★★★★★ 4.9 Rated (184 Google Reviews)  •  Main Line Dental Arts • Specialized Periodontics & Dental Implants  •  Dr. Milita Borguet, DMD • Dr. Margaret Hodgson, DMD • Dr. Peter Susanin, DMD  •  Call (610) 664-9510  •  110 N Essex Ave, Narberth, PA 19072

Common Dental & Gum Problems

  • Home
  • Patient Info
  • Dental Problems Guide
Symptom Checker & Guide

Understanding Your Oral Symptoms & How We Can Help

Many periodontal conditions develop silently without causing sharp toothaches until irreversible bone damage has occurred. Explore common warning signs and discover our specialized treatments.

Problem & Symptoms

Bleeding Gums When Brushing or Flossing

Underlying Cause:

Bacterial plaque biofilm accumulating at the gumline, triggering immune inflammation (gingivitis) or deep bone-destroying periodontitis.

Risk of Inaction:

Healthy gums never bleed. Bleeding indicates active infection and ulcerated pocket walls that allow oral bacteria into the bloodstream.

Our Periodontal Solution:

Scaling and root planing, laser pocket decontamination, and supportive periodontal maintenance cleanings.

Problem & Symptoms

Gum Recession & Sensitive Exposed Roots

Underlying Cause:

Aggressive tooth brushing, genetic thin biotypes, grinding/clenching forces, or past periodontal disease pulling gums away.

Risk of Inaction:

Exposed root dentin is soft, highly prone to rapid root decay (cervical cavities), and triggers sharp cold sensitivity.

Our Periodontal Solution:

Connective tissue gum grafting, Pinhole Gum Surgery (PST), or allograft soft tissue reconstruction.

Problem & Symptoms

Loose, Shifting, or Drifting Teeth

Underlying Cause:

Advanced periodontitis that has destroyed more than 50% of the underlying supporting jawbone and periodontal ligaments.

Risk of Inaction:

Teeth will eventually loosen to the point of spontaneous exfoliation or painful abscess formation without specialty intervention.

Our Periodontal Solution:

Periodontal pocket reduction surgery, bone regeneration with PRF biologics, or guided dental implant replacement.

Problem & Symptoms

One or More Missing Teeth

Underlying Cause:

Tooth loss resulting from sports trauma, failed root canals, deep fractures, or severe tooth decay.

Risk of Inaction:

The jawbone shrinks by 25-50% in the first year alone, adjacent teeth tilt into the space, and the opposing tooth over-erupts.

Our Periodontal Solution:

Biocompatible titanium or ceramic dental implants, same-day implants, or implant-supported bridges.

Problem & Symptoms

Bleeding, Pain, or Looseness Around an Existing Implant

Underlying Cause:

Peri-implantitis—bacterial colonization of implant threads, trapped dental cement, or excessive bite overload.

Risk of Inaction:

Can lead to catastrophic loss of the dental implant and significant destruction of surrounding jawbone.

Our Periodontal Solution:

Laser surface decontamination, peri-implant bone regeneration, or atraumatic explantation and site revision.

Problem & Symptoms

Excessive Gum Display ("Gummy Smile")

Underlying Cause:

Altered passive eruption where gum and bone cover too much of the natural tooth crowns, or hyperactive lip muscles.

Risk of Inaction:

Causes teeth to look short and boxy; creates deep pseudopockets that are difficult to keep clean.

Our Periodontal Solution:

Esthetic crown lengthening and gentle laser gum sculpting to uncover natural tooth proportions.

Problem & Symptoms

Chronic Bad Breath (Halitosis)

Underlying Cause:

Volatile sulfur compounds produced by colonies of anaerobic bacteria hiding inside deep, uncleaned periodontal pockets.

Risk of Inaction:

Cannot be cured by mouthwash or mints alone; indicates active subgingival infection and chronic bacterial decay.

Our Periodontal Solution:

Comprehensive periodontal diagnostics, deep ultrasonic scaling, and laser antimicrobial decontamination.

Problem & Symptoms

Tooth Broken Off Below the Gumline

Underlying Cause:

Catastrophic fracture or recurrent decay beneath an old filling or crown edge where bone attaches.

Risk of Inaction:

Your dentist cannot place a crown without functional crown lengthening or extraction.

Our Periodontal Solution:

Functional crown lengthening to expose 3mm of tooth structure, or gentle extraction and immediate implant placement.

Notice Any of These Symptoms?

Early evaluation by our board-certified periodontists can save your natural teeth and prevent costly future procedures.