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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

Healthy gums matter before any implant, veneer or crown. Implants can develop a similar infection, called peri-implantitis, so the same care protects them for the long term.

FAQs

Is a deep cleaning painful?
The area is numbed first. Some tenderness and sensitivity for a few days afterward is common.
Can gum disease be cured?
Gingivitis can be reversed. Periodontitis can be controlled and its damage stopped, but bone that has been lost does not grow back on its own, which is why early treatment matters.
Why do I need cleanings more often now?
The bacteria that cause gum disease rebuild below the gumline within a few months. More frequent cleanings keep them in check.
Does gum disease affect the rest of my health?
Research links gum disease with conditions such as diabetes and heart disease. Keeping your gums healthy is part of looking after your overall health.

Terms

Gingivitis
Early, reversible inflammation of the gums.
Periodontitis
Gum disease that has reached the bone that holds the teeth.
Pocket
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.

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