Rena Bains DDS Inc

Periodontal & Implant Reconstruction 
Working Together Achieving Optimum Oral Health


Periodontal Disease

Periodontal (gum) disease is an inflammation or infection of the gums and bone that support the teeth.  It's caused by the bacteria in plaque (the sticky, nearly clear colorless film that constantly forms on your teeth).  While seldom painful and frequently free of any obvious signs or symptoms, periodontal disease can progress, undetected, to the point where supporting bone is destroyed.  With 80% to 90% of all teenagers having some form of gingivitis (inflamed gums) and 75% of adult tooth loss for people over the age of 35 due to periodontal disease, early treatment and prevention is essential.  While periodontal disease is caused by plaque, a number of other factors including badly aligned teeth and defective fillings contribute to the development of this condition.

Warning Signs and Symptoms

dot.gif (574 bytes) Gums that bleed during brushing or flossing
dot.gif (574 bytes) Changes in the way your teeth fit together when you bite
dot.gif (574 bytes) Teeth that have shifted or loosened
dot.gif (574 bytes) Pus coming from between your teeth and gums
dot.gif (574 bytes) Red, puffy gums
dot.gif (574 bytes) Gum tenderness or pain
dot.gif (574 bytes) Teeth that look longer because your gums have receded
dot.gif (574 bytes) Gums that have separated from your teeth
dot.gif (574 bytes) Persistent bad breath or bad taste in your mouth

Stages of Periodontal (Gum) Disease


Healthy gingiva (gum tissue and bone anchor the teeth firmly in place)
    Clinical Description:
diamond.gif (133 bytes) Healthy pink gum color
diamond.gif (133 bytes) No bleeding
diamond.gif (133 bytes) Tissue is firm & resilient
diamond.gif (133 bytes) Periodontal pockets range from 2-4mm.


Gingivitis develops as toxins in plaque irritate the gums, making them red, tender, swollen and likely to bleed easily.
    Clinical Description:
diamond.gif (133 bytes)
Red inflamed gums
diamond.gif (133 bytes) Bleeding when probed or brushed
diamond.gif (133 bytes) Puffy tissue
diamond.gif (133 bytes) Periodontal pockets range from 2-4mm.

  Periodontitis    Early to Moderate

Periodontitis occurs when toxins destroy the tissues that anchor the teeth in the bone.  Gums become detached from the teeth, forming pockets that fill with more plaque.  Tooth roots are exposed to plaque and become susceptible to decay and sensitive to cold and touch.
    Clinical Description:
diamond.gif (133 bytes)
Gum attachment to tooth weakens
diamond.gif (133 bytes) More bleeding when probed

diamond.gif (133 bytes) Periodontal pockets of 3-6mm between teeth & gums


Advanced Periodontitis is present when the teeth lose more attachment because the supporting bone is destroyed.   Unless treated, the affected teeth frequently become loose and may fall out or require removal by a dentist.

    Clinical Description:
diamond.gif (133 bytes)
Severe bone loss
diamond.gif (133 bytes) Considerable bleeding when probed
diamond.gif (133 bytes) Bone has angular and jagged edges
diamond.gif (133 bytes) Periodontal pockets now more than 6mm deep

Periodontal Treatment

Dr. Bains will start by reviewing your dental and medical health history, and examine your gums, teeth and mouth.  The doctor will determine how much tissue has been affected, and test the solidity of your teeth.  X-rays may be taken to evaluate the condition of the bone.

In the earliest stages of gum disease, treatment centers around removing plaque from pockets that have developed around the teeth and root planing -- smoothing the tissue around the root of the tooth and encouraging the gum to reattach.  If the disease has progressed to an advanced stage, surgical repair may be in order.

 After Treatment....

Once your treatment is complete, Dr. Bains will work together with your general dentist to monitor your situation and avoid any recurrence of disease.  Most of the work at this point, however, is up to you.  You'll be responsible for brushing and flossing on a daily basis, and attending your maintenance visits at our office and with your general dentist.