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                                                 DR. DAN PETERSON

                                                           1415 SAGE STREET ~ GERING, NEBRASKA 69341 
                                                           308-436-3491
                 

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MODERATE PERIODONTAL DISEASE

Poor oral hygiene habits cause periodontitis.  This disease attacks your gums, bones and supporting structures of your teeth.

Moderate Periodontitis: Pockets are 6-7 mm deep. At this stage, the infection may still be treated non-surgically. However, up to one-third of your bone has been lost and once the bone has been lost it does not grow back

PERIODONTAL DISEASE IS USUALLY A PAINLESS PROGRESSIVE INFECTIOUS DISEASE

     The difference between gingivitis and periodontal disease is that in gingivitis the infectious disease attacks the connective tissue around the tooth.  In periodontitis the infectious disease has gone PAST the tissues into the supporting bone of the tooth causing tooth motility leading to permanent tooth loss if not professionally treated by your dentist. 

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     Blood on your toothbrush or dental floss is one of the most common signs of moderate periodontal disease. Other signs of moderate periodontitis are:

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irritated gum tissue                             

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swollen gums

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sore gums                                  

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gum tissue that bleeds easily  

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six or more bleeding points

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gums that are puffy and soft        

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red instead of pink gum tissue

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bad breath                                 

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pocket depths of 6-7mm 

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pus 

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weaken, mobile teeth

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loss of clinical attachment due to destruction of the periodontal ligament

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partial loss of the supporting bone.

Infectious calculus buildup around the gum line

Your gums should never bleed while brushing or flossing.

     You can never completely get rid of all the bacteria in your mouth but brushing and flossing make sure the number of bacteria you do have is in a safe range. A common mistake most people make is to brush but not floss. This allows bacteria to build up to dangerous levels between your teeth where brushing alone cannot reach. When any one group or family of bacteria begin to dominate their levels of toxins increase to a point where they cause an infection.  

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     The good news is that moderate periodontitis can be:

bulletStopped from progressing
bulletReattached gum tissue to a spotlessly clean root surface
bulletPossibly treated in a non-surgical manner that allows for natural healing if treatment is started at this stage or earlier
bulletLess costly to treat at this stage than its advanced stage

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Treatment:

1.  Professional treatments-to remove this harmful bacterial growth from you teeth and gums. You will be placed in the blue program which includes five sessions:

A. Session 1:
 
 1.   One quadrant of Root Planing 
        and Scaling to remove contamination
        above and below the gum line
 2.   Irrigation with medications
 3.   Perio bag including home care 
       items
 4.   Oral hygiene instructions

B. Session 2: 

      1.  One quadrant of Root Planing 
       & Scaling to remove contamination
       above and below the gum line
 2.  Irrigation with mediations
 3.  Oral hygiene instructions

C. Session 3: 

      1.  One quadrant of Root Planing
       & Scaling to remove contamination 
       above and below the gum line
 2.   Irrigation with medications
 3.   Oral hygiene instructions

D. Session 4:

       1.  One quadrant of Root Planing
       & Scaling to remove contamination
       above and below the gum line
  2.   Irrigation with medications
  3.   Oral hygiene instructions

E. Session 5:

     1.   Remeasuring and updating 
        perio charting
2.   Cleaning with

2.  Three month perio maintenance visit to remove the tartar, which harbors and nurtures the growth of undesirable bacteria.

3.  Good brushing for a minimum of twice a day and after meals (if possible) using your soft bristled perio instrument (Rota-dent) for at least two minutes.

4.   Daily flossing

5.   Use of Periogard, an antimicrobial medicated mouthrinse.

6.   Daily fluoride treatments.

7.   Do not smoke or use alcoholic beverages while your gums are inflamed.

8.  Good dietary habits.  Cut back on foods and beverages that contain sugar.

     To insure successful results following periodontal treatments, patient cooperation in maintaining  excellent oral hygiene is essential.

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    Remember: If left untreated, moderate periodontitis will develop into the last stage of periodontitis which will lead to:  

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Costly periodontal surgery

bulletInfection that can affect your overall health
bulletSore bleeding gums
bulletPain
bulletBone loss
bulletTooth loss
bulletChanges affecting your appearance
bulletPoor nutrition

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*AAP Parameters of Care

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          If you have any questions please e-mail me at: drgentledan@dr.com
                                                                                 308-436-3491 Office number

PLEASE NOTE: The information contained herein is intended for educational purposes only.  It is not intended and should not be construed as the delivery of dental/medical care and is not a substitute for personal hands on dental/medical attention, diagnosis or treatment.  Persons requiring diagnosis, treatment, or with specific questions are urged to contact your family dental/health care provider for appropriate care.
This site is privately and personally sponsored, funded and supported by Dr. Peterson.  We have no outside funding.
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