Learn About Periodontitis

What is the definition of Periodontitis?

Periodontitis is inflammation and infection of the ligaments and bones that support the teeth.

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What are the alternative names for Periodontitis?

Pyorrhea - gum disease; Inflammation of gums - involving bone

What are the causes of Periodontitis?

Periodontitis occurs when inflammation or infection of the gums (gingivitis) occurs and is not treated. Infection and inflammation spreads from the gums (gingiva) to the ligaments and bone that support the teeth. Loss of support causes the teeth to become loose and eventually fall out. Periodontitis is the primary cause of tooth loss in adults. This disorder is uncommon in young children, but it increases during the teen years.

Plaque and tartar build up at the base of the teeth. Inflammation from this buildup causes an abnormal "pocket," or gap, to form between the gums and the teeth. This pocket then fills with more plaque, tartar, and bacteria. Soft tissue swelling traps the plaque in the pocket. Continued inflammation leads to damage of the tissues and bone surrounding the tooth. Because plaque contains bacteria, infection is likely, and a tooth abscess may also develop. This also increases the rate of bone destruction.

What are the symptoms of Periodontitis?

Symptoms of periodontitis include:

  • Bad breath odor (halitosis)
  • Gums that are bright red or reddish-purple
  • Gums that look shiny
  • Gums that bleed easily (when flossing or brushing)
  • Gums that are tender when touched but are painless otherwise
  • Loose teeth
  • Swollen gums
  • Gaps between the teeth and gums
  • Shifting teeth
  • Yellow, brown green or white hard deposits on your teeth
  • Tooth sensitivity

Note: Early symptoms are similar to gingivitis (inflammation of the gums).

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What are the current treatments for Periodontitis?

The goal of treatment is to reduce inflammation, remove pockets in your gums, and treat any underlying causes of gum disease.

Rough surfaces of teeth or dental appliances should be repaired.

Have your teeth cleaned thoroughly. This may involve the use of various tools to loosen and remove plaque and tartar from your teeth. Flossing and brushing is always needed to reduce your risk for gum disease, even after professional tooth cleaning. Your dentist or hygienist will show you how to brush and floss properly. You may benefit from medicines that are put directly on your gums and teeth. People with periodontitis should have a professional teeth cleaning every 3 months.

Surgery may be needed to:

  • Open and clean deep pockets in your gums
  • Build support for loose teeth
  • Remove a tooth or teeth so that the problem doesn't get worse and spread to nearby teeth
Who are the top Periodontitis Local Doctors?
Highly rated in

Universidad Complutense

Etep Research Group 
Madrid, MD, ES 28040

David Herrera is in Madrid, Spain. Herrera is rated as an Elite expert by MediFind in the treatment of Periodontitis. He is also highly rated in 1 other condition, according to our data. His top areas of expertise are Periodontitis, Necrosis, Sepsis, and Metabolic Syndrome.

Highly rated in

Government Dental College And Research Institute

Bengaluru, KA, IN 

Avani Pradeep is in Bengaluru, India. Pradeep is rated as an Elite expert by MediFind in the treatment of Periodontitis. She is also highly rated in 3 other conditions, according to our data. Her top areas of expertise are Periodontitis, Type 2 Diabetes T2D, Maturity Onset Diabetes of the Young, and Syphilis.

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Highly rated in

Universidad Complutense De Madrid

Madrid, MD, ES 

Mariano Sanz is in Madrid, Spain. Sanz is rated as an Elite expert by MediFind in the treatment of Periodontitis. He is also highly rated in 1 other condition, according to our data. His top areas of expertise are Periodontitis, Necrosis, Dry Mouth, and Viral Gastroenteritis.

What is the outlook (prognosis) for Periodontitis?

Some people find the removal of dental plaque from inflamed gums to be uncomfortable. You may need to be numb during this process. Bleeding and tenderness of the gums should go away within 3 to 4 weeks of treatment.

You need to perform careful home brushing and flossing for your entire life so that the problem does not return.

What are the possible complications of Periodontitis?

These complications can occur:

  • Infection or abscess of the soft tissue
  • Infection of the jaw bones
  • Return of periodontitis
  • Tooth abscess
  • Tooth loss
  • Tooth flaring (sticking out) or shifting
  • Trench mouth
When should I contact a medical professional for Periodontitis?

See your dentist if you have signs of gum disease.

How do I prevent Periodontitis?

Good oral hygiene is the best way to prevent periodontitis. This includes thorough tooth brushing and flossing, and regular professional dental cleaning. Preventing and treating gingivitis reduces your risk of developing periodontitis.

Tooth anatomy
What are the latest Periodontitis Clinical Trials?
Pilot and Feasibility Clinical Research Grants in Kidney or Urologic Diseases (R21)
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Pharmacokinetic Considerations and Dosing Strategies of Amoxicillin and Metronidazole or Azithromycin as Adjunct to Non-surgical Periodontal Therapy. A Randomized,6-month, Parallel-group, Clinical Trial.
What are the Latest Advances for Periodontitis?
Nicotine in Inflammatory Diseases: Anti-Inflammatory and Pro-Inflammatory Effects.
Effect of Apical Patency on Postoperative Pain after Single-visit Endodontic Treatment in Necrotic Teeth with Asymptomatic Apical Periodontitis: A Randomised Control Trial.
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Insight into the roles of melatonin in bone tissue and bone‑related diseases (Review).
Who are the sources who wrote this article ?

Published Date: January 24, 2022
Published By: Michael Kapner, DDS, General Dentistry, Norwalk Medical Center, Norwalk CT. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.

What are the references for this article ?

Chow AW. Infections of the oral cavity, neck, and head. In: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas and Bennett's Principles and Practice of Infectious Diseases. 9th ed. Philadelphia, PA: Elsevier; 2020:chap 64.

Dommisch H, Kebschull M. Chronic periodontitis. In: Newman MG, Takei HH, Klokkevold PR, Carranza FA, eds. Newman and Carranza's Clinical Periodontology. 13th ed. Philadelphia, PA: Elsevier; 2019:chap 27.

Pedigo RA, Amsterdam JT. Oral medicine. In: Walls RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018:chap 60.