Dr. Kenneth Klonsky
Oral Surgery/Implants/Periodontist

When to See a Periodontist

A periodontist is a dentist specializing in the prevention, diagnosis and treatment of infections and diseases in the soft tissues surrounding the teeth, and the jawbone to which the teeth are anchored.  Periodontists have to train an additional three years beyond the four years of regular dental school, and are familiar with the most advanced techniques necessary to treat periodontal disease and place dental implants.  Periodontists also perform a vast range of cosmetic procedures to enhance the smile to its fullest extent.

Periodontal disease begins when the toxins found in plaque start to attack the soft or gingival tissue surrounding the teeth.  The plaque bacteria attach to the teeth and rapidly grow, causing a bacterial infection.  As the infection progresses, it starts to burrow deeper into the tissue causing inflammation or irritation between the teeth and gums.  The response of the body is to destroy the infected tissue, which is why the gums appear to recede.  The resulting pockets between the teeth deepen and, if no treatment is sought, the tissue which makes up the jawbone also recedes causing unstable teeth and tooth loss.

Referrals from General Dentists and Self Referral

There are several ways treatment from a periodontist may be sought.   In the course of a regular dental check up, if the general dentist or hygienist finds symptoms of gingivitis or rapidly progressing periodontal disease, a consultation with a periodontist may be recommended.  However, a referral from a general dentist is not necessary for a periodontal consultation.

If you experience any of these signs and symptoms, it is important that you schedule an appointment with Dr. Klonsky without delay:

  • Bleeding while eating or brushing – Unexplained bleeding while consuming food or during the course of daily cleaning is one of the most common signs of periodontal infection.
  • Bad breath – Continued halitosis (bad breath) which persists even when a rigorous oral hygiene program is in place, can be indicative of periodontitis, gingivitis or the beginnings of an infection in the gum tissues.
  • Loose teeth and gum recession – Longer looking teeth can signal recession of the gums and bone loss due to periodontal disease.  As this disease progresses and attacks the jawbone (the anchor holding the teeth in place) the teeth may become loose or be lost altogether.
  • Related health conditions – Heart disease, diabetes, osteopenia and osteoporosis are highly correlated with periodontitis and periodontal infections.  The bacterial infection can spread through the blood stream and affect other parts of the body.

Diagnosis and Treatment

Before initiating any dental treatment, Dr. Klonsky must extensively examine the gums, jawbone and general condition of the teeth.  When gingivitis or periodontal disease is officially diagnosed, the periodontist has a number of options available to treat the underlying infection, halt the recession of the soft tissue, and replace teeth which have been lost.

  • Gingivitis/mild to moderate periodontal disease – When the gum pockets exceed 4mm in depth, Dr Klonsky or his hygienist may perform scaling and root planing to remove debris from the pockets and allow them to heal. This is usually performed under local anesthetic.  Education and advice will be provided on an effective cleaning regime thereafter, to prevent the return of infection.
  • Advanced periodontal disease – Gum pockets in excess of 6-7mm are usually accompanied by bone loss and gum recession.  Scaling and root planning will always be performed as the initial nonsurgical treatment.  In addition to those nonsurgical treatments, Dr. Klonsky may recommend surgical treatment to properly treat the infection and reduce pocket depth.
  • Tooth loss – Where one or several teeth are missing due to periodontal disease, dental implants are an effective option.  If the bone is strong enough to provide a suitable anchor for the prosthetic tooth, the implant can be placed.  However, if the bone is severely eroded, bone grafts may be performed by Dr. Klonsky to provide a suitable anchor for the new tooth/teeth.

Ask Dr. Klonsky if you have questions about periodontal disease, periodontal treatment or dental implants.

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