Gum Disease & Prevention


Gum disease is the inflammation of soft tissue that surrounds the teeth. Extensive gum disease can reduce bone support around the roots of the teeth, resulting in tooth loss. 

Bacteria, also known as plaque, can become trapped below the gums leading to inflammation, bleeding, and mobility of the teeth. Other causes of gum disease include poor oral hygiene, smoking, diabetes, family history, and other systemic diseases

Removal of bacteria is the primary treatment for gum disease. This is accomplished by addressing gum disease before it becomes severe. Scaling and root planing - basically removing tartar and smoothing the root surfaces - may be the only treatment you need; however, aftercare is critical. In order to keep your teeth in good condition and prevent future gum disease, you must brush and floss daily, eat a healthy diet, avoid tobacco use, and have regular checkups at our Providence, RI dental office. Even after a successful scaling and root planing, if you don’t practice good habits, it is possible that a surgical option will be necessary to reduce the amount of damaged tissue and prevent bacteria from collecting below the gum line. 

At Paolucci Family Dentists, we have a board-certified periodontist on our staff. We find this enables patients to remain in the same location for all their periodontal needs. This includes all facets of treatment including surgical intervention. We will recommend the procedure that is best suited to the condition of your teeth and gums.

Gum Disease Prevention

The good news about gum disease is the simplicity of preventive care for most people. The best way to avoid gum disease is to follow the same measures you take to avoid cavities: brush your teeth with fluoride toothpaste twice daily, floss every day, maintain a healthy diet, avoid tobacco use, and have your teeth professionally cleaned on a regular schedule. Depending on the state of your oral health, your dentist may recommend twice yearly or more frequent checkups.

Even with daily home care, plaque can build up and harden into a tough substance called tartar. In this state, only a dental professional can remove it. In the early stage of gingivitis, it's possible to reverse or even eliminate the disease by increasing the level of oral care. However, it's important to catch the disease as early as possible. Regular dental checkups are vital as is an awareness of the warning signs of gum disease. If gingivitis progresses to periodontitis, serious problems such as tooth loss can occur.

Risk factors for gum disease

The following are risk factors you may be able to control to reduce your chance of developing gingivitis or progressing to periodontitis.

  • Poor oral hygiene
    Be sure to floss and brush your teeth, gums, and tongue daily, and make regular visits to your dentist.
  • Smoking and tobacco use
    It's long been established that smoking and tobacco use (cigarettes, cigars, pipes, chewing tobacco) increase the risk of cancer, lung disease, heart disease, and other serious health problems; but did you know they are also recognized risk factors for gum disease? Not only does tobacco use increase the incidence of gum disease, it can also hinder the healing process by decreasing your ability to fight infection in your gums.
  • Poor nutrition
    A diet lacking in vitamins and minerals makes it more difficult for your immune system to fight infection. Too many sugary foods and carbohydrates increase the production of plaque, which is the underlying cause of gum disease.
  • Family history
    You have a higher likelihood of developing gum disease if it runs in your family. According to the American Academy of Periodontology, up to 30% of the population may be genetically predisposed to gum disease. If your close family members have gum disease, you should be extremely diligent in your home care and your dental visits.
  • Hormonal changes
    Women experience hormonal fluctuations during puberty, pregnancy, and menopause, which can affect tissues in the body, including the gums. Increased sensitivity in the gums can create a higher susceptibility to gum disease. Pay special attention to daily oral care and make regular visits to the dentist.
  • Stress
    No matter what the cause (work, finances, depression, etc.), living in a state of stress can make it difficult for the body to fight off infection, including gingivitis and periodontitis. Stress is also a contributing factor to teeth grinding and clenching, which can accelerate the rate of tissue damage with gum disease.
  • Certain medications
    Some drugs — including certain types of anti-depressants, heart medications, anticonvulsants, steroids, chemotherapy, oral contraceptives, and other medications — can affect your oral health. Drugs that lessen the flow of saliva can leave your teeth less protected than normal, and drugs that cause abnormal tissue growth can have an adverse effect on your gums. Make sure your dentist is aware of any medications you are taking.
  • Systemic illnesses
    Any illness that interferes with the immune system's ability to fight infection — such as diabetes, leukemia, or AIDS — can leave you more susceptible to gum disease. Additionally, uncontrolled diabetes can increase your risk for gum disease, and gum disease may decrease your ability to control your diabetes. Take special care to brush and floss daily, and make regular visits to the dentist.