Dr. Cesar Tapia-Vera

If gingivitis is left untreated, it can progress to periodontitis, a more severe and irreversible form of gum disease. Heres how that progression typically happens: Gingivitis (Early Stage) Accumulation of plaquea sticky film of bacteriaon the teeth and gums. Symptoms: Red, swollen gums that may bleed during brushing or flossing. Reversible: With proper oral hygiene and professional cleanings, gingivitis can be reversed. 2. Early Periodontitis Progression: Plaque hardens into tartar (calculus), which harbors more bacteria and irritates the gums. Gum Response: The immune system reacts to the bacterial infection, causing inflammation and beginning to break down the tissue and bone. Signs: Gums begin to pull away from the teeth, forming pockets that trap more plaque and bacteria. 3. Moderate to Advanced Periodontitis Tissue Damage: The infection spreads deeper, destroying connective tissue and bone that support the teeth. Symptoms: Deep periodontal pockets, gum recession, persistent bad breath, tooth mobility, and potential pus discharge. Tooth Loss Risk: Without intervention, the supporting structures are so damaged that teeth can loosen and eventually fall out or require extraction. Why This Happens The bodys immune response to long-standing bacteria and toxins ends up attacking the bodys own gum and bone tissue. Poor oral hygiene, smoking, genetics, diabetes, and other health issues can accelerate this process. Preventing the Progression Early intervention is key. Routine dental cleanings and good daily brushing/flossing can stop gingivitis from advancing. Treatments like scaling and root planing (deep cleaning), LANAP, or even surgery may be necessary in later stages to manage periodontitis. Kind regards, Allison January

Normally is only necessary if needed. Most people that visit the dentist regularly do not need a deep cleaning ever.

All day, except to sleep. Take them off while sleeping at night.

With your regular dental check up, twice a year

It varies but normal is 10 to 12 weeks

Normally about a week or so if it’s properly done

Impacted lower wisdom teeth

If the bonding is on an esthetic area, then yes

A few weeks the most

Yes you can, unless you are allergic to peanuts

It depends on multiple factors, medical history of patient, bone condition, among other things. Most cases, it takes about 5 days to feel almost or none discomfort but the time it takes to complete heal and integrate to the body is 3 months in most cases.

Yes, but it depends on the lab technician work or how advanced the same visit crown machine is.

Periodontal dressing is something dentists put on sometimes after surgery. Coconut oil also helps, and vitamin D supplements.

Most cases. Antibiotics are indicated if you have fever or swelling due to the tooth infection