Gum disease (periodontal disease) is a common yet serious oral health issue affecting many adults. Nearly half of Americans over age 30 have some form of periodontal disease, making it vital for Arlington, MA residents to seek prompt care. At Arlington Dental in Arlington, MA, our specialists are dedicated to diagnosing and treating gum disease early to prevent tooth loss and improve overall health. Gum disease is an infection of the gums and supporting tissues of the teeth. If left untreated, it can lead to inflammation, deep gum pockets, bone loss, and eventually tooth loss. Because early gum disease is often painless, it may go unnoticed without professional exams. Our Arlington periodontists use precise measurements and state-of-the-art techniques to catch issues early.
Periodontists are dentists with advanced training in gum disease management. These specialists are often called the “plastic surgeons of dentistry” because they perform cosmetic and reconstructive gum procedures in addition to treating disease. Arlington Dental supports your oral health even in advanced periodontal cases by providing comprehensive care and education.
Gum disease begins as gingivitis, the early stage where gums become inflamed, red, and prone to bleeding. This stage is usually reversible with good oral hygiene and professional cleanings. Gingivitis is caused by plaque – a sticky film of bacteria on the teeth – that irritates the gums. If plaque and tartar (hardened plaque) remain unchecked below the gumline, the infection can advance.
When untreated, gingivitis can progress to periodontitis, an advanced form of gum disease. In periodontitis, the infection damages the tissues and bone that support your teeth. The gums may pull away from the teeth and form deep pockets that harbor even more bacteria. Over time, these pockets deepen and bone is lost. Periodontitis is irreversible – it can lead to loose teeth or tooth loss – so early intervention is crucial.
The two major stages are gingivitis (early, reversible) and periodontitis (advanced, destructive). Nearly all adults will experience gingivitis at some point without good oral care. Importantly, you don’t have to lose teeth to gum disease. With proper treatment and home care, even periodontitis can be managed to save teeth. Arlington Dental educates patients on daily habits and provides treatments to halt disease progression and restore gum health.
Recognizing the early warning signs of gum disease can prompt faster treatment. Common signs include:
Bleeding gums: Any bleeding during brushing or flossing is a red flag. Healthy gums shouldn’t bleed, so bleeding is an early sign of inflammation. (People often dismiss bleeding as “brushing too hard,” but it usually indicates gum disease.)
Red, swollen gums: Inflamed gums that look puffy or darker than normal are a classic sign of gingivitis.
Bad breath: Persistent bad breath (halitosis) often comes from bacteria in deep gum pockets. Bacterial toxins in plaque create foul odors when trapped around teeth.
Gum recession: If your teeth suddenly look longer, your gums may have receded (pulled back) from the tooth surface. Receding gums expose sensitive roots and are a sign of advancing disease.
Tooth sensitivity: Exposed roots from receding gums can cause sensitivity to hot, cold, or sweet foods.
Pus or abscess: A periodontal abscess (a painful, pus-filled pocket) can form if bacteria become trapped deep in the gums.
Loose or shifting teeth: As bone is lost, teeth can become loose or shift position. This is a serious late-stage sign.
Because gum disease can be painless in early stages, it’s important to watch for subtle signs. Routine dental checkups at Arlington Dental include measuring the gum-to-tooth pocket depth. This can detect disease before you notice symptoms. If any of the above symptoms appear, consult us promptly – catching gum disease early improves outcomes.
Gum disease is primarily caused by bacterial plaque on the teeth. Plaque continuously forms after eating, and if not removed by brushing and flossing, the bacteria multiply and release toxins that irritate the gums. When plaque hardens into tartar under the gumline, it forms a rough surface where bacteria flourish. The immune system responds to this infection with inflammation, which over time destroys gum tissue and bone.
Certain factors can increase the risk of developing gum disease:
Poor oral hygiene: Not brushing or flossing regularly allows plaque to build up.
Smoking and tobacco: Tobacco use impairs gum healing and immunity, making disease progression faster.
Diabetes: Diabetes reduces resistance to infection and slows healing, so diabetic patients are more prone to periodontal disease.
