Periodontitis - The Cause
Periodontitis, "gum disease" or pyorrhea, is a bacterial infection
which affects the supporting and surrounding structures of the teeth.
Periodontitis affects approximately 3 out of every 4 people in the
United States and is the major cause of tooth loss in adults.
Periodontitis begins when a sticky colorless film containing disease-
producing bacteria and their waste products form on the tooth surface.
This is called bacterial plaque. It is important that this film is removed
on a daily basis. If the plaque is not removed, it will harden into a substance
called calculus or tartar. Toxins, or poisons, produced by the bacteria
in the plaque cause both irritation and infection of the gum tissue
and destroy the bone surrounding the teeth. If the bone is destroyed,
the teeth become loose and eventually are lost. Although the primary cause of periodontitis
is bacteria, there are certain systemic diseases and behavioral conditions
such as diabetes mellitus, cigarette smoking, stress, and certain medications which can
increase susceptibility to the development of periodontitis. 
Periodontitis - The Signs
Symptoms of periodontitis may include:
- Gums which are red, swollen, or tender
- Gums which bleed during brushing or flossing
- Pus oozing out between the gums and teeth
- Teeth which are loose or have shifted position
- Persistent bad breath
- A change in the bite
- A change in the way a removable appliance fits
Many individuals have undiagnosed gum disease because there may be no pain or discomfort. If you have any of the
above symptoms, it would be advisable to make an appointment with our office for
a complete evaluation. Simply send us an e-mail for us to contact you or call us at (216) 464-8985. 
Periodontitis - Prevention
To prevent periodontitis, you must:
- Remove the plaque from your teeth and gums every day by
brushing and flossing. Your dental professional should review how
to brush and floss so that you can perfect your technique to achieve the most effective result.
- Have regular dental visits with professional cleanings at least
twice a year to remove the plaque and calculus where the toothbrush,
floss, and other cleaning aids may have missed. If you have had previous
treatment for periodontitis, you may require more frequent maintenance
care. Remember, early intervention is the key to preventing periodontal
disease.

Periodontitis - The Systemic Connection
Periodontitis is a bacterial infection of the gum tissue which stimulates an inflamatory
response. The bacteria associated with periodontal disease can travel through
the rest of the body and can trigger a systemic inflammatory reaction.
An increasing body of scientific evidence has established relationships
between periodontitis and diabetes mellitus, cardiovascular disease,
arthritis, respiratory disease, preterm low birth-weight infancts,
and certain cancers. More research is needed to identify the specific
mechanisms responsible for these links; however, it would appear that
good oral hygiene and regular dental visits with attention to
periodontal health would be in order for everyone.