Gum health
Gum disease treatment in Miami
Gum disease is the most common reason adults lose teeth, and it often causes no pain until it is advanced. Caught early, it can be controlled — and the teeth, the bone and any implants you have can be protected.
Medically reviewed by Dr. Rodolfo Rodriguez, DMD · Updated
What gum disease is
Plaque that stays along the gumline hardens into tartar, and the bacteria in it inflame the gums. That first stage, gingivitis, is reversible. Left alone, the inflammation moves below the gumline, the gums pull away from the teeth to form pockets, and the bone that holds the teeth starts to break down. That is periodontitis.
Signs to watch for
- Gums that bleed when you brush or floss
- Red, swollen or tender gums
- Bad breath that keeps coming back
- Gums that have pulled back, making teeth look longer
- Teeth that feel loose or have started to move
Smoking, diabetes, pregnancy and some medications make gum disease more likely, or harder to notice. Read why are my gums bleeding?
How we check
At your exam we measure the space between each tooth and the gum with a small probe, look at how much the gums bleed, and check the bone level on X-rays. Those measurements tell us whether you need a regular cleaning or a deeper one.
Deep cleaning: scaling and root planing
A deep cleaning removes tartar and bacteria from below the gumline, along the roots, and smooths the root surfaces so the gums can reattach. It is done with local anesthesia, usually one area of the mouth at a time, over one or more visits.
Afterward, the gums usually look and feel healthier within a few weeks. We measure the pockets again to see how they have responded.
Keeping it under control
Gum disease can be controlled, but it tends to come back without regular care. Most people who have had it do well with cleanings every three or four months instead of every six, along with careful brushing and cleaning between the teeth at home.
Gum health and implants
FAQs
Is a deep cleaning painful?
Can gum disease be cured?
Why do I need cleanings more often now?
Does gum disease affect the rest of my health?
Terms
- Gingivitis
- Early, reversible inflammation of the gums.
- Periodontitis
- Gum disease that has reached the bone that holds the teeth.
- The space between a tooth and the gum, which deepens with gum disease.
- Tartar
- Hardened plaque that only a professional cleaning can remove.
- Scaling and root planing
- A deep cleaning below the gumline, along the roots.
- Peri-implantitis
- Infection of the gum and bone around a dental implant.
Related
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