Periodontist in Brookline, MA

Periodontal disease, commonly known as gum disease, involves an infection of the gums and surrounding tissues that support your teeth. It's primarily caused by poor oral hygiene, which allows plaque—a sticky film of bacteria—to build up on the teeth and harden.

The stages of periodontal disease range from gingivitis, characterized by red and swollen gums that bleed easily, to advanced periodontitis, where the gums and bone that support the teeth can be significantly damaged, leading to tooth loss.

Bleeding gums are most frequently caused by improper or insufficient brushing and flossing, which can leave plaque behind. This condition is the earliest sign of gingivitis, a mild form of gum disease that is reversible with good oral care.

Gum recession can occur due to several factors, including aggressive tooth brushing, periodontal disease, and genetics. When gums recede, the roots of the teeth become exposed, leading to increased sensitivity and other dental problems.

Certain genetic factors can predispose individuals to periodontal disease by affecting the immune system’s response to bacteria that cause gum infections. Additionally, other hereditary conditions like diabetes and heart disease can increase the risk of periodontal disease.

A periodontist can perform a variety of treatments beyond gum disease management, including placing dental implants, performing cosmetic periodontal procedures like gum grafts, and executing regenerative procedures to restore lost bone and tissue.

Periodontitis is identified through a comprehensive dental exam that includes checking for loose teeth, examining the gums for swelling, redness, and pocket depth, and taking dental X-rays to observe bone loss around the teeth.

Contacting a periodontist is advisable if you have symptoms of gum disease, such as persistent gum bleeding, bad breath, or receding gums. They specialize in treating gum disease and can help prevent further complications such as tooth loss.

While both are dental specialists, an endodontist focuses on treating the inside of the teeth, primarily performing root canals, whereas a periodontist deals with the structures supporting the teeth, focusing on gums, bone, and the diseases that affect them.

Gingivitis, the mildest form of gum disease, affects only the gums, making them red, swollen, and prone to bleeding. If not treated, it can advance to periodontitis, a more severe form where the gums pull away from the teeth and form spaces (called pockets) that become infected.

The costs associated with periodontal treatment vary based on the type and severity of the disease and the specific procedures needed. Treatment can range from basic scaling and root planning to more advanced surgical interventions.

Generally, you do not need a referral to see a periodontist. However, many patients are referred by their general dentist, who recognizes the need for specialized gum treatment.

While periodontal disease is not contagious, the bacteria that cause the disease can be transmitted through saliva. Sharing utensils or kissing can potentially spread these bacteria, underscoring the importance of maintaining good oral hygiene.