PERIODONTAL (GUM) DISEASE

The most common adult onset dental disease condition in the United States is periodontal disease. It is estimated over 60% of the U.S. adult population have some periodontal disease. For over 25 years, Dr. Apelian renders all phases of periodontal treatments excluding gingival grafting. With zero tolerance to bleeding gums, Dr. Apelian utilizes state of the art magnification and minimally invasive surgical techniques to treat gum disease. Dr. Apelian believes in communicating and educating patients about periodontal disease and associated gum conditions.

Gingival bleeding has been documented by many researchers of being the open gate through which, “innocent” oral bacteria finds its way through into the blood stream. The bacteria then become harmful. Research links oral bacteria to heart diseases, stroke, diabetes and risk of kidney and lung diseases.

Contributing Factors: (Etiology)

Bacteria and poor oral hygiene upkeep are the main factors. There are other contributing factors such as smoking, uncontrolled diabetes, auto-immune diseases, occlusal (bite) related conditions such as clenching, bruxing, crowded teeth and even genetics. Bacterial plaque formation begins the process of Gingivitis (inflamed gums) and as the condition becomes chronic, it develops into periodontal disease. At this stage, the underlying alveolar bone is affected. Horizontal and vertical bone loss from the supporting bony tissues of the roots are also affected and resorbed. These bony defects are known as periodontal pockets. The bone loss starts slowly and as the disease progresses the bone loss becomes more rapid. The periodontal bone loss could be in localized regions of the mouth or it could be more generalized in affecting the roots of multiple dentitions.

Treatment of Periodontal Diseases

There is no definite and final 100% cure of this condition. These are the basic means of preventing and treating periodontal diseases:

A.   Prevention

  • The utmost important factor is prevention. Up keeping and adequate oral hygiene is essential in controlling gingivitis.
  • Non-Surgical Periodontics:
  • Deep cleanings, scaling and root planning.
  • Soft tissue diode lasers. This new technology has proven to be effective in reducing pocket depth by reducing the gingival inflammation and debriding the ulcerated layers of the gum tissues. Laser assisted periodontal therapy (L.A.P.T). The laser’s emitted energy ablates the diseased/ulcerated gum tissues. It also targets the deeper necrotic soft tissues without damaging the surrounding healthy tissues.

B.   Utilization of anti-microbial agents

Both topical and systemic utilization of some antimicrobial agents are often utilized as an adjunct to other methods of treating periodontal diseases. Some systemic antibiotics, mainly of Tetracycline family. Topically, oral rinses of chlorohexidine gluconate, hydrogen peroxide and topical application of antibiotic “chips” such as Arrestin. Most recent antimicrobial agent is a concentrated hydrogen peroxide gel. The gel is delivered into the gingival pockets by special fabricated trays. The oxidative/reductive reactions of the gel do eradicate the deep bacterial biofilms. Perio-Protect® Gel has become popular during the past 2-3 years. Dr. Apelian is a cerified Perio-Protect® provider.

C.   Surgical Periodontal Treatment

  • Soft tissue surgeries – are intended either to excise chronically swollen (hyperplastic) gum tissues or to repair recessed areas of the tough bands of gum tissues.
  • Hard tissue surgeries - known as osseoplasty (bone contouring). This is intended to remove excessive bulky bony bumps or to fill local bony defects of the bone loss adjacent some roots. Occasionally bone grafts and collagen membranes are also utilized to regenerate local sites of lost bone.

Conclusion

ALL periodontal treatments are intended to establish healthy gums and healthy alveolar bone that supports the roots of the teeth.

Create a cleansable and a maintainable oral condition as the pocket depths become shallower.

Reduce inflammation and reduce halitosis (bad breath) and bleeding of the gum tissues.

Promote patient’s overall physiological health.

