What is Periodontal Disease?Periodontal disease or gum disease is an infection of the tissues around the teeth. When plaque builds up in the sulcus (the small crevice between the gums and the surface of the tooth), bacteria begins to damage these tissues and wear away their connection to the tooth. Eventually, the sulcus begins to detach from the tooth and form a pocket. This pocket continues to grow until the disease is tended to. As the pocket gets larger, the disease gets more severe and generally harder to clean and eventually treat.

In the more mild stages, periodontal disease is categorized as gingivitis and only affects the gums. In time, the disease becomes irreversible and ultimately more harmful. This severe stage of periodontal disease is called periodontitis.

What are the symptoms of Periodontal Disease?

It is time to make an appointment with Dr. Mishaan if you are experiencing any of the following symptoms of periodontal disease:

  • Bleeding gums
  • Gums that are red and/or tender
  • Receding gums
  • Constant bad breath and/or bad taste
  • Loose teeth
  • A change in the fit of your teeth when you bite down


What are the main causes of periodontal disease?

In his midtown dentist office, Dr. Mishaan has identified many of the main causes of periodontal disease, including:

  • The use of any forms of tobacco
  • Systemic diseases such as diabetes, hypertension, or metabolic syndrome
  • Crooked teeth
  • Faulty or damaged fillings or bridges
  • The use of certain types of medications
  • Pregnancy


Daniell Mishaan, D.M.D. is a dentist in the Garment District in midtown Manhattan. He serves patients from all over New York City.

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