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Periodontal Disease

The word periodontal means “around the tooth”.  Periodontal disease attacks the gums and the bone that support the teeth.  Plaque is a sticky film of food debris, bacteria, and saliva.  If plaque is not removed, it turns into calculus (tartar).  When plaque and calculus are not removed, they begin to destroy the gums and bone.  Periodontal disease is characterized by red, swollen, and bleeding gums.

Four out of five people have periodontal disease and don’t know it!  Most people are not aware of it because the disease is usually painless in the early stages.

Not only is it the number one reason for tooth loss, research suggests that there may be a link between periodontal disease and other diseases such as, stroke, bacterial pneumonia, diabetes, cardiovascular disease, and increased risk during pregnancy.  Researchers are determining if inflammation and bacteria associated with periodontal disease affects these systemic diseases and conditions.  Smoking also increases the risk of periodontal disease.

Good oral hygiene, a balanced diet, and regular dental visits can help reduce your risk of developing periodontal disease.

Signs and symptoms of periodontal disease:

  • Bleeding gums – Gums should never bleed, even when you brush vigorously or use dental floss.
  • Loose teeth – Also caused by bone loss or weakened periodontal fibers (fibers that support the tooth to the bone).
  • New spacing between teeth – Caused by bone loss.
  • Persistent bad breath – Caused by bacteria in the mouth.
  • Pus around the teeth and gums – Sign that there is an infection present.
  • Receding gums – Loss of gum around a tooth.
  • Red and puffy gums – Gums should never be red or swollen.
  • Tenderness or Discomfort – Plaque, calculus, and bacteria irritate the gums and teeth.

Related Periodontal (Gum) Disease Articles

Heart and Gum Disease Link - Dear Doctor Magazine The Link Between Heart & Gum Diseases
Inflammation has emerged as a factor that is involved in the process of Cardiovascular Disease (CVD), which commonly results in heart attacks and strokes. While the precise role inflammation plays in causing chronic CVD remains an area of intense current investigation, much more is now known. The good news is that, based on current research, we know that if we can reduce the inflammation caused by periodontal disease, we can reduce the risk for heart attacks and strokes... Read Article

Periodontal (Gum) Disease - Dear Doctor Magazine Understanding Gum (Periodontal) Disease
Have your gums ever bled when you brushed or flossed? This most commonly overlooked simple sign may be the start of silent (periodontal) disease leading to tooth loss. Learn what you can do to prevent this problem and keep your teeth for life... Read Article

Diabetes - Dear Doctor Magazine Diabetes & Periodontal Disease
Diabetes and periodontal disease are chronic inflammatory diseases that impact the health of millions of people. What you may not know is that diabetes and periodontal disease can adversely affect each other... Read Article

Pregnancy and Oral Health - Dear Doctor Magazine Pregnancy & Oral Health
Pregnancy is generally thought of as the time when a woman strives to be particularly aware of the need for “health”. Many women though may not be aware of the link that exists between their oral health and their systemic (general) health, as well as the impact that many other factors can have on a developing child. Learn about how to care for yourself and your baby... Read Article


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All service was great! My dental technician did an excellent cleaning and I love their computer program that shows your potential cavities. I was able to see for myself whether I had problems or not.

I felt like they did not over-recommend things and were supportive of preventative methods and giving teeth the chance to bounce back with proper hygeine before jumping to "You need a filling". I had some questions, and they had no problem answering them

Elle B. , Arlington VA

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After the cleaning Dr. Cotes came in and he was great as well. He gave me a full dental exam and even took time to explain the clicking I get in my jaw. He gave me multiple options for teeth whitening and even told me the prices so there would be no up front surprises depending on which method I went with. He took the time to answer any question a threw at him and without trying to rush me out for the next patient. Not really sure what Megan S. is talking about in her review but I did see her only other review on the site was negative as well...just sayin...

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I would give Dr. Cotes and his staff 10 stars if it was possible. Everyone knows going to the Dentist is a crappy process. I didn't think it was this possible to have a decent time at the Dentist Office and be taken care of in a timely manor!!!

Dustin S. , Arlington VA

Dr. Cote is just that good. I was referred to Dr. Cote by a friend at work, and I am SO thankful for that reference. The man is a consummate professional, has a friendly staff and has provided me with nothing short of stellar care for the last year. He explained things to me that my lifelong dentist never took the time to do before (like, how I can proactively strengthen the enamel on my teeth). He's got hi-tech gear that indicated areas where future problems might crop up and he's kept an eye on them during every return visit. I have never felt empowered and reassured in a dentist's office, but Dr. Cote is that good.

Dentistry can be a very personal enterprise, and since I had the same dentist since birth, finding a new dentist in DC was a harrowing experience. I actually walked out of three dentists offices (too sketchy for my tastes) before settling going to Dr. Cote. I live in the District, but I'm willing to suffer the indignity of Pentagon City just to have Dr. Cote take care of my teeth.

Evan M. , Washington DC

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