Gum Disease (Periodontal Disease) in Chicago, IL
More than half of American adults live with some form of gum disease, and left unchecked it becomes the number one reason adults lose teeth. Caught early, though, the damage can frequently be reversed. That is where we come in: at Dr. Raffi General & Implant Dentistry, we diagnose and treat periodontal disease at every stage, from the earliest gingivitis to advanced periodontitis, so you can hold onto your natural teeth and protect your overall health.
What it is
As plaque gathers along and below the gum line, bacteria set off an infection in the gums and in the bone that supports your teeth. That infection is gum disease.
Who it affects
It reaches over 50% of U.S. adults, and the risk climbs higher with poor oral hygiene, smoking, diabetes, genetics, and certain medications.
How we help
Treatment opens with a comprehensive periodontal evaluation. From there we use deep cleanings, ongoing maintenance, and, when it is needed to halt the disease, surgical options.
Notice blood in the sink when you brush? That is frequently the first sign of gum disease, so don't wait to have it checked.
Stages of Gum Disease
Gingivitis (Early Stage)
- The mildest form of periodontal disease
- Gums become red, swollen, and bleed easily during brushing or flossing
- Usually caused by poor oral hygiene and plaque buildup
- Reversible with professional treatment and improved home care
- Often painless, so many patients don't realize they have it
Periodontitis (Advanced Stage)
- Occurs when gingivitis is left untreated and progresses
- Gums pull away from teeth, forming deep "pockets" that trap bacteria
- Bone and tissue supporting the teeth begin to break down
- Damage is permanent and can only be managed, not cured
- Can lead to loose teeth, shifting bite, and eventual tooth loss
Warning Signs of Periodontal Disease
Watch For These Symptoms
- Gums that bleed during brushing or flossing
- Red, swollen, or tender gums
- Persistent bad breath (halitosis) that doesn't go away
- Receding gum line that makes teeth appear longer than before
- Loose or separating teeth
- Pus between your teeth and gums
- A change in the way your teeth fit together when you bite
Important: Many patients experience no symptoms until gum disease is already advanced. Regular dental exams are the best way to catch it early, when treatment is most effective.
Call us promptly if you notice sudden gum swelling, loose teeth, or pus around your gum line.
What Causes Gum Disease?
How It Develops
- Bacteria mix with food to form a sticky film called plaque on teeth
- Without regular brushing and flossing, plaque hardens into tartar within days
- Tartar can only be removed by professional dental cleaning
- Tartar below the gum line causes chronic inflammation of the gum tissue
- Over time, inflammation destroys the bone that supports teeth, creating deep pockets
Risk Factors
- Poor oral hygiene: Inconsistent brushing and flossing
- Smoking/tobacco use: Accelerates bacterial growth and impairs healing
- Diabetes: Increases susceptibility to infections including gum disease
- Genetics: Family history can increase your risk
- Medications: Some drugs reduce saliva flow, increasing plaque buildup
- Hormonal changes: Pregnancy and menopause can make gums more vulnerable
How to Prevent Gum Disease
Prevention Strategies
- Brush thoroughly for two minutes, twice a day, using a soft-bristled brush
- Floss every night, since cleaning under the gum line is essential for fighting gum disease
- Don't skip dental visits, because professional cleanings remove tartar that brushing can't
- Quit smoking, since tobacco use is one of the biggest risk factors for periodontal disease
- Eat a balanced diet, because proper nutrition supports your immune system and gum health
- Manage health conditions by keeping diabetes and other conditions well-controlled
Concerned about your gums? A periodontal evaluation is the first step toward keeping the teeth you have.
How We Treat Gum Disease
The right treatment depends on how far the disease has advanced and on your general health. Our approach is to begin conservatively, turning to surgery only when non-surgical care cannot halt the disease on its own.
Non-Surgical Treatment
- Scaling & root planing: A deep cleaning that removes plaque and tartar from below the gum line and smooths root surfaces
- Antibiotic therapy: Targeted medications placed in gum pockets to fight bacterial infection
- Periodontal maintenance: More frequent cleanings (every 3–4 months) to keep the disease under control
- Improved home care: Customized brushing and flossing guidance
Surgical Options
- Osseous surgery: Reshapes bone around teeth to eliminate deep pockets
- Soft tissue grafting: Rebuilds receding gum tissue to cover exposed roots
- Bone grafting: Restores lost bone to support teeth
- Gingivectomy: Removes excess or diseased gum tissue
- Crown lengthening: Exposes more tooth structure when needed for restoration
What to Expect at Your Visit
Visit Steps
- Comprehensive exam: We measure gum pocket depths, check for bone loss, and assess your overall periodontal health
- X-rays: Digital images reveal bone levels and hidden problems below the gum line
- Diagnosis: Dr. Raffi explains the stage and severity of any gum disease found
- Treatment plan: Together, we choose the most effective and conservative approach for your situation
Helpful Tips
- Bring a list of all medications you take, since some affect gum health
- Be honest about your home care routine so we can offer helpful improvements
- Ask about your family history, since genetics play a role in gum disease
- Don't wait for pain, because gum disease is often painless until advanced stages
- Finding it early is the first step to preventing tooth loss
Frequently Asked Questions
It depends on the stage. Gingivitis, the earliest form of gum disease, is fully reversible. With a professional cleaning and a tighter daily brushing and flossing routine, inflamed gums can return to full health and the condition clears completely.
