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Periodontics

Offering Fremont Periodontics and Gum Disease Treatment at Liberty Dental 

Dr. Archana Gulati is committed to overall oral health that includes tooth and gum disease problems but also consist of preventative at-home care education. An often overlooked component of oral hygiene is to watch for signs and symptoms of gum disease and seeking appropriate dental care. Although many people don’t realize it, gum disease is a widespread problem that when left untreated can result in numerous problems, including tooth loss.

Gum disease, also called periodontal disease, is an infection in the tissues that surround the teeth. It is one of the leading causes of tooth loss in adults. Unfortunately, it is often painless in the early stages; so many people develop advanced gum disease without realizing it. 

Gum Disease Prevention

Gum disease is caused by the same bacteria that produce plaque, which means brushing and flossing regularly are the best way to prevent it. Regular dental cleanings are also an essential part of prevention and can catch it early before more serious treatment is required. 

Besides poor oral hygiene, there are other risk factors that you should be aware of. Using any kind of tobacco increases your risk of gum disease, as do certain types of medications. If your teeth are so crooked that you have trouble cleaning them, you might also be at increased risk.

Gum Disease Signs and Symptoms

Common symptoms include red or swollen gums, gums that bleed easily or that have pulled away from the teeth, a persistent bad taste in the mouth, bad breath that won’t go away, or loose teeth. If you are suffering from any of these symptoms, please consider making an appointment with Dr. Gulati before the condition worsens.

Periodontics is the special field of dentistry that prevents, diagnoses and treats gum disease. The early stage of the disease, which is called gingivitis, is reversible and can be treated with a simple cleaning at the dental office. Once gum disease reaches the advanced stage, called periodontitis, it is irreversible and can begin to destroy supporting tissue and bone, making teeth loose. 

Liberty Dental - Periodontics Treatment in Fremont

Dr. Gulati offers gum therapy treatments that have proven effective. This includes scaling and pocket irrigations, removing plaque from beneath the gum line, as well as antibiotic treatment with Arestin powder to diminish the pockets where infection forms. Treatment results will vary case by case, depending on how far the disease had advanced.

Remember, it is possible to have gum disease for a while before any symptoms appear. That is why it is so important to maintain regular checkups and cleanings, and also why good dental hygiene practices at home are essential. Brush your teeth twice a day, floss between teeth daily, eat a healthy and balanced diet, and make an appointment for your next checkup.


Diagnosis

Periodontal disease is diagnosed by your dentist or dental hygienist during a periodontal examination.  This type of exam should always be part of your regular dental check-up.

A periodontal probe (small dental instrument) is gently used to measure the sulcus (pocket or space) between the tooth and the gums.  The depth of a healthy sulcus measures three millimeters or less and does not bleed.  The periodontal probe helps indicate if pockets are deeper than three millimeters.  As periodontal disease progresses, the pockets usually get deeper.

Your dentist or hygienist will use pocket depths, amount of bleeding, inflammation, tooth mobility, etc., to make a diagnosis that will fall into a category below:

Gingivitis

Gingivitis is the first stage of periodontal disease.  Plaque and its toxin by-products irritate the gums, making them tender, inflamed, and likely to bleed.

Periodontitis

Plaque hardens into calculus (tartar).  As calculus and plaque continue to build up, the gums begin to recede from the teeth.  Deeper pockets form between the gums and teeth and become filled with bacteria and pus.  The gums become very irritated, inflamed, and bleed easily.  Slight to moderate bone loss may be present.

Advanced Periodontitis

The teeth lose more support as the gums, bone, and periodontal ligament continue to be destroyed.  Unless treated, the affected teeth will become very loose and may be lost.  Generalized moderate to severe bone loss may be present.


Treatment

Periodontal treatment methods depend upon the type and severity of the disease. Your dentist and dental hygienist will evaluate for periodontal disease and recommend the appropriate treatment.

Periodontal disease progresses as the sulcus (pocket or space) between the tooth and gums gets filled with bacteria, plaque, and tartar, causing irritation to the surrounding tissues.  When these irritants remain in the pocket space, they can cause damage to the gums and eventually, the bone that supports the teeth!

If the disease is caught in the early stages of gingivitis, and no damage has been done, one to two regular cleanings will be recommended.  You will also be given instructions on improving your daily oral hygiene habits and having regular dental cleanings.

If the disease has progressed to more advanced stages, a special periodontal cleaning called scaling and root planing (deep cleaning) will be recommended.  It is usually done one quadrant of the mouth at a time while the area is numb.  In this procedure, tartar, plaque, and toxins are removed from above and below the gum line (scaling) and rough spots on root surfaces are made smooth (planing).  This procedure helps gum tissue to heal and pockets to shrink.  Medications, special medicated mouth rinses, and an electric tooth brush may be recommended to help control infection and healing.

If the pockets do not heal after scaling and root planing, periodontal surgery may be needed to reduce pocket depths, making teeth easier to clean.  Your dentist may also recommend that you see a periodontist (specialist of the gums and supporting bone).


Maintenance

It only takes twenty four hours for plaque that is not removed from your teeth to turn into calculus (tartar)!  Daily home cleaning helps control plaque and tartar formation, but those hard to reach areas will always need special attention.

Once your periodontal treatment has been completed, your dentist and dental hygienist will recommend that you have regular maintenance cleanings (periodontal cleanings), usually four times a year.  At these cleaning appointments, the pocket depths will be carefully checked to ensure that they are healthy.  Plaque and calculus that is difficult for you to remove on a daily basis will be removed from above and below the gum line.

In addition to your periodontal cleaning and evaluation, your appointment will usually include:

  • Examination of diagnostic x-rays (radiographs): Essential for detection of decay, tumors, cysts, and bone loss.X-rays also help determine tooth and root positions.
  • Examination of existing restorations: Check current fillings, crowns, etc.
  • Examination of tooth decay: Check all tooth surfaces for decay.
  • Oral cancer screening: Check the face, neck, lips, tongue, throat, cheek tissues, and gums for any signs of oral cancer.
  • Oral hygiene recommendations: Review and recommend oral hygiene aids as needed. (Electric toothbrushes, special periodontal brushes, fluorides, rinses, etc.)
  • Teeth polishing: Remove stain and plaque that is not otherwise removed during tooth brushing and scaling.

Good oral hygiene practices and periodontal cleanings are essential in maintaining dental health and keeping periodontal disease under control!

Office Location

  • Fremont
  • 39200 Liberty St
  • Ste D
  • Fremont, CA
  • 94538
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  • Call: (510)-230-0202