What is Periodontal Disease?

Periodontal disease affects the gums and supporting structures of the teeth. According to the
American Dental Association, at least 60% of adults in the United States have
moderate-to-severe periodontal disease! In a recent survey, 63% of Americans age 18 and
older exhibited some gingival bleeding (bleeding of the gums). Nearly 80% of all employed
Americans have some form of attachment loss (gums that are pulling away from the teeth).

P e r i o d o n t a l
Healthy
Gums
Gingivitis
Early
Moderate
Advanced
No doubt, you've heard some of the terms: Plaque, Tartar, Calculus, Gingivitis, Periodontitis,
Pyorrhea, Periodontal (Gum) Disease. But what does it all mean? Quite simply, Periodontal
Disease starts when plaque and tartar (calculus) are allowed to accumulate at the base of
your teeth. The bacteria in the plaque leads to an infection in the gums (gingiva) called
Gingivitis. Gingivitis is an early state of periodontal disease where the gums may become red,
swollen, and bleed easily. Left untreated, the infection spreads to the tissue and bone that
holds your teeth in place, a condition called Periodontitis (Pyorrhea). Because of the bacterial
infection associated with Periodontitis, tooth abscesses are also common.
This patient has Periodontitis. Notice the
bone deterioration and uneven level of
bone.
Healthy gums and bone
What are the Signs of Periodontal Disease?

Periodontal Disease is rarely painful, especially in the early stages. Some of the common
signs of Periodontal Disease are:

Gums that bleed when you brush or floss (healthy gums will not bleed)
Gums that are red, swollen, or tender
Gums that have pulled away from the teeth (receded)
Pus (infection) between the teeth and gums
Loose permanent teeth or separating (drifting) teeth
Persistent bad breath
Changes in the way your teeth fit together when you bite
Change in the fit of a partial denture
What are the Dangers of Periodontal Disease?

Periodontal Disease is the leading cause of tooth loss among adults. More importantly, the
infection releases toxins into the bloodstream leading to serious health risks:

There is a growing body of scientific evidence suggesting possible links between periodontal
disease and other systemic diseases such as diabetes and coronary artery disease. New
scientific research indicates that bacteria may affect the heart. People with periodontal
disease, a bacterial infection, may be more at risk for heart disease. While further research is
needed, preliminary findings suggest that people with periodontal disease may be
significantly more at risk for fatal heart attacks. More than 20% of Americans have heart
disease. Please advise us of any medical conditions, including heart disease. Your
periodontal health may affect your overall health. New research indicates that infections in the
mouth, such as periodontal disease, may also be associated with increased risk of
respiratory infection such as pneumonia and bronchitis. While further research is needed, you
are well advised to maintain good periodontal health which is part of your overall health.

Periodontal Disease Self-Test

Research shows that periodontal disease affects three out of four people at some time in their
life. More than half of all adults have some form of periodontal disease; and periodontal
disease can be found in adolescents, and even children.

Please use our self test to check if you or a loved one has the warning signs of periodontal
disease. Periodontal disease can be present even if overt symptoms are absent; therefore, it
is quite important to seek out regular professional care.

To see if you or a loved one are at risk for periodontal disease, please answer the following:

Do your gums bleed when you brush? ____ yes ____no
Are your gums red and/or swollen? ____ yes ____no
Have you lost any of your adult teeth? ____ yes ____no
Do you have bad breath or a foul taste in your mouth? ____ yes ____no
Have you noticed pus draining from your gums? ____ yes ____no
Are your teeth loose or are spaces developing between your teeth? ____ yes ____no
Does your bite feel indifferent? ____ yes ____no
If you wear a partial denture (plate) - does it fit properly? ____ yes ____no
Do your teeth appear too long? Too short? ____ yes ____no
Do you smoke cigarettes? ____ yes ____no
Did your parents lose their teeth? ____ yes ____no
Are you diabetic or is there a family history of diabetes? ____ yes ____no
Are you experiencing undue stress? ____ yes ____no
Do you have heart disease? ____ yes ____no
Women - are you pregnant or planning to become pregnant? ____ yes ____no
Do you have a history of respiratory disease? ____ yes ____no

If you have any of the above warning signs, please contact our office - we will be happy to
schedule you for a comprehensive evaluation of your periodontal health.

Is There a Cure?

The good news is that periodontal disease is treatable and preventable. We provide you with
professional care in our office and instructions on proper home care. Working closely with
your general dentist, we want to help you achieve an optimal level of oral health.

Scientists have known for some time that people with diabetes are more likely to have
periodontal disease. New research indicatesa two-way connection: periodontal disease may
make it more difficult for diabetics to control their blood sugar. Additional studies are
underway, but findings suggest that controlling periodontal disease may help people control
diabetes. New evidence also suggests that pregnant women who have periodontal disease
may be up to seven times more likely to have a baby that is born premature and at a low
birthweight. Periodontal disease is an infection, and all infections are cause for concern
among pregnant women because they pose a risk to the health of the baby. We advise all
pregnant women -- and all women of childbearing age -- to come in for a periodontal
screening examination. Although the possible links between periodontal disease and
premature, low birth weight babies is still not fully understood, we want to do our part to keep
mother and baby as healthy as possible. The bacteria that cause periodontal disease are not
confined to the mouth. They are carried throughout the blood stream and have the potential to
cause health problems that appear in other parts of the body. Please feel free to ask us if you
have any questions about the potential links between periodontal disease and other systemic
diseases
Periodontal
D i s e a s e
Staten Island's Premier Cosmetic Dentist
Dr. Raymond Flagiello
718-351-2323
Dr. Raymond Flagiello, DDS
NY
1235 Richmond Road
Fax: 718-980-2066
Staten Island
10304
1235 Richmond Road
Staten Island, NY 10304
Phone: 718-351-2323
Fax: 718-980-2066
Disease