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How Long Can You Keep Your Teeth With Periodontal Disease? Check It Out!

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Periodontal disease, also known as gum disease, is a prevalent oral health issue that affects a significant portion of the adult population. This chronic inflammatory condition is caused by the buildup of bacteria in the form of plaque and tartar around the teeth and gums. If left untreated, periodontal disease can lead to a host of complications, including tooth loss. Many individuals wonder how long they can maintain their natural teeth when faced with this condition.

In this article, we will explore the factors that influence tooth retention in patients with periodontal disease and the available treatment options to preserve dental health.

Key takeaways:

The longevity of teeth affected by periodontal disease can vary significantly depending on factors such as the severity of the disease, individual oral hygiene practices, and timely intervention.
Periodontal disease, if left untreated, can lead to the gradual destruction of the supporting structures of the teeth, including the gums, periodontal ligaments, and alveolar bone, ultimately compromising tooth stability.
Early detection and intervention are crucial in managing periodontal disease and preserving teeth. Treatment may include professional cleanings, scaling and root planing, antibiotics, and in severe cases, surgical interventions like flap surgery or bone grafting.
Even after successful treatment, ongoing maintenance and regular dental visits are essential to control the progression of periodontal disease and prevent recurrence, helping to prolong the lifespan of affected teeth.

What Is Periodontal Disease?

Periodontal Disease Kill You

Periodontal disease is a progressive condition that starts with gingivitis, the inflammation of the gums. At this stage, the gums may appear red, swollen, and prone to bleeding during brushing or flossing. If left untreated, gingivitis can advance to periodontitis, a more severe form of gum disease that affects the supporting structures of the teeth, including the bone.

Periodontitis is characterized by the formation of deep pockets between the gums and teeth, where bacteria can accumulate and cause further damage. As the disease progresses, it can lead to the destruction of the bone and connective tissues that support the teeth, eventually resulting in tooth loosening and potential tooth loss.

Symptoms Of Periodontal Disease

Early detection and treatment of periodontal disease are crucial for maintaining good oral health and preventing tooth loss. It is essential to be aware of the symptoms of this condition, which may include:

Gums that bleed easily during brushing or flossing are a common sign of gingivitis or more advanced periodontal disease.

Inflamed gums may appear swollen, red, or tender to the touch.

As periodontal disease progresses, the gums may start to recede or pull away from the teeth, exposing the root surfaces.

Bacteria buildup in the mouth can cause persistent bad breath or a bad taste in the mouth.

In advanced stages of periodontal disease, the supporting structures of the teeth may become compromised, leading to tooth mobility or loosening.

Exposed root surfaces due to gum recession can cause increased tooth sensitivity to hot, cold, or sweet foods and beverages.

Risk Factors For Periodontal Disease

Several factors can increase an individual’s risk of developing periodontal disease or exacerbate its progression. These include:

1. Poor oral hygiene

Inadequate brushing and flossing can lead to plaque and tartar buildup, which is the primary cause of periodontal disease.

2. Smoking and tobacco use

Tobacco products can impair the immune system’s ability to fight infections, making smokers more susceptible to periodontal disease.

3. Hormonal changes

Hormonal fluctuations during puberty, pregnancy, and menopause can increase the risk of developing gum disease.

4. Chronic illnesses

Conditions such as diabetes, HIV/AIDS, and certain types of cancer can weaken the immune system and increase the risk of periodontal disease.

5. Genetics

Some individuals may have a genetic predisposition to developing periodontal disease, even with good oral hygiene practices.

6. Stress

Chronic stress can impair the immune system, making it harder for the body to fight off infections, including those in the mouth.

Treating Periodontal Disease

The treatment approach for periodontal disease depends on the severity of the condition and the extent of damage to the supporting structures of the teeth. Early intervention is crucial to prevent further progression and tooth loss.

➡️Professional dental cleanings

Regular professional cleanings by a dental hygienist or dentist can remove plaque and tartar buildup, helping to control the progression of periodontal disease.

➡️Scaling and root planning

This non-surgical procedure involves the removal of plaque and tartar from the tooth surfaces and root surfaces below the gum line. It helps to smooth the root surfaces, allowing the gums to reattach to the teeth.

➡️Antimicrobial therapy

Dentists may prescribe antimicrobial rinses, gels, or medications to control bacterial growth and reduce inflammation.

➡️Pocket reduction surgery (Flap surgery)

In this procedure, the gum tissue is folded back, allowing the dentist or periodontist to access and remove plaque and tartar from the root surfaces and bone. The gum tissue is then secured back in place with sutures.

➡️Bone grafting

If periodontal disease has caused significant bone loss around the teeth, bone grafting may be recommended to restore the lost bone and support the teeth.

