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Periodontal Disease

Periodontal Disease


Periodontal disease, the most common cause of lost teeth in persons over 35 years of age, affects the supporting structures of the teeth, primarily the gums and the bones in which the roots of the tooth are embedded. Two forms of the disease are gingivitis and periodontitis.

Gingivitis is the milder of the two forms. It can be an acute or a chronic swelling inflammation of the gums. It can be found in younger persons; in a mild form it is extremely common in adults.

Periodontitis, the more severe form, occurs when the bone and connective tissues are gradually lost and the affected tooth becomes loose. In this case the tooth may fall out.

Treatment includes good oral hygiene, including flossing to remove food and plaque which the toothbrush cannot reach and professional removal of calculus and inflamed tissues. Minor surgery may be required in severe cases.


The cause of periodontitis is uncontrolled gingivitis.

Primarily caused by uncontrolled bacteria and bacterial products constantly present in the mouth, especially between the teeth and at the gum margins, which inflame nearby tissues. The formation of tartar will aggravate the situation.

Poor oral hygieneMisaligned teeth
FillingsClenching of teeth
Grinding of teethFood impaction on teeth
Mouth breathing

Using individual teeth more than others when eating
Overhangings or rough edges on bridges, crowns, or faulty dental restorations

Medications such as: Antiseizure drugs, especially phenytoin and Oral contraceptives

Vitamin deficiencyHormonal changes
High levels of heavy metal in the bodyAllergic reactions
Debilitating diseasePregnancy
Diabetes mellitusThyroid disorders
Blood disorders, including leukemia

Signs & Symptoms

Primary symptom is easily bleeding gums
Soft, shiny, red, and/or swollen gums
Slight tenderness in the gums
Pain in the mouth

Primary symptom is loose teeth
Pus and/or abscess in the mouth
Bad taste in the mouth
Pockets in the gums between the teeth
Gaps between the teeth
Changes in bite
Toothache when eating hot, cold, or sweet foods
Dull sound produced upon tapping the tooth

Nutritional Supplements

Structure & Function:
        Antioxidants &
        Cardiovascular Support

General Supplements

Bioflavonoids** 100 - 500 mg
Calcium 200 - 600 mg
Chromium 50 - 200 mcg
Folic acid*
Vitamin C 500 - 1,000 mg
Vitamin Efloss between teeth
Zinc 10 - 20 mg

* Please refer to the respective topic for specific nutrient amounts.

**Commonly used bioflavonoids include: quercetin and rutin. Of related benefit is: Proanthocyanidins Pycnogenol).

Note 1:Portions of this information are more to do with dental hygiene than nutrition. Flossing is one example; another is the benefit of activated charcoal in preventing this condition. Another indirect approach is fiber, which promotes salivary production. This would apply particularly to fiber foods, like raw vegetables, rather than a commercial mucilagenous beverage.

Note 2:All amounts are in addition to those supplements having a Recommended Dietary Allowance (RDA). Due to individual needs, one must always be aware of a possible undetermined effect when taking nutritional supplements. If any disturbances from the use of a particular supplement should occur, stop its use immediately and seek the care of a qualified health care professional.

Dietary Considerations

When there is oral stimulation from food, the primary fluid-secreting (saliva) stimulus comes from the parasympathetic nerves, which release acetylcholine, a neurotransmitter.

Many foods have also been advocated to inhibit cariogenesis (tooth decay).

· proteins
· short-chain glucans
· non-nutritive sweeteners (non-calorie)
· phosphates
· trace elements
· fats and fatty acids

Nutritional management for periodontal disease involves maintaining a High Calcium Diet with an emphasis on foods which require mastication, to clean teeth and provide bone stimulation. Calcium is needed throughout life for healthy teeth and gums. A diet low in calcium over the course of 20 to 40 years will result in periodontal disease. Fluoride protects against jawbone fragility and tooth loss.

Vitamin C and niacin deficiencies can produce symptoms similar to periodontal disease.

