2240 N Harbor Blvd Ste 110, Fullerton, CA 92835

Periodontal Disease

Periodontal Disease Treatment in Fullerton, CA

Beautiful Smiles for you and your family!

Meaning “around the tooth,” the word periodontal refers to the supportive bone and gum tissue that surround your smile. Periodontal disease weakens this structure, having a considerable impact in its advanced forms. This is why periodontal disease, also known as gum disease, is considered the number one reason for tooth loss.
However, patients coming to our Fullerton dental practice may be unaware they have the disease as it progresses gradually and is not initially painful. To detect and reduce the risks associated with gum disease, Dr. Victor Ryoo recommends patients incorporate proper home care, a balanced diet, and regular dental visits into their routines.

Family and Cosmetic Dentistry in Fullerton, CA

What Causes Periodontal Diseases?

When bacteria accumulates into a film on the teeth, it is called plaque. This biofilm is what causes gum disease. If left untreated, plaque will harden into tartar, which often cannot be removed by brushing and flossing alone. Over time, bacteria travels below the gums and causes inflammation and, eventually, recession of gum tissue and bone loss. Studies have also linked the disease to other health concerns, such as: increased risk of stroke, bacterial pneumonia, diabetes, and cardiovascular disease.

At Ryoo Dental, Dr. Ryoo develops treatment plans according to each patient’s risk factors for developing periodontal disease. These risks can stem from causes as diverse as aging, genetic disposition, hormonal changes, and existing systemic diseases to poor habits like deficient nutrition and smoking.

Signs and Symptoms of Periodontal Disease

If you experience any of the symptoms, seek out a professional evaluation as soon as possible.

The most distinguishable characteristics of periodontal disease are changes to the look and condition of the gums.
Signs that may indicate the presence of disease include:

    Bleeding gums – Healthy gums should not bleed, even after flossing or vigorous brushing.
    Discolored and swollen gums – Firm, pale pink gums are normal. Gums that appear puffy and either bright red or purple need evaluation.
    Bad breath – Spread of bacteria can lead to persistent bad breath.
    Tender gums – Gum disease can cause the gums to be more sensitive and tender when touched.
    Spaces between teeth – New spaces between the teeth can develop as periodontal disease impacts the supporting bone.
    Longer teeth – Disease can cause gums to pull back, or recede, making teeth look longer than normal.
    Loose teeth – Weakened bone and gum tissue lead to teeth that move easily with little to no pressure.
    Pus formation – Areas filled with pus between the teeth and gums signal infection due to advanced periodontal disease.

Periodontal (gum) disease Diagnosis

Periodontal disease is diagnosed by your dentist or dental hygienist during a periodontal examination. This type of exam should always be part of your regular dental check-up.
A periodontal probe (small dental instrument) is gently used to measure the sulcus (pocket or space) between the tooth and the gums. The depth of healthy sulcus measures three millimeters or less and does not bleed. The periodontal probe helps indicate if pockets are deeper than three millimeters. As periodontal disease progresses, the pockets usually get deeper.


Gingivitis is the first stage of periodontal disease. Plaque and its toxin by-products irritate the gums, making them tender, inflamed, and likely to bleed.


Plaque hardens into calculus (tartar). As calculus and plaque continue to build up, the gums begin to recede from the teeth. Deeper pockets form between the gums and teeth and become filled with bacteria and pus. The gums become very irritated, inflamed, and bleed easily.

Advanced Periodontitis

The teeth lose more support as the gums, bone, and periodontal ligament continues to be destroyed. Unless treated, the affected teeth will become very loose and may be lost. Generalized moderate to severe bone loss may be present.

About Periodontal Disease

Treatment for Periodontal Disease

There are many surgical and nonsurgical treatments the periodontist may choose to perform, depending upon the exact condition of the teeth, gums, and jawbone. A complete periodontal exam of the mouth will be done before any treatment is performed or recommended.
Here are some of the more common treatments for periodontal disease:
Scaling and root planing – In order to preserve the health of the gum tissue, the bacteria and calculus (tartar) which initially caused the infection, must be removed. The gum pockets will be cleaned and treated with antibiotics as necessary to help alleviate the infection. A prescription mouthwash may be incorporated into daily cleaning routines.
Tissue regeneration – When the bone and gum tissues have been destroyed, regrowth can be actively encouraged using grafting procedures. A membrane may be inserted into the affected areas to assist in the regeneration process.
Pocket elimination surgery – Pocket elimination surgery (also known as flap surgery) is a surgical treatment that can be performed to reduce the pocket size between the teeth and gums. Surgery on the jawbone is another option that serves to eliminate indentations in the bone which foster the colonization of bacteria.
Dental implants – When teeth have been lost due to periodontal disease, the aesthetics and functionality of the mouth can be restored by implanting prosthetic teeth into the jawbone. Tissue regeneration procedures may be required prior to the placement of a dental implant in order to strengthen the bone.

