Periodontics

Frequently Asked Questions

• What are the signs of periodontal disease or gum disease?

  The earliest sign of periodontitis is an irritated gum line that may cause discomfort or bleeding when you brush, floss, or have your teeth professionally cleaned. If left untreated, the gums will begin to retract and pull away from the teeth. This creates spaces between the teeth and gums called periodontal pockets that can fill with harmful bacteria. Your dentist will measure the depths of these pockets to determine how far the condition has spread and what treatment is necessary. If gum disease reaches the jawbone and the connective tissues supporting the teeth, the jawbone can deteriorate, and teeth can be lost.

• What causes gum disease?

  There are three common causes of gum disease. The first and most common is chronic periodontitis. This occurs when oral hygiene is neglected, and bacteria accumulate beneath the gum line, eventually forming a hard substance called tartar. Tartar is not easily removed by brushing and flossing and requires professional cleaning. If left untreated, the gums become inflamed and damaged, and bone loss occurs.

  The second cause is aggressive periodontitis, which is believed to be a genetic condition as it shows up in a small number of families. It moves quickly and can even be seen in children.

  The last and rarest cause is necrotizing periodontal disease. This can occur in people with immune issues and or chronic diseases. The soft tissue and bone are compromised because of a lack of blood flow.

• How do you treat gum recession?

  At Dental Care East Hanover, gum recession is treated with:

  • Medication: If an infection is found in the gums, antibiotics may be prescribed. Topical antibiotics can include an antibiotic mouth rinse or medicated gels for relief. Other medications may also be used to treat the underlying cause of gum recession.
  • Gum grafting: Our team can remove a small amount of healthy soft tissue from the roof of your mouth, in front of any teeth with disproportionate gum coverage, or from another donor source, and attach it to the area where your gums have receded.
• What is crown lengthening?

  Our crown lengthening in East Hanover, New Jersey, has both esthetic and functional purposes. While many patients seek treatment for cosmetic concerns, we also treat a gummy smile to promote oral health. Excessive gum tissue can harbor bacterial plaque beneath it, increasing the risk of tooth decay and infection. Our dentists have the expertise to determine the cause of your condition and consider both the functional and esthetic aspects of your treatment.