Hormonal changes: Pregnancy, puberty, and menopause can make gums more sensitive and susceptible to inflammation.
Genetics: Gum disease often runs in families, suggesting genetic susceptibility.
Medications: Certain medications (e.g. some heart drugs, anti-epileptics, immunosuppressants) can affect gum health.
Crooked teeth or dental appliances: Misaligned teeth or braces can make cleaning difficult, allowing plaque accumulation.
Health conditions: Conditions like osteoporosis or cancer can worsen gum health.
Understanding these causes and risk factors is key to treatment. For example, Arlington Dental emphasizes smoking cessation and diabetes control as part of gum therapy. Regular cleanings and scaling remove plaque, and controlling medical issues helps prevent recurrence.
At Arlington Dental, diagnosing gum disease involves a thorough oral exam. Your dentist or hygienist will:
Measure pocket depths: We use a tiny probe to measure how deep the “sulcus” (pocket) is between each tooth and gum. Depths over 3mm often indicate periodontal disease.
Check for bleeding: Bleeding on probing is a sign of active inflammation.
Inspect for tartar and plaque: Visible buildup is documented.
Review X-rays: Dental radiographs can reveal bone loss around teeth.
Assess medical history: Factors like diabetes or medications are noted since they affect gum health.
Early gum disease might be diagnosed purely by inflammation and pocket depth, even before you notice any symptoms. This is why regular dental checkups in Arlington, MA are crucial. If advanced disease is found, we may also refer you to a periodontist for specialized evaluation. For a deeper understanding of how gum disease contributes to gum recession and the importance of early intervention, visit the American Academy of Periodontology’s resource on gum disease.
For early to moderate gum disease (gingivitis or mild periodontitis), non-surgical therapies are usually the first step. These include:
Professional Dental Cleanings (Prophylaxis): If you have early gum disease, our dentists or hygienists will perform thorough cleanings more frequently (every 3-4 months instead of 6) to remove plaque and calculus above and just below the gumline. This can often stop disease progression if pockets are shallow.
Scaling and Root Planing (Deep Cleaning): This two-part deep cleaning is one of the most effective non-surgical treatments. First, scaling removes all tartar and bacteria from above and below the gumline, down to the bottom of each periodontal pocket. Then root planing smooths the tooth roots to help gums reattach firmly. This procedure may be done quadrant by quadrant and sometimes under local anesthesia to ensure comfort. Arlington Dental uses both hand instruments and ultrasonic devices for efficient, gentle cleaning.
Antimicrobials and Antibiotics: In some cases, we may place antibiotic gels or prescribe oral antibiotics to kill bacteria in deep pockets as an adjunct to scaling. Locally applied antimicrobials can reduce pocket depths and inflammation, potentially avoiding surgery.
Laser Therapy: Many modern clinics in the Boston area (including ours) offer laser treatment for gum disease. Lasers allow precise, bloodless removal of diseased tissue. They can often speed healing by sealing blood vessels and sanitizing pockets. For example, laser gum contouring or “gum lifts” can often be done quickly with less bleeding than scalpels. Lasers may also be used to enhance scaling procedures. We make sure patients wear protective eyewear during any laser treatment.
After any non-surgical treatment, we will instruct you on meticulous home care (brushing, flossing, possibly special mouth rinses) to keep bacteria at bay. Arlington Dental also schedules periodontal maintenance visits to monitor and re-treat as needed. Good oral hygiene at home is essential – it helps keep periodontal disease from becoming more serious or recurring.
If gum disease is advanced, surgery may be necessary to restore health. Our Arlington MA dentists and periodontists perform a variety of gum surgeries to remove deep pockets, regenerate lost tissue, and rebuild bone:
Scaling and Root Planing Under Sedation: Some patients with severe disease or anxiety may undergo deep cleaning while sedated. At our office we provide periodontal sedation for anxious patients during lengthy procedures. This ensures patient comfort during deep cleanings or surgeries.
Pocket Reduction Surgery (Osseous Surgery): If deep pockets (usually >5mm) persist after scaling, we can perform flap surgery. The gums are gently lifted away, allowing direct access to clean out bacteria and tartar. Irregular bone may be smoothed (osteoplasty) to reduce future plaque traps. The gums are then sutured back in place to achieve tighter gum-tooth attachment.
