Extraction 2. Regular follow-up vet visits are necessary as well during these latter stages of periodontal disease. It results in the build-up of plaque around your gums and can cause inflammation, swelling, and even bleeding in some cases. >>> Periodontal disease at this stage is reversible if no calculus has yet formed. Professional intervention may involve … If diagnosed and treated in the first stage, the condition can be reversed and tooth loss can usually be prevented. The three main stages of the periodontal disease include : Stage 1 – Gingivitis; This is the most common stage of the disease. Gum disease has two primary stages. The tissue is firm and resilient and there will be minimal, if any, crevice or pocket depth. At this point, the infection now extends deep under the gums and is eroding the bone that undergirds them. Stage 4 . For dogs with periodontal disease in Stages 3 and 4, a full commitment from their owners is crucial. In order to prevent gum disease, practice good oral hygiene and visit your dentist for cleanings and check-ups twice a year. Here are the stages of periodontal disease, the problems each stage can cause, and how Dr. Silberg will treat your condition. Stage 1: Gingivitis . Gum disease is one of the leading causes of tooth loss. 2. As the infection worsens, the pockets may also fill with pus. periodontal disease is multifactorial and its progression is highly dependent on host response. Staging intends to classify the severity and extent of a patient’s disease based on the measurable amount of destroyed and/or damaged tissue as a result of periodontitis and to assess the specific factors that may attribute to the complexity of long-term case management. Healthy Teeth and Gums. At this point, probing depths already reach up to seven millimeters. Your pet is not only in severe pain, it is at risk of losing multiple teeth, as well as systemic infection and damage to internal organs, due to bacteria from the mouth entering the bloodstream and spreading throughout the body. Periodontal disease, or gum disease as it is commonly called, is really a group of diseases with the same end results; inflammation of the gums (gingivitis), destruction of the periodontal ligament, loss of supporting bone and ultimately tooth loss. Two teeth are taken out (extracted) in this dog with stage 4 periodontal disease. Plaque is a sticky film of bacteria that forms on your teeth. 3 periodontal disease stages and pathology progression Healthy gums. This may cause your teeth to shift or loosen and can affect how your teeth come together. Stage 4 – Extreme, chronic periodontal disease is evident in the 4th and final stage, where bone loss of 50% or higher is visible on oral radiographs. Periodontal Disease Stages . The AAP states that clinical attachment loss (CAL) should be used to initially stage periodontal disease, but, if not available, then radiographic bone loss can be used in its place. Stage 1: Gingivitis. Since slight periodontal disease can no longer be reversed, you must expect the same if you are already suffering from the moderate stage. The evolution of periodontal disease goes through 4 stages as long as the factors are present (tartar, plaque, certain drugs, stress, tobacco ...) the lesion will continue to progress in this order: Gingivitis, mild periodontitis, moderate periodontitis, and advanced periodontitis. If diagnosed and treated in the first stage, the condition can be reversed and tooth loss can usually be prevented. At this stage, the gap between gums and teeth gets larger and creates visible pockets. there is no dental plaque and no calculus (tartar) around teeth or below the gum line. Pain and anti-inflammatory medication, as well as antibiotics to keep infections at bay, may need to be administered on a daily basis for a certain length of time. Frequent rechecks every 4-6 months will help monitor the patient's condition. Knowing the periodontal disease symptoms will help you recognize when gingivitis is setting in. Stage 3 – Moderate Periodontal Disease. Stage III periodontal disease as described represents a 25 50% loss of the tissue supporting the root. Stage 2 Periodontal disease typically has pockets up to 4mm, with an increase in PMNs and lymphocytes in the area. There are three periodontal disease stages: gingivitis, periodontitis, and advanced periodontitis. Stage 3: Advanced Periodontitis. Periodontal Disease Stages. Consult your dentist to create an oral hygiene treatment plan that includes brushing with a toothpaste such as There are 3 stages of Periodontal disease: Gingivitis: this is the earliest stage of gum disease, a swelling of the gums triggered by plaque accumulation at the gumline. Some periodontal patients do not exhibit high plaque indices, nor have calculus present. In the third stage of periodontal disease in dogs, the teeth do not look very different compared to the previous stage with the naked eye but by radiography, a more severe bone loss is revealed. As shown by the image above, healthy gums are light pink and perfectly attached to the tooth surface. 