Once gum disease advances into periodontitis, the picture changes. The bone and tissue already lost do not grow back, so a true cure is no longer possible. What we can do is stop the disease in its tracks and keep it controlled for the long term through deep cleaning and regular maintenance.
This is exactly why we push so hard for early detection. The sooner gum disease is caught, the more likely we can reverse it rather than simply manage it.
The bacteria responsible for gum disease can move from one person to another through saliva, so sharing utensils or drinks, or kissing, can pass them along. In that narrow sense, the germs involved are transmissible.
Catching those bacteria is not the same as developing gum disease, though. Whether an infection actually takes hold depends on your immune system, how consistent your oral hygiene is, and personal risk factors such as smoking or diabetes. Plenty of people carry the bacteria without ever developing periodontal disease.
A deep cleaning, known clinically as scaling and root planing, reaches below the gum line where a routine cleaning stops. We remove the plaque and hardened tartar that have collected against the tooth roots, then smooth those root surfaces so the gums can knit back tightly against each tooth.
To keep you comfortable, the area is numbed with local anesthetic first, and the work is often split across more than one visit depending on how much buildup is present. This is the standard first-line treatment for gum disease, and it frequently spares patients from more involved surgery down the road.
You can read a fuller walkthrough on our Scaling & Root Planing page.
Once you have been diagnosed with periodontal disease, the usual six-month schedule is no longer enough. Most patients move to periodontal maintenance visits every three to four months so bacteria never get the chance to regroup in the deeper pockets around your teeth.
These more frequent appointments let us clean below the gum line, re-measure your pockets, and track the health of the supporting bone over time. We treat gum disease patients at our Chicago and Bourbonnais, IL offices and will set an interval that fits the severity of your case and how your gums are responding.
Yes, and this is one of the most important things to understand about periodontal disease. The same bacteria that inflame your gums can enter the bloodstream, and researchers have connected active gum disease to a range of whole-body health problems, including:
- Heart disease and stroke
- Complications in managing diabetes
- Respiratory problems
- Adverse pregnancy outcomes such as premature birth
Treating gum disease, then, is about far more than saving teeth. Bringing the infection under control is also a step toward protecting your general health.
Smoking is one of the strongest risk factors we see for both developing gum disease and watching it worsen. Tobacco narrows the blood vessels that feed your gums, which weakens the local immune response and, frustratingly, can mask early warning signs like bleeding.
Smoking also drags down the results of treatment. Gums heal more slowly and less predictably after a deep cleaning or surgery when someone smokes. Giving up tobacco is one of the single most valuable things you can do for your gum health, and we are glad to support you through it.
A little bleeding in the first few days of starting or restarting a flossing habit can be normal as your gums adjust. Bleeding that keeps happening every time you brush or floss, however, is a textbook sign of gingivitis and should not be brushed aside.
Healthy gums simply do not bleed during normal cleaning. If yours do consistently, it is worth having them evaluated so we can catch gum disease at the stage where it is still fully reversible.
There is no single price, because the cost tracks the severity of the disease and the treatment it calls for. A non-surgical deep cleaning sits at the lower end, while surgical procedures for advanced periodontitis cost more. We always walk you through a written treatment plan with the numbers spelled out before any work begins.
We accept most dental insurance plans and offer financing options to keep care manageable, and our team at our Chicago and Bourbonnais, IL offices is happy to verify your benefits in advance so there are no surprises.
You can, though a family history means you may have to work a little harder at it. Genetics can leave you more susceptible to gum disease, but they do not seal your fate.
Consistent brushing and flossing, professional cleanings on the schedule we recommend, steering clear of tobacco, and keeping conditions like diabetes well managed all meaningfully lower your risk, even when periodontal disease is common in your family. Knowing you are predisposed is actually an advantage, because it lets us monitor you more closely from the start.
Don't let gum disease cost you your smile. Treating it early protects your teeth, your health, and your confidence all at once.
Visit Dr. Raffi General & Implant Dentistry
Chicago Office
6215 W Touhy Ave
Chicago, IL 60646
Bourbonnais Office
876 N Convent St
Bourbonnais, IL 60914