Advanced periodontitis is the fifth and final stage of gum disease, and it is likely that you will lose teeth or at least loosen teeth during this phase without immediate dental intervention. The infection impacts the jawbone, so teeth may be lost regardless.
Periodontitis (per-e-o-don-TIE-tis), also called gum disease, is a serious gum infection that damages the soft tissue around teeth. Without treatment, periodontitis can destroy the bone that supports your teeth. This can cause teeth to loosen or lead to tooth loss. Periodontitis is common but can usually be prevented.
The progression of periodontal disease is slow but steady. It only takes four days for plaque to reach its maximum extent, so you'll be able to physically see signs of gingivitis on day 5. Advanced stages of this disease can be seen in as little as a few weeks if you have not tried to reverse the gingivitis.
Good prognosis: The prognosis is considered to be good when there is adequate amount of remaining bone support along with the periodontium, and the patient as well as the clinician has adequate possibilities to control etiologic factors and establish a maintainable dentition.
In the fourth and last stage, the bacteria is aggressive, bone loss is imminent, and gum recession is serious. You are going to have immense sensitivity to cold and hot temperatures, experience chronic bad breath, and you may lose your teeth. The symptoms of this stage include: Offensive bad breath (halitosis).
It's never too late to seek treatment for gum disease, and the degree of treatment you require will depend on how advanced it is.
Stage 3: Advanced Periodontitis
As the infection worsens, the pockets may also fill with pus. At this point your teeth might loosen or fall out. This stage of gum disease is irreversible, though dental implants (replacement teeth) are one option for people suffering from serious periodontitis.
But the condition may get even worse if left untreated. They may experience receding gums, loosening teeth, or tooth loss when it progresses into severe periodontal disease. If you wonder if you can live with this disease, the answer is yes.
Even the most damaged teeth can often be saved with proper periodontal treatment in a periodontal office. Many studies have shown that teeth with advanced bone loss, even to the top of the tooth root, can be saved with advanced regeneration and instruments.
Will Removing Teeth Stop the Progression of Gum Disease? The short answer is “no.” Gum disease attacks the soft oral tissues of the mouth and bones that surround your tooth structures. Just because one or more of your teeth may no longer be present doesn't mean the infection doesn't exist.
However, if you have gum disease, your gums can recede quite quickly. In some cases, they may even recede within a matter of weeks or months. Of course, the rate at which your gums recede also depends on your age.
Incidents of periodontal disease (gum disease) do increase with age, but gum disease can start at any time. Most people do not begin to show signs, however, until they are in their 30s or 40s.
In its more serious form, called periodontitis, the gums can pull away from the tooth, bone can be lost, and the teeth may loosen or even fall out. Periodontal disease is mostly seen in adults. Periodontal disease and tooth decay are the two biggest threats to dental health.
Fortunately, most people considering implants will still qualify for the procedure even if they have periodontal disease, as long as that disease is being treated successfully. However, it may be necessary to delay the dental implant placement until the periodontal disease is under control.
Foods such as pickled vegetables, citrus fruits, black coffee, and tea can enhance inflammation, aggravate your condition, and slow down the effects of treatment.
If you have advanced periodontitis, you may need dental surgery, such as: Flap surgery, also called pocket reduction surgery. Your periodontist makes cuts in your gums to carefully fold back the tissue. This exposes the tooth roots for more effective scaling and root planing.
Once you have an implant, your risk of developing gum disease does not disappear.
The key to managing and living with periodontal disease is to ensure your teeth are kept clean and reduce gum irritation. Besides an increase in cleanings, there are also specialized cleaning methods used, depending on the extent of damage.
Aggressive periodontitis (AgP) is a disease characterized by rapid loss of periodontal tissues affecting systemically healthy individuals under age of 30 years.
Advanced Periodontal Disease: The final stage of periodontal disease is when the infection has evolved into disease-causing bacteria. It can cause redness, swollen gums that ooze pus, sensitivity, loosening of teeth, painful chewing, severe bad breath, and bone loss.
This form of periodontitis is seen most commonly in young adults in their twenties, but it can occur in postpubertal individuals up to approximately 35 years of age.
In most cases, the damage will not be completely reversible, but if you follow the treatment and prevention plan laid out by your dentist, you should be able to see significant improvement. Most people are able to reclaim a 4mm to 5mm pocket depth with proper treatment and ongoing periodontal maintenance.
Living with periodontal disease is a challenge because it causes aesthetic complications and severe bone loss in the mouth. Unlike other infections, periodontal diseases silently affect you, causing your gums to become inflamed and bleed. Periodontal disease is not a life-threatening condition.