SPECIALIST PERIODONTISTS

Periodontal Disease: 
the silent tooth disease.

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Specialist Periodontists

When we are looking around your teeth dentists use a little probe to trace down the side 
of the tooth at the gum-line. If the gum connection to the tooth has broken down then 
the probe will fall down in these areas. This loss of connection between the teeth and the gums will cause teeth to become loose and fall out eventually if left untreated.


However gum disease is more serious than just loss of bone around teeth. It has general health implications so needs to be treated with this in mind.

Periodontal, or gum disease is the breakdown of the connection between your teeth and your jaw bone. It can manifest in many ways but leads to the destruction of the bone that holds your teeth in.

endodontics

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Symptoms

It is important to note that you might not have any symptoms at all that you can see or feel yourself. 

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Healthy gums are firm and pale pink and fit snugly around teeth. 
Signs and symptoms of periodontitis can include:

  • Swollen or puffy gums
  • Bright red, dusky red or purplish gums
  • Gums that feel tender when touched
  • Gums that bleed easily
  • Pink-tinged toothbrush after brushing
  • Spitting out blood when brushing or flossing your teeth
  • Bad breath
  • Pus between your teeth and gums
  • Loose teeth or loss of teeth
  • Painful chewing
  • New spaces developing between your teeth
  • Gums that pull away from your teeth (recede), making your teeth 
look longer than normal
  • A change in the way your teeth fit together when you bite.

If left untreated, here’s how plaque can eventually advance to periodontitis:

  • Plaque forms on your teeth when starches and sugars in food interact with bacteria normally found in your mouth. Brushing your teeth twice a day and flossing once a day removes plaque, but plaque re-forms quickly.
  • Plaque can harden under your gum line into tartar (calculus) if it stays on your teeth. Tartar is more difficult to remove and it’s filled with bacteria. The longer plaque and tartar remain on your teeth, 
the more damage they can do. You can’t get rid of tartar by brushing and flossing — you need a professional dental cleaning to remove it.
  • Plaque can cause gingivitis, the mildest form of gum disease. Gingivitis is irritation and inflammation of the part of your gum tissue around the base of your teeth (gingiva). Gingivitis can be reversed with professional treatment and good home oral care.
  • Ongoing gum inflammation can cause periodontitis, eventually causing pockets to develop between your gums and teeth that fill with plaque, tartar and bacteria. In time, these pockets become deeper, filling with more bacteria. If not treated, these deep infections cause a loss of tissue and bone, and ultimately you may lose one or more teeth. Also, ongoing chronic inflammation can put a strain on your immune system.

Causes

In most cases, the development of periodontitis starts with plaque — a sticky film composed mainly of bacteria.

Risk factors

Factors that can increase your risk of periodontitis include:

  • Gingivitis
  • Poor oral health habits
  • Smoking or chewing tobacco
  • Hormonal changes, such as those related to pregnancy or menopause
  • Recreational drug use, such as smoking marijuana or vaping
  • Obesity
  • Inadequate nutrition, including vitamin C and D deficiency
  • Genetics
  • Certain medications that cause dry mouth or gum changes
  • Conditions that cause decreased immunity, such as leukemia, HIV/AIDS 
and cancer treatment
  • Certain diseases, such as diabetes, rheumatoid arthritis and Crohn’s disease

Complications

Periodontitis can cause tooth loss. The bacteria responsible for periodontitis can enter your bloodstream through gum tissue, possibly affecting other parts of your body. For example, periodontitis is linked with respiratory disease, rheumatoid arthritis, coronary artery disease and problems controlling blood sugar in diabetes.

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Ongoing care and Prevention

The best way to prevent periodontitis is to follow a program of good oral hygiene, one that you begin early and practice consistently throughout life.

family brushing

Good oral hygiene

That means brushing your teeth for two minutes at least twice daily — in the morning and before going 
to bed — and flossing at least once a day. Flossing before you brush allows you to clean away the loosened food particles and bacteria. Good oral hygiene prevents the development of an environment around your teeth that is favourable to specific bacteria that cause periodontal disease.

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Regular dental visits

See your dentist or dental hygienist regularly for cleanings, usually every six to 12 months. If you have risk factors that increase your chance of developing periodontitis — such 
as having dry mouth, taking certain medications or smoking — you may need professional cleaning more often.

Periodontal disease is also a systemic disease that leads to inflammation 
in your blood vessels and is linked to diabetes and other systemic diseases.

It is important to establish a proper diagnosis and prognosis with regards to the gums as a part of any treatment.

The Dental Referral Centre delivers unparalleled expertise and care. 
We work with dentists from all across Yorkshire, Derbyshire, Lincolnshire 
and Nottinghamshire, and regularly receive referrals from further afield.

Keen to find out more? Get in touch and we’ll have a chat.

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Periodontology Team

Sometimes gum disease does not respond to care in the general practice setting. This is where you need to be seen by a Specialist in Gums – A Periodontist. 

A periodontist is a dentist who has for many years after becoming a dentist, studied and limited their practice to the diagnosis and treatment of gum disease. As such they have a much deeper understanding of the disease and its various manifestations.

Dr Mahomed Issa

Dr Mahomed Issa

PERIODONTAL SPECIALIST

GDC No. 114242

Dr Mahomed Issa

Dr Mahomed Issa

PERIODONTAL SPECIALIST
GDC No. 114242

Moe graduated from the University of Sheffield in 2007, Moe has been both a Speciality Doctor at Glenfield Hospital and a Clinical Teacher at The School of Dentistry, University of Sheffield.

His interest has always been in Periodontology and in 2012 he gained, with Merit, a Masters in Periodontology from the University of Sheffield. He also holds a Diploma of Membership of the Faculty of Dental Surgery (MFDS), from the Royal College of Surgeons, London, gaining entry to the Specialist List in Periodontology in 2015.

Moe’s approach is centred around patient confidence and motivation, opting for non-surgical therapy wherever possible. He is an expert in periodontal therapy and periodontal surgery, including surgical regeneration.

Outside of The Dental Referral Centre, he is a member of the British Society of Periodontology and European Federation of Periodontology.

Emma Nelson

Emma Nelson

Dental Hygiene and Therapist

Diploma in Dental Hygiene and Therapy 2020 GDC number: 162800

Emma Nelson

Emma Nelson

Dental Hygiene and Therapist
Diploma in Dental Hygiene and Therapy 2020 GDC number: 162800

Emma is our dedicated Dental Hygienist and Therapist and has been a valued member of our practice for many years. She initially joined us as a Dental Nurse and has since become an integral part of our team. In her pursuit of professional growth, Emma took the significant step of studying Dental Hygiene and Therapy at The University of Sheffield.  We are incredibly fortunate that she chose to return to our practice after her studies in 2020. Emma now works closely with Moe and Mike in the implant and periodontal departments, in addition to providing exceptional care to our regular patients. Emma also offers direct access appointments, allowing patients to see her without needing a prior consultation with a dentist.

Emma has recently begun co-hosting lectures at our practice, sharing her expertise with other dental professionals.

Her dedication and expertise make her a true asset to our team.

Speak to us today 01246 417 893

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    Email: info@sgdc55.com

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