Gum (Soft Tissue) Grafting: For gums that have receded or tissues lost, grafts can cover exposed roots. Tissue grafting protects roots, reduces sensitivity, and improves smile aesthetics. Arlington Dental routinely uses grafts (often from the patient’s palate or donor materials) to thicken gums where needed. These grafts help rebuild gum height and prevent further recession.
Bone Grafting (Regeneration): Where bone loss is significant, bone grafts can be placed to regenerate lost bone around teeth. Guided tissue regeneration (using membranes) may also be used in conjunction. These procedures encourage new bone growth to stabilize teeth that were loosened by periodontitis.
Crown Lengthening (Gum Lift): If excess gum covers teeth (a “gummy smile”) or to expose enough tooth structure for a crown, a crown lengthening procedure trims and recontours gum (and sometimes bone) around the tooth. This not only improves appearance but can help with proper restoration of a decayed or broken tooth.
Osseous Recontouring: During pocket reduction, we often reshape the underlying bone to create a more regular contour. This prevents deep “craters” where bacteria hide. It’s an essential part of many periodontal surgeries.
Advanced Laser Surgery: For some patients, lasers can be used instead of scalpels for these surgeries, reducing bleeding and healing time. For example, laser-assisted new attachment procedure (LANAP) is an option. After treatment, areas treated with lasers often experience minimal swelling or bleeding.
Each surgical plan at Arlington Dental is customized. We may combine procedures (e.g., flap surgery with bone grafting) to minimize the number of surgeries needed and optimize results. Local anesthesia ensures you feel no pain during surgery, and we provide detailed post-op care instructions (and pain management) to ensure a comfortable recovery. In most cases, recovery involves managing minor discomfort with over-the-counter pain relievers and maintaining gentle oral hygiene.
Beyond disease treatment, Arlington Dental offers cosmetic periodontal procedures to enhance your smile. These can correct issues like a “gummy smile” or uneven gum lines. Cosmetic periodontal surgery is elective and aims to create a balanced, attractive gum line. For example, if teeth appear short due to excess gum tissue, crown lengthening exposes more tooth for an even smile. Similarly, gum contouring reshapes the gum line for symmetry, and gum grafting can improve the look of receded gums. These procedures also protect the teeth from further damage.
Many of the advanced techniques used for gum disease also benefit cosmetic cases. For instance, lasers allow precise, minimally invasive incisions. Patients wear protective orange eyewear during laser gum surgery, and the laser immediately cauterizes as it cuts, which minimizes bleeding. The laser “heals as it works,” often eliminating the need for sutures and reducing discomfort. After surgery (whether laser or conventional), the healing time is generally quick – initial improvements are seen within 1–2 weeks, with full tissue healing in a month.
The image above illustrates a patient receiving periodontal evaluation. At Arlington Dental, our clinicians often perform procedures in a single visit thanks to modern lasers and techniques. For example, an Arlington patient might have a gum lift done with a laser to remove excess tissue and reveal a better tooth-to-gum ratio. This not only treats any minor disease but also creates a more confident smile.
Overall, these advanced procedures at Arlington Dental treat the underlying disease and enhance oral aesthetics. By sculpting healthy gum tissue, we restore natural tooth proportions and a pleasing gum line.
Preventing gum disease is much easier than treating it. With disciplined home care and regular dental visits, most people can avoid severe periodontal problems. Good oral hygiene is the foundation:
Brush twice a day: Use a soft-bristled brush and fluoride toothpaste to clean all tooth surfaces. Replace your toothbrush every 3 months.
Floss daily: Cleaning between teeth removes plaque where the brush can’t reach. Special interdental brushes or water flossers can also help.
Use mouthwash if recommended: An antimicrobial rinse can reduce gum inflammation.
Balanced diet: A nutritious diet rich in vitamins and minerals (especially vitamin C and calcium) supports gum health. Avoid excessive sugar, which feeds plaque bacteria.
Quit tobacco: Stopping smoking or chewing tobacco dramatically lowers gum disease risk.