Common Causes of Gum Disease

There are genetic and environmental factors involved in the onset of gum disease, and in many cases, the risk of developing periodontitis can be significantly lowered by taking preventative measures.
Here are some of the most common causes of gum disease:
Poor dental hygiene - Preventing dental disease starts at home with good oral hygiene and a balanced diet. Prevention also includes regular dental visits which include exams, cleanings, and x-rays. A combination of excellent home care and professional dental care will ensure and preserve the natural dentition and supporting bony structures. When bacteria and calculus (tartar) are not removed, the gums and bone around the teeth become affected by bacteria and can cause gingivitis or periodontitis, which can lead to tooth loss.
Tobacco use – Research has indicated that smoking and tobacco use is one of the most significant factors in the development and progression of gum disease. In addition to smokers experiencing a slower recovery and healing rate, smokers are far more likely to suffer from calculus (tartar) build-up on teeth, deep pockets in the gingival tissue, and significant bone loss.
Genetic predisposition – Despite practicing rigorous oral hygiene routines, as much as 30% of the population may have a strong genetic predisposition to gum disease. These individuals are six times more likely to develop periodontal disease than individuals with no genetic predisposition. Genetic tests can be used to determine susceptibility and early intervention can be performed to keep the oral cavity healthy.
Pregnancy and menopause – During pregnancy, regular brushing and flossing are critical. Hormonal changes experienced by the body can cause the gum tissue to become more sensitive, rendering them more susceptible to gum disease.
Chronic stress and poor diet – Stress lowers the ability of the immune system to fight off disease, which means bacterial infections may possibly beat the body’s defense system. Poor diet or malnutrition can also lower the body’s ability to fight periodontal infections, as well as negatively affect the health of the gums.
Diabetes and underlying medical issues – Many medical conditions can intensify or accelerate the onset and progression of gum disease including respiratory disease, heart disease, arthritis, and osteoporosis. Diabetes hinders the body’s ability to utilize insulin which makes the bacterial infection in the gums more difficult to control and cure.
Grinding teeth – The clenching or grinding of the teeth can significantly damage the supporting tissue surrounding the teeth. Grinding one’s teeth is usually associated with a “bad bite” or the misalignment of the teeth. When an individual is suffering from gum disease, the additional destruction of gingival tissue due to grinding can accelerate the progression of the disease.
Medication – Many drugs including oral contraceptive pills, heart medicines, anti-depressants, and steroids affect the overall condition of teeth and gums; making them more susceptible to gum disease. Steroid use promotes gingival overgrowth, which makes swelling more commonplace and allows bacteria to colonize more readily in the gum tissue.


It only takes twenty-four hours for plaque that is not removed from your teeth to turn into calculus (tartar)! Daily home cleaning helps control plaque and tartar formation, but those hard-to-reach areas will always need special attention.
Once your periodontal treatment has been completed, your dentist and dental hygienist will recommend that you have regular maintenance cleanings (periodontal cleanings), usually four times a year. At these cleaning appointments, the pocket depths will be carefully checked to ensure that they are healthy. Plaque and calculus that is difficult for you to remove on a daily basis will be removed from above and below the gum line.
In addition to your periodontal cleaning and evaluation, your appointment will usually include:
Examination of diagnostic x-rays (radiographs): Essential for detection of decay, tumors, cysts, and bone loss. X-rays also help determine tooth and root positions.Examination of existing restorations: Check current fillings, crowns, etc.Examination of tooth decay: Check all tooth surfaces for decay.Oral cancer screening: Check face, neck, lips, tongue, throat, cheeks, and gums for any signs of oral cancer.Oral hygiene recommendations: Review and recommend oral hygiene aids as needed. (Electric toothbrushes, special periodontal brushes, fluorides, rinses, etc.)Teeth polishing: Remove stain and plaque that is not otherwise removed during tooth brushing and scaling.

Gum disease treatment in Fullerton, CA

Get in touch with us!

Prompt and comprehensive diagnosis and treatment makes all the difference when it comes to treating periodontal disease. If you are ready to learn more about attaining optimal dental health, contact our dentist in Fullerton today