Approximately 75 percent of all Americans have some form of periodontal disease (commonly known as gum disease). These diseases are usually painless. However, because patients may not experience pain, these diseases may remain undetected until it is too late. If left untreated, gum disease can destroy the bone and tissue surrounding the teeth, causing the teeth to become loose. In some cases, this condition can become very painful.

If left untreated, symptoms can include:

• persistent bad breath
• gums that bleed when you brush your teeth
• red, swollen and tender gums
• gums that have pulled away from the teeth
• loose or separating teeth
• pus between the gum and tooth
• a change in the way your teeth fit together when you bite

Research has shown, and experts agree, that there is an association between periodontal diseases and other chronic inflammatory conditions, such as diabetes, cardiovascular disease and Alzheimer's disease. Therefore, treating inflammation may not only help manage periodontal diseases but may also help with the management of other chronic inflammatory conditions.

When an inflammatory condition is suspected or diagnosed, it is important to consult with both a general physician and a dental health professional, such as a periodontist. Sometimes the only way to detect periodontal diseases is through a periodontal evaluation. A periodontal evaluation may be especially important if you:

• Have a high risk for periodontal diseases.
• Have heart disease, diabetes, respiratory disease or osteoporosis, or are thinking of becoming pregnant.
• Have a family member with periodontal disease. Research suggests that the bacteria that cause periodontal disease can pass through saliva. This means the common contact of saliva in families puts children and couples at risk for contracting the periodontal disease of another family member.
• Have a sore or irritation in your mouth that does not get better within two weeks.

  Dr. Kamy Noruzi is a board certified Periodontist and Diplomate of the American Board of Periodontology.  A Diplomate is a periodontist who has made significant achievements beyond the mandatory educational requirements.