What is periodontitis?

Dentist Anne
November 2023
3 min estimated readingtime

Periodontitis is a common gum disease that varies in severity. But how common is it, what can you do to prevent it, and when should you seek treatment? Get answers here!

What is periodontitis?

Periodontitis is an infectious disease localized to the supporting structures of the teeth and varies in severity. The supporting structures mainly consist of the jawbone and the ligaments that hold the teeth in place. In short, periodontitis is triggered when plaque (bacterial film) and tartar remain on the tooth/root surface for an extended period, provoking a reaction from the body. General health status, medication use, and tobacco consumption can influence the development of periodontitis.

Periodontitis is often characterized by bleeding gums, shifting teeth, and, in severe cases, loose teeth. Over time, the gums may also recede, making more of the tooth surface visible and giving the appearance that the teeth are longer.

How many people have periodontitis?

Almost half of the adult population in Norway has some degree of periodontitis, while about 10% of adults develop severe periodontitis.

Signs that you should be evaluated for periodontitis:

  • Swollen and tender gums that are often red or red/purple.
  • Gums that bleed easily.
  • Changes in your bite or teeth that have shifted positions.
  • Loose teeth or tooth loss.
  • Taste of pus/infection or bad breath.
  • Siblings or parents who have experienced periodontitis.

What can you do about gum inflammation?

Periodontitis is a disease that typically develops slowly over several years—often over a decade. Therefore, the largest proportion of patients with periodontitis is found in the adult and elderly population. In some cases, it starts earlier, progresses faster, and becomes more severe—highlighting the importance of regular check-ups to monitor the condition and receive help in managing the disease.

Periodontitis often starts as gingivitis, an inflammation of the gums primarily caused by poor oral hygiene. Signs of gingivitis are similar to those of early periodontitis, including bleeding, swollen, and red gums. This can occur in most individuals and can usually be reversed with good oral care routines. If it does not improve, an evaluation for periodontitis is necessary.

If you experience several of the symptoms mentioned above or if the symptoms do not decrease with proper oral hygiene, it is advisable to begin treatment as early as possible. Your dentist or dental hygienist will examine you, assess the extent of the condition, and take the necessary X-rays to diagnose it. You will receive detailed information about your diagnosis, recommendations for necessary treatment, as well as advice and instructions regarding oral care. After that, a treatment plan will be developed for you.

A general treatment process often looks like this:

  • Sessions (usually 2-4): Thorough cleaning of teeth and root surfaces is performed. The goal here is to eliminate tartar and bacterial deposits that have settled below the gum line, causing infection and loss of attachment, and to help you maintain proper oral hygiene. This is typically done under local anesthesia and one part of the mouth at a time.
  • Throughout the treatment, we continue to assist you in taking the best possible care of your teeth at home by using appropriate brushes.
  • Once everything has been thoroughly cleaned, a follow-up appointment will be scheduled to see if the disease has been halted. At this point, it will be assessed whether further cleaning is necessary or if a specialist should be involved. In some cases, surgery may be performed, and in rare instances, antibiotics are used as a supplementary treatment.

If the disease is under good control following systematic treatment, you will receive advice and recommendations regarding maintenance—specifically, when you should return for check-ups. This is individualized based on the diagnosis, and the goal is to avoid flare-ups of the disease. Regular check-ups and professional cleanings, combined with your efforts at home, are crucial to preventing further loss of attachment.

Studies show that the sooner you start treatment, the better your prognosis for avoiding tooth loss. While the attachment (bone) around the teeth cannot regenerate, regular check-ups, professional cleaning, and dedication at home can halt the progression of attachment loss.

Have you been diagnosed with chronic marginal periodontitis?

If you have already been diagnosed with chronic marginal periodontitis, you should ensure that your dental history is available to your dentist. If you have had a dental check-up or treatment elsewhere than Blid, you can call or email that clinic to request your records. This way, we can have the best possible overview of your dental history and be ready to proceed. For check-ups and treatments done at Blid, we have access to your records, and you don't need to do anything. Remember that advice and treatment should be provided by a qualified dentist or dental specialist. It is recommended to consult a dentist for a thorough assessment and guidance regarding your individual situation.