Online Dental Education Library

A periodontist who specializes in the diagnosis and treatment of problems that affect the gums and other supporting tissues of the teeth. If you want to keep your teeth for life — a completely reasonable goal in this day and age — you need to make sure the tissues that surround them are also healthy. Should gum problems arise, you may need periodontal therapy to restore diseased tissues to health. Learn more about Periodontal Disease & Therapy.

Treatment of Gum Disease

Treating gum disease starts with the removal of any plaque and hardened deposits (tartar or calculus) on the tooth root surfaces. This may be followed by other non-surgical treatments and/or periodontal surgery to remove diseased tissue and restore your mouth to the best possible health.

Implant Dentistry

Dental Implant Video

If you are missing one or more teeth, dental implants offer the comfort and security of a permanent replacement that looks and functions just like your natural teeth. Dental implants also help preserve the tooth-supporting bone in your jaw that deteriorates when even one tooth is lost.

Cosmetic Gum Surgery

The gum tissue that surrounds and supports your teeth plays a big role in how appealing your smile will look. Excess gum tissue, gum recession, and an uneven gum line are all problems that can often be successfully treated surgically at the dental office. Learn more about Cosmetic Gum Surgery.

Gum Grafting

If gum recession is affecting your health or your appearance, a routine surgical procedure called gum grafting may help. It involves carefully placing a small amount of new tissue in an area where little or no gum tissue currently exists — typically recommended to prevent further gum recession or to help cover tooth root surfaces that have become exposed. Learn more about Gum Grafting.

Tooth Extractions

There are times when it is in your best interest to have a tooth extracted (removed). This could be the case for a variety of reasons, including: damage or trauma to the tooth; extensive gum disease; extensive tooth decay; or overcrowding. Learn more about Tooth Extractions.

Bone Grafting

Bone grafting, a minor in-office surgical procedure, is commonly used in dentistry to correct deficiencies in bone quantity and to build support for teeth or dental implants. Learn more about Bone Grafting.

Sedation Options

We offer a wide array of sedation options for our patients.  We want you to be comfortable for every procedure and are fully Licensed to offer you Nitrous Oxide sedation ( laughing gas), Oral sedation, IV sedation and General Anesthesia. Learn more about  Anesthesia

 

Gum disease.Periodontal (gum) disease is an infection caused by bacterial plaque, a thin, sticky layer of microorganisms (called a biofilm) that collects at the gum line in the absence of effective daily oral hygiene. Left for long periods of time, plaque will cause inflammation that can gradually separate the gums from the teeth — forming little spaces that are referred to as “periodontal pockets.” The pockets offer a sheltered environment for the disease-causing (pathogenic) bacteria to reproduce. If the infection remains untreated, it can spread from the gum tissues into the bone that supports the teeth. Should this happen, your teeth may loosen and eventually be lost.

When treating gum disease, it is often best to begin with a non-surgical approach consisting of one or more of the following:

  • Scaling and Root Planing. An important goal in the treatment of gum disease is to rid the teeth and gums of pathogenic bacteria and the toxins they produce, which may become incorporated into the root surface of the teeth. This is done with a deep-cleaning procedure called scaling and root planing (or root debridement). Scaling involves removing plaque and hard deposits (calculus or tartar) from the surface of the teeth, both above and below the gum line. Root planing is the smoothing of the tooth-root surfaces, making them more difficult for bacteria to adhere to.
  • Antibiotics/Antimicrobials. As gum disease progresses, periodontal pockets and bone loss can result in the formation of tiny, hard to reach areas that are difficult to clean with handheld instruments. Sometimes it's best to try to disinfect these relatively inaccessible places with a prescription antimicrobial rinse (usually containing chlorhexidine), or even a topical antibiotic (such as tetracycline or doxycyline) applied directly to the affected areas. These are used only on a short-term basis, because it isn't desirable to suppress beneficial types of oral bacteria.
  • Bite Adjustment. If some of your teeth are loose, they may need to be protected from the stresses of biting and chewing — particularly if you have teeth-grinding or clenching habits. For example, it is possible to carefully reshape minute amounts of tooth surface enamel to change the way upper and lower teeth contact each other, thus lessening the force and reducing their mobility. It's also possible to join your teeth together with a small metal or plastic brace so that they can support each other, and/or to provide you with a bite guard to wear when you are most likely to grind or clench you teeth.
  • Oral Hygiene. Since dental plaque is the main cause of periodontal disease, it's essential to remove it on a daily basis. That means you will play a large role in keeping your mouth disease-free. You will be instructed in the most effective brushing and flossing techniques, and given recommendations for products that you should use at home. Then you'll be encouraged to keep up the routine daily. Becoming an active participant in your own care is the best way to ensure your periodontal treatment succeeds. And while you're focusing on your oral health, remember that giving up smoking helps not just your mouth, but your whole body.

Often, nonsurgical treatment is enough to control a periodontal infection, restore oral tissues to good health, and tighten loose teeth. At that point, keeping up your oral hygiene routine at home and having regular checkups and cleanings at the dental office will give you the best chance to remain disease-free.

Related Articles

Periodontal (Gum) Disease - Dear Doctor Magazine

Understanding Gum (Periodontal) Disease Have your gums ever bled when you brushed or flossed? This most commonly overlooked simple sign may be the start of a silent progressive disease leading to tooth loss. Learn what you can do to prevent this problem and keep your teeth for life... Read Article

Periodontal Disease - Dear Doctor Magazine

Treating Difficult Areas Of Periodontal Disease Local antimicrobial or antibiotic therapy is sometimes used to treat difficult areas of periodontal (gum) disease. However, it is important to realize that while periodontal disease is a bacterially induced and sustained disease, mechanical cleaning to reduce bacteria is the best and most often used treatment... Read Article