodontal health. While periodic, professional cleanings are sufficient to maintain periodontal health in patients that do not have gum disease, once gingivitis is present, deeper cleanings and possibly other non-surgical methods of care are recommended to treat the condition.
The American Academy of Periodontology emphasizes achieving periodontal health by means of the least invasive and cost-effective treatment approaches to care. Deeper cleanings, which include Scaling and Root planing, are non-surgical procedures that are considered the first line of defense against the progression of periodontal disease.
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With scaling and root planing, any plaque and tartar (hardened dental plaque) that have accumulated below the gumline are carefully removed, and then the root surfaces of the teeth are smoothed. Since periodontal disease is an inflammatory response to plaque, tartar, and bacterial toxins, by simply mechanically eliminating these agents, the progression of gum disease can be halted. In addition to removing plaque and tartar with a scaling and root planing procedure, antimicrobial medication placed under the gumline or systemic medications can be used as adjuncts to care to further reduce the bacterial population.
If non-surgical approaches to managing periodontal disease do not achieve the desired outcome, surgery may be recommended to halt its progression and repair damage as possible.
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Periodontal Surgery
When gum disease has advanced beyond the initial stage, periodontal surgery is often recommended to effectively remove bacteria and tartar from around the teeth, reduce gingival pocket depth, restore lost tissue as possible, and halt disease progression. It’s essential to keep in mind that gum disease is a progressive condition. If appropriate measures are not taken, gum disease continues to compromise the support of the teeth and have consequences to one’s overall dental health and well-being.
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Remove sub-gingival bacteria beneath the gums and from the surfaces of the roots of the teeth
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Halt damage to the underlying bone, and recontour the affected hard tissues as needed
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Reduce pocket depth to facilitate easier cleaning of the teeth and gums and the maintenance of optimal periodontal health
As untreated gingivitis evolves into more advanced stages of gum disease, periodontal pockets deepen, the bacteria become more difficult to remove, and the gaps between the surface of the teeth and gums get larger. When pocket depth increases to the point of being beyond the reach of deep cleanings and other conservative methods of care (5mm or more), gum surgery to clean and treat the damage to gums and underlying bone is typically recommended.
The good news is that with proper surgical treatment followed by improved oral hygiene, the chances of tooth loss, further damage to the bone and soft tissues supporting the teeth, and complications from health problems that are linked to periodontal disease can be decreased.
The goals of pocket reduction surgery are to accomplish the following:
In many cases, a periodontal procedure, which is known as flap surgery, is frequently recommended. During this procedure, the gums in the affected area are reflected away from the teeth and supporting bone. Now, the pocket and roots of the teeth can be thoroughly cleaned and supporting tissues recontoured as needed. When this step gets completed, the tissue flag gets sutured back into place.
Today, in addition to conventional surgical approaches to care, dental lasers are also used to perform select periodontal procedures. When applicable, laser technology can help treat periodontitis, reduce pocket depth, address peri-implantitis, and remove or recontour gingival tissues for cosmetic purposes.
For more information on our office and the many services we provide, give us a call today.​
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What is cosmetic dentistry?Cosmetic dentistry offers solutions to improve the look of teeth that are stained, discolored, chipped, worn down, misshapen, a little gapped, or misaligned. It combines the art and science of dentistry to transform a less-than-perfect smile into one that looks naturally beautiful while at the same time enhancing overall facial aesthetics.
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What's the quickest way to improve the look of my smile?The great thing about cosmetic dentistry is that it offers multiple solutions to quickly improve the look of one’s smile. It all depends on your specific dental needs and cosmetic smile goals. While procedures such as teeth-whitening, tooth-colored fillings, and dental bonding typically provide dramatic improvements in just a single visit, others such as dental veneers only take a couple of visits.
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What's the best way to improve the look of dull, drab, or discolored teeth?A teeth whitening procedure as provided by our office is often the simplest, quickest, and most effective way to significantly lighten and brighten your smile.
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How can dental veneers improve the look of my smile?Porcelain veneers are capable of concealing a range of imperfections, dramatically improving the look of teeth that are misshapen, have minor chips, enamel defects, or stains. They also provide an excellent solution for closing small gaps as well as addressing other minor alignment issues. While teeth whitening procedures can effectively treat many cases of dental stains or discolorations to produce cosmetically pleasing results, darker stains, as well as specific issues involving the size, shape, and alignment of the teeth, are better addressed with porcelain veneers.
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What type of cosmetic restoration is possible for a back tooth?How a back tooth is repaired and restored depends on the extent of the cavity or damage it has sustained. In many cases, a tooth-colored filling is often sufficient to restore the form and function of a back tooth. However, when a significant amount of tooth structure is damaged, or the tooth has had a root canal, it’s often necessary to fabricate a full coverage crown. In this way, the remaining tooth structure is protected from further damage while full function and a natural-looking smile is restored.
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Does a tooth that is chipped require a crown?Whether or not a chipped or fractured tooth requires a dental crown depends on the extent of the damage. Some minor chips can be addressed with a dental bonding procedure or a veneer. When a significant amount of tooth structure is lost, rebuilding the form and function of the involved tooth may require a full coverage crown.
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What is the most cosmetic solution for replacing missing teeth?While conventional dental bridges and dentures offer effective and satisfying ways to rebuild a complete and attractive smile, dental implants represent the most advanced solutions for replacing missing teeth. With dental implants, our office can replace a single tooth or multiple ones to give you a smile that feels, looks, and functions like a natural one. Dental implants behave in much the same way as the root of an actual tooth, providing stable, secure, and long-lasting results of care.
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How long does teeth whitening last?How long your teeth whitening lasts depends on your lifestyle. Eating, drinking, and smoking habits can have a big impact on maintaining your result. Our office will inform you which food, beverages, or habits can stain your newly whitened smile. As needed, we’ll also help you maintain a white and vibrant smile with a periodic, safe, and effective touch-up whitening procedure.
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How much do cosmetic dental procedures cost?At the office of Dental Life, we want every patient to enjoy the benefits of a beautiful and healthy smile. We strive to make dental care affordable and accessible. Improving the look of your smile is a worthwhile investment, and we always try to optimize any dental insurance benefits to cover your work. However, it’s essential to keep in mind that cosmetic dental procedures may not be covered by your plan. You can count on our office to explain every cosmetic option available to address your needs and the fees involved. To help you begin care without any additional stress or delay, we can discuss different payment options and financing plans.
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Why choose the office of Dental Life?Although achieving aesthetically pleasing and long-lasting results of care requires knowledge, experience, and technical proficiency, it also calls for a professional with an artistic eye and awareness of facial aesthetics. At the office of Dental Life, we successfully combine the art and science of dentistry to create smiles that are as beautiful as they are healthy. From performing professional teeth whitening procedures, fabricating custom dental veneers or crowns to rebuilding complete and beautiful smiles with dental implants and much more, we’re well equipped to transform less-than-perfect smiles into ones that look good and feel great.