Informative FAQs About Our Services

Is there a connection between smoking and periodontal disease?

Many research studies and the American Academy of Periodontology clearly illustrate a link between tobacco use and periodontal disease, and decreased treatment effectiveness.

When you smoke you are more likely to develop periodontal disease, and have a more severely case than those who do not use any form of tobacco. Smokers are more likely than non-smokers to have an increase of bacteria plaque and calculus form on their teeth, have deeper pockets between teeth and gums, and lose more bone and tissue that support the teeth.

Following periodontal treatment, dental implant surgery, or any type of oral surgery, the chemicals in tobacco can also slow down the healing process and make treatment results less predictable.

Tobacco use is addictive, yet every year millions of Americans quit. The dental benefits include reducing oral cancer and periodontal disease. Quitting takes commitment, and is usually easier if you have help. To begin a tobacco cessation program, talk to Dr. Forrest.

According to the Smoking Cessation Leadership Center (SCLC), studies have shown that individuals who use "Quit Lines" double their success rates. Quit lines are FREE telephone services that connect callers to trained tobacco counselors. These specialists help plan a specific method uniquely tailored to each individual caller.

Use the following numbers to help you or someone you love to quit:

                          1-877-U-CAN-NOW (1-877/822-6669) - Tobacco Free Florida

                          1-800-QUIT-NOW (1-800-784-8669) - State Quitline

Learn the risks to smoking and quit today.  The American Heart Association can help. Click here for more information.

I have been going to see my dentist for several years, and have had my teeth cleaned every six months. Why has my dentist not told me that I have gum disease?

Your dentist has most likely done everything in his/her power to contain your periodontal condition, however, it has progressed to the point that ordinary dental procedures can no longer contain your periodontal condition, and the intervention by a periodontist has become necessary.

What is gum disease?

Periodontitis, gum disease, or pyorrhea, is a bacterial infection. Unfortunately, it is not caused by just one type of bacteria, which would make its treatment a great deal easier, but, by a complex and difficult group of bacteria, which renders treatment by normal methods i.e. antibiotics, virtually impossible. If untreated, this infection may lead to the destruction of the underlying supporting structures of the teeth, such as the bone and gums, which, in turn, may cause eventual tooth loss. It is estimated that approximately 75% of the American population has some form of gum disease. As a matter of fact, periodontitis, or gum disease, is the leading cause of tooth loss in adults in the United States.

What are the stages of periodontal disease?


  • Gums appear red and swollen
  • Bleeding may occur when gums are touched
  • Teeth are still firmly in place with no damage to supporting bone structure


  • Loss of gum/tooth attachment occurs
  • Pockets form between teeth and gums
  • Tissue that binds teeth to bone is inflamed
  • Bone loss occurs

Advanced Periodontitis

  • Gums recede dramatically from teeth
  • Pockets deepen severely and may hold pus
  • Teeth become extremely loose and may fall out or need to be extracted
  • Severe bone loss occurs

I have not had any pain in my gums. Shouldn't I have felt some signs of periodontal disease?

Not necessarily. Periodontitis is what is known as a silent disease. Most patients are not even aware that they have it. The best analogy that we can provide to you is that of heart disease. Most patients are not aware that they have heart disease until the either begin to develop chest pains or have a heart attack. Usually, by this time, heart disease is quite advanced. The same occurs with gum disease. Most of the time, when a patient starts to develop symptoms such as pain, gum abscesses, and tooth mobility, the periodontitis is exceptionally advanced.

How would I know if I had gum disease?

There are several symptoms that accompany gum disease, however, remember that you may have gum disease without having any or some of the following symptoms:
  • Bleeding gums while brushing your teeth
  • Red, swollen or tender gums
  • Pus between your teeth and gums
  • Receding gums
  • Persistent bad breath, odor or taste
  • Loose teeth
  • Spaces between your teeth that are not normally present
  • Any changes in your bite pattern
  • Any changes in the fit of partial dentures

How is gum disease treated?

The treatment of gum disease depends on its degree of severity. The stages of gum disease are: early, moderate, and advanced, or combinations thereof. According to the severity of the disease, treatment may vary from a simple scaling and root planing (deep cleaning) and antibiotic therapy, to gum surgery with bone grafts and dental implants.

Is gum disease contagious?

Periodontitis is not contagious. Research has found that the patient's immune system plays a very important role in the onset of periodontal disease. Periodontitis can be linked, in man patients, to an immune deficiency in specific white blood cells. This deficiency manifests its way as gum disease. Patients that have certain diseases, diabetes, for instance, are very susceptible to infections, thus more susceptible to gum disease. Patients that are immuno-suppressed, such as cancer patients, that are undergoing chemotherapy, radiation therapy, or patients that have undergone organ transplantation, are exceptionally susceptible to pyorrhea. Patients with certain viral infections, HIV being the best example of this category, are extremely prone to developing rapidly destructive types of gum disease.

Research studies of spouses or mates of patients that have periodontitis have indicated that, unless the spouse or mate is susceptible to gum disease, periodontitis is not transmitted through intimate contact.

Does heredity play a role in gum disease?

Yes, it does. Studies have shown that certain groups of African-Americans are more susceptible to periodontitis. A very defined group of Mediterranean Jews are also very prone to the development of gum disease. The susceptibility to being infected by these bacteria have also been demonstrated in children of parents that have gum disease.

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