Types of Periodontal Disease

There are many different varieties of periodontal disease (or gum disease), and it may manifest in several different ways. Each of them require immediate, professional treatment, and at The Danna Smile we will work with you to develop the treatment plan based on your individual situation.

The following is a list of the most common types or forms of gum disease as well as some of the treatments we can use to correct the problem.


Gingivitis is the mildest and most common form of periodontitis. It is caused by the toxins in plaque and eventually leads to periodontal disease if it isn’t treated. Pregnant women, women taking birth control pills, people with uncontrolled diabetes, steroid users, and people who control seizures and blood pressure using medication are often at increased risk of developing gingivitis.

Recommended Treatment: Gingivitis is reversible, but it requires a combination of home care and professional cleaning. We may recommend root planing and deep scaling to cleanse the gum pockets of debris. A combination of antibiotics and medicated mouthwashes to kill any remaining bacteria and promote healing may also be needed.

Chronic Periodontal Disease

This is the most common form of the disease, and occurs much more frequently in people over 45. Chronic periodontal disease is characterized by inflammation below the gum line and the progressive destruction of the gingival and bone tissue. You may first thing that the teeth are gradually lengthening, but it’s really the gums gradually recessing.

Recommended Treatment: Unfortunately, chronic periodontal disease cannot be completely cured because the supportive tissue cannot be rebuilt. However, we can stop the progression of the disease with scaling and root planing procedures combined with antimicrobial treatments. We can also perform surgical treatments or tissue grafts to strengthen the bone and improve the overall appearance.

Aggressive Periodontal Disease

Aggressive periodontal disease cases rapid loss of gum attachment and bone tissue as well as familial aggregation. The disease itself is essentially the same as chronic periodontitis, it just progresses much faster. Smokers and those with a family history of this disease are at greater risk for this type of periodontitis.

Recommended Treatment: The treatments are usually the same as those for chronic periodontal disease, but surgical intervention is required more often. While it is harder to halt and treat, we can provide scaling, root planing, antimicrobial, and in some cases laser procedures to try and save valuable tissue and bone.

Periodontal Disease Relating to Systemic Conditions

Periodontal disease can be the result of a previously existing disease or condition. Different conditions affect your dental health differently, and depending on your situation, you may experience something closer to aggressive periodontal disease. Heart disease, diabetes and respiratory disease are the most common cofactors, though there are many others.

Recommended Treatment: The first thing we have to do is get control of the medical condition which caused the onset of periodontal disease. Then, we can stop the progression of the disease with the same treatments used for controlling aggressive and chronic periodontal disease.

Necrotizing Periodontal Disease

This form of the disease is more prevalent among people who suffer from HIV, immunosuppression, malnutrition, chronic stress, or choose to smoke. The necrosis refers to the tissue death that affects the periodontal ligament, gingival tissues and alveolar bone.

Recommended Treatment: This is an extremely rare form of the disease, but since it may be associated with HIV or another serious medical condition, you will likely need to consult with a physician before we can start treatment. Scaling, root planing, antibiotic pills, medicated mouth wash and fungicidal medicines are generally used to treat this form of the disease.

Contact us as soon as possible to set up an appointment. The sooner we can properly diagnose your form of gum disease, the sooner we can develop an effective treatment plan.

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