4-3, A and B). But it doesn't have to be that way. The new guidelines assures that early periodontitis is recognized. You may notice a bad taste or smell in your mouth. Stage 3. As your hygienist has probably discussed with you, we take measurements of your gums at least every 12 months to help us determine what stage of health your gums and […] Gum disease treatment depends upon the stage and type of periodontal disease, ranging from a simple professional dental cleaning up to extensive periodontal surgery, soft and hard tissue grafting or dental implants to replace teeth that have been lost or can not be saved. Treating Periodontal Disease: Non-surgical and surgical. Stage 3: Mild Periodontal Disease. Gum disease has two primary stages. Stage 2 – Periodontitis; If gingivitis is left untreated, it can turn severe, causing periodontitis. Depending upon the character of the bone loss, with proper surgical and postoperative management new tissue can be grown to replace or partially replace that which has been lost. Initial stage should be determined using clinical attachment loss (CAL). With a depth of 6mm, the gingival sulcus makes tooth cleaning extremely difficult. It implies that serious periodontal damage has already occurred, risking the pet’s overall health and greatly complicating any potential treatment. The stages of periodontal disease are determined based on the amount of damage to bone and gum tissues around teeth. During this stage, the bacteria has moved from 4-5 mm below the gum (in stage two) to 6-7 mm. Gums doesn’t bleed and do not hurt. By the time the condition advances to Stage 3, the patient will usually have been diagnosed with periodontal disease. In the most drastic stage of periodontal disease, the bone and the attachment of the gums to the teeth have been destroyed. Some dental practitioners claim that there are four periodontal disease stages increasing from least to most severe. Gingivitis This is the earliest stage of gum disease. See this chart from the AAP on staging and grading of periodontal disease. Some attachment loss is apparent, so additional therapy of root planing to thoroughly clean the root surfaces is essential. Second Stage of Periodontal Disease in Pets. After a thorough cleaning of all accumulated plaque, daily use of Pet Dental Water Additive will do the trick. Stage 3: Moderate Periodontal Disease. Advanced treatment by a veterinary dental specialist If the tooth is extracted the problem will not return but the tooth is lost and does not grow back. • Stage 3 is an incipient periodontal disease stage, with gingivitis, edema, beginning pocket formation, and increasing amounts of plaque and calculus supragingivally and subgingivally. Gingivitis. At this point your teeth might loosen or fall out. In healthy gums, the gingival or gum tissue is a pink or coral color. 6. If everyday brushing and flossing do not eliminate the plaque, it produces contaminants (toxins) that can aggravate the gum tissue, causing gingivitis. One of the reasons gingivitis is so dangerous is because it is very easy to overlook. They need deep cleaning of the roots by a dentist to remove the bacteria and reduce the chance of teeth moving in the gums. It is caused by the bacteria in plaque, a sticky, colorless film that constantly forms on your teeth. Three tissue types become clinically relevant; bone, cementum and periodontal ligament. Recommended: How to Feed a Puppy Dog Along with Puppy Feeding Chart. There’s a higher risk of tooth loss at this stage. In advanced periodontitis, the pockets continue to deepen putting the bones that hold the teeth at risk. When plaque is not removed, the gums, or the gingivae, start to pull away from your teeth, which in turn causes bacteria-filled pockets to form in the gums. Periodontal disease or gum disease caused by the bacteria found in plaque. Periodontal disease can be a long, tedious process, transforming a once beautiful smile into a mouth requiring surgical procedures. The bacteria is damaging bone but can also enter the bloodstream and attack the immune system. Periodontal disease is the LEADING CAUSE OF TOOTH LOSS in the world (more than dental decay), with an estimated 60% of the world population suffering from some form of gum disease. This is the stage when infection starts spreading around the roots of teeth, causing further gum recession and bone loss. Calculus forming inside the pockets starts damaging the connective tissues that hold the teeth in their place. Stages of periodontal disease or gum disease 1. It is up to the clinician to use clinical judgement in treating these patients. But at this stage, bone loss in your gums is extreme and bone support is no longer there, creating loose teeth, and worst of all, an inflammatory response throughout your body. Gum disease is an inflammation of the gums that can progress to affect the bone that surrounds and supports your teeth. Reaching the third stage of periodontal disease in dogs should be avoided at all costs. affected by stage 3 periodontal disease can Treatment for Stage 3 Periodontal Disease The options for treatment include: 1. Stage 3 periodontal disease will present plaque under the gums, loose teeth, bleeding gums and between 10 to 30% of the bone supporting the tooth will be lost. As we wrapped up National Dental Hygiene Month in October, it seemed fitting to follow up with information about the different stages of gum disease. Proper dental care must be initiated to save the teeth or they may need to be removed. Having reached moderate gingivitis, this stage presents more noticeable inflammation, swelling and sensitivity of the gums. Stage 3. Stage #3: Moderate Periodontal Disease . The gingival sulcus depth (or gingival groove) is about 1 to 3 mm. 4-6 millimeter pockets appear, loosening the tooth. 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