Homeopathic Remedy

See toothache and dental caries

1. Avena sativa tinct. - 30C
2.* Causticum - 30C or higher
3. Carbo vegetabilis - 30C

Gum-boilCalcarea fluorica tinct.
InflamedCalcarea phos. tinct.
SwollenApis Mellifica
UlcersMercurius Vivus

Treatment Schedule

Doses cited are to be administered on a 3X daily schedule, unless otherwise indicated. Dose usually continued for 2 weeks. Liquid preparations usually use 8-10 drops per dose. Solid preps are usually 3 pellets per dose. Children use 1/2 dose.


X = 1 to 10 dilution - weak (triturition)
C = 1 to 100 dilution - weak (potency)
M = 1 to 1 million dilution (very strong)
X or C underlined means it is most useful potency

Asterisk (*) = Primary remedy. Means most necessary remedy. There may be more than one remedy - if so, use all of them.


Boericke, D.E., 1988. Homeopathic Materia Medica.

Coulter, C.R., 1986. Portraits of Homeopathic Medicines.

Kent, J.T., 1989. Repertory of the Homeopathic Materia Medica.

Koehler, G., 1989. Handbook of Homeopathy.

Murphy, R. : Homeopathic Medical Repertory. Hahneman Academy, Pagosa Springs, Colorado. 1993.

Murphy, R. : Lotus Materia Medica. Hahneman Academy, Pagosa Springs, Colorado. 1995.

Pert, J.C.: Homeopathy for the Family. The Homoeopathic Development Foundation, London. 1985 edition.

Shingale, J.N., 1992. Bedside Prescriber.

Smith, Trevor, 1989. Homeopathic Medicine.

Ullman, Dana, 1991. The One Minute (or so) Healer.

Tissue Salts

Ferr. Phos.swollen gums;
Kali Phos.bleeding gums;

Herbal Approaches




White oak bark

Note: The misdirected use of an herb can produce severely adverse effects, especially in combination with prescription drugs. This Herbal information is for educational purposes and is not intended as a replacement for medical advice.


Hoffmann, D: The New Holistic Herbal. Element, 1983. Third edition 1990.

Aromatherapy - Essential Oils

Clove Essence,Cypress Essence,
Clary Sage Essence,Lemon Essence,
Marjoram Essence,Myrrh Essence,
Tea Tree Essence,Thyme Essence.

Related Health Conditions

AllergyBlood disorders
Diabetes mellitusInfection
Oral contraceptivesPain
Thyroid disordersToothache



Aleo, J.J.: Inhibition of endotoxin-induced depression of cellular proliferation by ascorbic acid. Proc. Soc. Exp. Biol. Med. 1980, 164(3): 248-251.

Alfano, M.C. Controversies, Perspectives and Clinical Implications of Nutrition in Periodontal Disease. Dental Clinics N. Am, 20. 1976.

Alvares, O. et al: The effect of subclinical ascorbate deficiency on periodontal disease in nonhuman primates. J. Periodontol Res. 1984, 16: 628-636.

Anonymous: Caries Res. 1996, 30(1): 34 - 39.

Baum,. B. Advances in salivary and soft tissue management. JADA, 1994, 125: 26-S-30-S.

Berkow, R. 1977. The Merck Manual. Merck Sharp and Dohme Research Laboratories Pub., Rahway, New Jersey. 2165 pp.

Bissada, N.F. & DeMarco, T.J.: The effect of a hypocalcemic diet on the periodontal structures of the adult rat. J. Periodontol. 1974, 45: 739-745.

Bland, Jeffrey. Nutraerobics. San Francisco: Harper & Row, 1983.

Bland, Jeffrey. Medical Applications of Clinical Nutrition. New Canaan, Conn.: Keats, 1983.

Carranza, F.: Glickman’s Clinical Periodontology. W.B. Saunders, Philadelphia, 1984.

Caton JG: Overview of clinical trials on periodontal regeneration. Ann Periodontol, 1997 Mar, 2:1, 215-22.

Cerna, H. Et al: Periodontium and vitamin E and A in pregnancy. Acta U. Palacki Olomuc Fac. Med. 1990, 125: 173-179.

Cheraskin, E.: How quickly does diet make for change? A study in sulcus depth. Clin. Prev. Dent. 1988, 10(4): 20-22.

Cheraskin, E.: How quickly does diet make for change? A study in gingival inflammation. NY J. Dent. 1988, 58(4): 133-135.