Manage health conditions: Keep diabetes and other chronic conditions under control with your doctor’s help.
Regular professional cleanings are also essential. Arlington Dental recommends periodontal examinations at least once a year (often more for high-risk patients). During these visits, any tartar is professionally removed. The presence of calculus under the gums (inaccessible to home care) provides a “safe haven” for bacteria, leading to inflammation. By removing this calculus through scaling, we halt the cycle of infection and immune response that causes bone loss.
In short, you don’t have to lose teeth to gum disease. With preventive measures – brushing, flossing, healthy diet, and regular dental care – you can significantly reduce your risk. Arlington Dental will guide you through a customized maintenance plan. We stress that a combination of personal diligence and professional care is the best “treatment” of all.
Choosing the right dental team can make a big difference. At Arlington Dental (Dental Associates of Arlington), our practice combines compassionate care with cutting-edge expertise. Here’s why patients trust us with their periodontal health:
Experienced Specialists: Our periodontal team has advanced training in gum disease. As one site notes, “Periodontists are dentists who specialize in the prevention, diagnosis, and treatment of periodontal disease”.
Comprehensive Services: We offer the full spectrum of periodontal care – from routine deep cleanings to intricate surgeries (grafts, implants, osseous surgery). Whether you need a simple scaling or advanced bone grafting, our team is equipped and experienced.
Comfort and Technology: We prioritize patient comfort. For anxious patients, we provide sedation during lengthy procedures. We also use the latest technology (3D imaging, lasers, ultrasonic tools) for precise diagnosis and treatment with minimal discomfort.
Patient Education: We believe informed patients make better decisions. Our doctors explain each step in clear terms.
High Patient Satisfaction: Arlington Dental has been recognized as a top Arlington dental practice. Our many 5-star reviews reflect our gentle approach and successful outcomes.
Convenient Arlington Location: Located at 43 Broadway, Arlington. We serve Arlington and neighboring communities. Our office is equipped to welcome families, seniors, and patients with special needs in a friendly environment.
In summary, for gum disease treatment in Arlington, MA, Arlington Dental provides expert, compassionate care. We treat each case individually, focusing on the patient’s comfort and long-term oral health. By combining evidence-based treatments with a personal touch, we help patients achieve healthy gums and confident smiles.
What is the difference between gingivitis and periodontitis? Gingivitis is the early, reversible stage of gum disease (red, inflamed gums that bleed easily). Periodontitis is advanced gum disease where infection has destroyed supporting bone and tissue, leading to pockets around teeth.
What causes gum disease? Gum disease is caused by the buildup of plaque – a sticky film of bacteria on teeth. If plaque isn’t removed daily, it irritates gums and eventually forms tartar. The bacteria and toxins break down gum tissue and bone.
What are common treatments for gum disease? Treatments range from professional cleanings and scaling/root planing to surgical procedures. Early disease often requires just thorough cleanings, while advanced disease may need gum surgery (flap surgery, grafts, etc.) to restore health.
Can gum disease be reversed? Early gum disease (gingivitis) can often be fully reversed with improved brushing, flossing, and professional cleanings. Advanced periodontitis cannot be completely “cured,” but we can control it and repair damage through treatment. You don’t have to lose teeth to gum disease if treated properly.
How is gum disease diagnosed? The dentist or hygienist will measure the depth of pockets between your teeth and gums. X-rays may be used to check bone loss. Together with checking for bleeding, recession, and plaque, these measures determine the presence and severity of gum disease.
Is gum disease serious if left untreated? Yes. Untreated gum disease can lead to irreversible bone loss, loose teeth, and tooth loss. It has also been linked to other health issues (heart disease, diabetes, stroke). Early treatment is much less invasive than treating advanced disease.
How does scaling and root planing work? Scaling removes plaque and tartar from above and below the gumline. Root planing smooths the tooth root surfaces to help gums reattach. This “deep cleaning” under local anesthesia eliminates pockets of infection. It may be done over multiple visits, as needed, to thoroughly clean all areas.
