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Gum Disease

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Understanding | Cause | Maintain Perio Health
Alternative to Periodontal Surgery | Periodontal Surgery


Understanding Periodontal (Gum) Disease

Conservative estimates report that up to 80 percent of the population unknowingly has gum disease in some form.

Seventy percent of adult tooth loss is attributed to gum disease.  It hides in your mouth, destroying gum tissue and teeth, and it can lead to strokes, heart attacks, and pregnancy complications in adition to many other systemic health issues.

Don’t think it’s your problem?
Recent research shows a link between patients who have gum disease and those who suffer from strokes, heart attacks, or complications with diabetes or pregnancy.  Gum disease is silent in that early symptoms may be painless and mild, like swollen gums or bleeding while brushing.  Regular dental check ups are vital because a professional can detect, treat, and reverse gum disease in early stages before major problems arise.

Cause and Effect
Several factors contributeHealthy vs. diseased gums to periodontal disease: plaque buildup, heredity, and lifestyle choices.  You can pick up bacteria from your own fingers, by kissing, or putting things in your mouth.  The most common and controllable factor is bacterial plaque, the sticky, colorless film produced by normal oral bacteria.  Bacteria release toxins that break down the natural fibers that bond gums to teeth.  When this occurs, pockets between the gums and teeth form, and more bacteria and toxins hide, flourish, and destroy your gums and teeth.  Over time, this process can affect not only gums, teeth, and bone within the mouth, but also overall health.  In addition, bacteria in your mouth will be inadvertently ingested, which can compromise your whole-body health.   Back to the Top

Maintaining Good Periodontal Health
Regular dental visits at least every 3-6 months allow us to keep a watchful eye on the health of your gums.  Of course you should also brush twice a day, floss once a day, and use therapeutic mouth rinses at home.  We will recommend the products that will optimize your oral home care, and we can also show you the best methods for brushing and flossing.

Dr. Caron Glickman uses a revolutionary therapy which has been Reversing Periodontal Gum Disease and avoiding Periodontal Surgery known as Microscopic Modulated Anti-Microbial Periodontal Therapy.   Back to the Top


The "traditional re-occuring treatment would be"flap surgery". 
Dr. Caron Glickman can use revolutionary new treatments and therapies as an alternative to painful, expensive, invasive periodontal surgery.

Alternatives to periodontal surgery
Microscopic Modulated Anti-Microbial Periodontal Therapy
vs. Surgery

Microscopic Evaluation - drawingswith phase contrast microscopy connected to a monitor so you can also see what kinds of bacteria are in your mouth that can cause problems.  Because periodontal (gum) disease is a bacterial infection, we routinely sample all our patients for the presence of disease-associated bacteria.

In this non-invasive procedure, we obtain a sample of the bacteria growing under the gum line and observe it with the aid of a specially designed phase contrast microscope.  This allows us to determine if you are harboring bacteria associated with periodontal disease.

Dr. Glickman can analyze microscopic findings to advise a patient how to naturally and non-surgically eliminate potentially problematic germs.  Your personal periodontal therapy may include scaling and root planing (a careful cleaning of the root surfaces to remove plaque and calculus [tartar] from deep periodontal pockets and to smooth the tooth root to remove bacterial toxins), followed by adjunctive therapy such as local delivery antimicrobials and host modulation, as needed on a case-by-case basis.

See it for yourself:  Video comparison microscopic findings between a healthy vs un-healthy condition: (Health vs. Disease Microscopic Recorded Finding)  (Must have the QuickTime player - Get QuickTime Plugin here)

You'll never have to experience the bleeding, bad odor, or loose teeth that accompanies gum disease.   If breakdown has already started to occur, the identification of the bacterial problem allows us to treat the disease with the goal of eliminating the cause of the disease: the bacteria. Back to the Top

Once the cause is eliminated, the body can heal itself naturally.  

Dr. Glickman's technique is completely non-surgical
It is effective even in the most advanced cases; it allows patients to be cured of periodontal disease without the pain, disfigurement, and tooth sensitivity that can follow surgical procedures. Better yet, it is not nearly as costly!

Relatively few Dental Professionals have taken the time study modern new methods to fight, kill, and control the bacteria that is the cause of Periodontal Disease.   The usual process is to send a patient to a periodontist for expensive periodontal gum / flap surgery.  But, standard surgery or lazer sugrery does not cure the cause, and periodontal disease and in most cases - disease will return over and over again.

Not here.  Dr. Caron Glickman along with Periodontal Therapist Barbara Tritz have extensive experience and success with Periodontal Therapies discovered through Dr. Paul H. Keyes.

Dr. Keyes took a scientific approach to curing periodontal gum disease.   Working for over 25 years at the National Institute for Dental Research, then located on the campus of National Institutes of Health in Bethesda, MD, Dr. Keyes collaborated with fellow scientists to investigate the bacterial infections that destroy the teeth and their supporting structures.  His work contributed to the discovery of specific bacteria as cofactors in the pathogenesis of dental caries and periodontal diseases.  He is the recipient of numerous national and international awards and honors. In 1981 he co founded the International Dental Health Association and participated in its mission for over 20 years.  Dr. Keyes also lectures and shares with others his proven methods.  A dentist like Dr. Caron Glickman has had to seek out this knowlege above and beyond traditional dentistry.  Very few dentists will have any experience with Dr. Keyes methods. 
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Traditional SURGERY - 4 Main Types:

Pocket reduction: During this procedure, your periodontist folds back the gum tissue and removes the disease-causing bacteria before securing the tissue into place.  In some cases, irregular surfaces of the damaged bone are smoothed to limit areas where disease-causing bacteria can hide.  This allows the gum tissue to better reattach to healthy bone.

Regenerative:  During this procedure, your periodontist folds back the gum tissue and removes the disease-causing bacteria. Membranes (filters), bone grafts or tissue-stimulating proteins can be used to encourage your body's natural ability to regenerate bone and tissue.

Grafting:  Soft tissue grafts can be used to cover roots or develop gum tissue where absent due to excessive gingival gum recession.  During this procedure, your periodontist takes gum tissue from your palate or another donor source to cover the exposed root. This can be done for one tooth or several teeth to even your gum line and reduce sensitivity.

Lazer Surgery:  A laser with a rather small amount of energy is directed with great precision at the disease portions of the gum. The laser then removes the tissue which is diseased, thus eliminating infection. This whole process is done without any type of incision.


NOTE: In all 4-types - the surgery attempts to remove as much of the bacteria as possible.  Still, surgery does not fix or stop the growth of what is causing the damage (Bacteria ). That means the bacteria will most often re-occur over time. 
In most cases, Dr. Glickman can fix what causes the damage, stop the bacteria from growing and you can avoid any form of surgery.

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