Baystate Dental - Advanced CareAt Baystate Dental P.C., it is our purpose to help you to realize your goals for your dental health and well-being. Check out our Special Offer
For Children and AdultsToothbrushHelping people smile since 1983
We utilize the latest technology to correct
Dentistry in Springfield, MA
Dental Services
Our Pratice
Who We Are
Ask Our Dentists
Friends of Baystate Dental
Frequently Asked Questions
Help Wanted
Privacy Policy
Contact Us
Site Map
New i-CAT Cone Beam 3-D Dental Imaging System

Periodontal Care
Problems and Treatments

Modern Periodontal Surgery is remarkably quick and painless, while at the same time removing the source of infection and raising your overall health. Surgery may be necessary if pockets of infection still remain after root planting. The goals of gum surgery are to remove the tartar from all of the root surfaces and heal the pockets. By lowering the gum line and reshaping the bone, it is easier to remove plaque and the source of infection can be eliminated.

The pain associated with periodontal surgery can usually be handled with over-the-counter medication.

Drawing of tooth showing effects of gum disease

Periodontal Disease
Your teeth are intended to last a lifetime, and they can with proper care. Daily brushing and flossing and regular professional cleanings are the key to avoiding periodontal diseases, the major cause of tooth loss in adults.

Periodontal Four close-ups of teeth with the surrounding gum area infected
Periodontal Periodontal

"Periodontal" comes from the Greek, meaning "around the teeth." Periodontal diseases start as a bacterial infection which attacks the gums, jawbone and ligaments that support the teeth and hold them in the jaw. Periodontal diseases are usually painless and may develop slowly or progress quite rapidly. Unless you have regular check ups, you may not be aware you have a periodontal disease until your gums and bone have been so seriously damaged that tooth loss is inevitable.

Close up of teeth that appear to be clean and healthy

Red Dye Demonstrates Bacterial Infection and Tatar Build Up that causes Periodontal Disease

Close up of teeth where red dye demonstrates bacterial infection & tartar


Causes Of Periodontal Disease
Periodontal diseases are caused by certain types of bacteria in plaque, the sticky, colorless film of bacteria that constantly forms on teeth. These bacteria create toxins (poisons) which irritate the gums and break down the attachment of gum tissues to the teeth. Over a period of time, these toxins can destroy the gum tissues allowing the infection to progress to the underlying bone. 
Microscopic view of plaque bacteria that can cause periodontal disease

In addition, unremoved plaque combines with the other materials and hardens into a rough porous deposit called calculus(tartar.) Calculus on the tooth surface, above the gumline, may not contribute to periodontal diseases, but on the root surface, below the gums, calculus deposits make the removal of new plaque and bacteria more difficult. Only a dentist or a dental hygienist can remove calculus deposits during professional cleaning.

Periodontal Evaluation
Prevention of periodontal diseases begins with an understanding of its causes. A periodontal evaluation performed as part of your regular dental visit permits the dentist or dental hygienist to gather information about your teeth and gums that is not normally performed during a routine examination.

A list of warning signs that you might have contracted periodontal disease

During this evaluation, we will chart gum size, color and shape, tissue condition, signs of bleeding, plaque and calculus buildup.

We will check the bone level, mobility and recession. During the evaluation, and instrument called a periodontal probe will be used to determine if there is any breakdown in the gum tissue attachment or development of pockets between your gums and teeth.

The results of this evaluation, coupled with X-rays, will allow us to make an accurate diagnosis, the basis for a treatment plan that best meets your need.

X-ray close up of teeth with a healthy, even amount of gum tissue

X-ray close up of teeth with an unhealthy, uneven amount of gum tissue


Treatment Plan
The method of treatment of periodontal diseases depends upon the type of disease and how far the condition has progressed.
Options for care usually, but not always, include the following:

  • Oral hygiene care performed correctly and consistently
  • A proper periodontal program (scaling, root planing, and/or curettage) on a regular basis
  • Chemical irrigation with specific mouth rinse and antibiotics
  • Periodontal surgery to reduce or eliminate periodontal pockets
  • Tissue regeneration to build supporting bone and tissue that was lost during the disease state
  • Replacement of the missing teeth and reconstruction of the proper bite

Summary
In any treatment plan for periodontal diseases, we emphasize the importance of removing plaque by daily brushing and flossing. Good oral hygiene is essential to stop periodontal diseases from becoming more serious. Our office provides ongoing support by scheduling three month hygiene visits for maintaining and reinforcing proper hygiene, and helping to insure against recurrence of periodontal disease.

We place special emphasis on these preventive aspects of care because, historically, enormous amounts of time and money have been spent by patients in the treatment of periodontal disease when early detection, a proper diagnosis, and a treatment plan could have provided corrective action and prevented tooth loss.

 
Locations
Springfield, MA
1795 Main St, Suite 215
(413) 733-6651
Springfield, MA
1795 Main St, Suite 212
(413) 732-5600
W. Springfield, MA
93 Van Deene Ave.
(413) 734-9400
Longmeadow, MA
66 Dwight Rd,
(413) 567-9600
E. Longmeadow, MA
294 North Main St,
(413) 525-9500
Wilbraham, MA
35 Kids Village Post Office Park
(413) 509-1500