Does gum disease cause bad breath? Yes. Bacteria in gum pockets produce foul-smelling compounds. Persistent bad breath is a common symptom of gum disease. Successfully treating the disease (and maintaining hygiene) usually eliminates this odor.
How can gum disease be prevented? Preventive steps include brushing twice a day, flossing daily, eating a balanced diet, and getting regular dental checkups. Avoiding tobacco and managing health conditions like diabetes also helps. Professional cleanings every 6 months (or more often if needed) remove plaque and catch any problems early.
Is bleeding gums always gum disease? Bleeding gums are often a warning sign of gum disease. However, they can also occur from aggressive brushing or certain medications. In most cases, bleeding during normal brushing or flossing indicates gum inflammation that should be evaluated.
Q: Does gum disease treatment hurt? Most treatments are done under local anesthesia, so there’s little pain during procedures. After treatment, you may have mild soreness or swelling. Applying ice and taking pain relievers as directed usually keeps discomfort minimal. Lasers and gentle techniques further reduce pain and bleeding.
Q: How long does gum disease treatment take? Treatment length depends on severity. A deep cleaning (scaling/root planing) can be completed in 1–2 visits per quadrant. Surgical procedures may take longer but are often scheduled efficiently. Healing is gradual: you’ll see improvements in a week or two, with full healing in a month for most surgeries.
Q: How often should I have gum disease checked? We recommend a full periodontal evaluation at least once a year. If you have a history of gum problems, more frequent visits (e.g. every 3-4 months) may be advised. Regular hygiene cleanings help catch any recurrence early.
Q: Can I floss immediately after gum surgery? For the first day or two after surgery, avoid the surgical area while brushing or flossing to prevent irritation. After that, we encourage gentle cleaning of all teeth. Your dentist will give you special instructions for cleaning around any stitches or graft sites.
Q: Does insurance cover periodontal treatment? Many dental insurance plans provide coverage for periodontal evaluation and treatment (often similar to how they cover dental cleanings or crowns). Coverage varies by plan. Our front office staff can help verify your benefits and work with you on financing options.
Q: Can gum disease be treated with home remedies? Home care (good brushing, flossing, rinses) is crucial for prevention, but it cannot replace professional treatment. Once gum pockets have formed, only a dentist or periodontist can thoroughly clean them (with scaling, etc.). Home remedies may reduce inflammation slightly, but they won’t eliminate infection in deep pockets.
Q: Do I need a periodontist or just a regular dentist? Mild gum disease is often managed by general dentists or hygienists. For advanced cases, complex surgeries, or regenerative procedures, a periodontist is recommended. Arlington Dental has both expert general dentists and periodontists on staff, so we tailor care to your needs. We’ll refer you in-house to a periodontist if specialized surgery is needed.
Q: Can my child get gum disease? While uncommon in young children, children and teens can develop gingivitis if they have poor oral hygiene. Teen pregnancy or hormonal changes can also increase risk. We advise teaching kids good brushing/flossing habits early to prevent problems.
Q: How can I improve receding gums? Treatment depends on the cause. Improving brushing technique and using a soft brush can halt further recession. In some cases, a gum graft or minimally invasive surgery can restore lost tissue. Arlington Dental evaluates each case; small recession may just need hygiene improvements, while larger cases might require grafting.
Q: How much does gum disease treatment cost? Cost varies widely by treatment type. A deep cleaning is generally less costly, while surgeries like grafts or lasers cost more. We provide personalized quotes based on your exam and work with your insurance/financing. Many offices offer payment plans. Remember, treating gum disease early costs far less than treating tooth loss later.
Gum disease is a serious but treatable condition. Whether you’re experiencing mild symptoms like bleeding gums or facing more advanced issues such as gum recession or tooth mobility, early intervention is key. At Arlington Dental, we offer a full range of periodontal treatments tailored to each patient’s needs—from preventive cleanings to advanced surgical solutions. Our experienced periodontists in Arlington, MA use the latest technology and techniques to restore your gum health and protect your smile.
If you’re noticing signs of gum disease or simply want to stay ahead of potential problems, don’t wait. Find experienced dentists in Arlington, MA at Arlington Dental, 43 Broadway, Arlington, MA 02474. (781) 641-0500.