➡️Soft tissue grafts

In cases of severe gum recession, soft tissue grafts can be performed to cover exposed root surfaces and prevent further recession.

➡️Dental implants

If tooth loss occurs due to periodontal disease, dental implants may be an option to replace missing teeth and restore function and aesthetics.

Maintaining Good Oral Hygiene

While professional dental treatment is essential for managing periodontal disease, maintaining good oral hygiene practices at home is equally important to prevent further progression and tooth loss. Here are some key tips for maintaining good oral hygiene:

1. Brush twice a day

Use a soft-bristled toothbrush and fluoride toothpaste to remove plaque and food debris from your teeth and gums.

2. Floss daily

Flossing helps remove plaque and food particles from areas that your toothbrush cannot reach.

3. Use antimicrobial mouthwash

Rinsing with an antimicrobial mouthwash can help reduce bacterial levels in the mouth and promote gum health.

4. Quit smoking

Smoking cessation is crucial for improving the body’s ability to fight infections and respond to periodontal treatment.

5. Maintain a healthy diet

A balanced diet rich in vitamins and minerals can support the immune system and promote overall oral health.

6. Schedule regular dental visits

Regular dental check-ups and professional cleanings are essential for monitoring and maintaining periodontal health.

Tooth Retention And Periodontal Disease

The duration for which an individual can retain their natural teeth with periodontal disease depends on several factors, including the severity of the disease, the individual’s response to treatment, and their commitment to maintaining good oral hygiene practices[Reffered by Centers For Disease Control And Prevention].

In the early stages of gingivitis, it is possible to reverse the condition and preserve the natural teeth through improved oral hygiene and professional dental cleanings. However, as periodontal disease progresses to more advanced stages of periodontitis, the risk of tooth loss increases.

With proper treatment and diligent oral hygiene, it is possible to manage and control the progression of periodontal disease, thereby minimizing the risk of tooth loss. However, in cases of severe bone loss or extensive damage to the supporting structures of the teeth, tooth loss may be inevitable, and dental implants or other restorative solutions may be necessary.

Sum Up

Periodontal disease is a progressive condition that can have significant consequences on oral health, including tooth loss. However, with early detection, proper treatment, and a commitment to maintaining good oral hygiene practices, it is possible to manage and control the progression of the disease and preserve natural teeth for an extended period.

Regular dental check-ups, professional cleanings, and adherence to a comprehensive oral hygiene routine are crucial in preventing and managing periodontal disease. Additionally, addressing risk factors such as smoking, chronic illnesses, and stress can contribute to better overall oral health and a reduced risk of tooth loss.

If you are experiencing symptoms of periodontal disease or have concerns about the health of your gums and teeth, it is essential to seek professional dental care. Early intervention and proactive management can help preserve your natural teeth and maintain a healthy, functional, and aesthetically pleasing smile for years to come.


Q1: How does periodontal disease affect tooth longevity?

Periodontal disease can lead to the destruction of the gums and supporting bone, compromising tooth stability and potentially shortening their lifespan.

Q2: Can treatment for periodontal disease help prolong the lifespan of teeth?

Yes, early intervention and appropriate treatment can slow or halt the progression of periodontal disease, preserving teeth for a longer period.

Q3: Are there lifestyle changes that can help maintain teeth affected by periodontal disease?

Yes, maintaining good oral hygiene, quitting smoking, and adopting a healthy diet can all contribute to better oral health and potentially prolong the lifespan of teeth.

Q4: What are the signs that periodontal disease is advancing and threatening tooth survival?

Symptoms include bleeding gums, persistent bad breath, loose teeth, receding gums, and changes in the bite. Seeking dental care promptly is crucial if these signs appear.

Q5: How important are regular dental check-ups in managing periodontal disease and preserving teeth?

Regular dental visits allow for early detection of periodontal disease and timely intervention, which can significantly impact the longevity of teeth affected by the condition.


Centers For Disease Control And Prevention(n.d) Periodontal Disease Available online at: https://www.cdc.gov/oralhealth/conditions/periodontal-disease.html

National Institute Of Dental And Craniofacial Research(n.d) Periodontal (Gum) Disease Available online at: https://www.nidcr.nih.gov/health-info/gum-disease

Johanna Kalons

Dr. Johanna S. Kalons, is a dedicated and compassionate dentist practicing in Charlotte, North Carolina, Dr. Johanna S. Kalons has built a reputation for delivering exceptional dental care. With a Doctor of Dental Surgery (DDS) degree from the prestigious University of North Carolina at Chapel Hill, her expertise lies in Oral Appliance Therapy for the treatment of sleep apnea.

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