accessibility ACCESSIBILITY

What is Periodontal (Gum) Disease?

What is Periodontal (Gum) Disease?

The term “periodontal” means “around the tooth.”  Periodontal disease (also known as periodontitis and gum disease) is a common inflammatory condition that affects the supporting and surrounding soft tissues of the tooth, eventually affecting the jawbone itself in the disease’s most advanced stages.

Periodontal disease is most often preceded by gingivitis which is a bacterial infection of the gum tissue.  A bacterial infection affects the gums when the toxins contained in plaque begin to irritate and inflame the gum tissues.  Once this bacterial infection colonizes in the gum pockets between the teeth, it becomes much more difficult to remove and treat.  Periodontal disease is a progressive condition that eventually leads to the destruction of the connective tissue and jawbone.  If left untreated, it can cause shifting teeth, loose teeth, and eventually tooth loss. 

Periodontal disease is the leading cause of tooth loss among adults in the developed world and should always be promptly treated.

Types of Periodontal Disease

When left untreated, gingivitis (mild gum inflammation) can spread to below the gum line.  When the gums become irritated by the toxins contained in plaque, a chronic inflammatory response causes the body to break down and destroy its own bone and soft tissue.  There may be little or no symptoms as periodontal disease causes the teeth to separate from the infected gum tissue.  Deepening pockets between the gums and teeth are generally indicative that soft tissue and bone is being destroyed by periodontal disease.

Here are some of the most common types of periodontal disease:

  • Chronic periodontitis – Inflammation within supporting tissues cause deep pockets and gum recession.  It may appear the teeth are lengthening, but in actuality, the gums (gingiva) are receding.  This is the most common form of periodontal disease and is characterized by progressive loss of attachment, interspersed with periods of rapid progression.

  • Aggressive periodontitis – This form of gum disease occurs in an otherwise clinically healthy individual.  It is characterized by rapid loss of gum attachment, chronic bone destruction and familial aggregation.

  • Necrotizing periodontitis – This form of periodontal disease most often occurs in individuals suffering from systemic conditions such as HIV, immunosuppression and malnutrition.  Necrosis (tissue death) occurs in the periodontal ligament, alveolar bone and gingival tissues.

  • Periodontitis caused by systemic disease – This form of gum disease often begins at an early age.  Medical condition such as respiratory disease, diabetes and heart disease are common cofactors.

Treatment for Periodontal Disease

There are many surgical and nonsurgical treatments the periodontist may choose to perform, depending upon the exact condition of the teeth, gums and jawbone.  A complete periodontal exam of the mouth will be done before any treatment is performed or recommended.

Here are some of the more common treatments for periodontal disease:

  • Scaling and root planing – In order to preserve the health of the gum tissue, the bacteria and calculus (tartar) which initially caused the infection, must be removed.  The gum pockets will be cleaned and treated with antibiotics as necessary to help alleviate the infection.  A prescription mouthwash may be incorporated into daily cleaning routines.

  • Tissue regeneration – When the bone and gum tissues have been destroyed, regrowth can be actively encouraged using grafting procedures.  A membrane may be inserted into the affected areas to assist in the regeneration process.

  • Pocket elimination surgery – Pocket elimination surgery (also known as flap surgery) is a surgical treatment which can be performed to reduce the pocket size between the teeth and gums.  Surgery on the jawbone is another option which serves to eliminate indentations in the bone which foster the colonization of bacteria.

  • Dental implants – When teeth have been lost due to periodontal disease, the aesthetics and functionality of the mouth can be restored by implanting prosthetic teeth into the jawbone.  Tissue regeneration procedures may be required prior to the placement of a dental implant in order to strengthen the bone.

Please contact our office if you have questions or concerns about periodontal disease, periodontal treatment, or dental implants.

Testimonials.

Read what people are saying about us.

read more

Testimonials

If you are reading this testimonial, I assume you are looking to alleviate pain in one or more of your teeth or to improve your smile cosmetically. Either way you can save yourself some time, stop right now and go make an initial evaluation appointment with Dr.Gotun and his staff at their cozy, comfortable office with a relaxing peaceful view of Eanes Creek. You can search the 1200 or more listings in the Austin area and the BEST you could hope for would be to find another dentist equally as skilled and talented as Dr.Gotun. I do NOT think it is possible to get BETTER quality dental work than what you will get at this office.

