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Greenfield Periodontist | IN |

Greenfield Periodontics and Implant Dentistry

Julie L. Combs DDS MS

Practice limited to Periodontics - Dental Implants – Diseases of the Gum

120 W. McKenzie Road, Suite J      Greenfield, IN  46140

Phone:  317-477-3000      Fax:  317-477-3002

Email:  hancockdds@hrtc.net

Periodontal Disease Risk Factors


  • Poor oral hygiene
  • Tobacco Use
  • Diabetes
  • Stress
  • Clenching and grinding your teeth
  • Medication and Drug Use
  • Poor Nutrition
  • Genetic susceptibility


You are undoubtedly familiar with the links between tobacco use and lung disease, heart disease, and cancer.

Now, add periodontal infections and tooth loss to the list of problems related to tobacco use.  Tobacco users may even have more severe periodontal infections than non-users.

Be reminded that your risk of oral cancer, a very aggressive form of cancer, dramatically increases with tobacco use. 

The chemicals in tobacco, such as tar and nicotine, slow down healing by introducing toxins and poisons into our body.  Tobacco use also reduces the chances of success when being treated for periodontal disease.  Stopping your tobacco habit will improve both your general lifestyle and your chances for successful periodontal care.



Individuals suffering from diabetes, especially uncontrolled diabetes, have a higher risk of developing bacterial infections in the mouth.  These infections may impair your ability to process insulin, which then leads to greater difficulty in controlling your blood sugar levels.

Steps to prevent periodontal disease for the diabetic include twice daily brushing and flossing to remove the daily accumulations of bacterial plaque.

Regular hygiene visits and periodontal examinations are also important. Closely monitor your blood sugar levels and continuously consult with your physician.  Maintain a healthy lifestyle. 

Greenfield Periodontist. Julie Combs provides Gum Disease, Dental Implants, Gum Graft, Swollen Gums, Extractions, Bone Grafting, Bleeding Gums to patients from the following locations: Indianapolis, IN, New Castle, IN, Shelbyville, IN.