Unfortunately, because gum disease is caused by bacteria that is forming in your mouth daily, there is not a complete cure for the disease, only management with a combination of periodontal therapy and proper oral home care.
Gum disease isn't curable. It's only manageable. But you can't successfully manage gum disease without the help of a dentist or periodontist. This is because bacteria seep way down under the surface of your gums, where brushing and flossing can't reach.
Advanced Gum Disease (Periodontitis) Can't Be Reversed
However, that doesn't mean you have to give up! While periodontitis cannot be completely eliminated, it's entirely possible to control it with regular periodontal care.
In some cases, it may be too late for gum grafting to save the gums. If your gums are severely damaged, receding so far back that they expose the tooth's root, or if there is significant bone loss from advanced gum disease, gum grafting may not be able to restore them to their healthy state.
While there is no cure for periodontitis, the disease can be controlled and reversed with proper treatment. In most cases, gum disease can be treated successfully with professional cleanings and at-home care. However, in some cases, surgery may be necessary to restore the health of your gums.
Periodontal disease is not a life-threatening condition.
If you wonder if you can live with this disease, the answer is yes. In general, periodontal disease does not cause pain, which is one of the reasons it develops into a severe condition.
Within two to three weeks, the signs of generalized gingivitis become more noticeable. If you still leave this untreated, it would progress to slight periodontal disease. At this stage, your gums will start to pull away or "recede" from your teeth.
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.
While it is possible to reverse advanced gum disease, the patient is going to need to undergo a few intricate treatments. The process will begin with the dentist removing all of the tartar and plaque below the gum line.
However, if you receive gum disease treatment early, you can preserve your natural teeth and prevent the need to search for replacement options. Periodontal and systemic diseases are associated, and research is ongoing to establish the reasons for the association.
Moderate to severe cases require management by a periodontist and typically require surgery to save as many teeth as possible. Your periodontal disease will always need management, but can go into remission with appropriate treatment and the following practices: Brush at least twice a day, for two minutes.
Antibiotics. Topical or oral antibiotics can help control bacterial infection. Topical antibiotics can include antibiotic mouth rinses or putting gel containing an antibiotic into gum pockets. Sometimes oral antibiotics are needed to get of bacteria that cause infections.
Gum disease isn't curable, but it's manageable with appropriate treatment. You can't cure it because once you lose structural support around your teeth, you don't usually get all of it back. However, periodontal treatment can reduce infection and rebuild your bone and tissue to some degree. Another factor is genetics.
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.
It's never too late for gum grafting as long as the patient has sufficient gum tissue to harvest for the graft. However, the success rate of the procedure may be lower in cases where the patient has advanced gum disease or other underlying health issues that can affect the healing process.
Advanced periodontitis
Tooth roots are only 10 – 12 mm long, so when the pockets between your teeth and gums are 7mm or greater, your teeth are in severe danger of being lost.
5-7mm with bleeding means that there has been some gum tissue damage. In some cases, it can also be bone loss around the area. This will require more hygiene visits and special treatment along with good at home oral care. 7mm and above with bleeding is the advanced stage of periodontal disease.
You might see pus around your tooth, and you'll notice your gums pulling away from contact with the tooth. Your gums might swell, and that swelling could extend to your face and neck, too. At this point, your tooth will likely have to be removed.
47.2% of adults aged 30 years and older have some form of periodontal disease. Periodontal disease increases with age, 70.1% of adults 65 years and older have periodontal disease.
Stage 4: Progressive Periodontitis
This stage involves teeth looseness, shifting teeth, red, swollen and painful gums, often forming an abscess. The end result — eating and even smiling is hard and painful, and you may lose most of your teeth.
Almost half, 47.2%, of all adults aged 30 years and older have some form of gum disease. Gum disease increases with age. 70.1% of adults 65 years and older have periodontal disease.
Foods such as pickled vegetables, citrus fruits, black coffee, and tea can enhance inflammation, aggravate your condition, and slow down the effects of treatment.
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.