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San Jose Dental Warning

Our #1 goal is to protect the person or persons shown in each video and thumbnail image, preserving the best Internet practices and forewarning website visitors that the following videos and thumbnail images are graphic in nature and may not be appropriate for general viewing -- especially for children under 18 years of age.

Videos were filmed with the full consent from actual patients -- where each patient prior to filming these videos were fully informed and were asked to sign a waiver/disclaimer form if their video was to appear publicly on this website. If children were filmed and were subject to testimonial video interviews, full parental consent and signing of the waiver/disclaimer on behalf of their children to appear on the video has been fully provided. Videos do not appear in the order they were received. However, they are divided and categorized into sections by clinical service type.

DISCLAIMER

These Videos and Thumbnail Images Are Sensitive and Graphic in Nature

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I agree by proceeding that I am capable to view such sensitive material, that I will not view said videos and thumbnails with those who are sensitive to such photographs, or persons who disapprove of sedation dentistry or surgery performed in these clinical ways. I understand that complaints will not be acknowledged by Dr. Jonathan H. Kim, DDS, Inc.'s site because I, the visitor have been warned of the sensitive nature of the subject matter.

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If I am a parent and my child accessed this page or any page especially with sensitive educational videos and images, I take full responsibility for my child being unsupervised by me and for leaving my child/children alone with an open internet connection. I further admit that I failed to properly supervise my child or children."

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Periodontics

Periodontics at San Jose implant and gum surgery by Top Best *8* San Jose Dentists Specialists Centers - Jonathan H. Kim, DDS, Inc. involves the diagnosis, treatment and prevention of gum disease by a general dentist or a periodontist. A periodontist is a dentist who has had additional years of specialized training in periodontics at a post-doctoral educational program and is certified as such.

Periodontal Disease is a bacterial infection of the gums, bone and ligaments that support the teeth and anchor them in the jaw. The bacteria are normal inhabitants of the mouth and form a film of dental plaque and calculus (tartar) which stick to the teeth. The bacteria produce poisonous toxins which stimulate the immune response to fight the infection. If the disease process is not stopped, the supporting structures of the teeth will continue to be destroyed. This eventually leads to tooth loss.

Periodontal disease can occur at any age. Over half of all people over the age of 18 have some form of the disease. After age 35, over 75% of all people are affected. Unfortunately, the disease process is usually asymptomatic and painless. The disease can be easily detected during regular dental examinations.

The most common type of periodontal disease are GINGIVITIS and PERIODONTITIS.

Healthy Gums and Bone

Gums appear light pink and are sharply defined. Bone completely surrounds the roots of the teeth. Teeth are firmly anchored into the bone.

Healthy

GINGIVITIS is infection of the gingiva (gum tissue), and is the initial stage of the disease process. Gums become red, swollen and may bleed easily. Underlying bone levels are unaffected.

Periodontitis is classified as being Mild, Moderate or Severe, depending upon the amount of destruction to the gums, ligaments and bone that surround teeth. As the disease progresses, gums separate from the teeth and form gum pockets. These pockets get deeper as more underlying bone is destroyed. Gum pockets will collect increasing amounts of bacterial plaque and calculus (tartar) as the disease process worsens. Teeth will loosen as more bone is lost.

Moderate Periodontitis

Lower teeth - SEVERE PERIODONTITIS
Upper teeth - SEVERE PERIODONTITIS

Contributing Factors to Periodontal Disease

The response of the gums and bone to dental plaque may be modified by one or more of the following factors:

  • Poorly fitting dental restorations
  • Smoking
  • Crowded teeth, improper bite alignment
  • Clenching or grinding of teeth
  • Hormonal changes, including pregnancy, menstruation and menopause
  • Diet
  • Systemic diseases, including blood disorders and diabetes
  • Medications, including calcium channel blockers and anti-convulsants

Warning Signs of Periodontal Disease

  • Bleeding gums
  • Tenderness, swelling, red color
  • Abscess ( pus oozing from the gums )
  • Foul odor
  • Loose teeth
  • Pain

Diagnosis of Periodontal Disease

Periodontal disease can be easily detected by San Jose general and cosmetic dentists at Jonathan H. Kim, DDS, Inc. or a periodontist during regular examinations. A periodontist is a dentist who specializes in the diagnosis, prevention and treatment of gum disease. A periodontal charting should be performed for all teeth. A periodontal probe, with ruled millimeter markings, is used to measure the depth of the space between the teeth and gums. Ideally, normal measurements range between 1 and 3 millimeters. Depths greater than this may signify the presence of periodontal pockets and associated gum disease. X-rays should be taken to see if bone damage has occurred as a result of the disease process.

Treatment of Periodontal Disease

The main goal of periodontal treatment is eradication of the disease process from the gums, ligaments and bones that surround the teeth, and restoration of health that can be predictably maintained in the future.

PHASE I

Initial treatment involves educating patients in the proper methods of effective, daily plaque removal and oral hygiene. This is a critical component of successful therapy.

Scaling and root planing are performed to clean the tooth structure and remove bacterial plaque and calculus deposits (the source of the infection) from the gum pockets. This may be the only treatment necessary in cases of gingivitis and very mild periodontitis.

PHASE II

In cases which demonstrate deeper gum pockets and underlying bone loss, it becomes necessary to eliminate the diseased gum pockets and bony destruction with osseous (bone) surgery. The gum is "flapped" and retracted away from the teeth to expose the underlying roots and bone deformities. The bone is contoured to approximate a normal physiologic profile, and the gum is sutured back to place. When the gum heals, normal probing depth is re-established between the gum and tooth (ideally 1-3mm). The attainment of minimal probing depth facilitates easy removal of plaque by patients at home and by hygienists during professional cleaning.

Sequence of Events During Osseous Surgery

Additional treatment modalities may be necessary to treat periodontal disease and restore health. These may include:

  • Bone grafts for bone regeneration
  • Gum grafts to treat gum recession and pathological root exposure
  • Cosmetic plastic surgery of the gums to improve appearance
  • Fabrication of night guards for bruxism ( tooth grinding )
  • Splinting or bonding teeth together for increased strength and stability
  • Orthodontics ( braces ) to straighten and realign teeth
  • Removal of diseased roots on some types of molars
  • Use of medications such as antibiotics, fluoride and antimicrobial rinses

Maintenance

Once the active phase of treatment is complete and health has been restored, it is extremely important that patients be seen by a hygienist for routine dental and periodontal cleaning on a regular basis. This regimen, along with diligent home care and oral hygiene, will give the best chance for preventing recurrence of disease and maintaining long term periodontal health.

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