Dr. Perry L. Westbrook, DMD, MSD
Periodontics and Implants 877 West Fremont, Ste J-3, Sunnyvale CA
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Periodontal Disease
Surgical Services
Dental Implants
Cosmetic Periodontal Surgery
Non Surgical Services
Oral Pathology
Oral Hygiene


Periodontal Disease and it's Prevention

Periodontal disease is an of the gums, which gradually destroy the support of your natural teeth. There are numerous disease entities requiring different treatment approaches. Dental plaque is the primary cause of gum disease in genetically susceptible individuals. Daily brushing and flossing will prevent most periodontal conditions.

Why is oral hygiene so important? Adults past the age of 35 lose more teeth to gum disease, (Periodontal Disease) than from cavities. Three out of four adults are affected at some time in their life. The best way to prevent cavities and Periodontal Disease is by good tooth brushing and flossing techniques, performed daily.

Periodontal Disease and tooth decay are both caused by bacterial plaque. Plaque is a colorless film, which sticks to your teeth at the gumline. Plaque constantly forms on your teeth. By thorough daily brushing and flossing you can remove these germs and help prevent Periodontal Disease.

Periodontal disease can be accelerated by a number of different factors. However, it is mainly caused by the bacteria found in dental plaque. If not carefully removed by daily brushing and flossing, plaque hardens into a rough, porous substance known as calculus (or tartar).

Periodontal Disease

Bacteria found in plaque produces toxins or poisons that irritate the gums, which may cause them to turn red, swell and bleed easily. If this irritation is prolonged, the gums separate from the teeth, causing pockets (spaces) to form. As periodontal disease progresses, the supporting gum tissue and bone that holds teeth in place deteriorates. If left untreated, this leads to tooth loss.


Other Important Factors Affecting the Health of Your Gums

  • Smoking

  • Diabetes

  • Stress

  • Clenching and grinding teeth

  • Medications

  • Poor nutrition

  • Pregnancy and hormonal conditions

  • Contour of restorations, impacted wisdom teeth, and diseased teeth, with deep cavities, with endodontic (root canal) problems, fractured teeth

Preventing Gum Disease

The best way to prevent gum disease is effective daily brushing and flossing as well as regular professional examinations and cleanings. Unfortunately, even with the most diligent home dental care, people still can develop some form of periodontal disease. Once this disease starts, professional intervention is necessary to prevent its progress.

To keep your teeth for a lifetime, you must remove the plaque from your teeth and gums every day by brushing and flossing. Review how you brush with your dental professional. He or she can help you fine-tune your technique, so that your at-home efforts are even more effective.

Regular dental visits are also important. Daily cleaning will keep calculus formation to a minimum, but it won't completely prevent it. A professional cleaning at least twice a year is necessary to remove calculus from places your toothbrush, floss and other cleaning aids may have missed. If you've had periodontal disease and have been treated, you may need professional maintenance more frequently.

Remember, good oral hygiene and regular professional care are the keys to preventing periodontal disease. Teeth were meant to last a lifetime, and with a little tender, loving care, they can.


Heart and Periodontal Disease

It’s possible that if you have periodontal disease, you may be at risk of cardiovascular disease.

For a long time we've known that bacteria may affect the heart.

Now evidence is mounting that suggests people with periodontal disease — a bacterial infection, may be more at risk for heart disease, and have nearly twice the risk of having a fatal heart attack than patients without periodontal disease.

While more research is needed to confirm how periodontal bacteria may affect your heart, one possibility is that periodontal bacteria enter the blood through inflamed gums and cause small blood clots that contribute to clogged arteries

Another possibility is that the inflammation caused by periodontal disease contributes to the buildup of fatty deposits inside heart arteries.

One out of every 5 Americans has one or more types of heart disease. If you are one of these Americans, or if you are at risk for periodontal disease (see pages 5-6), see a periodontist for a periodontal evaluation — because healthy gums may lead to a healthier body.


What precautions should be taken before dental treatment?

Periodontal disease can affect the heart in other ways. Some existing heart conditions can put people at risk for infective endocarditis. Infective endocarditis is characterized by inflammation of the lining of the heart and heart valves. Those patients with a history of rheumatic fever, mitral valve prolapse or heart murmur may require antibiotics prior to dental procedures. Your periodontist and cardiologist will be able to determine if your heart condition requires use of antibiotics prior to dental appointments.

The American Heart Association has identified guidelines to help protect patients most at risk for infective endocarditis. These people may be especially prone to problems with their heart following a dental procedure.

If you are at risk for infective endocarditis, your dentist or periodontist may take steps to help limit the entry of bacteria into the blood stream during dental procedures, including:

  • treatment of any existing periodontal infection

  • prescribing antibiotics prior to the procedure

  • asking you to make more regular maintenance visits

  • helping you to prevent periodontal disease by reviewing proper home care for your teeth

If you know that you have heart disease or currently receive treatment for a cardiovascular complication, it is especially important for you to have good periodontal health. See a periodontist for a periodontal evaluation.


Diabetes and Periodontal Disease

The two-way relationship between periodontal disease and diabetes.

For years we've known that people with diabetes are more likely to have periodontal disease than people without diabetes.

Recently, research has emerged suggesting that the relationship goes both ways - periodontal disease may make it more difficult for people who have diabetes to control their blood sugar.

More research is needed to confirm how periodontal disease can make it more difficult to control blood sugar. What we do know is that severe periodontal disease can increase blood sugar, contributing to increased periods of time when your body functions with a high blood sugar. And, as a diabetic, you know that this puts you at increased risk for diabetic complications. In other words, controlling your periodontal disease may help you control your diabetes.

If you are among the nearly 16 million Americans in the U.S. who live with diabetes, or are at risk for periodontal disease, see a periodontist for an evaluation - because healthy gums may lead to a healthier body.


Pregnancy and Periodontal Disease

It's possible that if you have periodontal disease and are pregnant, you may be at risk for having a premature, low birthweight baby.

For a long time we've known that many risk factors contribute to mothers having babies that are born prematurely at a low birthweight - smoking, alcohol use, drug use and infections.

Now evidence is mounting that suggests a new risk factor - periodontal disease. Pregnant women who have periodontal disease may be seven times more likely to have a baby that is born too early or too small.

More research is needed to confirm how periodontal disease may affect pregnancy outcomes. What we do know is that periodontal disease is an infection and all infections are cause for concern among pregnant women because they pose a risk to the health of the baby.

If you are planning to become pregnant or are at risk for periodontal disease be sure to include a periodontal evaluation with a periodontist as part of your prenatal care - because healthy gums may lead to a healthier body and a healthy baby.


Respiratory and Periodontal Disease

It's possible that if you have periodontal disease, you may be at risk for respiratory disease.

For a long time we've known that people who smoke, are elderly, or have health problems that suppress the immune system, are at increased risk for the development of respiratory diseases like pneumonia, bronchitis, emphysema and Chronic Obstructive Pulmonary Disease.

Now, growing research is beginning to suggest a new risk factor - periodontal disease. If you have periodontal disease, you may be at increased risk for respiratory disease.

More research is needed to confirm how periodontal disease may put people at increased risk for respiratory disease. What we do know is that infections in the mouth, like periodontal disease, are associated with increased risk of respiratory infection.

If you are at risk for respiratory disease or periodontal disease see a periodontist for a periodontal evaluation - because healthy gums may lead to a healthier body.