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WHAT IS PERIODONTAL (GUM DISEASE)?

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.

Gum Disease Treatment

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.
toni ramos H.
toni ramos H.
Excellent service by kind and compassionate staff. I needed a deep cleaning and the dental hygienist, Inez, put me at ease from the start. Superior care and pain-free-- you can't ask for more!
Cheryl D.
Cheryl D.
I was so impressed with the staff and Dr, I am making Wilmot Family Dentistry my permenant dentist. I have already told several people. They really are exceptional!!Once again it was an exceptional experience. So glad I found this office!Have gone several other times, and would leave 10 stars if I could!Today I had severe pain and was brought in immediately. This is the best dentists office I have ever been to!
Michelle C.
Michelle C.
My mother is my hygienist here at Wilmot Family Dentistry, so I will say nothing but good things about her, but Dr. Lyman and the entire staff a great! ~ Kade
Stephen M.
Stephen M.
I needed some repair when I cracked a molar. I searched for dentists and found Wilmot Family, and I was most pleased! Really nice people, efficient and professional and friendly. Dr. Lyman was great. Like many people, I am somewhat apprehensive about dental work... and I was pleasantly surprised - a great experience. And Thanks to Martin for his work and friendly approach as well. I will be going back for more routine care in the future!
Roger P.
Roger P.
Melissa always does a thorough and professional job.
Barbie E.
Barbie E.
Good experience, very good cleaning and nice people too.
Jeff C.
Jeff C.
They are good. That's hard to say relating to dental work. I wouldn't go anywhere else.
Barbara S.
Barbara S.
Very professional and friendly office.
Starla C.
Starla C.
These people are absolutely my life savers. I have a horrible fear of dental work and have panic attacks every time I go in. They have been more than patient, kind and have got me through some tough dental problems! Thank you all so much! Dr. Lyman and crew are the best!!
Kyle H.
Kyle H.
Okay I’m very picky we all know how the dental business works and this dentist really really does care about the patients I had an absolute SEVERE EMERGENCY went to gentle dental they kept trying to refer me to other surgeons finally made the decision to call this office & I’m truly blessed for what they have done for me completely pain free they took care of the problem the doctor was fast made sure i was comfortable and then the staff was truly amazing this office should be a 5⭐️ office
Jocelyn L.
Jocelyn L.
This place is awesome! I’m genuinely terrified of the dentist but Dr. Lyman does amazing every single time. I had my fills and crown done by him and didn’t feel pain at all. I will always recommend him. He’s the best dentist I’ve ever been to.
Tara B.
Tara B.
Wonderful, patient and caring team who go out of their way to ensure as comfortable and successful a treatment experience as possible. Highly recommend!
Leon L
Leon L
Dr Lyman is a true professional. Very knowledgeable and kind. Everyone is friendly at the office. We travel allot between CA and AZ. Dr Lyman is the best. Highly recommended.
Kathy R.
Kathy R.
Melissa is my hygienist and she is very good at her job. My overall experience was great.
Debbie F.
Debbie F.
Great dentist. Great staff. Couldn't be happier. Best dentist and office I have ever been to. Kind. Caring. Compassionate. If you are one of yhe people who hate going to the dentist they will change your mind!
Jim R.
Jim R.
Excellent visit with Dr Lyman as always. He is my favorite dentist of all time. I've had a couple of urgent issues and he never let's me down. I would highly recommend making him your dentist. You will not find a more honest compassionate care provider than he and his staff. Thank you for all that you do Dr Lyman.
Cori H
Cori H
The team is efficient, professional and accomodating. My visits to Wilmot Family Dentistry are comfortable and pleasant. I learn something new at each visit, as they thoroughly explain what's found on my Xrays when I ask.
Taisha G
Taisha G
A great experience: I was greeted promptly and courteously. Checked in and helped by multiple, kind and knowledgeable people once I was taken back. Seen by Dr. Lyman, I given a very thorough and transparent examination. I have follow up appointments scheduled and am happy my online research connected me with a centrally located office such as this one.
Lawrence B.
Lawrence B.
Timely, competent, friendly service from everyone.
Krista R.
Krista R.
We love Dr. Lyman! He’s a great listener, he takes the time to answer all of our questions, and he’s fun! Very experienced and knowledgeable. His staff is so nice! We love Wilmot Family Dentistry.
Kim H.
Kim H.
Not a fan of going to the dentist. Ever. Wilmot Family Dentistry was a great experience. Alex soothed my nerves and made me laugh. Tito is a great hygienist. Dr. Lyman is amazing. He is a no pressure, only what you need type of dentist. Five stars aren’t enough to describe my experience!!
