

Dr. Emad Kosarieh is a highly skilled dental surgeon and academic professional based in Tehran, renowned for his expertise in […]
Periodontitis is an advanced form of gum disease that:
✔️ Damages gums and soft tissues
✔️ Destroys the bone supporting teeth if untreated
✔️ Develops from untreated gingivitis
✔️ Can lead to tooth loss and systemic health issues
Swollen, tender, or bleeding gums
Persistent bad breath (halitosis)
Receding gums & longer-looking teeth
Loose or shifting teeth
Pain when chewing
🔹 Primary Cause: Bacterial plaque buildup leading to gum inflammation
🔹 Contributing Factors:
Poor oral hygiene
Smoking & tobacco use
Diabetes & hormonal changes
Genetic predisposition
Medications causing dry mouth
Poor nutrition (vitamin C deficiency)
Reversible gum inflammation
Red, swollen gums that bleed easily
Early bone loss
Formation of periodontal pockets
Increased bone destruction
Noticeable gum recession
Significant bone loss
Tooth mobility & potential tooth loss
✔ Scaling & Root Planing (Deep Cleaning)
Removes plaque & tartar below the gumline
Smooths roots to promote gum reattachment
✔ Antibiotic Therapy
Topical (gels, chips) or oral antibiotics
Helps control bacterial infection
✔ Flap Surgery (Pocket Reduction)
Lifts gums to remove deep tartar deposits
Secures gums back in place for tighter fit
✔ Bone & Tissue Grafts
Regenerates lost bone & gum tissue
Uses synthetic or natural grafting materials
✔ Guided Tissue Regeneration (GTR)
Stimulates regrowth of lost bone & connective tissue
✅ Daily Oral Care:
Brush twice daily with a soft-bristle toothbrush
Floss daily & use interdental brushes
Antimicrobial mouthwash (chlorhexidine-based)
✅ Professional Care:
Regular dental cleanings (every 3-6 months)
Periodontal maintenance visits
✅ Lifestyle Adjustments:
Quit smoking
Manage diabetes & other systemic conditions
Eat a balanced diet (rich in vitamins C & D)
With early intervention & proper care, periodontitis can be controlled, preventing tooth loss and protecting overall health. Untreated cases may lead to:
⚠️ Tooth loss
⚠️ Increased risk of heart disease & stroke
⚠️ Complications in diabetes & respiratory diseases
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