PERIODONTAL (GUM) DISEASE

The most common adult onset dental disease condition in the United States is periodontal disease. It is estimated over 60% of the U.S. adult population have some periodontal disease. For over 25 years, Dr. Apelian renders all phases of periodontal treatments excluding gingival grafting. With zero tolerance to bleeding gums, Dr. Apelian utilizes state of the art magnification and minimally invasive surgical techniques to treat gum disease. Dr. Apelian believes in communicating and educating patients about periodontal disease and associated gum conditions.

Gingival bleeding has been documented by many researchers of being the open gate through which, “innocent” oral bacteria finds its way through into the blood stream. The bacteria then become harmful. Research links oral bacteria to heart diseases, stroke, diabetes and risk of kidney and lung diseases.

Contributing Factors: (Etiology)

Bacteria and poor oral hygiene upkeep are the main factors. There are other contributing factors such as smoking, uncontrolled diabetes, auto-immune diseases, occlusal (bite) related conditions such as clenching, bruxing, crowded teeth and even genetics. Bacterial plaque formation begins the process of Gingivitis (inflamed gums) and as the condition becomes chronic, it develops into periodontal disease. At this stage, the underlying alveolar bone is affected. Horizontal and vertical bone loss from the supporting bony tissues of the roots are also affected and resorbed. These bony defects are known as periodontal pockets. The bone loss starts slowly and as the disease progresses the bone loss becomes more rapid. The periodontal bone loss could be in localized regions of the mouth or it could be more generalized in affecting the roots of multiple dentitions.

Treatment of Periodontal Diseases

There is no definite and final 100% cure of this condition. These are the basic means of preventing and treating periodontal diseases:

A.   Prevention

  • The utmost important factor is prevention. Up keeping and adequate oral hygiene is essential in controlling gingivitis.
  • Non-Surgical Periodontics:
  • Deep cleanings, scaling and root planning.
  • Soft tissue diode lasers. This new technology has proven to be effective in reducing pocket depth by reducing the gingival inflammation and debriding the ulcerated layers of the gum tissues. Laser assisted periodontal therapy (L.A.P.T). The laser’s emitted energy ablates the diseased/ulcerated gum tissues. It also targets the deeper necrotic soft tissues without damaging the surrounding healthy tissues.

B.   Utilization of anti-microbial agents

Both topical and systemic utilization of some antimicrobial agents are often utilized as an adjunct to other methods of treating periodontal diseases. Some systemic antibiotics, mainly of Tetracycline family. Topically, oral rinses of chlorohexidine gluconate, hydrogen peroxide and topical application of antibiotic “chips” such as Arrestin. Most recent antimicrobial agent is a concentrated hydrogen peroxide gel. The gel is delivered into the gingival pockets by special fabricated trays. The oxidative/reductive reactions of the gel do eradicate the deep bacterial biofilms. Perio-Protect® Gel has become popular during the past 2-3 years. Dr. Apelian is a cerified Perio-Protect® provider.

C.   Surgical Periodontal Treatment

  • Soft tissue surgeries – are intended either to excise chronically swollen (hyperplastic) gum tissues or to repair recessed areas of the tough bands of gum tissues.
  • Hard tissue surgeries - known as osseoplasty (bone contouring). This is intended to remove excessive bulky bony bumps or to fill local bony defects of the bone loss adjacent some roots. Occasionally bone grafts and collagen membranes are also utilized to regenerate local sites of lost bone.

Conclusion

ALL periodontal treatments are intended to establish healthy gums and healthy alveolar bone that supports the roots of the teeth.

Create a cleansable and a maintainable oral condition as the pocket depths become shallower.

Reduce inflammation and reduce halitosis (bad breath) and bleeding of the gum tissues.

Promote patient’s overall physiological health.

HILLTOP DENTAL WELLNESS

HILLTOP DENTAL WELLNESS

30300 Agoura Road
Suite 230
Agoura Hills, CA 91301
Phone: 818-865-8651   ♦   Fax: 818-865-8647