Can you get the upper hand against bacteria once youre diagnosed with periodontal gum disease? The answer is yes, if you begin early enough and are diligent. More advanced periodontal gum disease may still be reversed, but it will take some special cleaning provided by your dentist to give you a fighting chance.

Adopting a strenuous daily oral hygiene routine now can go a long way to reversing periodontal gum disease.

1. Brush thoroughly when you get up in the morning and before you go to bed each night. Brushing or at least rinsing with water after meals and snacks will also help remove food and bacteria trapped between teeth, helping in reversing periodontitis.

2. Rinse your mouth with a good antibacterial mouthwash for at least a full thirty seconds twice each day. This will help reach bacteria trapped in pockets below your gum line, aiding in reversing periodontal gum disease.

3. Floss every single day. Pay special attention to flossing just below the gum line for reversing periodontal gum disease.

4. Even better than flossing or rinsing is the use of one of the powerful oral irrigators on the market, which blast food particles out from between your teeth and clean the gumline. High-end irrigators can be purchased with special tips to reach deeply into any pre-existing pockets and clean them out. These special tips are necessary for effective cleaning if your periodontitis has already established itself.

While a conscientious oral hygiene routine can go a long way in aiding the reversal of periodontal gum disease, sometimes the infection is too far advanced, and it is necessary to get professional help.

If the problem is becoming severe, your dentist may see fit to perform a periodontal cleaning. If x-rays show deep pockets of bacteria surrounding any of your teeth below the gum line, your dentist can choose from special procedures known as debridement, scaling or root planing to go in and scrape the bacteria out and make the tooth less hospitable to germs. He may also order a prescription antibacterial mouth wash to be used daily that will also help in reversing periodontal gum disease.

If more is required, he may perform actual periodontal surgery, which involves lifting the flaps of the gum to enable deep cleaning and suturing them back in place. After the procedure, you will have several appointments to check on the success of the cleaning. Still, there's good news for patients that have to suffer through surgery -- a 2001 study found that roughly 50% of patients with moderate to severe periodontal disease showed measurable improvement from surgery, while those trying non-surgical options enjoyed less success.

The important thing is to seek help as soon as you notice any signs of trouble with your gums. The good news is, periodontal gum disease can be reversed if it's caught early enough.