Board Certified Periodontist, Dr. Scott O. Kissel

Advanced Periodontitis

Understanding Advanced Gum Disease

Advanced periodontitis is a severe stage of gum disease caused by a bacterial infection that attacks the gum tissues and can lead to tooth loss when not treated in its early stages. It’s crucial to seek treatment after a gum disease diagnosis to prevent the condition from worsening. When periodontitis is left untreated for an extended period, it can progress to advanced periodontitis, which can cause significant damage to the gums, teeth, and supporting bones.


Our NYC dentist recommends immediate treatment when you notice any symptoms of periodontitis to prevent further damage from occurring. To schedule an appointment, contact our NYC dental office by calling 212-702-9088 today.

What Is Advanced Periodontitis?

Advanced periodontitis occurs when the bone and tissues that support the teeth become severely infected and damaged. This condition is caused by an excessive buildup of plaque and tartar on the teeth and gums. When plaque isn’t removed through regular brushing and flossing, it can harden into tartar, which can only be removed by a professional dental cleaning. Plaque buildup plays a crucial role in the development of advanced periodontitis.


As the tartar builds up on the teeth and gums, it can cause inflammation, swelling, and bleeding. Over time, the infection can spread to the bone and tissues that support the teeth, leading to tooth loss and other serious health problems.

Symptoms of Advanced Periodontal Disease

Advanced periodontitis can cause a wide range of symptoms, including:

  • Gum Recession: The gums will start to pull away from the teeth, exposing the tooth roots. This can lead to sensitivity and an elongated appearance of the teeth.
  • Gum Inflammation: The gums may appear red, swollen, and tender. They may bleed easily, especially during brushing or flossing.
  • Gum Pocket Formation: Deep periodontal pockets can develop between the teeth and gums. These pockets trap bacteria and debris, leading to further infection and damage.
  • Bad Breath (Halitosis): Persistent bad breath that doesn’t improve with oral hygiene can be a sign of advanced periodontal disease. The odor is typically caused by the bacteria present in the gum pockets.
  • Tooth Mobility and Loose Teeth: As the supporting structures of the teeth, including the bone, ligaments, and connective tissue, become damaged, the teeth may loosen and shift out of their normal position. Loose teeth can result from gum disease and may require procedures like periodontal pocket reduction or flap surgery to address the issue.
  • Pain or Discomfort: Advanced periodontal disease can cause discomfort or pain, especially while chewing or applying pressure to the affected teeth.
  • Abscess Formation: In some cases, a pus-filled pocket or abscess may form between the tooth and gums. This can cause severe pain, swelling, and a foul taste in the mouth.
  • Changes in Bite: As the teeth shift due to gum and bone loss, the bite pattern may change, resulting in an uncomfortable or uneven bite.
  • Gum Ulceration: In severe cases, the gums may develop painful open sores or ulcers prone to infection.


If you’re experiencing any of these symptoms, schedule an appointment with your dentist right away.

Advanced Periodontal Disease Treatment Options

Seeking prompt gum disease treatment is crucial to save teeth and maintain oral health.

Treatment for advanced periodontal disease can be limited. Although there’s no way to reverse the damage like one could with gingivitis, your dentist can stop the damage from going further by recommending one or more of these treatments to treat gum disease, helping gums reattach to teeth, reducing swelling, and preventing the disease from worsening.

Periodontal Surgery

In some cases, surgical intervention may be necessary to treat advanced periodontal disease. Procedures such as flap surgery, bone grafting, or guided tissue regeneration may be performed to access deeper areas of infection, remove diseased tissue, and promote tissue regeneration and healthy bone growth. Bone grafting involves placing bone grafting material into the areas where the bone has eroded to regenerate its bone over time.

Laser Therapy

Laser-assisted periodontal therapy is an alternative to traditional surgery. It involves using a dental laser to remove diseased tissue and bacteria while promoting gum tissue regeneration.

Antibiotic Therapy

In some cases of severe gum disease, oral antibiotics may be prescribed to help control the gum infection. They can be taken orally or applied directly to the infected areas, such as in the form of antimicrobial mouth rinses or gels.

Scaling and Root Planing

Scaling and root planing is a deep cleaning procedure performed by a dental professional. A dental hygienist often performs scaling and root planing as part of non-surgical periodontal treatment. It involves removing plaque and tartar buildup from above and below the gum line (scaling) and smoothing the tooth roots to eliminate bacterial toxins (root planing). This procedure helps remove the source of infection and promotes the healing of the gums.

Ongoing Maintenance and Periodontal Maintenance Therapy

After an initial periodontal treatment, regular follow-up visits with a dental professional are crucial. These visits typically include professional cleanings and ongoing monitoring of gum health to prevent the recurrence or progression of periodontal disease.

Improving Oral Hygiene

Good oral hygiene practices at home are essential for managing advanced periodontal disease. This includes regular brushing and flossing, using antibacterial mouth rinses, and incorporating interdental cleaning tools such as dental picks or water flossers to effectively remove plaque and bacteria from the gum line and between teeth. Additionally, understanding the risk factors such as poor oral hygiene habits and a high-sugar diet can help prevent severe periodontitis.

Advanced Periodontitis Prevention

The best way to prevent advanced gum disease is to practice good oral hygiene habits to avoid the onset of the disease. This includes brushing your teeth twice a day, flossing daily, and using an antiseptic mouthwash to kill bacteria.

Periodontal disease is contagious, as the bacteria causing gum disease can be transmitted through saliva by activities like kissing or sharing utensils. Therefore, preventive measures are crucial to avoid spreading the disease.

You should also schedule regular dental checkups and cleanings with our NYC dentist to ensure that any early signs of gum disease are detected and treated promptly.

Other ways to prevent advanced gum disease include:

  • Quitting Smoking: Smoking is a major risk factor for gum disease, and quitting smoking can help reduce your risk.
  • Eating a Healthy Diet: A diet that’s rich in fruits and vegetables and low in sugar can help promote healthy teeth and gums.
  • Managing Stress: Stress can weaken your immune system, making it harder for your body to fight off infections like gum disease. Finding healthy ways to manage stress, such as exercise, meditation, or therapy, can help reduce your risk of gum disease.

Frequently Asked Questions

What causes advanced periodontitis?

Advanced periodontitis is caused by a buildup of plaque and tartar on the teeth and gums that goes untreated. When plaque isn’t removed by regular brushing and flossing, it can harden into tartar, which can only be removed by professional cleanings. Without regular cleanings, the buildup can cause infections and create pockets where bacteria harbor. 

How is advanced periodontitis treated?

The treatment for advanced periodontitis will depend on the severity of the infection and the extent of the damage to your teeth and gums. In most cases, treatment may involve a combination of professional cleanings, medications, and surgery.

What are the long-term consequences of advanced periodontitis?

Advanced periodontitis can lead to tooth loss, bone loss, and other serious health problems if left untreated. It’s important to seek treatment for severe periodontitis as soon as possible to prevent further damage to your teeth and gums.

Schedule an Appointment at our NYC Dental Office Today

If you’re experiencing any symptoms of advanced periodontitis, don’t wait to seek treatment. Call today at 212-702-9088 to schedule an appointment and take the first step toward healthier teeth and gums. 

Early treatment is essential for preventing further damage and long-term consequences, so don’t hesitate to take action and prioritize your oral health.