Firatli E: The relationship between clinical periodontal status and insulin-dependent diabetes mellitus. Results after 5 years. J Periodontol, 1997 Feb, 68:2, 136-40.

Folkers, K. & Watanabe, T. : Bioenergetics in clinical medicine. X. Survey of the adjunctive use of coenzyme Q with oral therapy in treating periodontal disease. J. Med. 1977, 8(5): 333-348.

Frithiof, L. Et al: The relationship between marginal bone loss and serum zinc levels. Acta Med. Scand. 1980, 207(1): 67-70.

Gaengler, P. Et al: The effects of carbohydrate-reduced diet on development of gingivitis. Clin. Prev. Dent. 1986, 8(6): 17-23.

Gilbert AD & Newton JP: The effect of chronic periodontal disease on human jaw muscles: a pilot study using computed tomography. J Oral Rehabil, 1997 Apr, 24:4, 259-64.

Goodman, S.F.: Periodontal disease is not a metabolic disease. N Y State Dent. J. 1981, 47(8): 462-464.

Gurgan S et al., In vitro effects of alcohol-containing and alcohol-free mouthrinses on microhardness of some restorative materials. J Oral Rehabil, 1997 Mar, 24:3, 244-6.

Harrap, G.J. et al: Inhibition of plaque growth by zinc salts. J. Periodont. Res. 1983, 18: 634-642.

Hendrickson, P.H. Periodontal Disease and Calcium Deficiency. Acta Odontologica Scand., 26. 1968.

Hou GL & Tsai CC: Clinical significance of tooth morphology correlated with periodontal disease-I. Kao Hsiung I Hsueh Ko Hsueh Tsa Chih, 1997 Apr, 13:4, 200-12.

Hui, Y.H. 1983. Human nutrition and diet therapy. WadsWorth, Inc; Belmont, California. 1039 pp.

Imaki M et al., Relation between smoking and periodontal disease by oral hygiene status in Japanese factory workers. Appl Human Sci, 1997 Mar, 16:2, 77-81.

Jacob, R,.A. et al: Experimental vitamin C depletion and supplementation in young men. Nutrient interactions and dental health effects. Ann. NY Acad. Sci. 1987, 498:333-346.

Joseph, C.E. et al: Zinc deficiency changes in the permeability of rabbit periodontium to 14C-phenytoin and 14C-albumin. J. Periodontol. 1982, 53: 251-256.
Khmelevski, I. et al: [Effects of vitamins A, E and K on the indices of glutathione antiperoxidase system in gingival tissues in periodontosis.] Vopr. Pitan. 1985, 4: 54-56.

Kolata, G. Vitamin C Prevents Periodontal Disease in an Animal Model. Science, 209. 1981.

Krook, L. Et al: Human periodontal disease: morphology and response to calcium therapy. Cornell Vet. 1972, 62(1): 32-53.

Kunz, J.R.M. 1982. The American Medical Association Family Medical Guide. Random House Pub, New York. 832 pp.

Leggott, P.J. et al: The effect of controlled ascorbic acid depletion and supplementation on periodontol health. J. Periodontol. 1986, 57(8): 480-485.

Meurman JH et al., Oral infections in home-living elderly patients admitted to an acute geriatric ward. J Dent Res, 1997 Jun, 76:6, 1271-6.

Morinushi T et al., The relationship between gingivitis and the serum antibodies to the microbiota associated with periodontal disease in children with Down's syndrome. J Periodontol, 1997 Jul, 68:7, 626-31.

Murray, M.T., & J.E. Pizzorno. 1991. Encyclopedia of Natural Medicine. Rocklin, Ca; Prima Publishing.

Nakamoto, T. Et al: The role of ascorbic acid deficiency in human gingivitis: a new hypothesis. J. Theor. Biol. 1984, 108(2): 163-171.

Pack, A.R.C.: Folate mouthwash: effects on established gingivitis in periodontol patients. J. Clin. Periodontol. 1984, 11: 619-628.

Pack, A.R.C.: A review of nutritional implications in periodontics. J.N.Z. Soc. Periodontol. 1988,65: 6-10.

Pack, A.R.C. & Thomson, M.E.: Effects of topical and systemic folic acid supplementation on gingivitis of pregnancy. J. Clin. Periodontol. 1980, 7(5): 402-414.

