4 Levels of Perio DZ
4 Levels of Perio DZ
4 Levels of Perio DZ
Periodontal Disease (also known as Gum Disease) is an ongoing infection in the gums and jawbone surrounding
your teeth. It is a health risk and leads to dental problems, tooth loss, and other potential systemic risks/issues.
How Periodontal Disease Progresses
Gingivitis: Level 1
At this stage, there are few signs or The main treatment for gingivitis is
Infectious periodontal bacteria (plaque) symptoms. Some indications of good oral hygiene (brushing & flossing)
get into the space (sulcus) around your gingivitis include: at home and regular dental check-ups
teeth and start infecting your gums. with your dentist or periodontist.
Occasional bad breath
Redness and swelling of the gums If not treated, gingivitis can lead to:
Bleeding when flossing Periodontal disease
Probing depths of 2-4 mm Deeper pockets of infection
Gingival abscesses
*Note: Bone loss has not yet started Cavities & other dental procedures
The infection is completely reversible Eventual tooth loss
Advanced Periodontal Disease: Periodontal disease at this stage is no The infection is now so deep that
Level 4 longer “silent”. The risk of tooth loss periodontal surgery or periodontal laser
The infection further deepens and the increases significantly. 50% - 90% therapy is needed to clean out these
bacteria becomes more virulent and dis- bone loss can occur. Periodontal ab- deeper pockets of bacteria.
ease-causing. Your teeth are now prone scesses occur more frequently. Sponta-
If not treated and monitored closely,
to further bone loss and loosening. neous bleeding and pus drainage oc-
advanced periodontitis leads to:
curs. Some signs include:
Gum recession and cold sensitivity
Redness, swelling, and oozing gums
Spaces/gaps between teeth
Cold sensitivity and tooth mobility
worsens Shifting and loose teeth
Pocket depths of 7+ mm Teeth loss & then dentures
Pain when chewing Bacteria readily enters the blood
stream. This contributes to other
Severe bad breath systemic health problems.
Frequently Asked Questions
1. Why is it important to treat Periodontal Disease quickly?
Periodontal Disease is a continuing infection in the gums and bone around your teeth. If left untreated, this
infection can cause tooth loss and many other problems. Periodontal infections tend to occur in “bursts of
destruction”. If you have been diagnosed with periodontal disease, you might have experienced such a
“burst” and it is important to get it treated quickly before things get worse.
In Summary
The good news is that Periodontal Disease is quite treatable if caught early. What’s important is to see your
dentist or periodontist regularly and follow his/her instructions regarding treatment.
We hope that this article has been helpful. If you have any questions about periodontal disease or treatment,
please do not hesitate to ask your dentist or us.
Perio News
… this newsletter represents our opinion about
current periodontal technologies / procedures...
Compliments of:
Paul Tolmie, D.D.S. Kenneth Rasenberger, D.M.D. Chris van Kesteren, D.D.S.
2315 West Arbors Drive, Ste 100 Charlotte, NC 28262 (704) 549-4991
www.trvperio.com