When is it Too Late to Treat Periodontal Disease?

It’s never too late to treat periodontal disease. In fact, gum disease will only worsen the longer you delay treatment.

Nearly half of all adults in the U.S. over 30 exhibit some form of periodontal disease or periodontitis. But the percentage skyrockets to 70 percent for those 65 and older. Is it too late to treat gum disease at those advanced ages?

Definitely not! It’s never too late to get your gums healthy—especially since untreated periodontitis can lead to tooth loss. Brush up on the signs of gum disease and start treatment as soon as possible to protect your smile.

Gum Disease and Its Stages

Like many chronic conditions, gum disease progresses in stages as bacterial infection inflames the gum tissue and weakens the bones supporting your teeth. Poor dental hygiene allows bacteria and plaque to build up on your teeth and gums. Smoking, diabetes, and genetics are other common risk factors for gum disease.

Eventually, the bacteria and plaque harden into tartar, further irritating the gum and bone tissue.

Gingivitis

Gingivitis is the earliest and mildest stage of gum disease. It causes swollen gums and bleeding when brushing. Fortunately, it hasn’t yet reached the bone or caused permanent damage. Regular brushing, flossing, and a professional dental cleaning can reverse gingivitis.

Periodontitis

If gingivitis is left untreated, it can advance into periodontitis. Symptoms of periodontitis include:

  • Excessive gum bleeding and swelling
  • Persistent bad breath
  • Seeping pus along the gum line
  • Deep pockets between the teeth and gums
  • Gum recession
  • Loose or shifting teeth

Unchecked inflammation erodes the gum and bone tissue, putting you at risk of tooth loss. But even in advanced stages, gum disease can be treated.

When Should You Treat Gum Disease?

The answer is now! Periodontitis only gets worse the longer it’s left untreated, and tooth loss becomes a real possibility. The good news? Early and even advanced stages can be managed effectively with professional care.

Early Treatment: Scaling and Root Planing

When caught early, gingivitis and mild periodontitis can often be reversed with a non-surgical deep cleaning. This two-part procedure involves:

  • Scaling: Removing plaque and bacteria from beneath the gum line
  • Root Planing: Smoothing the roots of the teeth to prevent future buildup

In one study, scaling and root planing successfully treated adult periodontitis in 39% of patients—though smokers were less likely to respond to treatment.

Advanced Treatment: Surgery and Grafts

When deeper pockets form or tissue loss occurs, surgical treatments may be necessary:

  • Flap Surgery: Gums are lifted to clean the tooth roots and then sutured back in place
  • Gum Grafting: Tissue from the roof of the mouth or a tissue bank is used to repair recessed areas
  • Bone Grafting: Bone material (synthetic, donated, or from the patient) is used to rebuild bone
  • Guided Tissue Regeneration: A membrane is placed to encourage bone growth and block unwanted tissue

How to Prevent Gum Disease

Although treatable, gum disease is best avoided altogether. Follow these tips to maintain healthy gums:

  • Brush after meals with fluoride toothpaste to remove bacteria and plaque
  • Floss daily to clean between the teeth and below the gum line
  • Use mouthwash to rinse away bacteria in hard-to-reach areas
  • Know your risk factors like family history or diabetes and speak to your dentist
  • Get professional cleanings every six months to remove tartar and catch early signs

We Care About Your Teeth and Gums

At Espire Dental, we’re committed to helping you treat gum disease at any stage. Whether you’re just beginning to notice symptoms or are managing advanced periodontitis, our expert team is here to help you restore your gum health.