The one thing that made everything so simple for me was the photographs. During the initial exam Dr.Gotun takes a series of photographs of your teeth along with x-rays. You then get to see your teeth on a laptop screen, in color, up close and larger than life. If you can live with what you see then you can count your blessings and Dr.Gotun will let you be on your way, unless of course you would like to schedule a cleaning!

In my case I could see the damage, decay and buildup from many years of poor oral hygiene and neglect. In addition to the problem teeth that brought me to the dental office I could easily see that most of my teeth were in need of some type of restoration work. Dr. Gotun has my permission to show all of my records to anyone interested in seeing them. I am sure you will be as amazed as I still am at what Dr. Gotun was able to accomplish considering the very poor condition my teeth were in at the start of the process.

The cost was substantial in my case due to amount of work that was required. However, the work was spaced out over several years which made the cost much easier to budget. Dr.Gotun was not on my dental insurance plan, so I accessed some savings and my credit to finance the work and paid it off like any other significant asset I have purchased. My teeth are the most rewarding investment I have ever made.

If I could give anyone one bit of advice other than my story, it would be “do NOT let dental insurance be the major factor that guides your decision-making”. I was never happy with any of the experiences or results I had when I tried to use the dentists that were covered under my plan. I am proof that 12 years on with regular flossing and brushing, the investment in your restoration work done by Dr.Gotun can still be yielding satisfaction and compliments from friends and random strangers.

I have never gone to bed without flossing and brushing after seeing those photographs in my initial visit. Good luck and I hope to be reading your success story here sometime in the future.

Chuck M. Austin, TX

Dr. Tor Gotun probably saved my life and he's added some years to it. You don't usually say that about your dentist, but I believe it in my case.

More than 10 years ago, after many years of neglecting my teeth and an unhealthy life style, I went to Tor, my neighborhood dentist, even though he wasn't on my State of Texas dental insurance network.

I soon learned of the challenges to getting my gums and teeth back to a healthy status. The way Tor explained it, I knew it was complex and that Tor had the skills and vision to get me there, as long as I did my part. I also knew it would take time and not be cheap.

Now, years later, I still have most of my original teeth and only a few very nice, state-of-the art crowns. I am following Tor's advice for taking care of my teeth and gums, including his regular cleaning schedule. What my dental insurance didn't cover, I was able to use Austin Smile Creations' association with Care Credit to finance the costs without any interest charges as long as I pay off balances within a year of each charge.

By the way, we had only one procedure that didn't work out as planned, but Tor made good on it and the solution turned out as good or better.

As a bonus, all of Tor's top flight members are both professional and personable, always considerate of my needs, interests, and schedule.

Bottom line, Tor is better than my expectations. He pays attention to more than just how my mouth looks; he's concerned about my overall health and how my life-style affects, and is affected by, the health of my teeth and gums.

Bill H. Austin, TX

I have been going to Dr. Gotun since he used to have his practice on William Cannon Drive ( 20 years now). Now he is located in Bee Caves. He is an excellent dentist.

The thing I like best about Tor Gotun is he is relatively pain free when administering his shots to numb your mouth. Dentists I have had before always seemed to be a bit heavy handed in this activity.

He is very up to date with modern dental technology. He can make a crown or cap in his office at the moment of your appointment and have you leave with a fully functioning mouth. I have friends who use other dentists who must wander the city of Austin for at least a week with a hollowed out molar stuffed with gauze as they await their topping to arrive by mail to their dentist's office.

The staff is very friendly, and Dr. Gotun will never talk down to you. He is very good at explaining why he is doing something or why he wants to do a procedure. He may have gotten two of my wisdom teeth, but I will still try to hold onto the remaining two regardless of his explaining the safety factors of hanging on to them as you get older.

Randy S. Austin, TX

View More

Contact Us.We encourage you to contact us with any questions or comments you may have. Please call our office or use the quick contact form.

Contact Us

We encourage you to contact us with any questions or comments you may have. Please call our office or use the quick contact form below.
SpamBlocker
 



Austin Smile Creations
2724 Bee Cave Rd
Austin, TX 78746
Phone: (512) 329-5555 URL of Map
Austin Smile Creations Rated 4.7 / 5 based on 25 reviews. | Leave Us a Review