Raymond M.
Raymond M.
Had my 6 month cleaning with Michelle. She is the best! When I need full dental care, and I have had my share, Dr. Lyman takes his time and makes the entire procedure a pleasure.
Krysten K.
Krysten K.
Amazing place and amazing staff made me feel super comfortable would definitely recommend to everybody!
Teresa L H.
Teresa L H.
I 've been in this office for years, and always have a great experience. They treat me with respect and courtesy, The Dr is very good and kind.
Mina J.
Mina J.
Everyone at Wilmot family dentistry was very professional and friendly.ThanksDr. Lyman is great with his patients and takes time to explain things.
JoAnn L.
JoAnn L.
Hygienist did a great job cleaning my teeth and Dr. answered all my questions. Good experience.
sara M.
sara M.
I have been going to this office for years. Dr. Lyman is very kind and knowledgeable. I have a lot of anxiety going to the dentist and I am always walked through the process and they answer all the questions I have. I have some gum issues and he has really helped in the treatment plan.My son had an emergency dental procedure that needed to be done and they got him in the same day. Great office and staff highly recommend
Jalen N.
Jalen N.
Went to the dentist for the first time in a while and they made me feel super comfortable with zero judgment! They were also super gentle and have a super friendly environment! I’m excited to start my journey at this dentist!
Sherry H.
Sherry H.
After searching for a dentist office that fits my needs for almost a year, I am so thankful that I found Wilmot Family Dentistry! Dr. Lyman and staff are absolutely wonderful! If you are looking for a dentist who actually cares about the patient and not just the all mighty dollar, please go here! I would highly recommend them.
Karoline C
Karoline C
Timely appointment, nice staff, knowledgeable, kind and helpful hygienist. And Dr Lyman was his usual excellent self.
Logan R.
Logan R.
Great dentist. Worked to make my insurance covered what I needed done. Wonderful place.
Laura S.
Laura S.
Everyone very nice
Jake E.
Jake E.
Best Dentist I have ever been to. Highly recommend them.
Maya B.
Maya B.
Always a friendly and understanding staff. Quick in and out with follow-up appointments made on the spot. Highly recommended
Paige H.
Paige H.
Always thorough, keeps me updated through every procedure, and a kind relaxed energy
Tina S.
Tina S.
I had an emergency dental problem and they got me in right away. Everyone was very nice and professional. They were able to fix my tooth and get rid of my pain.
Robert V.
Robert V.
Dr Lyman was very friendly and professional. Dr lyman explained the procedures so well made me feel relieved. Wonderful, atmosphere the Staff is so friendly and so welcoming. Thank you again for a amazing dental experience. Recommend this office for your dental needs.
M.J. M.
M.J. M.
Great place. Great people. Great service.
Louis S.
Louis S.
Everybody was so kind and extremely helpful in my visit. They explained everything to me unlike other dentist offices and are currently helping me get back into a schedule and routine for my oral health. 10/10 recommend!
sara L.
sara L.
I needed an emergency tooth pull and was in a lot of pain. Very glad to have found Wilmot Family Dentistry. They booked me a quick appointment and were very nice and professional. Liz, the dental assistant is fabulous and personable. Dr. is great. It finished quick and no pain.
Christine W
Christine W
Dr. Lyman and his staff are incredibly kind, patient and worked with us to get my son in on a difficult schedule. Very happy with this office and highly recommend!
Carmen R.
Carmen R.
I have been going to Wilmot Family Dental for a few years now. I have never had a bad experience. Dr. Lyman and the staff having been amazing each time. They are very friendly and nice.Will definitely keep going back and I strongly recommend them.
Amber P.
Amber P.
Exceptional experience for my family. My 7 year old needed a deeper cleaning and they took excellent care of her, she's actually looking forward to going back!Thanks for taking care of our smiles!
George E.
George E.
Everything about the dentistry was excellent! I was most impressed with the hygienist, Melissa. She is the finest dental hygienist I have ever had.
Iliganoa Selena I.
Iliganoa Selena I.
Dr. Lyman and his team are the best! The pano machine was down last week but they made sure to call me right away when it was fixed and scheduled me in the next week. Front desk is approachable, friendly and super nice. The wait times aren’t really long and that’s perfect! Thought I was only getting my X-rays today but they pulled through with pulling my wisdom teeth and reassured me everything was going to be ok. Recommend this dental for a family like feel. Definitely coming back again!
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