Polenik, P.: Zinc in Etiology of Periodontal Disease. Medical Hypotheses, 1993;40:182-185.

Qandil R e al., Tobacco smoking and periodontal diseases. J Can Dent Assoc, 1997 Mar, 63:3, 187-92, 194-5.

Ringsdorf, W. Et al: Sucrose, neutrophil phagoicytosis and resistance to disease. Dent. Surv. 1976, 52: 46-48.

Robinson, C.H. & M.R. Lawler. 1982. Normal and Therapeutic Nutrition. 16th ed. MacMillan Publishing Company, Inc., N Y. 849 pp.

Rottka, H. Et al: The influence of the calcium/phosphorus ratio in the diet on human bone disease: the role of nutritive secondary hyperparathyroidism. Int. J. Vit. Nutr. Res. 1981, 51(4): 373-379.

Rubinoff, A.B. et al: Vitamin C and oral health. J. Can. Dent. Assoc. 1989,55(9): 705-707.

Scheutz F et al., Is there an association between periodontal condition and HIV infection? J Clin Periodontol, 1997 Aug, 24:8, 580-7.

Shaw, J.H. & E.A. Sweeney. 1983. Oral Health. Nutritional Support of Medical Practice, 2nd ed. H.A. Schneider, C.E. Anderson, & D.B. Coursini, eds. Harper and Row, Philadelphia.

Sidi, A.D. & Ashley, F.P. : Influence of frequent sugar intakes on experimental gingivitis. J. Periodontol. 1984, 55(7): 419-423.

Socransky SS & Haffajee AD: The nature of periodontal diseases. Ann Periodontol, 1997 Mar, 2:1, 3-10.

Subak-Sharpe, G.J. 1984. The Physician's Manual For Patients. Times Books Pub, New York. 607 pp.

Svanberg, G. Et al: Effect of nutritional hyperparathyroidism on experimental periodontitis in the dog. Scand. J. Dent. Res. 1973, 81: 155-162.

Tervonen T & Karjalainen K: Periodontal disease related to diabetic status. A pilot study of the response to periodontal therapy in type 1 diabetes. J Clin Periodontol, 1997 Jul, 24:7, 505-10.

Thomson, M.E. & Pack, A.R.C. : Effects of extended systemic and topical folate supplementation on gingivitis of pregnancy. J. Clin. Periodontol. 1982, 9(3): 275-280.

Touyz, L.Z.: Vitamin C, oral scurvy and periodontol disease. S. Afr. Med. J. 1984, 65(21): 838-842.

Uhrbom, E. & Jacobson, L.: Calcium in periodntitis: clinical effect of calcium medication. J. Clin. Periodontol. 1984, 11(4): 230-241.

Vogel, R.I. et al: The effect of folic acid on gingival health. J. Periodontol. 1976, 47(11): 667-668.

Vogel, R.I. et al: The effect of topical application of folic acid on gingival health. J. Oral Med. 1978, 33(1): 20-22.

Wical, K.E. & Swoope, C.C.: Studies of residual ridge resorption. Part II. The relationship of dietary calcium and phosphorus to residual ridge resorption. J. Prosthet. Dent. 1974, 32(1): 13-22.

Wical, K.E. & Brussee, P. : Effects of calcium and vitamin D supplement on alveolar ridge resorption in immediate denture patients. J. Prosthet. Dent. 1979, 41(1): 4-11.

Wilkinson, E.G. et al: Bioenergetics and clinical medicine. VI. Adjunctive treatment of periodontal disease with Coenzyme Q10. Res. Comm. Chem. Pathol. Pharmacol. 1976, 14: 715.

Williams, Sue Rodwell. Nutrition And Diet Therapy. 5th edition. St Louis: Times Mirror/Mosby, 1985.

Woolfe, S.N. et al: Relaitonship of ascorbic acid levels of blood and gingival tissue with response to periodontol therapy. J. Clin. Periodontol. 1984, 11(3): 159-165.

Wyngaarden, J. B. and L. H. Smith. 1985. "Cecil's Textbook of Medicine." Saunders, Philadelphia. 2341 pp.


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