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.

Don’t let periodontal disease beat you! 

Four out of five people have periodontal disease without knowing it! While being the main reason for tooth loss, it is also linked to more serious conditions such as stroke, diabetes, cardiovascular disease, and pneumonia. At its earliest stage (gingivitis), it is reversible with professional cleanings and good home care. Once the disease has advanced into periodontitis, it can’t be reversed, only managed.

At Advanced Dental in Aliso Viejo, CA, we offer comprehensive diagnostic care and personalized treatment options to help patients manage periodontal disease and maintain their oral health over the long term.

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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.

Periodontal Disease FAQs

What exactly is periodontal disease, and how does it develop?

Periodontal disease is a chronic infection of the gums and supporting bone that hold the teeth in place. It begins when plaque, a film of bacteria, accumulates along the gumline. If not removed, the bacteria trigger inflammation that causes the gums to detach from the teeth. Over time, deeper pockets form, allowing bacteria to spread and damage the bone beneath. Without intervention, periodontal disease progresses and can eventually lead to tooth loss.

Is periodontal disease reversible?

The earliest stage, gingivitis, is reversible because the infection is confined to the gums. With professional cleanings and good home care, inflammation typically resolves. Once the disease advances into periodontitis, it becomes a chronic condition. While it cannot be fully reversed, it can be successfully managed with treatments that reduce infection, restore gum health, and prevent further bone loss.

What symptoms should I watch for if I’m concerned about periodontal disease?

Bleeding when brushing or flossing, persistent bad breath, gum tenderness, recession, tooth mobility, and changes in how your bite feels can all indicate periodontal problems. Because early disease may be painless, regular dental exams are essential for detecting issues before they progress. Many patients are surprised to learn they have gum disease despite having minimal symptoms.

What causes periodontal disease besides poor oral hygiene?

Although plaque accumulation is the primary cause, several factors can increase risk, including smoking, genetic predisposition, diabetes, hormonal changes, autoimmune conditions, and chronic stress. Certain medications can also affect gum health by reducing saliva or causing inflammation. Identifying contributing factors helps ensure treatment is more effective.

How is periodontal disease diagnosed?

Your dentist examines the gums, measures the depth of periodontal pockets, reviews X-rays to assess bone levels, and evaluates symptoms such as recession or bleeding. Pocket depths greater than 3 mm typically indicate active disease. A thorough evaluation allows the dental team to determine the stage of disease and develop an appropriate treatment plan.

What treatments are available for periodontal disease?

Treatment depends on severity. Early disease may be managed with professional cleanings and improved home care. Moderate to advanced cases often require scaling and root planing, laser therapy, antimicrobial treatment, or ongoing periodontal maintenance. Severe bone loss may necessitate regenerative procedures or surgery to stabilize the teeth and restore their support.

How much does periodontal disease treatment cost in Aliso Viejo, California?

Costs vary depending on the stage of the disease and the procedures required. Deep cleanings and maintenance visits are more affordable, while regenerative treatments or laser therapy involve additional investment. Advanced Dental provides personalized estimates after a thorough evaluation and offers flexible payment options to make care more manageable.

Does dental insurance cover periodontal disease treatment?

Most dental plans offer benefits for periodontal procedures, including deep cleanings, gum therapy, and regular maintenance visits. Coverage levels vary by plan, and some treatments may be considered major services. The staff at Advanced Dental helps patients understand their benefits and maximize available coverage to reduce out-of-pocket costs.

Can untreated periodontal disease affect overall health?

Yes. Research has linked periodontal inflammation with several systemic conditions, including cardiovascular disease, diabetic complications, respiratory infections, and pregnancy-related risks. Although the relationship is still being studied, reducing gum inflammation may support better overall health by lowering the body’s inflammatory burden.

How can I find periodontal treatment near me in Aliso Viejo, CA?

Look for a dental practice that offers comprehensive evaluations, modern periodontal therapies, and long-term maintenance programs. Advanced Dental in Aliso Viejo offers comprehensive diagnostic care and personalized treatment options to help patients manage periodontal disease and maintain their oral health over the long term.

Dr. Chitra Tiruveedula

Dr. Chitra Tiruveedula

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Dr. Chitra Tiruveedula has been practicing dentistry for over 20 years. After advanced training at Case Western Reserve University and Cleveland Clinic in Ohio, she relocated to Orange County, CA in 2015. Dr. Chitra is a member of the American Dental Association and California Dental Association. Committed to continuous education, she provides top-quality dental services using the latest advancements.

Dr. Joseph C. Yang

Dr. Joseph C. Yang

Dr. Joseph C. Yang has over 30 years of dental practice experience. He earned his B.S. from Washington University in St. Louis, MO, and his D.D.S. from the University of Illinois, Chicago. He then had a distinguished 30-year career as a U.S. Naval Dental Officer, including a residency in Periodontology at the University of Oklahoma Health Sciences Center. Dr. Yang is a diplomate of the American Board of Periodontology and a member of the American Dental Association and American Academy of Periodontology. As a board-certified Periodontist, he has performed thousands of successful periodontal and implant procedures. He is also a renowned lecturer and trainer in the latest implant and periodontal techniques worldwide.